Technique Video

Creating a Smile Makeover Treatment Plan with Composite Bonding

In this detailed case study, Dr. Jerome Cha, DDS, addresses and transforms a smile by tackling key esthetic issues using composite bonding techniques.

Identifying the Issues

Dr. Cha identified four primary concerns in this case:

  1. Uneven Smile Line
  2. Canted Midline
  3. Insufficient Buccal Corridor
  4. Lingually Tipped Axial Inclination

The Treatment Plan

Dr. Cha’s comprehensive approach begins with collecting photographs and diagnostic models. He meticulously analyzes and plans the arrangement of the teeth, focusing on the placement of the two central incisors to set up the entire case. A wax-up or direct mock-up is performed to visualize the desired outcome.

The Procedure

  1. Removal of Old Bonding: Existing bonding is removed from the central incisors (#8 and #9).
  2. Preparation: Minimal chamfer margins are created from teeth #4 to #13, followed by the placement of retraction cords.
  3. Composite Bonding:
    Full Contour Bonding: Renamel Microhybrid is applied to teeth #8 and #9.
    Sequential Bonding: Composite is sequentially added to teeth in the following order: #7 and #10, #6 and #11, #4 and #5, and finally, #12 and #13.
  4. Finishing Touches: Renamel Microfill, a proprietary enamel replacement, is layered over each tooth to add characterization and provide wear protection and shine. The teeth are finished and polished using Cosmedent FlexiDiscs, with a final polish achieved using Enamelize Polishing Paste and FlexiBuff discs.

This meticulous process results in a stunning smile transformation, showcasing the capabilities of advanced composite bonding techniques.

About the AuthorDr. Jerome Cha

Dr. Cha is completely committed to his craft. In 1993 he received a Doctorate in Dental Surgery from the University of Oklahoma College of Dentistry. As he began practice, his dream was to become a world-class cosmetic dentist. It was a bit of a bumpy road for him to start with, and there is an interesting story behind his deciding to name his practice, Hope Restorative and Cosmetic Dentistry. You can read about that by clicking here.

He continues to learn and hone his skills in his field. His postgraduate studies have included: advanced training in all-ceramic restoration systems, The Surgical and Prosthetic Implant Residency Program from the Misch International Implant Institute, and accreditation with the American Academy of Cosmetic Dentistry. Dr. Cha is also a founder of the Oklahoma Academy of Cosmetic Dentistry.