Esthetic smile rehabilitation with dental veneers and crowns in Bucharest – Dr. Oana Taban’s Case

A successful esthetic dental rehabilitation is not about creating a standardized smile, but about harmonizing the teeth with the patient's facial features and natural expressions. In the case of Dr. Oana Taban, Founder of DENT ESTET, the objective was to replace existing dental restorations to redefine her smile while ensuring long-term oral health.

The treatment plan, coordinated by Dr. Alice Gavrilescu, a specialist in Oral and Maxillofacial Surgery with expertise in Esthetic Dentistry, at the DENT ESTET dental clinic in Bucharest, included Premium ASPEN all-ceramic veneers, zirconia crowns, and a Straumann® BLX SLActive® dental implant. Digital planning and functional analysis enabled a cohesive design of the restorations, ensuring harmony in their shape, proportions, and color.

The clinical case, in brief:

The dental team found that the existing restorations no longer met aesthetic and biological requirements and that it was necessary to replace them and harmonise the shape and size of the teeth, the dental axes, the spaces, the contact lines and the incisal plane.

The assessment included:

• the relationship between the teeth, gums and lips;
• dentofacial proportions;  
• contacts between the dental arches;
• the dynamics of the smile during speech and natural facial expressions. 

The initial situation prior to aesthetic restoration with veneers and dental crowns. 

Planning of the treatment plan began with:

• intraoral and extraoral photographs;
• intraoral scanning;  
• bite analysis using MODJAW® 4D technology.

The intraoral scan recorded three-dimensional images of the tooth and gum surfaces, whilst MODJAW® 4D tracked the movements of the mandible and dynamic tooth contacts, ensuring that the shape of the future teeth would take both aesthetics and function into account.

The data was integrated into Smile Cloud, and the 3Shape TRIOS scanner provided the digital models for the design of the restorations. 

The three solutions were combined because not all teeth were in the same condition or required the same type of restoration. In a personalised treatment plan, the choice is made for each area individually, and then all the elements are brought together to form a cohesive result.

Dental veneers for the aesthetic zone

The ASPEN Premium all-ceramic veneers discreetly corrected the shape, size and alignment of the teeth, closed the gaps and harmonised the proportions. The minimally invasive preparation aimed to preserve as much healthy tooth structure as possible, within the limits of the clinical situation.

Dental crowns for posterior teeth

The zirconia crowns restored the teeth requiring full coverage and were integrated with the veneers. They restore the shape and strength of the teeth and ensure correct occlusal contacts during chewing. The choice between a veneer and a dental crown depends on the tooth’s structure and the clinical indication.  

Dental implant to complete the restoration

The treatment plan also included a Straumann® BLX SLActive® dental implant to complete the restoration with a fixed solution. The implant-supported restoration was coordinated with the veneers and crowns as part of the same aesthetic and functional outcome. 

• Digital Smile Design and Smile Cloud – for analysing the smile in relation to the face and for planning the shape of future restorations.
• 3Shape TRIOS intraoral scanner – for digital dental impressions.
• MODJAW® 4D – for recording mandibular movements and functional analysis of occlusion.
• ASPEN Premium Ceramics and zirconia – for the fabrication of premium dental veneers and crowns.
• Straumann® BLX SLActive® – for replacing a missing tooth and integrating the implant into the overall treatment plan. 

The result was a natural, balanced and functional smile that preserves Dr Oana Taban’s expressiveness. The shape, size and axes of the teeth have been harmonised, gaps have been closed, and the incisal edge and symmetry of the smile have been optimised. The veneers, crowns and implant-supported restoration form a coherent whole, with no visible differences between the solutions used.

The natural appearance resulted from the relationship between the teeth and facial features, from the variations in translucency and texture achieved in the laboratory, and from the preservation of the smile’s distinctive characteristics. The functional aspect was assessed in parallel to ensure compatibility with mastication and mandibular movements. 

[AFTER IMAGE] The final result following restoration with veneers, crowns and a dental implant. 

A treatment plan combining veneers and crowns may be considered when the requirements differ from one tooth to another. This may be relevant for:

• old restorations;
• differences in shape or size;
• gaps between teeth;
• alignment issues affecting the harmony of the smile;
• teeth requiring full coverage.

The suitability of treatment is not determined solely on the basis of photographs and does not necessarily involve treating all visible teeth. The dentist assesses each tooth, the gums, the bite and the patient’s objectives, and then recommends the appropriate solution. 

Customisation is achieved by adjusting features such as>

• the shape of the teeth;
• their length;
• translucency;
• the shade of each individual tooth.  

For Dr Oana Taban, the key criterion was to preserve expressiveness. 

For before-and-after images and a visual presentation of the restorations

Old fillings, gaps between teeth or a desire to improve one’s smile do not automatically mean the same treatment is required. A consultation and the necessary assessments will determine whether veneers, crowns, dental implants or other solutions are recommended.