Smile Design Cases

Transforming a Smile: A Journey of Restoration and Confidence with Dental Porcelain Veneers and Porcelain Crowns

Case 74

The Patient’s Story: A Quest for a Perfect Smile

"Before Smile Makeover: Severe Bite Issues & Unstable Dental Bridges" See the patient's original smile before comprehensive treatment at Toronto Smile Design—Yorkville Dental. This image highlights severely unstable upper dental bridges, compromised posterior bite, and significant difficulty chewing. An essential reference showing the life-changing potential of advanced digital dentistry and surgical expertise in Toronto.

Before Smile Transformation

The patient came to me seeking not just dental care, but hope. She was in desperate need of someone who could navigate the intricate pathways of surgical dentistry. Her condition was complex and challenging: the anterior upper bridges were so unstable and loose that everyday tasks—simple actions like biting into food—had become nearly impossible. Every attempt at functioning reminded her painfully of her compromised oral health.

"Initial 2D Digital Smile Design by Dr. Johnson Ozgur at Toronto Smile Design" This image showcases the precise 2D digital smile design created by Dr. Johnson Ozgur, illustrating the initial treatment plan for addressing complex bite and aesthetic issues. Using advanced digital planning at Toronto Smile Design—Yorkville Dental, this step provides patients clarity and confidence by previewing potential outcomes before treatment begins.

Digital Smile Design Planning of the Smile Transformation

The Challenge: Beyond Aesthetics

Beyond the instability of her front teeth, the patient faced an equally daunting issue at the back of her mouth. Her posterior bite was severely compromised; indeed, the entirety of her dentition met in just three isolated points, turning even essential chewing into an exhausting and frustrating ordeal.

Before reaching our practice, she had consulted three other dental professionals and specialists, each deepening her uncertainty and distress. She was searching not merely for a treatment but for clarity, assurance, and expertise—someone who could restore both her bite and her confidence. She was looking for a solution that could be offered and finalized under one roof.

"Severe Crossbite & Occlusal Contact Issues – Intraoral View" This intraoral image clearly demonstrates the patient's severe crossbite and significant occlusal contact problems, captured from the center angle. Documented at Toronto Smile Design—Yorkville Dental, it highlights the complex dental conditions effectively resolved through advanced restorative dentistry, porcelain veneers, crowns, and minimally invasive digital techniques.

Intraoral Picture of the patient before Smile Makeover

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"Absence of Proper Posterior Bite Contacts – Left-Side Intraoral View" This left-angle intraoral photo captures the patient's lack of proper posterior tooth contact, showcasing significant bite dysfunction. Documented by Toronto Smile Design—Yorkville Dental, this image emphasizes the complexity of dental conditions successfully treated through digitally guided dental implants and restorative solutions.

"No Proper Posterior Bite Contacts – Right-Side Intraoral View" This right-angle intraoral photograph highlights the patient's absence of proper posterior dental contacts, illustrating severe occlusal dysfunction. Captured at Toronto Smile Design—Yorkville Dental, this image underscores the importance of comprehensive restorative treatment using digitally guided implants, crowns, and advanced prosthodontic solutions.

"Digital Intraoral Scan of Upper Jaw Revealing Lack of Posterior Contacts – Occlusal View" This detailed occlusal-angle intraoral scan of the patient's upper jaw clearly shows the absence of proper posterior tooth contacts, emphasizing severe bite dysfunction. Captured digitally at Toronto Smile Design—Yorkville Dental, this image underscores the precision and importance of advanced digital diagnostics in planning comprehensive restorative and implant treatments.

"Digital Intraoral Scan of Lower Jaw Showing Lack of Posterior Contacts – Occlusal View" This precise digital intraoral scan of the patient's lower jaw clearly illustrates the absence of proper posterior tooth contacts, highlighting severe functional occlusal issues. Captured with advanced scanning technology at Toronto Smile Design—Yorkville Dental, this image demonstrates the critical role digital diagnostics play in meticulously planning and executing effective restorative dental treatments.

"Severe Bone Inflammation and Resorption in Upper Jaw – Intraoral Center View" This center-angle intraoral photograph clearly illustrates significant inflammation and bone resorption in the patient's upper jaw, emphasizing the complexity of her dental condition. Documented at Toronto Smile Design—Yorkville Dental, this image underscores the critical need for specialized surgical interventions such as bone grafting and digitally guided implant placement to restore oral health and function.

