The news that Los Angeles cosmetic dentist Dr. Sam Muslin delivered to this female transfer patient was better than she imagined. Other doctors had told her that oral surgery and braces were the only way to correct her underbite. Dr. Muslin told her that there was more than one way to sing a song!
While orthognathic jaw surgery and orthodontic appliances have been used for years to achieve underbite correction, this patient had another option: Face Lift Dentistry® Although she was very resistant to undergo invasive surgery, the patient was eager to fix her unorthodox smile. She had suffered the consequences of her malocclusion for years and wanted to have a drop-dead smile, not a smile that was more grimace than grin.
This young woman had striking eyes, pretty hair and a good complexion, but these features were overshadowed by a prominent chin and protruding lower lip caused by conspicuously tall teeth in her lower dental arch. Not only were they too prominent, but they stood in front of her top teeth and not behind as is the norm.
Appearance was not her only concern. The patient had difficulty chewing her food because her back teeth did not meet unless she slid her jaw out of its normal hinging position to make contact. This, in turn, opened up a horizontal gap between the front teeth. By compensating for her mismatched jaws, this patient’s underbite condition looked worse than it was in reality.
High-tech Dental Bonding
Dr. Muslin’s proposed remedy included elements of physics, artistry and scientific calculation – a mix that Dr. Muslin has perfected during his 30-plus years in reconstructive and cosmetic dentistry. Teaming with a master ceramist, Dr. Muslin planned to use thin hand-crafted veneers to reshape and reposition the patient’s front top teeth. In addition, dental composite would be applied to rebuild the back teeth, creating a stable chewing surface that would allow the patient to use her temporomandibular jaw joint in a more normal way. The TMJ slide would be nullified, allowing her joint to function properly.
As one might imagine, the patient was thrilled. For the first time, she was given a treatment option that she could live with. She would not have to have any tooth extractions or go into the hospital for surgery. The idea of two years in cumbersome braces was taken off the table, replaced by the anticipation of a restored bite and smile in just a handful of days!
The Face Lift Dentistry® Plan
Dr. Muslin had a list of goals for this patient’s restoration. He wanted to:
- Optimize her oral health
- Improve the patient’s ability to chew efficiently
- Balance her profile
- Optimize the interaction between her upper and lower jaws
- Reduce the lower lip’s protruding position
- Minimize the appearance of a larger chin and jaw
- Reshape and proportion the top teeth for a prettier smile
- Bring the top arch in front of the teeth in the lower arch
- Give her enhanced teeth the exact same color and translucency of her natural teeth
- Close the frontal gap when the patient bit down
- Whiten her smile, so it’s one she loves to show off
Dr. Muslin was able to meet these goals and even more. His patient was so happy with the results that she couldn’t stop smiling. She wasn’t embarrassed by her underbite anymore and for the first time her smile did not undermine her self-confidence.
After underbite correction, this patient’s face was a beautiful oval shape with eyes, nose, mouth and chin in complete harmony with each other. A gorgeous outcome. A gorgeous young woman!