Smile Design Cases
Changing the lip support and the face height with Full Mouth Rehabilitation with Dental Porcelain Crowns - A Dental Face Lift Case
Case 77
A Smile Makeover Journey With a Leading Cosmetic Dentist in Toronto

Portrait Smile Before Treatment
She didn’t come to us looking for “a whole new smile.” She came looking for an answer that should finally stay.
This young female patient had already undergone multiple rounds of dental care at practices across Toronto, including extensive restorative work and a prior full-mouth rehabilitation. Each action was done with good intentions, but the outcome never fully matched what she saw in the mirror every day. Her biggest frustration wasn’t simply that her smile looked “gummy”; it was that the gumline looked uneven and unpredictable, and it kept changing after treatment.

Two-dimensional digital smile design planning with reference lines on teeth, used by cosmetic dentist Toronto to plan smile makeover and porcelain veneers.
Over the years, she underwent multiple crown lengthening procedures at other offices to reduce gingival display and improve symmetry. Unfortunately, the result repeatedly relapsed: the gum tissue crept back, the gumline levels shifted, and the harmony of her smile drifted off again. With each attempt, she felt more hesitant—worried she was stuck in a cycle of short-term fixes.
At the same time, we could see that the gums were only part of the story. She also presented with a deep, collapsed bite pattern that affected how her teeth met, how much tooth was visible when she smiled, and even the way her lips were supported at rest. In simple terms, when the bite is 'collapsed,' the lower face can look compressed, and the lips may struggle to sit comfortably, especially for a patient already self-conscious about how much gum and tooth show when smiling. A deep, collapsed bite means that the teeth don't align properly when the jaws close, often causing excessive overlap of the front teeth. This can lead to discomfort and a feeling of the jaw being scrunched, as if there's not enough space for everything to fit comfortably. The patient described this feeling as 'my jaw always felt scrunched,' which vividly illustrates the impact on her daily comfort and appearance.

Smile photo highlighting uneven gingival line and incisal edge discrepancies

Smile photo highlighting uneven gingival line and incisal edge discrepancies
When she visited our dental clinic in Yorkville, her goal was obvious: a smile that looked balanced, felt comfortable, and was designed with stability in mind, not only aesthetics. As a cosmetic dentist in Yorkville, our first priority was to slow down, listen carefully, and rebuild the plan from the foundation up, so any future gum or smile changes would be less likely to surprise her.
At Toronto Smile Design, we don’t begin a complex cosmetic case by "touching teeth." We begin by building a digital patient, which is a complete, realistic avatar of the smile, gums, bite, and facial dynamics. This approach allows us to visualize outcomes clearly and make decisions with certainty before irreversible commitments are made. For a patient who has already experienced relapse after prior crown lengthening, this step isn’t a luxury; it’s risk management. The digital patient model helps reduce surprises and makes the process less intimidating for those new to this technology by providing a clear picture of both functional and aesthetic outcomes before procedures begin.

Side Portrait Gum Display Analysis

Facial Support & Lower Face Height Assessment

Deep Bite
Her intake started with a high-detail records appointment: professional photographs (smile and rest), a 3D scan of the teeth and bite, and a careful evaluation of how her lips move and how much tooth and gum show in natural expression. We also look at function—how the teeth meet, where the bite “locks,” and how the jaw guides during movement—because aesthetic dentistry that ignores function often becomes short-lived dentistry. This is especially important in cosmetic dentistry in Toronto, where many patients have already had “piecemeal” work done in different clinics with different philosophies.
Once those records are gathered, we design outside the mouth. Using digital smile design Toronto, we can test proportions, gum symmetry, and incisal edge position in a way that is simply not possible when the first step is a bur or a scalpel. In her case, the asymmetry wasn’t only along the gingival line—her incisal edges also needed a reset. I felt her incisal edges appeared visually long relative to her facial dynamics, making the deep bite look even more pronounced and creating an “over-displayed” smile. And the asymmetry had a pattern: on her left side, she showed less gum than on the right, which changed how the entire smile arc read in photos.