"Inflamed Gum Tissue in Lower Jaw – Intraoral Center View" This center-angle intraoral image reveals visible inflammation in the patient's lower jaw, indicating underlying periodontal concerns and compromised oral health. Captured at Toronto Smile Design—Yorkville Dental, this clinical photo highlights the importance of addressing soft tissue health in full-mouth rehabilitation and advanced restorative dentistry cases.

"Smile Design Simulation Showing Lip-to-Tooth Harmony – Center View" This center-angle simulation image illustrates the precise alignment of the patient’s lips and teeth, demonstrating the aesthetic harmony achieved through advanced digital smile design. Created at Toronto Smile Design—Yorkville Dental, this visualization was used to guide the fabrication of the final restorations, ensuring natural-looking results tailored to the patient's facial dynamics.

"Left-Angle Smile Design Simulation Displaying Lip-to-Tooth Harmony" This left-angle digital simulation showcases the seamless integration of the patient’s lips and teeth, reflecting the aesthetic precision of her planned final restorations. Created at Toronto Smile Design—Yorkville Dental using advanced smile design software, this image highlights how facial symmetry and dental artistry come together to achieve a naturally beautiful result.

We began our journey at Toronto Smile Design - Yorkville Dental, collaborating closely with RDT Dental Lab. Recognizing that we could quickly lose our way without a precise destination, we undertook meticulous initial two-dimensional and three-dimensional design processes. This careful planning stage set the groundwork, ensuring clarity and precision for every subsequent step of her transformative treatment.

"2D and 3D Smile Design Simulation – Center View of Final Restoration Blueprint" This center-angle image combines both 2D and 3D smile design simulations, providing a detailed visualization of the patient's planned final restorations. Created at Toronto Smile Design—Yorkville Dental, the simulation showcases how digital design technology ensures precise harmony between tooth shape, smile line, and facial aesthetics for a fully customized treatment outcome.

"Before-and-After Smile Transformation with Intraoral Mock-Up – Center Portrait View" This center-view portrait showcases the patient’s before-and-after smile using a physical mock-up created with temporary materials directly in the mouth. Performed at Toronto Smile Design—Yorkville Dental, this technique allows patients to preview their new smile in real life, assessing function and aesthetics before moving forward with final restorations.

The Treatment Plan: Personalized and Comprehensive

Following the detailed 3D printing of her customized designs, we presented her with a mock-up and a comprehensive treatment plan presentation.

This crucial stage allowed her to envision the possible outcomes clearly before committing to the procedure. More importantly, it allowed us to thoroughly inform and educate the patient about essential aspects of her care:

Diagnosis: Identify the underlying issues contributing to her current condition.
Nature and Purpose of Treatment: Explaining specifically what procedures would be involved and how they would address her concerns.
Risks: Transparently outlining potential complications or challenges associated with the procedures.
Benefits: Emphasizing the improvements and positive outcomes expected from successful treatment.
Prognosis: Giving an informed perspective on the treatment's expected long-term outcome and success.
Reasonable Treatment Alternatives: Discuss other options and compare their potential outcomes and implications.
Consequences of NOT Having Treatment: Highlighting potential deterioration or ongoing complications if the condition remains untreated.
Cost: Communicating the financial investment required for the proposed treatment, allowing for informed decision-making.

This detailed and informative approach ensured the patient could move forward with confidence, clarity, and informed consent, laying a solid foundation for successful outcomes.

"Before-and-After Mock-Up Smile Preview – Left Portrait View" This left-angle portrait image captures the patient’s smile before and after receiving a physical mock-up made with temporary materials directly in the mouth. Created at Toronto Smile Design—Yorkville Dental, this real-time trial smile showcases the anticipated aesthetic improvements, helping patients visualize and feel the outcome prior to final restoration placement.

"Right Portrait View: Before-and-After Smile Mock-Up Using Temporary Materials" This right-angle portrait image displays a side-by-side comparison of the patient’s smile before treatment and after receiving an intraoral mock-up with temporary materials. Captured at Toronto Smile Design—Yorkville Dental, this powerful visual illustrates the projected results of the smile makeover, giving patients a realistic and confident preview before final restorations.

