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Better by far you should forget and smile.
-- Christina Rossetti
1830–1894

From grimace to grin
The making of a smile

by Philip Sherman

Clothing can indeed hide a multitude of sins.

The problem is that leaves you exposed from the neck up, and wearing your boxers as a ski mask is frowned on in many circles.

Think about your teeth. You open your mouth and before uttering a word, people know all they need to know about you. If your teeth are chipped, discolored or misaligned, then the sexiest Armani suit won’t compensate.

The damage is done. Your suit says, “Takes care of himself on the surface.” Your teeth say, “Lives in a wet Maytag box under a bridge.”

Think about the money you spend on your hair. Your glasses. Perhaps getting a nose job. It’s not a matter of vanity. Everyone wants to look their best, but moving North-to-South, people tend to start with their hair and stop at their noses.

They don’t think about their teeth. I didn’t. I had a nasty chip in a front tooth. Until Dr. Shari Morningstar told me it could be fixed, I’d learned to smile in a sort or sneer, using my upper lip to mask the damage.

Origin of the accident
I was playing bicycle tag on a hot summer day in Detroit. I was 12 years old and gaining on Tommy, who was flashing along only a house or so ahead of me. We were both riding 10-speeds with ape-hanger handlebars.

Tommy shot up a driveway onto the sidewalk carefully aiming for the green, soft part of the garden hose a neighbor had pulled across the sidewalk to water the lawn on the boulevard.

Before, I was careful with my smile--      
even on my wedding day!              

I was concentrating on Tommy, not the hose, and hit the brass coupling that was holding two pieces of the hose together.

I went over the handlebars. The next thing I remember is a doctor in Sinai Hospital’s emergency room saying I was fortunate. No concussion, no breaks. Just bruises, a couple remarkably deep scratches and a severely chipped front tooth. Lots of sympathy from my sixth-grade girlfriend, Patti.

That was 34 years ago. Back then my dentist, Dr. Mark Lawnsberry, didn’t know what to do. He filed down the jagged edge as best he could. Dr. Lawnsberry’s concern was keeping the tooth. Too much fiddling and Dr. Lawnsberry said he was afraid he’d expose the nerve, and then it would have to come out.

The Starbucks encounter
My wife, Suzanne, and I met Dr. Shari Morningstar and Dr. Steve Gustafson at the Starbucks in downtown Royal Oak. Shari and Steve, a husband-and-wife team, own a dental practice on 11 Mile in Royal Oak.

While we were talking, Shari asked me if I’d ever considered having my front tooth fixed. I said I didn’t know it could be fixed – in 34 years, no dentist had even mentioned the possibility of repair. She assured me that Steve could make it look like I’d never gone over the handlebars.

It took me a few months to warm up to the idea. Now, I wish I’d done it the following day.

The process
End to end, the whole thing took about two weeks. The only discomfort came from my own anxiety, which proved entirely unnecessary. Other than a little
pressure that came with a shot to numb the area, it didn’t hurt, period. I’d tell you if it did.

The first thing Dr. Gustafson and his assistant, Sharon, did was spend a lot of time assessing the situation. They wanted a plan. Given the damage to the front tooth and the uneven nature of the teeth immediately surrounding it, they decided to, in roofing terms, do a tear-down.

Six teeth, including the chipped one, were going to be fixed, from canine to canine. Each tooth would be individually prepped to eventually accept an individual porcelain veneer that fits better than a glove.

                  Before                          

Dr. Gustafson first took an impression and had his lab build a before-and-after, three-dimensional model. If you’re not sure you want to do this, just wait until you see the “after” model of what your teeth could look like.

Then work started. It was divided into two sessions.
                                                                                     After

Dr. Gustafson and Sharon numbed the area and filed down each tooth. They work carefully and in tandem – no wasted motion.

When my teeth were prepped, Sharon made me what is called a “temporary.” Besides needles, this was another part of my anxiety. I had a major meeting coming up in two days, replete with visions of doing my talk in front of 30 people – with teeth that looked like the big wax buck teeth and red lips parents used to hand out on Halloween.

The temporary was nothing of the kind. Unlike the permanent teeth I would get, the temporary is one, solid piece. Dr. Gustafson and Sharon worked on it a little and when I left, you probably wouldn’t have known it was a temporary fitting unless I’d told you.

Before I left, we did a color match. This is one place where science takes a backseat to art.

Sharon and Dr. Gustafson must have spent half an hour holding up samples to match my teeth in color and tone. (It’s worthwhile to note that Dr. Gustafson suggested I bleach my teeth before this process. I’d started smoking when I was 12, and even though I stopped 4 years ago, my teeth were still a sexy, inviting murky yellowish-gray.)

Phase Two
Two weeks and one broken temporary later (don’t chew on anything with a temporary), I was back in the chair. The temporary came off, Sharon and Dr. Gustafson cleaned up the teeth, and then one by one, they cemented the veneers to each tooth.

This is when science is given the weekend off and art takes over. I could probably stick a veneer over one of your teeth. No big thing.

But I can’t shape it. I can’t fit is so that it feels just like your own tooth. And I can’t make it appear to be a natural fit among the other teeth.

Dr. Gustafson can. It must not be too unlike sculpting. When he finally held up a mirror, I was stunned.

For 34 years, I’d walked around looking like I got out of a bar fight the previous evening. And now, it was not only fixed, but better than before.

My front six teeth are level. The color matches perfectly. People I run into have, almost to the individual, noticed something different about me, but because these teeth are such a natural fit, they can’t put their finger on it.

The real test, though, was when my mom came to dinner.

This is a woman who went to work so I could have braces. She didn’t know what my wide smile was for, but then she noticed the chip she’d grown so accustomed to was gone, like it had never happened.

She gave me a big smile back and said, “It’s about time.” That made it all worthwhile.