Smile Design Cases

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Case 17

Gummy smile treatment with crown lengthening

Gummy smile treatment with Laser gum contouring and replacing old porcelain fused to metal crowns with all-ceramic crowns

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Digital Smile Design Planning of the Smile Transformation Patient

Mrs. C. came to my Dental Clinic with cosmetic dentistry concerns. Her first concern was her gummy smile. She was showing excessive gum tissue. She also had old porcelain dental crowns, which were porcelain-fused-to-metal crowns.

She heard that I was providing smile makeover treatments with Digital Smile Design protocol. With the support of this comprehensive dentistry protocol, we can help patients with different issues by providing different solutions. For example, while some needs a single veneer to achieve the smile harmony, others may need multiple dental crown, veneers, and dental implants.

To properly fix a gummy smile issue, we need to diagnose the reason behind the problem properly and precisely. Mrs. C.'s issue was not about excessive movement of her upper lip. That's why a gummy smile botox treatment would be unnecessary. We don't want to affect her lip movements. In some cases, we might need botox applications instead of gum contouring procedures.

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Digital Smile Design Planning of the Smile Transformation Patient

In her case, we started the process with Digital Smile Design Protocol. We took pictures, videos and impressions of smile and started the DSD. Even without the design, I could see that a laser gum contouring procedure will be involved. The amount of soft tissue and hard tissue (gum and bone) needed to be adjusted, the number of teeth was going to determine the type of esthetic crown lengthening.

In her Smile Makeover, the most significant issue was teeth proportions. She had short teeth, and they were squarish. I needed to make them longer. She was showing enough incisal edge on the front teeth. I didn't want to make them longer to the incisal edge. So I had to perform a crown lengthening procedure.

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Before Gummy Smile Surgery - With old Porcelain-fused-to-metal crowns

Before going any further, I want to answer some frequently asked questions about Crown Lengthening Procedure.

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Before Digital Smile Design Mock-up

With Digital Smile Design Mock-up

With the information I gathered from the intraoral examination and Digital Smile Design planning, I need to adjust both soft tissue and hard tissue (gums and bone). Initially, I need to start with laser gum contouring and bone adjustment with piezosurgery. Then, following crown lengthening, I need to change upper and lower porcelain-fused-to-metal crowns with all-ceramic dental crowns.

Before Digital Smile Design Mock-up

With Digital Smile Design Mock-up

However, I need to make sure my patient likes our treatment plan and smile design. With Digital Smile Design, we have the opportunity to show the final outcome of our treatment before we start the treatment.


I create a 3D smile prototype with precise measurements and use 3D Printers to fabricate our smile design. Using this 3D model, I transfer this new Smile to my patient's mouth. We call this process "Mock-up". With mock-up, we can assess our design and show the final outcome in a before-after setting. Then, if our patient likes it, we can start the treatment.

Before Smile Makeover

After Smile Makeover

Mrs.C. loved the mock-up and wanted to move forward. I changed the gum line with the crown lengthening procedure with bone adjustment and waited three months for gum contouring recovery.


After waiting for three months with temporary crowns looking exactly like final crowns, I provided final dental crowns on upper and lower teeth. Mrs.C. was amazed by the result. I hope you like it too.

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Before Gummy Smile Surgery - With old Porcelain-fused-to-metal crowns

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After Gummy Smile Surgery and All-Ceramic Dental Crowns

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Before Gummy Smile Surgery - With old Porcelain-fused-to-metal crowns

After Gummy Smile Surgery and All-Ceramic Dental Crowns

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After Crown Lengthening Procedure - With all-porcelain dental crowns

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Before Smile Makeover

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After Smile Makeover

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Before Smile Transformation

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After Smile Transformation

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Before Smile Transformation

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After Smile Transformation

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Smile Transformation with Final Dental Crowns after Crown Lengthening Procedure

Quality Control With Mock-up and Final Result

Dr.Johnson Ozgur - Toronto Smile Design

Smile is a dynamic process, and we need to plan everything using high-end digital dentistry tools. To enjoy all the benefits that cosmetic dentist Toronto Dr.Johnson provides, choose Toronto Smile Design Clinic. Dr.Johnson has years of experience in crown lengthening procedures, porcelain crowns and comprehensive smile rehabilitation cases. He designs new smiles with a fully digital dentistry approach. If your looking for "Crown Lengthening Near Me" in Toronto, you can rely on Toronto Smile Design to restore your perfect smile. To see your "Smile Design Test Drive," contact us today!

“You can’t depend on your eyes when your imagination is out of focus.” ―Mark Twain