Bone Grafting

After gaining the patient's approval, guided by the CBCT imaging she provided, we proceeded with extracting the compromised teeth and grafting the extraction sites with allograft materials and protective membranes. This critical step is paramount for future implant placements as it preserves the bone structure and encourages optimal bone regeneration, creating a stable and robust foundation necessary for successful implant integration.

A fixed temporary solution

Additionally, recognizing the patient's desire for an excellent aesthetic and functional interim solution, we utilized her remaining teeth to provide a fixed temporary bridge during the healing phase. The long-term fixed temporaries offered numerous advantages, including preserving the patient's oral aesthetics, maintaining speech clarity, allowing comfortable chewing function, and providing psychological comfort by enabling her to continue daily activities confidently and naturally throughout the healing process.

"Pre-Op vs Post-Op CBCT Scan of Implant Site 1.1 – Guided Surgery and Bone Grafting Results" This side-by-side CBCT slice comparison showcases the pre-operative and post-operative views of implant site 1.1. Captured at Toronto Smile Design—Yorkville Dental, the images demonstrate precise implant placement through digitally guided surgery and successful bone grafting and augmentation. A clear visual of how advanced planning and surgical techniques restore both hard tissue and function in complex cases.

"Pre-Op and Post-Op CBCT Comparison of Implant Site 1.3 – Digitally Guided Implant Placement with Bone Augmentation" This CBCT slice comparison shows the pre-operative and post-operative views of implant site 1.3, highlighting the successful placement of the dental implant using digitally guided surgery. Captured at Toronto Smile Design—Yorkville Dental, the images also demonstrate effective bone grafting and ridge augmentation techniques, ensuring optimal implant stability and long-term success in a challenging anatomical zone.

"CBCT Pre-Op and Post-Op Comparison of Implant Site 2.1 – Guided Implant Surgery with Bone Grafting" This side-by-side CBCT slice set highlights the pre-operative and post-operative status of implant site 2.1. Performed at Toronto Smile Design—Yorkville Dental, the images illustrate the precision of digitally guided implant placement and successful bone augmentation using advanced grafting techniques. A clear testament to the predictability and effectiveness of modern implant dentistry in anatomically compromised areas.

"CBCT Pre-Op and Post-Op Views of Implant Site 2.3 – Guided Surgery with Bone Grafting and Augmentation" This side-by-side CBCT slice set illustrates the transformation at implant site 2.3, from pre-operative planning to post-operative success. Performed at Toronto Smile Design—Yorkville Dental, the scans demonstrate precise implant placement using fully guided surgery and effective bone grafting to augment and stabilize the area, ensuring optimal long-term function and aesthetics in a previously compromised site.

"CBCT-Guided Digital Implant Planning – Full-Mouth Rehabilitation Case" This image captures the digital implant planning phase using CBCT data at Toronto Smile Design—Yorkville Dental. It showcases the precision of fully guided implant placement, allowing for accurate positioning based on bone density, anatomical landmarks, and prosthetic goals. This critical step ensures predictable outcomes in complex full-mouth rehabilitation cases.

Digitally Guided Dental Implant Planning and Placement

After more than six months of healing, the patient returned for evaluation of the implant sites. Examination revealed that bone healing was nearly ideal, indicating that we could confidently proceed with implant placement. During the implant placement, we performed a secondary bone graft at the implant sites, further optimizing the healing conditions for long-term stability and success. The entire implant placement procedure was meticulously planned and executed using fully digitally guided techniques, employing surgical guides created from precise digital implant planning. This advanced, digitally guided approach ensured accuracy, minimized complications, and maximized outcomes, solidifying the patient's path toward complete oral rehabilitation.

"Before-and-After Smile with Long-Term Temporary Restorations – Center Portrait Video Post-Implant Placement" This center-view video showcases the patient’s smile before and after receiving long-term temporary restorations following guided dental implant placement. Captured at Toronto Smile Design—Yorkville Dental, the footage highlights the immediate functional and aesthetic improvements, offering patients a realistic preview of their future smile while ensuring comfort and stability during the healing phase.

