Patients often believe that once dental implants are placed, the final result will automatically look natural. Unfortunately, that is not always the case. Poor implant crown shape, exposed metal, gum recession, and bone loss can leave patients feeling self-conscious about their smile — especially in the front teeth where esthetics matter most.

At Geach Dental in Downtown Los Angeles and Laguna Niguel, we specialize in correcting complex implant and cosmetic dentistry cases that require advanced prosthodontic expertise.

This case highlights how careful prosthodontic treatment planning transformed an unattractive implant restoration into a natural-looking, functional smile.

When Dental Implants Don’t Look Natural

This patient was referred to Dr. Adam Geach by a periodontist because he was unhappy with the appearance of his front dental implant crowns. The existing restorations had several cosmetic and structural problems:

• Visible metal around the implant crowns

• Poor color and shape match to the surrounding teeth

• Significant gum tissue and bone loss

• An unnatural appearance in the smile zone

Although the implants themselves were stable and healthy, the esthetics were failing. See picture below. 

For patients in Los Angeles seeking cosmetic dental implants, this is a common issue. Implant placement is only one part of the process — the final prosthetic design is what determines whether the smile looks natural.

Why Complex Implant Cases Require a Prosthodontist

A prosthodontist is a dental specialist with advanced training in cosmetic dentistry, dental implants, bite function, and full-mouth reconstruction.

In complex anterior implant cases, success depends on more than simply replacing teeth. A prosthodontist must carefully design:

• Tooth proportions

• Gum symmetry

• Smile harmony

• Bite stability

• Long-term function

• Cleanability and maintenance

This level of planning is especially important when there is bone and gum tissue loss in the front teeth.

At Geach Dental, every implant restoration is designed with both esthetics and function in mind.

The Treatment Process

1. Removal of the Existing Implant Crowns

The first step was carefully removing the old implant crowns to evaluate the health and stability of the underlying implants.

This process is highly technical and requires precision to avoid damaging the implants or surrounding tissue.

2. Digital Planning and Smile Design

Detailed impressions and bite records were taken to begin designing the new restorations.

The case was then planned through Geach Dental’s in-office dental laboratory, allowing for complete control over esthetics, shape, and function.

This level of customization is critical for high-end cosmetic implant dentistry in Los Angeles.

3. Custom Titanium Implant Abutments

Custom titanium abutments were fabricated to support the new implant crowns.

Titanium was selected because it offers:

• Exceptional strength

• Precise connection to the dental implants

• Long-term durability

• Reduced risk of fracture compared to zirconia

The abutments were anodized in gold to minimize dark or gray discoloration beneath the gum tissue.

This small detail makes a difference in achieving natural-looking implant restorations. See picture below. 

4. Custom Zirconia Implant Crowns

New splinted zirconia implant crowns were designed to recreate ideal tooth proportions and natural esthetics.

Because the patient had experienced significant gum and bone loss, specialized pink porcelain was added to mimic the appearance of natural gum tissue. This allowed the restorations to blend with the surrounding smile.

The final restorations were designed to:

• Look natural

• Support facial esthetics

• Improve function

• Maintain long-term comfort

• Allow easy cleaning with floss and water flossers

The Final Result: Natural Esthetics + Strong Function

The patient achieved a dramatically improved smile that looked natural and functioned comfortably.

The new implant restorations allowed the patient to confidently bite into hard foods while maintaining a stable bite and harmonious smile design. See picture below. 

This is the difference advanced prosthodontic treatment can make.

Why Patients in Los Angeles Choose Geach Dental for Dental Implants

At Geach Dental, we routinely treat:

• Failed cosmetic dental work

• Implant crown replacement

• Full-mouth reconstruction

• Complex implant esthetic cases

• Advanced smile makeovers

With locations in Downtown Los Angeles and Laguna Niguel, our team combines advanced prosthodontic training with an in-office dental laboratory to deliver highly customized results for patients who want exceptional cosmetic dentistry.

Looking for Natural-Looking Dental Implants in Los Angeles or Orange County?

If you are unhappy with the appearance of your dental implants, implant crowns, or cosmetic dental work, a prosthodontist may be the best solution.

Dr. Adam Geach specializes in complex cosmetic and implant restorations designed to restore both confidence and function.

Schedule a consultation with Geach Dental to learn how advanced prosthodontic treatment can transform your smile.