New case. this is in continuation with the previous one.
young patient age 22 reported for "Smile Rejuvenation!" The pic before shows missing #21 (upper left central!!). the lateral has AQUIRED place of central. ( the orthodontist missinterprited for positioning of lateral mesially instead of DISTAL movement.
After view shows , following modified thought process to get the result,
1. the #22 (upper left lateral) was converted in form, shape and size into #21 with slow and timely build up in composite with squeezing papilla technique.
2. the #23 ( upper left canine was coverted into illlusive lateral incisor by altering shape and form. ( gingafill, gum coloured composite was used at cervical end to mask inside tooth (white portion)
3. upper left 1st premolar was modified by augmenting it inciso labially to mimick canine.
4. contralateral teeth retouched ( cosmetic countering) to match arch form.
5. this case is done three and half years back ( only composite restorations)
6. patient comes regularly for periodic chk up.
