Treated tooth by tooth for years. Until the whole no longer fitted together.

Diagnosis

Failing crowns, partial crowns and implant crowns with leaking margins and secondary decay. No functional coordination of bite height and tooth contacts. Aesthetically oversized, coarsely shaped and highly opaque teeth that did not integrate with the face, lips and overall proportions.

The Decision

Not to correct individual teeth yet again, but to plan everything together for the first time. Aesthetics and function were therefore redefined from the ground up: tooth shapes, proportions and bite height, as well as the question of which elements of her previous smile should actually remain. At first, the patient was determined to keep the gap between her front teeth. In the Real Face Preview, she saw both versions directly in her own face for the first time, and changed her mind herself. To her, the new version looked finer, more feminine and far more harmonious. In parallel, the new bite height was developed and then tested under real conditions in the Test Drive. Only when shape, function and effect were right together were the definitive ceramics made.

Goal

An aesthetically and functionally stable full reconstruction with a redefined bite height, harmonised tooth contacts and biologically sound restoration margins. Aesthetically, the aim was finer, more feminine and more natural-looking tooth shapes, with proportions, translucency and surfaces that blend naturally with her face, lips and overall proportions.

Our Approach

• Planning with The Facial Aesthetic Concept^©: tooth shapes, proportions, visible tooth length, aesthetics and function were developed for the first time as one shared goal, starting from the face.
• Real Face Preview: different designs became visible directly in her face. Even her initially firm decision to keep the gap between her front teeth could be judged for real and reconsidered.
• Vertical Restore: the bite height was redefined and rebuilt functionally so that tooth contacts, jaw joints and muscles work together in a stable way again.
• Test Drive: the planned result was transferred into her mouth as a prototype. The patient could eat, speak and laugh with it, and experience the new aesthetics and bite height in everyday life.
• Follow-ups: tooth shapes, proportions, bite height and contacts were refined further under real conditions, while everything could still be changed.
• Digital Transfer: only the clinically optimised situation was captured digitally again and became the binding basis for the dental technician.
• Definitive Reconstruction: crowns, partial crowns and implant crowns were completely replaced; the existing implants themselves were preserved. The definitive work was carried out in individually crafted ceramics.

Result

Crowns, partial crowns and implant crowns were brought together into one aesthetic and functional reconstruction. The new tooth shapes look finer, more feminine and more natural; proportions, translucency and surface blend more calmly with her face and lips. The redefined bite height and tooth contacts had already been tested in the Test Drive and refined in the follow-ups before the definitive ceramics were made.

Perhaps the most important aesthetic turning point was the gap between her front teeth. At first, the patient was determined to keep it. For her, it was part of her character and identity. Only through the Real Face Preview could she actually see herself with an alternative, in her own face. Not as an abstract design, but on herself. She realised that the version without the gap matched far more closely how she wanted to see herself: finer, more feminine, fresher and more in keeping with her type. She could hardly have made this decision from a description or a model. She had to see herself to make it. That was the particular value of the Real Face Preview in this case: we did not decide what suited her. It gave her the chance to test her own idea, and to decide anew.

Treatment Time

Four weeks for the definitive reconstruction, after the completed Test Drive.

Please Note

The treatment shown represents an individual case. Treatment plans and results vary depending on the initial findings.

What are Zaritzki Restorations?

Perfect is the goal. But it must not look perfect. That is the hardest brief in dentistry, and it is decided in three places.

No one should see it. A restoration must not be more regular than the rest of your teeth. Light, surface and translucency are modelled on what is already there, not on an ideal. A tooth has texture, tiny irregularities, its own way of refracting light. That is exactly what is recreated. This is why the ceramics are handmade in a master laboratory, and the shade is matched during a try-in before anything is permanently placed.

It should feel exactly as it did before. Your tongue knows every millimetre of your mouth and finds every edge. Contact points, bite guidance and transitions are therefore crafted so that nothing new feels new. The spaces between your teeth also stay the way you know them. Floss should glide through just as it always has.

Nothing should be taken away. We fight for every millimetre of your own tooth. Every tooth begins with the same question: how much is necessary, and how little is enough? An inlay, as long as an inlay will hold. A partial crown when the biting surface is lost. A crown only when the tooth needs protection all the way round. We work under magnifying loupes at five times magnification and special LED light, with instruments made for this scale, and with the time it takes. Preserving tooth structure takes longer than removing it. That is why it takes longer here.

And because a restoration must suit not only the tooth but the face, everything begins with The Facial Aesthetic Concept^©: the aesthetic goal is defined first, and bite guidance and load are built around it. What remains is the impression that nothing was done. Only that everything is right.

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