I met the young woman at a high school function where she attends classes with my daughter.  We were there for a dinner event and it was obvious she was in a considerable amount of pain.  Speaking with her at that time I learned that she had been through dental hell with her upper anterior teeth for the last four years. From beginning with knocking out #8, having numerous makeshift bridges and flippers, to recently having an implant fail, she was desperate.  At the time she told me she had not smiled in years.  By the time of our dinner conversation, her implant had already been placed.  It was removed several weeks later with the idea of trying it again, a procedure she dreaded and wanted to avoid.  At the same time, however, she did not want to begin her college freshman year with her teeth as they then looked.  We immediately began treatment.

Among my concerns were the space and ridge of the missing #8 and the angle of the existing anterior teeth.  The interproximal space between teeth was a positive.  The case was planned  with the support of Paul Lindsey at Gold Dust Dental Lab.  Empress was used for restorations, and upon completion the patient was given essix retainers and an occlusal orthotic. 

Contrary to when we first met, the patient now says she cannot stop smiling.Thanks you to Gold Dust Labs.