Before — severe crowding with uneven wear
Invisalign + Whitening + Composite Bonding

Severe crowding with uneven wear

Severe crowding had caused the upper front teeth to wear unevenly over time. Invisalign was planned with the composite bonding restoration in mind from the start — tooth positions were deliberately set to create space for rebuilding lost structure.

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Before — edge-to-edge bite with severe wear
Invisalign + Whitening + Composite Bonding

Edge-to-edge bite with wear — Invisalign planned with bonding in mind

Edge-to-edge bite causing severe uneven wear to upper and lower front teeth. The Invisalign ClinCheck was designed knowing composite bonding would follow — creating ideal tooth positions for restored proportions, not just straight teeth.

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Before — edge-to-edge bite with severe wear
Invisalign + Whitening + Veneers + Crowns

Edge-to-edge bite — full mouth rehabilitation

An edge-to-edge anterior bite had created severe, generalised wear across both arches. Restoring without orthodontic treatment first was not possible. A phased approach combining Invisalign, whitening, ceramic veneers, and posterior crowns restored both function and aesthetics.

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Before — gap between upper front teeth
Composite Bonding

Gap closure with proportion improvement

This patient wanted to close the gap between the upper front teeth. Because the teeth were naturally narrow, adding composite resin to close the space also improved the width-to-length ratio — creating better proportions as well as closing the gap.

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Before — peg lateral incisors
Composite Bonding

Peg lateral incisors — layered composite bonding

Peg laterals are a common congenital condition where the lateral incisor teeth develop much smaller than normal. Layered composite bonding was used to build the teeth to natural proportions, with white fleck detailing to blend seamlessly with the existing dentition.

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Before — developmental intrinsic discolouration
Ceramic Veneers

Developmental intrinsic discolouration — six upper veneers

Lifelong intrinsic discolouration of developmental origin that had not responded to whitening or microabrasion. Six ceramic veneers placed on the upper front teeth, matched to the patient's existing tooth shape which functioned well in the bite.

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Before — broken and stained composite veneers with crowding
Full Mouth Rehabilitation

Full mouth composite rehabilitation — camouflaging crowding

Existing composite veneers had broken and stained. Options including Invisalign with ceramic veneers were discussed. The patient chose full mouth composite rehabilitation to camouflage the crowding and restore the existing restorations.

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Before — severely worn dentition
Full Mouth Rehabilitation

Severely worn dentition — full mouth composite resin rehabilitation

Severely worn dentition across both arches with significant loss of tooth structure and vertical height. Full mouth rehabilitation completed with composite resin, restoring function and aesthetics as a first treatment phase.

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Before photo
Ceramic Veneers + Crown + Composite Bonding

Worn dentition — upper ceramic veneers, crown and lower composite bonding

Generalised tooth wear from an unresolved grinding habit. Nine upper ceramic veneers, one upper premolar crown and lower anterior composite bonding restored lost structure. An occlusal splint protects the restorations long-term.

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