"Left Portrait Video: Before-and-After Smile with Long-Term Temporaries Post-Implant Placement" This left-angle video presents a side-by-side comparison of the patient’s smile before treatment and after receiving long-term temporary restorations following digitally guided implant surgery. Captured at Toronto Smile Design—Yorkville Dental, the footage illustrates the transitional phase of full-mouth rehabilitation, showcasing enhanced smile aesthetics, function, and patient confidence during the implant healing period.

"Right Portrait Video: Before-and-After Smile with Long-Term Temporaries After Implant Surgery" This right-angle video displays a before-and-after comparison of the patient’s smile following the placement of long-term temporary restorations post-implant surgery. Filmed at Toronto Smile Design—Yorkville Dental, the video highlights the dramatic functional and aesthetic improvements during the transitional healing phase, offering a realistic and confident preview of the patient’s final smile.

Complete MODJAW Dynamic Documentation

Once the implants had fully osseointegrated, we proceeded with MODJAW documentation to meticulously capture the patient's natural jaw movements and relation. This innovative step is critical, as it ensures the prosthodontic design harmonizes seamlessly with the patient's unique physiological function, enhancing comfort, function, and longevity of the restorations. Leveraging advanced digital technology, we precisely designed and manufactured the final restorations. This digital precision not only improved the aesthetic outcomes but also guaranteed accuracy in fit, function, and alignment with the patient's natural bite and articulation, setting a new benchmark for personalized dental care.

"Final Implant-Supported Restorations on Model – Upper Jaw Occlusal View" This occlusal-view image displays the final implant-supported restorations on a dental model of the upper jaw. Created at Toronto Smile Design—Yorkville Dental, the restorations demonstrate precise digital design, ideal occlusal contact, and anatomical accuracy, reflecting the high standard of prosthetic planning and execution in full-mouth rehabilitation cases.

"Final Veneers, Veneerlays, Onlays, and Crowns on Model – Lower Jaw Occlusal View" This occlusal view of the lower jaw model features a full range of final restorations—including veneers, veneerlays, onlays, and crowns—crafted with precision at Toronto Smile Design—Yorkville Dental. The image showcases ideal occlusal contact, anatomical detail, and functional alignment, reflecting a comprehensive digital workflow in advanced restorative dentistry.

The Results: Hybrid Implant Supported Prosthesis

For the final restorations, we implemented a hybrid approach in designing the implant-supported prosthesis. This technique allowed us to replicate the natural soft tissues that had been lost due to bone resorption over the years, greatly enhancing aesthetics and overall functionality. Additionally, we chose screw-retained implant prostheses over cement-retained ones, significantly improving the longevity and ease of maintenance of the implants. Screw retention facilitates simpler repairs, adjustments, or replacements if needed, reduces risks associated with excess cement causing peri-implantitis, and ultimately ensures the long-term stability and health of the patient's dental implants.

"Final Implant and Crown Restorations on Model – Upper Jaw Left-Side View" This left-side view of the upper jaw model displays the final combination of implant-supported restorations and porcelain crowns, designed and fabricated at Toronto Smile Design—Yorkville Dental. The image highlights the seamless integration of implants and natural teeth, showcasing the anatomical precision, esthetic contours, and functional harmony achieved through advanced digital dentistry and restorative expertise.

"Final Implant and Crown Restorations on Model – Upper Jaw Right-Side View" This right-side view of the upper jaw model features the final restorations, including both implant-supported prosthetics and porcelain crowns. Designed at Toronto Smile Design—Yorkville Dental, the restorations exhibit exceptional detail in morphology, occlusion, and esthetic integration—reflecting the synergy of digital design and high-level restorative craftsmanship in full-mouth rehabilitation.

"Final Implant and Crown Restorations on Model – Upper Jaw Center View" This center view of the upper jaw model showcases the final restorations, including implant-supported prosthetics and porcelain crowns, precisely crafted at Toronto Smile Design—Yorkville Dental. The image highlights the symmetrical arch form, natural tooth anatomy, and flawless integration of implants and crowns—demonstrating the excellence of digitally guided full-mouth rehabilitation.

To finalize and perfect her oral rehabilitation, we performed minimally invasive treatments utilizing porcelain veneers, porcelain crowns, and onlays. These precise restorations effectively corrected contact issues and addressed the crossbite, significantly enhancing the patient's bite functionality, aesthetics, and overall dental health, while preserving as much natural tooth structure as possible.

