A 30-year-old male with a high smile line was diagnosed with a recession in his anterior crowns. The periodontist decided to cover the exposed portions with a soft tissue graft to maintain a good proportion of the length of the crowns. A comprehensive treatment plan was developed, focusing on the condition and level of the gingival tissue. The patient's teeth were restorable, except for three teeth that required dental implants. The treatment plan involved removing old crowns, fabricating provisional crowns, placing implants, and placing soft tissue grafts in the teeth. A home maintenance regimen was followed, and the final restorations were created. The patient's smile was improved by treating the teeth and surrounding gingiva, maximizing symmetry and shape. The patient's smile looked more cohesive and natural, with the soft tissue and crowns contributing to a well-balanced appearance. This case highlights the importance of a holistic approach to dental aesthetics over a purely tooth-centered approach.
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