One of the things the cosmetic dentist would recognize here is that the matting (gums) and the frame (lips) are nearly perfect. It's the picture, in the matting and the frame that has been left out in the rain, on the street, being run over by traffic on a daily basis. Dentists who care need to be, among all other things, a psychiatrist, a nutritionist, and a forensics expert.
How did things get to be this way? She was obviously someone with high dental fears. So, you might ask, "If that's the case, shouldn't she have been limiting her intake of sweets?" Well maybe she had an addictive personality, maybe she had a problem with certain brands of soda (especially Mountain Dew) that she couldn't stop sipping? Finances play a role too. The amount of treatment she was facing, in her own mind, was more than she could afford, and since she couldn't afford to treat it, maybe she should just keep going the same way she was going until they all rotted out?
As luck would have it, she came to see us when a front tooth snapped off, she couldn't bear looking at herself in the mirror. Cases like these require a compassionate and understanding dentist, who also can provide a financing package for the patient. Empathy also plays a role. If she had been charged for this case on a item by item basis, the fee would have been much higher, and she couldn't afford that, so I set aside a day for her to be sedated, and I would get as much dentistry done for her as I could, at a price that was manageable for her, and satisfactory for us. I engaged my lab to discount their rates, because this was a compassion case, and they did.
Without changing the shape drastically, the restoration now matches the lips and gums (which are beautiful, healthy and pink. As a cosmetic dentist, this is what makes it all worthwhile, changing lives, one smile at a time.