Patient TM has been in the office for years when he decided enough was enough of his un-aesthetic, over spaced teeth with a poor porcelain fused to metal restoration on #8 (his front right tooth). As will any aesthetic case in our office, a diagnostic waxup was done, which lets us know what end result can be achieved before the case starts. This smile design is essential for achieving a nice result. In addition, the temporary restorations allow the patient to see how the final teeth will look in their mouth, and can make any wanted modifications. The temporaries are made from this diagnostic waxup. 14 porcelain fused to metal crowns were done on the top teeth, including bridges. Because the patient required crowns on all of his teeth, he opted for the bridges instead of dental implants, which are another option to replace missing teeth. As presented, with the teamwork of a great laboratory technician and dentist, a beautiful result can be achieved in even the toughest of circumstances.