Full Vertical Smile Lift
In this case the patient had severe wear and tear of all his teeth. His main objectives were not just esthetics, he was worried with the fact that his teeth were getting shorter and presenting fracture lines. We explain that in order to solve this problem he would need to do a full vertical smile lift. His periodontal situation was fine except for his first upper right molar which needed to be extracted. As you will see on the photos I tried to place implants straightaway however the bone was not perfect so I regenerated and waited six months. During this time we fulfilled the patient desires. We do not use digital technique here to design smile, rather opted for an old school wax up using a facial bow. We are however big fans of the digital technique also. The patient was quite happy with the bisacryl temporaries so then it was just a question of copying the design to ceramic. In posterior region we have Zirkonzahn with stratified ceramic layered and in the anterior we opted for Emax and stratified ceramic.
Regarding the implant I chose to do some osseodensification before placing the implant to improve the quality of the bone following my GBR. It worked quite well as the ISQ measurements were above average. The last photograph is on the day of cementation and that is why the gengiva is a bit inflamed. Patient was very happy with outcome. Of course these cases require good planning, hard work from the Lab and a patient that can afford this procedure.