"Final Restorations on Model – Lower Jaw Center View (Veneers, Veneerlays, Onlays, and Crowns)" This center view of the lower jaw model displays the final restorations—including veneers, veneerlays, onlays, and crowns—meticulously designed at Toronto Smile Design—Yorkville Dental. The image highlights the harmony of functional anatomy and esthetic precision, demonstrating how a digitally planned restorative approach can restore natural contour, bite stability, and long-term durability.

"Final Veneers, Veneerlays, Onlays, and Crowns on Model – Lower Jaw Left-Side View" This left-side view of the lower jaw model showcases the final restorations—including veneers, veneerlays, onlays, and crowns—expertly fabricated at Toronto Smile Design—Yorkville Dental. The image captures the natural curvature, occlusal harmony, and seamless integration of materials, demonstrating the precision of digital design in comprehensive smile rehabilitation.

"Final Veneers, Veneerlays, Onlays, and Crowns on Model – Lower Jaw Right-Side View" This right-side view of the lower jaw model displays the final restorations, including veneers, veneerlays, onlays, and crowns, meticulously designed at Toronto Smile Design—Yorkville Dental. The image highlights precise anatomical contouring, functional occlusal alignment, and esthetic integration—showcasing the artistry and accuracy behind full-arch restorative dentistry.

"Before-and-After Smile Makeover with Final Restorations – Center Portrait View" This center-view portrait showcases the dramatic transformation of the patient’s smile before treatment and after receiving final restorations, including implants, veneers, onlays, and crowns. Captured at Toronto Smile Design—Yorkville Dental, the image highlights the power of comprehensive digital dentistry in restoring facial aesthetics, function, and confidence through full-mouth rehabilitation.

"Before-and-After Smile Transformation with Final Restorations – Right Portrait View" This right-angle portrait image showcases the patient’s smile before treatment and after the completion of final restorations, including crowns, veneers, onlays, and implant-supported prosthetics. Captured at Toronto Smile Design—Yorkville Dental, the photo highlights the restored symmetry, enhanced smile line, and overall facial rejuvenation achieved through comprehensive restorative dentistry.

The Outcome

In the end, the patient was thrilled with the outcome. She expressed deep satisfaction and gratitude during her final interview, highlighting the comprehensive care and consistent support she received throughout her journey. Her transformative experience not only restored her oral health but also significantly boosted her self-esteem and overall quality of life, fostering a long-term relationship built on trust and excellence.

Before

After

"Left Intraoral View: Before-and-After Full-Mouth Restorations with Implants, Crowns, and Veneers" This left-side intraoral image compares the patient’s dentition before treatment and after receiving comprehensive final restorations, including dental implants, crowns, veneers, and onlays. Taken at Toronto Smile Design—Yorkville Dental, it illustrates the transformation in bite alignment, tooth structure, and soft tissue harmony achieved through advanced restorative techniques.

"A Journey of Transformation: Full Mouth Rehabilitation Patient Experience

Our patient’s journey began on November 7th, 2023, when she made the life-changing decision to pursue full-mouth rehabilitation. Her initial concerns included serious issues with her front teeth, a failing dental bridge, and the challenge of finding a dentist she could trust. After consultations with two other professionals, she chose Dr. Johnson as her provider, feeling immediate comfort and confidence upon walking into our welcoming studio.

The treatment process was comprehensive and carefully structured over multiple appointments. It included tooth extractions, dental implants for the front teeth, bone grafting, and a sinus lift procedure. Each stage was followed by necessary healing periods to ensure optimal outcomes.

While the journey required several complex and intensive appointments, she was consistently supported by our dedicated team—Pilar and Ashley were especially noted for their care and attentiveness. Through every phase, the patient felt reassured and confident in her progress.

Living in Oakville, she continued to travel to our clinic, emphasizing the value she placed on the care received. Today, she credits the experience with restoring her smile and significantly boosting her self-esteem. As she puts it, the strong bond formed with our team has left her feeling like a part of the Toronto Smile Design family—and she looks forward to continuing this relationship for years to come."