Resting Lip Position Record
MODJAW Centric Relation Recording
MODJAW Jaw Tracking: Opening/Closing Deviation

Bite Registration: Heavy Anterior + Posterior Contacts

Misaligned Old Restorations
The advantage of designing on a digital avatar is that we can explore options conservatively: "What if we level the gingival line this way?" "What if we shorten or reposition the incisal edges slightly to soften the deep bite effect?" "What happens to the tooth display when the lips are at rest?"
By the time we discuss treatment, we’re no longer guessing; we’re reviewing a plan that has been stress-tested visually and functionally, with the patient fully involved. Imagine being part of this process and choosing the right path for your smile—"Which option would you pick if it were your smile?" For many patients seeking a downtown Toronto dentist, this kind of high-clarity planning is what finally turns anxiety into confidence.
A deep bite can look “tidy” in a still photo, but clinically it often behaves like a destructive pattern—especially when it’s paired with a collapsed vertical dimension and uneven contacts. The problem isn’t just how far the teeth overlap. It’s how the jaw closes into that overlap, where the first contacts occur, and what the muscles and joints must do to find a comfortable stopping point.
In her case, the bite didn’t close straight into place. We observed a deviation to the right during closure, meaning her mandible tracked off-center as she brought her teeth together. This is a classic sign that the bite and the jaw are “negotiating” a path into maximum contact, often because the contacts are not uniform, or because previous restorations and tooth wear have changed the way the teeth guide the jaw.
The lower teeth were asymmetrical at the bite level, displaying a canted lower occlusal plane. Imagine a wobbly three-legged table: when the lower bite plane is tilted, forces do not distribute evenly. One side tends to experience pressure earlier and more intensely, while the other side scrambles to align. Over time, this imbalance can lead to faster wear on one side, a higher risk of chipping or cracking on restorations, and ongoing muscle hyperactivity as the system tries tirelessly to stabilize itself.

Deep Bite Center View

Deep Bite Left View

Deep Bite Right View
Traditional bite paper marks provide a snapshot of contact points that occur at a specific moment. However, these marks often overlook the complete dynamics of jaw movement, leading to assumptions about how the bite truly functions. To detect these patterns accurately beyond what the naked eye can see, we used MODJAW to record her jaw movements dynamically. MODJAW is an advanced digital tool that captures the intricacies of jaw motion in real-time. It helps us visualize motion: how the jaw closes, where it shifts, and how the contacts evolve along the closing path. This technology matters because it allows for more precise planning, reducing the chances of error. For patients, the benefit is simple but powerful: we can design with fewer assumptions. If we’re planning gumline corrections, incisal edge adjustments, or future restorative changes, we want them to be compatible with the patient’s real functional movements, not an idealized bite on a model.
In a complex restorative dentistry case in Toronto, this kind of motion-based analysis can be the difference between a plan that looks great on day one and one that remains stable as the patient functions day after day. As a dentist in Yorkville, Toronto, our job is to create aesthetics that respect function—so the smile isn’t just beautiful, but also biomechanically sensible.
One more detail mattered, and to her, it mattered a lot. Her right upper lateral incisor was noticeably darker than the surrounding teeth. In everyday conversation, it can be easy to miss, but in the exact moment she cared about most, when she smiled, this specific discoloration can immediately draw the eye, especially under natural light or in photos. Because her tooth display was already high, that single darker tooth became even more visible and, understandably, a source of self-consciousness.
So from the very beginning, we treated shade and colour integration as part of the core plan—not an afterthought. Any gumline correction, incisal edge refinement, or bite stabilization would still fall short cosmetically if one tooth continued to read as “different” in the smile. Our goal was to make sure that when she smiled, the viewer’s attention would land on symmetry and harmony, not on a single tooth that looked out of place.
3D Digital Smile Design Toronto
With her history, we knew this couldn’t be approached as “gum work plus new teeth.” We started with the digital design phase to develop a plan that balanced aesthetics and function. The guiding principle was simple: if we could reposition the upper teeth slightly “up” in the smile—while rebuilding the occlusal planes of both arches—we could create a cleaner gum-to-tooth balance, a more stable bite, and a more natural-looking tooth display.
Digitally, we evaluated two things simultaneously: where the teeth should sit in the face (smile line, lip dynamics, midline, symmetry) and how the teeth should meet (occlusal plane, closing path, guidance). Because her deep, collapsed bite and uneven occlusion were amplifying everything—excessive tooth display, a strained look to the smile, and reduced lip support. When the bite is collapsed, the jaws close “too far,” and the teeth occupy space that the lips and facial soft tissues normally rely on for support. That can make the lower face look compressed and can change how the lips drape at rest and in a full smile.

