This patient's upper four front teeth were extracted when she was only 12 years old and living in the Philippines. This is the typical appearance that occurs from the loss of front teeth and supporting bone. Her previous bridge had a reverse smile line and did not provide adequate lip support.
A new bridge provided better lip and facial support, and pink porcelain replaced the lost gum and bone tissue. Dental implants would not have been a predictable option to replace her front teeth because of the extensive bone loss. Implants and crowns were used to restore the rest of her mouth. Her new smile is very natural in appearance and function.