The patient was concerned not only with her changing appearnace, but with the health of her teeth.  Shifting over time was noticed.  A complete exam was done and the healtho f the surrounding gum and bone was addressed.  With porcelain crowns an esthically pleasing result was possible while replacing old fillings and decay.  A conservative smile makeover was achieved and the patient was happy with a natural looking smile that restored how her teeth used to look.