3D Digital Smile Design Toronto

3D Digital Smile Design Toronto

3D Digital Smile Design Toronto

3D Digital Smile Design Toronto
This is where the concept of increasing the Vertical Dimension of Occlusion (VDO) becomes meaningful to patients. VDO is simply the planned amount of "height" between the jaws when the teeth come together. In a collapsed bite, that height is reduced, often from wear, restorative history, and compensation patterns. By carefully increasing VDO in the digital plan, we can test how the new bite position affects function and appearance. Imagine it as raising a desk to stop hunching; you adjust the height for a more natural posture. Similarly, increasing VDO helps to achieve a healthier, more comfortable alignment within the mouth.
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It is able to create a healthier space for the lower teeth and reduce the intensity of the deep bite relationship.
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It allows us to design incisal edges that look more natural to her facial dynamics, rather than “over-dominant.”
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And importantly, it can improve lip support, especially in a high-tooth-display smile.

3D Digital Smile Design Toronto
Patients often describe the result of this kind of bite-aware smile design as a 'dental facelift.' Not because dentistry replaces cosmetic medicine, but because restoring proper proportions and support may make the face look more balanced, rested, and harmonious. When tooth position and bite height are planned correctly, the lips can sit more comfortably, the smile can look less tense, and the overall expression can feel lighter, without chasing aggressive tooth length or repeated gum procedures. The key is that this effect is created through conservative, measurable planning, not 'guesswork in the mouth.' In fact, recent studies have shown a link between bite reconstruction and improved facial aesthetics, providing empirical support to the concept of a 'dental facelift.' By aligning dental structures, we can achieve not just cosmetic improvement but also enhanced facial proportions and balance.

Initial 2D frontal digital smile design overlay planning tooth proportions, incisal edges, and gumline symmetry for a smile makeover
Once the digital plan is clear, we move to the step that helps patients truly feel the strategy, our diagnostic mock-up. A mock-up is a temporary, reversible preview that lets the patient see a “glimpse” of the proposed smile directly in the mouth. It’s not meant to be a final cosmetic product. It’s a planning tool—like an architectural model before building the home.
This is also the phase where patients can accidentally talk themselves out of a great plan by focusing on the wrong details. It’s very common to hear questions like: “Is this exactly how the final will look?” or “Why do they look bulky?” or “They look matte.” Those concerns are understandable, but the mock-up is intentionally imperfect in surface finish and micro-aesthetics. It is not layered ceramic, not polished like a final prosthesis, and not optimized for translucency and texture. In other words, it’s not the “beauty pass.”
Before vs after mock-up video: see the smile without the preview and then with the diagnostic mock-up in place.
What the mock-up is intended to convey is far more important: dimensions and facial impact. We use it to verify the big-picture decisions that actually lead to success in cases like hers, how tooth position supports the lips, how the new incisal edge position changes tooth display, how the smile arc reads in motion, and how the bite feels when we’re testing changes like an increased VDO. For a patient with a deep bite, canted occlusal plane, and high tooth display, this step serves as a powerful reality check: it shows what happens to the face when the system is built with better proportions.
The right mindset in the mock-up phase is: “Do I like what this does to my expression?” “Does my smile feel balanced?” “Do my lips look more supported?” The fine details, surface texture, brightness nuances, line angles, and the “high-end” ceramic character are planned deliberately later, before manufacturing the final prosthesis. That’s when we discuss the artistic choices carefully: shade mapping, translucency, texture, and how the restorations will photograph. But first, we confirm the architecture.

Before and after centre portrait with diagnostic mock-up showing improved tooth proportions and smile design preview

Before and after left-side portrait with diagnostic mock-up showing improved tooth display and lip support

Before and after right-side portrait with diagnostic mock-up showing improved smile arc, tooth display, and lip support
This approach is part of what patients appreciate about working with a dentist near Bloor Yonge in a planning-driven practice: we don’t ask you to “trust the process” blindly, we let you preview the blueprint, understand what matters most, and make choices with confidence.

