Treatment Goals: Restore proper vertical dimension of occlusion, restore proper canine guidance, establish proper gingival contours and tissue harmony, establish a stable occlusion and improved esthetics.
Prior to treatment, an occlusal splint was used to reestablish a comfortable jaw position and occlusal relationship. A diagnostic wax up was used to fabricate a guide to aid in the laser gum surgery. Gingival heights were based on esthetics and level of attachement. The wax-up as well as the unglazed bisque crowns were tried in to verify an accepted esthetic result. The final outcome took approximately 4 months to complete. Because of limited finances, the patient chose to complete the upper and lower 10 front crowns now and the back crowns at a later time. Temporary occlusal composites were used to stabilize the back teeth until further treatment.