"Before Smile Makeover – Center Portrait View of Pre-Treatment Smile" This center-view portrait image shows the patient’s natural smile before undergoing comprehensive dental treatment at Toronto Smile Design—Yorkville Dental. The photo documents esthetic and functional concerns such as worn teeth, crossbite, and missing contacts, serving as the starting point for a transformative full-mouth rehabilitation journey.

"After Full Smile Rehabilitation – Center Portrait View of Final Restorations" This center-view portrait image captures the patient’s smile after completing a full-mouth rehabilitation at Toronto Smile Design—Yorkville Dental. Featuring final restorations including implants, crowns, veneers, and onlays, the photo highlights the natural esthetics, symmetry, and restored function achieved through advanced digital and restorative dentistry.

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“The only way to discover the limits of the possible is to go beyond them into the impossible.”

— Arthur C. Clarke

Dr.Johnson Ozgur - Cosmetic Dentist - Oral Surgeon - Toronto Smile Design

Comprehensive Smile Transformation: Complex Surgical and Restorative Dentistry at Toronto Smile Design—Yorkville Dental

At Toronto Smile Design—Yorkville Dental, each smile is meticulously crafted using advanced surgical and restorative techniques tailored to the unique needs of our patients. Dr. Johnson Ozgur’s specialized expertise in complex dental rehabilitation transforms not only smiles but also significantly improves the quality of life, combining innovative digital dentistry with compassionate patient care.

This case perfectly exemplifies our dedication to precision and excellence. Our patient arrived facing significant challenges, including unstable anterior upper bridges and a severely compromised posterior bite, impacting her ability to chew and speak confidently. Her case required a comprehensive, surgical, and restorative approach utilizing state-of-the-art digital dentistry to fully rehabilitate function and aesthetics.

The patient’s journey began with extensive consultation and advanced digital documentation, incorporating sophisticated 2D and 3D design processes in collaboration with RDT Dental Lab. Utilizing CBCT imaging for precise surgical guidance, we strategically extracted compromised teeth and performed bone grafting with protective membranes, laying a solid foundation for future implant integration.

We provided the patient with a long-term fixed temporary bridge during the healing phase to ensure comfort, functionality, and aesthetics. After a successful healing period of over six months, digitally guided implant placement was executed meticulously, accompanied by additional bone grafting to optimize long-term stability.

Following complete implant osseointegration, MODJAW technology was employed to precisely document and analyze the patient's natural jaw movements. This innovative approach allowed for prosthodontic designs tailored to harmonize seamlessly with her physiological function, ensuring comfort and durability. Advanced digital design and manufacturing techniques delivered restorations with exceptional precision, enhancing aesthetics, bite function, and alignment.

The final implant-supported prostheses utilized a hybrid approach, expertly mimicking soft tissue lost due to prior bone resorption, significantly enhancing natural appearance and overall functionality. To further improve the longevity and ease of maintenance, screw-retained implant prostheses were chosen over cement-retained options, reducing peri-implantitis risks and facilitating future care.

To comprehensively finalize the rehabilitation, minimally invasive procedures with porcelain veneers, crowns, and onlays effectively corrected contact issues and crossbite, preserving natural tooth structure while significantly improving aesthetics and bite functionality.

The patient's experience and results were extraordinary. Thrilled with her outcome, she expressed profound satisfaction, highlighting the comprehensive care, emotional support, and exceptional attention she received throughout her journey. Her transformation restored not just dental functionality but greatly boosted her self-esteem and social confidence, solidifying a lasting and trusted relationship with our dental team.

Why Choose Toronto Smile Design for Your Dental Transformation? Toronto Smile Design—Yorkville Dental uniquely blends innovative digital dentistry, surgical precision, and compassionate patient care. Our specialized experience in complex rehabilitations ensures each patient receives personalized, high-quality care tailored to their specific needs. From comprehensive restorations to intricate cosmetic enhancements, we deliver results that transform lives.

Our commitment extends beyond the treatment, offering thorough aftercare and guidance to maintain optimal oral health and aesthetics, ensuring lasting outcomes.

Begin Your Path to Dental Confidence Ready to reclaim your smile and enhance your quality of life? Contact Toronto Smile Design—Yorkville Dental today to schedule your consultation and learn how our advanced digital and surgical dentistry can deliver life-changing results.

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