After centre-side portrait with diagnostic mock-up showing planned smile proportions, tooth display, and improved lip support
Screen recording of the initial 3D digital wax-up—building tooth contours, incisal edges, and occlusal planes before treatment

Before and after centre-view portrait with long-term PMMA temporaries guiding gingival healing after crown lengthening and previewing a smile makeover

Before and after left-view portrait with long-term PMMA temporaries guiding gingival healing after crown lengthening and previewing smile makeover

Before and after right-view portrait with long-term PMMA temporaries guiding gingival healing after crown lengthening and previewing smile makeover
Once she accepted the final plan, we transitioned from conceptual design to biological implementation. The surgical phase was vital to ensuring long-term stability. We performed crown lengthening to align the bone and gum optimally, a procedure designed to provide not just immediate aesthetic improvement but also sustainable healing. By addressing both the soft tissue and the supporting bone architecture, we aimed for a lasting outcome that prioritizes both function and aesthetics.
Through harmonizing the bone line with the intended gumline, we were planning for stability rather than chasing a short-term appearance. For a patient with a history of relapse, this was especially important: the goal wasn’t simply “less gum show,” but a gumline that might heal into a position that made biological sense.
Before vs after video: smile without and with long-term PMMA temporaries—previewing the new look while guiding gingival healing after crown lengthening.
After the surgical phase, we transitioned immediately into guided healing with lab-fabricated long-term PMMA provisionals. These were not quick chairside temporaries—they were designed from the approved digital plan and made to function as a long-term blueprint. We used them for two main reasons.
First, they act like a healing guide for the soft tissues. The contours of the temporary teeth, especially in the cervical (gumline) zone, help shape how the gums settle as they recover. This is one of the most underappreciated steps in aesthetic dentistry: the gum doesn’t just “heal,” it heals around something. When the provisional contours are thoughtfully designed, the tissue matures more evenly and symmetrically.
Second, they allow the patient to “live” in the new bite, specifically, the increased VDO, before any final appliances are manufactured. That trial period matters. It lets us evaluate comfort, speech, bite feel, and day-to-day function, and it gives the patient a real-world preview of the new smile proportions. If any refinements are needed, we can adjust the blueprint in PMMA rather than discovering problems after final ceramics are made. For patients exploring full-mouth reconstruction in Toronto or worn-teeth treatment in Toronto, this staged approach is often what transforms anxiety into trust: it’s controlled, reversible, and designed to protect the final result.

Centre intraoral photo before PMMA long-term temporaries showing deep bite and old restoration discrepancies prior to crown lengthening healing phase

Centre intraoral photo after PMMA long-term temporaries showing improved occlusion and planned smile dimensions after crown lengthening healing

Left intraoral photo before PMMA long-term temporaries showing deep bite and uneven contacts prior to bite collapse treatment planning

Left intraoral photo after PMMA long-term temporaries showing improved bite contacts and occlusal plane stability for bite collapse treatment

Right intraoral photo before PMMA long-term temporaries showing deep bite contacts and occlusal imbalance prior to digital smile design Toronto

Right intraoral photo after PMMA long-term temporaries showing provisional smile design and improved occlusion after crown lengthening healing
After approximately 2–3 months in her long-term PMMA temporaries, she reached an important milestone: the smile felt right, not only in the mirror, but in daily life. She reported that chewing, speaking, and smiling felt comfortable with the new, increased VDO, and she was confident in the overall look and proportions we had established during the trial phase.

Left view of upper PMMA crowns and bridges on model showing incisal edge design and smile arc planning for smile makeover Toronto

Right view of upper PMMA crowns and bridges on dental model showing provisional contours and tooth proportions for digital smile design

Centre view of upper PMMA crowns and bridges on dental model designed from digital smile design Toronto

Centre view of lower PMMA crowns and bridges on dental model designed for occlusion correction and full mouth reconstruction Toronto

Left view of lower PMMA crowns and bridges on model showing occlusal plane design for bite collapse treatment and full mouth reconstruction Toronto

Right side view of lower final restorations on dental model showing lifelike porcelain restorations
Right view of lower PMMA crowns and bridges on dental model showing provisional occlusion design for digital smile design Toronto and bite correction
Screen recording of final restoration design using long-term PMMA temporaries as the blueprint—refining minor discrepancies and elevating aesthetics before final manufacturing.
At that point, we went back into “design mode” one last time. We retook the full set of Smile Design photographs and re-evaluated the smile in motion—rest position, natural smile, full smile, and facial dynamics from multiple angles. This matters because a smile isn’t a static picture; it’s something you live in. With the updated records, we refined the PMMA temporaries to finalize the exact contours, incisal edge positions, and overall harmony. Those refinements became the blueprint for her definitive restorations—so the final result wasn’t a guess, but a carefully upgraded version of what she had already tested and approved.
When the final restorations were delivered, the difference was immediately clear in both appearance and facial balance. With the increased VDO, her lower facial height looked more supported, her lips sat more naturally, and the bite relationship was no longer locked into a deep-bite pattern. The smile appeared calmer, more proportionate, and more symmetrical because it was built on a stable occlusal foundation rather than relying on purely cosmetic changes.

