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Unraveling the Mysteries of Unplanned Smile Design: A Case Study by Dr. Swetha U

Medically Reviewed
Last Reviewed by Platina Dental Clinical Team on March 23, 2024. Written by Dr. Swetha

Best Dentist for Smile Design in Kondapur & KPHB | Hyderabad

Unplanned Smile Design


In the realm of dentistry, smile design is a delicate art that blends science with aesthetics to craft a perfect smile for every patient. However, what happens when a seemingly routine case takes an unexpected turn? Dr. Swetha U, of Platina Dental Clinic, encountered such a scenario with a 26-year-old female patient who presented with gum bleeding, swelling, and pain in her upper and lower front teeth. What followed was a journey of diagnosis, treatment, and ultimately, the restoration of not just dental health but also a confident smile.

Case History

The patient had previously sought treatment at a familiar clinic, where root canal procedures were performed on all her incisors. It is not sure why her chief complaint of bleeding gums and swollen gums was completely ignored. However, her symptoms persisted, leading her to seek further assistance from Dr. Swetha U.


In the initial clinical examination, her gums were reddish in color, would bleed just by touching. Thorough clinical and radiological examinations, including an OPG Full Mouth X-Ray were undertaken.


The Digital OPG X-Ray which was taken uncovered the underlying issue: faulty root canal treatments in all upper and lower incisors. Dr. Swetha and her team were left completely surprised and heartfelt at the condition of the root canals.


Dr. Swetha took her time with the patient by explaining her what needs to be done. She took the time to slowly expose the fact of the botched root canals. Upon hearing about the botched root canal treatment, the patient was completely in tears. Dr. Swetha and her team consoled her repeatedly and assured her that they can fix everything. This case was going to be a unplanned and unnecessary smile design treatment. The consultation took more than 2 hours, but keeping the patient’s plight in mind, Dr. Swetha stuck to her and laid out a simple but effective treatment plan.

Treatment Approach

Dr. Swetha U devised a comprehensive treatment plan tailored to the patient’s unique needs. Initial steps included scaling, root planing, and laser periodontal therapy to address the bleeding gum issues. A thorough session on how to maintain oral hygiene was given to the patient including how to brush and how to rinse. A review was undertaken after 15 days. Not surprisingly, the Laser treatment has worked wonders and conscious maintenance of the oral hygiene by the patient resulted in complete stoppage of the bleeding from the gums.

When Dr. Swetha checked her and confirmed this, the patient was overjoyed and ecstatic By now she had pulled up the courage to go for the second leg of the treatment, which was Re-Root Canal Treatments. The Re-root canal treatment were performed on the affected teeth (11,12,21,22,31,32,41,42). Dr. Swetha and her team, took their time with the Re-Root Canal Treatments and ensured they got it perfectly. All the Re-Root Canal Treatments were completely successful. This was followed by the placement of zirconia crowns to restore both functionality and aesthetics.

Prognosis and Follow-up

The patient’s satisfaction with the treatment outcome was evident, as all dental and gum issues were successfully resolved, culminating in a corrected smile. A follow-up schedule of once every six months was established to ensure the long-term maintenance of oral health.


Dr. Swetha U’s adept handling of this challenging case not only resolved the patient’s dental concerns but also reaffirmed the transformative power of meticulous diagnosis and tailored treatment in smile design. This case serves as a testament to the importance of continuous learning and adaptability in the field of dentistry, where each patient presents a unique puzzle waiting to be solved.

Why Choose Platina Dental Clinic For Smile Designing?

Platina Dental Clinic offers affordable smile designing options by experienced dental professionals. With a reputation for excellence and commitment to patient satisfaction, Platina Dental Clinic is the premier destination for smile designing in Kondapur and KPHB, Hyderabad. Contact us today to schedule a consultation and begin your journey to a confident smile.

Q: Which crowns are best for Smile Designing?

A: Based on affordability any crowns can be chosen – PFM crowns, DMLS crowns, Zirconia Crowns or Emax Crowns. However, Zirconia and Emax crowns are the best for smile designing.

Q: Smile Designing Maintenance

A: Follow the simple steps of brushing twice daily and visit a dentist every six months.

Q: In what cases is smile designing recommended?

A: Smile designing is usually recommended mostly for aesthetic and cosmetic reasons. But it is also useful in some scenarios where the functional aspects can be corrected.

  • Dr. Swetha

    Dr Swetha U is an expert cosmetic dentist in Root Canals, Dental Implants, Aligners, Braces, Smile Designing, Kids and Laser Dentistry. Dr. Swetha has treated over 1Lakh+ patients in her glittering career spanning 14+ years working at top dental clinics in Hyderabad including Partha Dental, National Dental Care(NDC), Apollo Dental KPHB and Apollo Dental Manikonda. Her attention to detail, accurate diagnosis, caring and down to earth attitude, beaming smile and 100% patient satisfaction are a rare combination in dentistry. Platina dental clinics are ultra-modern, equipped with state-of-the-art equipment, follow industry leading sterilization protocols, have expert team of specialists and capable of handling all dental treatments and dental emergencies. Dr. Swetha U has been ranked among the Top 10 Doctors in Hyderabad by Silicon India for her exceptional contribution to dentistry. 7D Dental Checkup developed by Dr. Swetha with her vast experience, combines clinical and radiological data to develop a treatment plan resulted in significantly higher patient satisfaction. Book an Appointment Now!


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Disclaimer: The suggestions given by Dr Swetha are her own and do not represent those of the dental clinics she works for. Please consult expert dentist Dr. Swetha before proceeding with any treatment. The videos contained are only for educational purpose and the treatments suggested are not to be undergone without consulting a dentist.

  • Unraveling the Mysteries of Unplanned Smile Design: A Case Study by Dr. Swetha U

    Unraveling the Mysteries of Unplanned Smile Design: A Case Study by Dr. Swetha U

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