Case snapshot

Age: 24

Diagnosis: Hereditary absence of some permanent teeth (hypodontia) with retained primary teeth in adulthood.

Goal: Replace missing units, refine gum architecture, and restore functional occlusion with an aesthetic smile.

Team:

• Dr. Talal Al Haffar — extraction of primary teeth and gingivectomy/gum contouring.
• Dr. Lama Sharrouf — temporary restorations for gum shaping, then definitive zirconia restorations.

Case video

Clinical case video — smile transformation with zirconia restorations by Dr. Lama Sharrouf, Joele Clinics.

The clip highlights the smile transformation achieved through this sequenced clinical plan.

Before treatment: what was the problem?

The patient presented at age 24 with an incomplete smile due to hereditary missing permanent teeth. Retained primary teeth were smaller than adult teeth, with visible spaces and arch disharmony affecting both aesthetics and chewing efficiency.

Surface cosmetics alone would not solve this. Primary teeth unsuitable for long-term function needed removal, followed by a fixed restorative plan that fills spaces and supports lip and gingival contours.

Before & after: from gaps and baby teeth to a harmonious zirconia smile.

Treatment plan step by step

1. Diagnosis and records: assess retained primary teeth, remaining permanent teeth, gingiva, and occlusion.
2. Extractions + gingivectomy: performed by Dr. Talal Al Haffar to remove unsuitable primary teeth and prepare soft tissues.
3. Temporary restorations: placed by Dr. Lama Sharrouf to condition the gums toward the final shape and maintain appearance during healing.
4. Definitive zirconia restorations: replace missing teeth, restore functional occlusion, and deliver a harmonious aesthetic result.

Why temporaries matter after extraction

• Support the lips and keep a socially acceptable smile during healing.
• Guide gingival healing around a near-final contour (gum conditioning).
• Trial length, proportions, and bite before locking in zirconia.
• Protect sites and patient confidence at a young adult age.

Why zirconia for this case?

• Function: replace missing units and rebuild stable occlusal contacts.
• Aesthetics: color, form, and arch harmony suited to the patient’s age and features after gum conditioning.

Before & after inside the mouth: replacing missing units and rebuilding the bite.

Result after completing the plan

• Spaces from hypodontia/retained primary teeth closed restoratively.
• Fuller, more balanced smile line with the lips.
• Cleaner gingival display after surgery + temporary conditioning + finals.
• Improved functional occlusion versus baseline.

Who may benefit from a similar plan?

• Retained primary teeth after adolescence.
• Congenital/hereditary absence of some permanent teeth.
• Spaces affecting smile or chewing.
• Preference for a fixed zirconia solution after soft-tissue preparation.

Book a similar assessment at Joele Clinics

If you have retained baby teeth or spaces from hereditary missing teeth, ask for a combined surgical–restorative assessment. At Joele Clinics in Jeddah, Dr. Lama Sharrouf and Dr. Talal Al Haffar can sequence: surgical prep → temporaries for gum shaping → definitive zirconia.

Key takeaways

Age-24 case: hypodontia + retained primary teeth → extractions/gingivectomy (Dr. Talal) → temporaries then zirconia (Dr. Lama) → functional bite and aesthetic smile. Use the video and photos above as a model of integrated care.