Smile Gallery at Dr. Elston Wong Dentistry

The main issue here was not decay or fracture, it was the appearance of the upper canine teeth (upper eye teeth – third ones from the middle). In the first photo, their horn-like appearance is quite obvious. Instead of shaving away any tooth material, conservatively bonding resin material to the teeth eliminated the undesirable appearance. What’s nice about newer white filling materials is their chameleon-like abilities to pick up colour from the teeth. (H3PO4 (aq) etch, Kerr Optibond FL adhesive only, Dentsply Esthet-X A2 resin. Microabrasion was done later to address the upper incisor dysmineralization)

Microabrasion is a great, non-invasive way to remove congenital superficial brown and white spots on teeth. This underutilized technique employs a gentle abrasive slurry that removes discolourations without compromising tooth strength. When used appropriately, immediate results can often be better than fillings or veneers.

The patient disliked the white patches on their front teeth. A single session of Microabrasion resulted in immediate improvement, with further improvement anticipated over time. (Ultradent Opalustre 6.6% HCl Microabrasion slurry).

This is Dr. Wong’s own mouth! Pre and post-whitening photos using KoR-Night Whitening gel in custom trays for two weeks. (KoR-Night 16% carbamide peroxide gel from Evolve Dental Technologies). Dr. Wong’s teeth went from a C1 to a B1 – a change of 5 shades brighter. (Vitapan Classical shade guide, arranged in order of value, or brightness).

This is a longstanding patient who had come faithfully for her hygiene appointments and was cavity-free, but finally admitted that she wanted to do something about her teeth. She disliked the mismatched colours of her teeth, as well as the upper tooth crookedness and unevenness. If you look closely, one of her upper front teeth was already a crown, but in order to redo her smile it was necessary to replace it with one that would match the other teeth that would be done.
Seven crowns (on teeth 14,12,11,21,22,24,25) and two veneers (on teeth 13,23), all e.max lithium disilicate from Ivoclar Vivadent. Teeth were air abraded and acid etched using Bisco’s Uni-etch 32% H3PO4 (aq) with BAC. Crowns were cemented with Unicem2 (3M) and veneers were bonded in with Calibra Adhesive Resin cement as per recommended protocol. Lab work courtesy of Image Dental Laboratory.

This patient was also a long-time patient of our office, coming regularly for years but always hating the very rotated upper right front tooth, and general unevenness of upper and lower front teeth. We decided to place two crowns and six veneers on the upper front teeth, as well as one crown and two veneers on the lower front teeth. Given the extreme rotation of the upper front tooth as well as the patient’s refusal of any orthodontic straightening, we first had to complete a root canal on that tooth. All restorations e.max lithium disilicate from Ivoclar Vivadent. Crowns on teeth 11,21,32 and veneers on teeth 15,14,13,12, 22, 23, 31, 41.

Teeth were air abraded, acid etched using Bisco’s Uni-etch 32% H3PO4 (aq) with BAC, and finally bonded in with Calibra Adhesive Resin cement as per recommended protocol. Lab work courtesy of Image Dental Laboratory in Barrie.