Missing Lateral Incisors.
Worn restorations on cuspids.
Dark amalgams in 2 bicuspids.
Rotated bicuspids on left side.

Empress Porcelain restorations on 4 anterior teeth.
Direct-bonded composite resin restorations on 4 bicuspids.

Pointed Cuspids were reshaped in 1984 by Dr. Perlmutter by direct bonding of composite resin, to make these teeth resemble lateral incisors.

There has been some wear of the composite resin, but these restorations have served the patient well for 19 years.

After 4 bicuspids were restored
with composite resin.

Four teeth have been shaped
to receive porcelain restorations.

Note: Patient refused to have Orthodontic Treatment that could have positioned her teeth equally on both sides. The end result will be a compromised, less than ideal appearance.

During treatment planning, patient was given the option of using empress porcelain for 4 or 6 or 8 teeth. To minimize her cost, she opted for 4 empress porcelain restorations plus the less costly composite resin for 4 bicuspids.

Jagged edges of lower incisors could be improved with direct bonding, When patient is receptive.

Splinted Temporary Acrylic Restorations by: Talisman Dental Laboratory

Temporary Acrylic Restorations on 6 teeth.

These were all subsequently removed
(see after photos above).