This patient came to Long Island Veneers with a complex dental history. Over the years, he had accumulated a mix of old dental work, including crowns and fillings. Some of these restorations were worn down, others were mismatched in color or shape, and a few had failed entirely. He was also missing multiple teeth, which caused noticeable gaps and affected the way he spoke and smiled.
His goal wasn’t just to fix a few teeth. He wanted to feel like himself again. He wanted a complete, confident, and youthful smile.
Diagnosing a Multifaceted Case
From the start, we knew this case would require more than a single approach. Several teeth were severely worn and discolored. A few had been restored in the past with crowns or fillings that no longer matched in shade or size. Some areas had teeth missing altogether, causing the bite to collapse in places and affecting facial balance.
What made this case unique was the combination of restorative needs. We weren’t working with just veneers or just implants. We needed to use a full suite of restorative tools to rebuild this smile in a way that looked natural and functioned beautifully.
Creating a Full Treatment Plan
After a complete evaluation and imaging, we built a plan tailored to this patient’s needs and anatomy. The treatment included:
- Implants to replace missing teeth and anchor permanent restorations.
- Crowns to strengthen teeth with previous damage or root canals.
- Bridges to close larger gaps using support from surrounding healthy teeth.
- Veneers to enhance color, shape, and proportion across the visible smile line.
By blending these approaches, we were able to restore his bite, support his jaw structure, and give him a consistent, confident smile from every angle.
Focus on Function and Aesthetics
Our approach balanced structural integrity with visual harmony. The implants were strategically placed in areas of missing teeth and integrated over several months. Once healed, custom abutments and crowns were placed for a seamless transition.
Veneers were added to the front teeth to improve symmetry and brightness. These restored the correct size and proportions, especially important after years of wear that had shortened the teeth.
The combination achieved key goals:
- Improved chewing function: Replacing missing teeth allowed for better food breakdown and less strain on the jaw.
- Consistent shade: We matched all restorations to the same custom tone, eliminating the mismatched look.
- Full smile arc: The upper teeth now followed the curvature of his lip, enhancing expression and facial balance.
Before and After: A Smile Rebuilt
The change was remarkable. Before treatment, the patient’s smile showed gaps, discoloration, and uneven tooth structure. After treatment, his teeth appeared uniform, well-shaped, and natural in tone. The restorations enhanced his smile while still respecting his age and features.
Visible improvements included:
- Color consistency: All teeth now share the same bright but natural-looking shade.
- Facial support: Restoring length and volume helped support the lower third of his face, reducing a sunken appearance.
- Durability: The mix of materials gave strength in functional areas and aesthetics in visible ones.
The patient commented that he felt like he had reversed time. People noticed the change, but they couldn’t quite put their finger on what had been done. It was exactly the type of transformation he had hoped for, one that was noticeable, but not artificial.
Emotional Impact
This smile reconstruction was more than cosmetic. It allowed the patient to speak, eat, and laugh freely again. He mentioned that he hadn’t smiled in photos in years, and now he found himself doing it without even thinking.
Restoring a patient’s smile can have a powerful ripple effect. In this case, the improvements extended into his confidence, social life, and how he presented himself every day.
A Team Effort with Long-Term Benefits
This type of case requires careful coordination, technical skill, and patience. We guided the patient through each stage from surgery and healing to design and placement. Every detail was considered, from the strength of the bite to the reflection of the porcelain.
With ongoing care and routine hygiene visits, the results will last for many years.
This case shows what’s possible when we bring together every tool available and customize the journey for the person sitting in the chair.