Left view of final zirconia restorations on model showing smile arc and incisal edge design for veneers Yorkville and smile makeover Toronto planning at our dentist Yorkville Toronto.

Right view of final zirconia restorations on dental model showing occlusion and contour refinement after PMMA temporaries in a cosmetic dentistry Toronto

Centre view of final zirconia restorations on dental model fabricated from digital smile design Toronto plan for smile makeover Toronto

Left model view of zirconia finals—used to confirm contours, transitions, and smile arc before delivery.

Right view of final zirconia restorations on dental model showing occlusion and contour refinement after PMMA temporaries

Centre view of final zirconia restorations on dental model fabricated from digital smile design Toronto plan for smile makeover Toronto
Most importantly, she felt the outcome finally matched what she had been trying to achieve through multiple prior treatments: a smile that looks intentional, feels functional, and remains consistent. She told us she was genuinely happy with the result, and when we asked whether we could share her story and photos on our website for educational purposes, she kindly agreed.
What made this case meaningful wasn’t just the final smile; it was the process that got her there. After years of trying to solve a complex problem through isolated procedures, she finally experienced what comprehensive planning feels like: decisions made on a digital patient, tested through long-term provisionals, and only then translated into definitive restorations. That sequence matters because when gumline aesthetics, incisal edge position, and bite stability are connected, you don’t have to “keep fixing” the smile; you can finish it.

Before-treatment portrait with golden proportion smile analysis showing reduced lip support and decreased lower facial height from bite collapse

After treatment portrait showing improved lower facial height and lip support (“Dental Facelift”) after VDO increase and bite correction in a smile makeover
Before
After
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Her outcome reflects the power of treating the smile as a system. By correcting the deep-bite relationship and increasing VDO in a controlled manner, we improved facial support and comfort while achieving the balanced tooth-to-gum proportions she had been seeking for years. The final restorations weren’t a surprise; they were an upgraded version of a design she had already lived with and approved, one that respected her facial dynamics, her functional movements, and her desire for predictability.
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Just as importantly, this case strengthens a principle we share with every patient who visits our dental clinic in Yorkville: cosmetic dentistry isn’t only about “whiter” or “straighter.” In the right hands, it’s about stable design, where the gumline, bite, and facial support are planned together so the smile looks natural in motion and feels comfortable in real life. As a cosmetic dentist in Yorkville, we aim to keep the approach calm, evidence-informed, and individualized, never rushed, never one-size-fits-all.

Side-by-side before-and-after portrait of patient showing smile transformation with porcelain veneers
Before and after centre portrait showing smile makeover Toronto result with improved gumline symmetry, lip support, and corrected deep bite after digital smile design Toronto

Side-by-side before-and-after portrait of patient showing smile transformation with porcelain veneers
Before and after left portrait showing improved lip support and lower facial height after raise vertical dimension dentist planning and occlusion correction

Left side before-and-after portrait of patient showing smile makeover with porcelain veneers
Before and after right portrait showing smile makeover Toronto outcome with improved facial harmony, lip support, and stable bite after digital smile design Toronto
Sound-on patient interview + before/after portrait video from a smile makeover Toronto case at our dental clinic Yorkville—sharing her experience with digital planning, long-term temporaries, and final restorations.
SOUND ON!
Before

Upper and lower centre intraoral photo before treatment showing old restorations, tooth display concerns, and deep bite relationship baseline

Upper and lower right intraoral photo before treatment showing arch form, restoration discrepancies, and bite contact baseline

Upper and lower left intraoral photo before treatment showing tooth contour and alignment baseline for digital smile design
After

Final centre intraoral photo in open position showing completed restorations and refined tooth proportions after smile makeover Toronto

Final right intraoral photo in open position showing completed restorations and refined tooth contours after digital smile design Toronto

Final left intraoral photo in open position showing restoration contours and smile arc transitions after cosmetic dentistry Toronto treatment
She was genuinely happy with the result and kindly gave us permission to share her face and photos for educational purposes, so other patients searching for a dentist near Bloor Yonge can see what a planning-first approach can achieve when previous treatments haven’t worked.
If you've had repeated dental work, gumline relapse, or you feel your bite is part of the problem, not just the teeth, our team would be happy to guide you through a thorough smile analysis and discuss options that fit your goals and comfort level. At your first consultation, you can expect a welcoming environment where we take the time to understand your unique concerns and dental history. Our initial steps include a detailed evaluation, digital imaging, and a discussion of your expectations and available treatment options. This approach helps to reduce anxiety and encourage clarity about the path forward. Each smile is unique, and the best outcomes start with a clear plan.
Before

centre intraoral photo before treatment showing old restorations, tooth display concerns, and deep bite relationship baseline

left intraoral photo before treatment showing tooth contour and alignment baseline for digital smile design Toronto planning

