Abstract
A 29-year-old woman with midline deviation (maxillary dental midline was shifted 4.3 mm
to the right side) and unsightly anterior veneers placed by an unlicensed dental professional,
resulting in poor esthetic outcomes. Clinical findings included incorrect occlusion,
asymmetric gingival contours, and overcontoured veneers. A multidisciplinary treatment
strategy was created to rectify midline deviation and restore esthetics. This included
the expertise of orthodontists, periodontists, endodontists, and restorative professionals.
The patient underwent a series of treatments, starting with orthodontic realignment
to correct occlusion and midline deviation, followed by periodontal intervention to
address asymmetric gingival contours, and finally, restorative procedures involving
facially directed zirconia veneers. Posttreatment, the dental midline was realigned
toward the facial flow line, significantly improving smile symmetry and occlusal function.
The patient reported high satisfaction with the outcome, particularly regarding the
harmony between her dental and facial features. This case highlights the effectiveness
of a digitally driven, interdisciplinary approach to correct complex esthetic issues
following poor dental restorations. Three-dimensional facial scanning, in combination
with orthodontic, periodontal, endodontic, and restorative treatments, provided precise
and predictable results, leading to a highly successful outcome and improved patient
satisfaction.
Key Points
This technique has the following advantages:
-
Enables facially guided planning by integrating 3D facial and intraoral scans for
natural smile harmony.
-
Improves precision and efficiency in crown lengthening using digital mock-ups and
temporary crowns as surgical guides.
-
Supports minimally invasive veneer placement with accurate fit and better esthetics
through a fully digital workflow.
Keywords
3D facial scan - midline deviation - crown lengthening - interdisciplinary dentistry
- patient satisfaction
