David’s Full Smile Makeover: E.max Implant Crowns, Crowns & Veneers
Before treatment
After treatment
| Patient | David, late 40s |
|---|---|
| Starting Concerns | Six missing teeth, an edge-to-edge bite, and a smile he did not feel comfortable showing |
| Treatment | 5 implant crowns, 5 crowns, and 2 veneers (12 restorations total) |
| Material | E.max (lithium disilicate) |
| Bite Correction | Upper tooth position was adjusted so the lower jaw could sit more comfortably with proper overbite and overjet; no vertical opening |
| Investment Range | $45,000 – $65,000 |
| Location | Lakewood, Colorado |
Hear From David
The Treatment Plan
David's reconstruction used 12 restorations: 5 implant crowns, 5 crowns, and 2 veneers. The implant crowns replaced the six missing teeth; one implant-supported restoration included a connected replacement tooth, called a pontic, to replace two adjacent teeth. All 12 restorations were made in E.max lithium disilicate to support a coordinated appearance and the functional needs of the case.
David did not need a vertical bite opening. Instead, the upper tooth position was adjusted so his lower jaw could sit more comfortably and the front teeth could have proper overbite and overjet. This corrected the edge-to-edge relationship by moving the front teeth away from tip-to-tip contact.
The team planned the final tooth positions first, then positioned the implants to support that plan while accounting for available bone, appearance, and function. This helps the final crowns and veneers fit the intended smile design rather than forcing the design to follow implant positions alone.
The treatment followed a structured process: consultation and records, a smile try-in (a preview of the planned smile), tooth preparation and placement of temporary restorations, time in temporary restorations to check comfort and how the teeth met, delivery of the final E.max restorations, post-delivery verification, and a night guard. Small bite adjustments were made as needed to help the teeth meet in a balanced, stable way.
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Clinical Insight
David's bite challenge centered on the way his front teeth met. The treatment adjusted the upper tooth position to create proper overbite and overjet while allowing his lower jaw to sit comfortably. Temporary restorations were used to evaluate comfort, appearance, and how the teeth met before the final restorations were made.
The temporary-restoration phase gave David and the treatment team a chance to assess appearance, tooth shape, color, comfort, and how the teeth met. If something needed refinement, it could be adjusted in the temporary restorations before the final porcelain was made.
One implant-supported restoration replaced two adjacent teeth. The connected replacement tooth, called a pontic, was planned to look as though it emerged naturally from the gumline. The goal was a coordinated smile whether a tooth was restored with a veneer, a crown, or an implant-supported crown.
The Result
David's reconstruction replaced all six missing teeth, corrected the edge-to-edge relationship, and created a complete, natural-looking smile. The plan combined 5 implant crowns, 5 crowns, and 2 veneers in E.max, with the restorations designed to create a coordinated appearance across the smile.
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The adjusted upper tooth position corrected the edge-to-edge front-tooth contact and established proper overbite and overjet. A night guard was included to help protect the restorations during sleep, and the temporary-restoration phase allowed the design to be refined before the final porcelain was made.
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Not Every Patient Is a Candidate
The outcome shown in this case reflects a specific clinical situation. Results vary based on the patient's existing tooth structure, gum health, bite, and compliance with post-treatment care. Patients with active gum disease, insufficient enamel, or severe bruxism may not be candidates for veneers without first addressing those conditions. A thorough clinical evaluation — including X-rays, bite analysis, and periodontal assessment — is required before any treatment plan is finalized.
Frequently Asked Questions About Implants and Smile Reconstruction
Can dental implants and veneers be used in the same case?
Yes. David’s plan combined 5 implant crowns to replace missing teeth, 5 crowns where full coverage was appropriate, and 2 veneers on eligible natural teeth. Matching material and careful planning can help create a coordinated appearance across a mixed restorative plan, but the exact mix is based on each tooth’s condition.
What is an edge-to-edge bite and why is it a problem?
An edge-to-edge bite occurs when the upper and lower front teeth meet tip-to-tip instead of the upper teeth overlapping the lower teeth slightly. This can concentrate force on the edges of the front teeth. In David’s case, the upper tooth position was adjusted so his lower jaw could sit more comfortably with proper overbite and overjet. This moved the front teeth away from tip-to-tip contact and distributed biting forces more favorably.
How long do dental implants last?
The implant post and the visible crown have different maintenance needs and life spans. Good home care, routine dental visits, and a night guard when recommended can help protect restorations. A dentist can explain expected longevity for a specific case and treatment plan.
How can one implant-supported restoration replace two adjacent teeth?
In David’s case, one implant-supported restoration replaced two adjacent missing teeth. One replacement tooth was attached to the implant, and a connected replacement tooth — called a pontic — filled the adjacent space. This allowed the team to replace both teeth with one implant-supported unit when that arrangement fit the treatment plan.
Why is the temporary phase so important in reconstruction cases?
Temporary restorations let the dentist and patient check comfort, the way the teeth meet, tooth shape and size, color, and appearance before final porcelain is made. If a change is needed, it is usually simpler to adjust a temporary restoration than a final porcelain restoration. Once David was comfortable with the temporary restorations and the bite was stable, the final restorations could be made to match the approved design.