Right side intraoral photo of upper and lower teeth in biting position showing steep deep bite and worn-out teeth
After

Final centre intraoral photo in biting position showing stable occlusion after deep bite correction and smile makeover

Final left intraoral photo in biting position showing balanced contacts and occlusal plane stability after bite collapse treatment

Final right intraoral photo in biting position showing corrected deep bite and stable occlusion after digital smile design

Close-up smile photo before treatment showing gummy smile and uneven gumline in a smile makeover Toronto

Close-up smile photo after treatment showing balanced gumline and refined tooth proportions after smile makeover
Before

Upper centre intraoral photo before treatment showing baseline tooth proportions and existing restorations for digital smile design Toronto

Upper left intraoral photo before treatment showing baseline contour and symmetry for smile makeover Toronto planning

Upper right intraoral photo before treatment showing baseline tooth contours and restoration discrepancies for cosmetic dentistry Toronto
After

Upper centre intraoral photo after treatment showing final restorations and refined tooth proportions after smile makeover Toronto

Upper left intraoral photo after treatment showing final contour transitions and smile arc harmony after cosmetic dentistry Toronto

Upper right intraoral photo after treatment showing final restorations and refined incisal edge design after digital smile design Toronto
“Details make perfection, and perfection is not a detail.”
— Michelangelo

Smile Makeover Toronto: From Gumline Relapse to a Stable, Face-Supporting Smile
At Toronto Smile Design – Yorkville Dental, we approach cosmetic cases the way we approach complex restorative dentistry: with function, facial dynamics, and long-term stability guiding every decision. Dr. Johnson Ozgur and our team believe the most predictable outcomes come from designing the end result first—then executing step-by-step—so patients aren’t trapped in a cycle of repeated “fixes” that never truly settle.
A young female patient came to our Toronto clinic after undergoing multiple treatments at different offices, including prior full-mouth rehabilitation and several crown lengthening procedures. Her main concern was a gummy smile and an uneven gumline that never stayed consistent. Each time, the soft tissue seemed to rebound, and the gingival symmetry drifted again. On top of that, she presented with a deep, collapsed bite that influenced tooth display and lip support—making her smile feel more intense than she wanted and affecting overall facial balance.
We started by building a digital patient and capturing objective functional data using MODJAW jaw-tracking. This allowed us to see not only where her bite contacts occurred, but how her jaw moved into closure. The recordings revealed a rightward deviation during closure, a canted lower occlusal plane, and a deep-bite pattern that was contributing to imbalance—both cosmetically and functionally. With this information, we planned to reposition the occlusal planes and increase the vertical dimension of occlusion (VDO). The goal wasn’t simply “less gum show.” It was a stable, comfortable bite and improved facial support—what many patients describe as a subtle, natural-looking Dental Facelift effect.
Once the design was approved, we proceeded with crown lengthening with osteotomy, carefully adjusting both the bone level and the gumline to support long-term stability. This is a critical point: focusing only on soft tissue without properly managing the underlying bone can increase the risk of unpredictable tissue changes. After surgery, we delivered lab-fabricated long-term PMMA temporaries for two reasons—first, to help guide soft-tissue healing and encourage the gumline to mature around a controlled blueprint; and second, to allow the patient to “test drive” the new smile and function at the planned VDO.
After approximately 2–3 months, the patient confirmed she was happy with both appearance and comfort. We re-took Smile Design records, refined the provisional blueprint, and fabricated the final restorations according to the upgraded design—also addressing a darker upper lateral incisor that could easily have been noticeable when she smiled.
The final result was a more balanced gumline, refined tooth proportions, improved lip support, and a stable bite—without the deep-bite pattern that had been driving the problem in the first place. The patient was genuinely pleased with the outcome and kindly permitted us to share full-face images to help other patients understand what a planning-first approach can achieve.
If you’ve had cosmetic dentistry that didn’t “hold,” or you suspect your gumline and bite are connected, our Yorkville team can help you understand the why and map out a plan designed for stability—not shortcuts.

