CLINICAL CASES
LET'S TALK ABOUT YOUR SMILE.
Your consultation is an opportunity to understand what brings you to us, explore your expectations and carefully assess your individual needs.
From this first conversation, we can answer your questions, discuss the available treatment options and identify the most suitable approach for you.
CLINICAL CASES
INITIAL PRESENTATION
Tooth misalignment, asymmetry in tooth size and proportions, and the need to achieve a more consistent shade and brightness across the smile.
THE TREATMENT
Although orthodontic treatment was initially recommended, the patient's decision not to proceed with braces was respected. An alternative treatment plan was developed, combining teeth whitening with 24 porcelain veneers across the upper and lower arches. Minimally invasive tooth preparation was performed to preserve as much natural enamel as possible.
INITIAL PRESENTATION
Tooth misalignment, asymmetry in tooth size and proportions, and the need to achieve a more consistent shade and brightness across the smile.
THE TREATMENT
Although orthodontic treatment was initially recommended, the patient's decision not to proceed with braces was respected. An alternative treatment plan was developed, combining teeth whitening with 24 porcelain veneers across the upper and lower arches. Minimally invasive tooth preparation was performed to preserve as much natural enamel as possible.
INITIAL PRESENTATION
Tooth misalignment, asymmetry in tooth size and proportions, and the need to achieve a more consistent shade and brightness across the smile.
THE TREATMENT
Although orthodontic treatment was initially recommended, the patient's decision not to proceed with braces was respected. An alternative treatment plan was developed, combining teeth whitening with 24 porcelain veneers across the upper and lower arches. Minimally invasive tooth preparation was performed to preserve as much natural enamel as possible.
INITIAL PRESENTATION
Tooth misalignment, asymmetry in tooth size and proportions, and the need to achieve a more consistent shade and brightness across the smile.
THE TREATMENT
Although orthodontic treatment was initially recommended, the patient's decision not to proceed with braces was respected. An alternative treatment plan was developed, combining teeth whitening with 24 porcelain veneers across the upper and lower arches. Minimally invasive tooth preparation was performed to preserve as much natural enamel as possible.
INITIAL PRESENTATION
Tooth misalignment, asymmetry in tooth size and proportions, and the need to achieve a more consistent shade and brightness across the smile.
THE TREATMENT
Although orthodontic treatment was initially recommended, the patient's decision not to proceed with braces was respected. An alternative treatment plan was developed, combining teeth whitening with 24 porcelain veneers across the upper and lower arches. Minimally invasive tooth preparation was performed to preserve as much natural enamel as possible.
INITIAL PRESENTATION
Tooth misalignment, asymmetry in tooth size and proportions, and the need to achieve a more consistent shade and brightness across the smile.
THE TREATMENT
Although orthodontic treatment was initially recommended, the patient's decision not to proceed with braces was respected. An alternative treatment plan was developed, combining teeth whitening with 24 porcelain veneers across the upper and lower arches. Minimally invasive tooth preparation was performed to preserve as much natural enamel as possible.
INITIAL PRESENTATION
Tooth misalignment, asymmetry in tooth size and proportions, and the need to achieve a more consistent shade and brightness across the smile.
THE TREATMENT
Although orthodontic treatment was initially recommended, the patient's decision not to proceed with braces was respected. An alternative treatment plan was developed, combining teeth whitening with 24 porcelain veneers across the upper and lower arches. Minimally invasive tooth preparation was performed to preserve as much natural enamel as possible.
INITIAL PRESENTATION
Disproportionate tooth anatomy, uneven incisal edges and slight discolouration, resulting in a smile that appeared less expressive and asymmetrical in relation to the patient's facial movements. The patient felt self-conscious about smiling. His case was referred by his mother, an experienced dentist who trusted Dr. Edson da Silva's approach to improving her son's smile while preserving his young, healthy teeth.
THE TREATMENT
An ultra-conservative approach using a no-prep technique, requiring no removal of natural tooth structure or enamel. High-precision feldspathic porcelain veneers were individually crafted, with the shade and brightness selected together with the patient to restore ideal tooth volume and proportions.
INITIAL PRESENTATION
Short-looking teeth caused by an uneven gum line, irregular incisal edges and tooth wear that affected the overall brightness of the smile. The patient travelled from Madeira Island seeking a carefully planned treatment that could be completed during a short stay in Lisbon.
THE TREATMENT
A multidisciplinary approach with an optimised treatment schedule. Strategic gingivectomy was performed on four teeth to harmonise the gum line and improve tooth proportions, followed by the handcrafted production of porcelain veneers using the refractory die technique.
INITIAL PRESENTATION
Uneven occlusal and incisal planes, with differences in tooth volume between the two sides of the smile. The patient wanted a very bright, white and uniform smile without any removal of natural tooth structure.
THE TREATMENT
An additive treatment approach was planned and carried out without any preparation or reduction of the natural teeth. To achieve the patient's desired shade, porcelain veneers were crafted for both the upper and lower arches, creating a more balanced incisal plane.
INITIAL PRESENTATION
A shifted dental midline, tilted front teeth and a pronounced unevenness of the occlusal plane, with one side sitting lower than the other. The patient had previously completed orthodontic treatment and did not wish to wear braces again to correct the asymmetry.
THE TREATMENT
An integrated, conservative approach was developed as an alternative to further orthodontic treatment. Strategic gingivectomy and crown lengthening were performed to even out the gum margins, followed by teeth whitening and custom-made porcelain veneers to refine tooth shape, compensate for the inclination of the teeth and create a more level occlusal plane.
INITIAL PRESENTATION
A reversed smile curve that gave the face a prematurely aged appearance, short teeth with an uneven gum line, and old composite restorations with a yellowish shade. The patient travelled from the Azores seeking a smile transformation that would preserve her natural identity.
THE TREATMENT
An integrated treatment approach was carefully planned to minimise the number of trips to Lisbon. Gingivectomy and crown lengthening were performed to improve tooth proportions and create a more even gum line, followed by custom-crafted porcelain veneers to correct the inverted smile curve, restore ideal proportions and bring renewed brightness and a more youthful appearance to the smile.
LET'S TALK ABOUT YOUR SMILE.
Your consultation is an opportunity to understand what brings you to us, explore your expectations and carefully assess your individual needs.
From this first conversation, we can answer your questions, discuss the available treatment options and identify the most suitable approach for you.