Correcting a crooked or slanted smile depends on several possible origins of the problem. One of the problems could be the patient’s lip. If the patient smiles higher on one side of her face than the other side, the smile can look slanted or crooked. But if the teeth are actually slanted towards one side, then the teeth need to be corrected.
However, this patient has a TMJ type wear pattern to her bite and actually wore down the teeth on one side more than the other side. The cosmetic dentist needs to be able to see the entire face before treating anything that might be “slanted” in order to diagnose the treatment correctly. Grinding her teeth gave her a slanted smile.
Along with just about everyone else, she had been grinding and wearing down her teeth for years. As her teeth shortened less of her upper teeth were visible when she spoke and when she smiled. Her grinding over the years had eroded through the enamel which left just the dentin exposed in several places. Because this degree of wear is rarely symmetrical, one side had suffered greater trauma leaving her entire smile slanted to the left. Dr. Muslin needed to reverse years of grinding trauma, re-balance her bite, lengthen all of her teeth, and make her smile symmetrical again. Most patients do not have the best jaw position for their faces and with this treatment; idealizing the jaw position to the patient’s face helps them look forever younger.
After the consultation appointment, Dr. Muslin began the treatment with models of the patient, complex motion tomography images of her jaw in all of the various states (for example: at rest, biting hard, wide open), and over 40 photos. He began planning the treatment by studying the photos and x-rays to understand the functional and aesthetic details of her face, teeth, and jawline. Once a preliminary plan was in place he reviewed the treatment with her to fine tune every detail. What helps us look our best is optimizing the position of the lower jaw with a high tech bite correction and what helps us feel our best is this new position.
It is not about your smile as much as it is all about your health. Improving your health has never been easier considering the none of your teeth are ground down. The magic of this treatment is the exclusive VENLAY® restorations that non-invasively correct the patient bite. These restorations along with the amazing anti-aging dentistry benefits of the Face Lift Dentistry® method can not only improve your smile but reverse the effects of the aging face. When a patient feels physically better they will look their best.
Using a combination of VENLAY® restorations for her healthy teeth and crowns for the teeth that already had crowns, Dr. Muslin designed the length of each tooth to re-position her jaw in such a way that the slant in her smile was corrected. Dr. Muslin says, “It sounds more difficult that it really is because most people do not understand the method.”
Not only did Dr. Muslin re-build the functional dynamics of her bite but he also did microsurgery to the tissue on the left side of her mouth. As you can see in her before photos there is too much gum present on the left. Dr. Muslin was able to lift and treat the gum so that it was prepared to merge with the new shape of the porcelain that was planned for that side. This is a very minor surgical modification that very few dentists have the foresight to identify in their treatment plans. These types of minor details make all the difference in the world and they are what distinguish Dr. Muslin from the crowd.
Gum microsurgery by Dr Muslin is a very minor procedure that does not require stitches or time off from work. He has a highly specialized treatment that he has developed over the years that is virtually painless even the day after surgery. Several of Dr. Muslin's patients have told us that the treatment was so easy that it was over before they even knew it had started. (Read more about Gum Care.)
At her next appointment it was time to try in her new smile and jaw position. After temporarily placing the restorations on the teeth she took time to look at herself in both artificial light and outside in the sun. She said "this is such an improvement" after which Dr. Muslin bonded the work into place.
Take a look at the corners of her mouth in the before photo which are dark and in shadow. Because Dr. Muslin widened her entire smile the shadows are now filled with white porcelain. This is what makes her smile so much fuller and more impactful.
To compliment her facial features a softer and rounder shape was designed for each of her teeth. As we grind our teeth down over the years they become more squared at the corners and sometimes they even look sawed off. To capture a more youthful look we must restore the length to the teeth and also a more rounded shape.
Her smile is balanced and level, her teeth have a youthful length, and her jaw is properly positioned. When we called to check in with her the day after her treatment she said "I am in love with my smile, thank you very much, I am so happy".
To learn more about Dr. Sam Muslin's Face Lift Dentistry®, call us at (310) 829-6796 or use the Contact form to send your questions.