Courney had avoided dental care because of her anxiety and a strong gag reflex. She had extensive decay in the front of the mouth related to the lack of dental visits and a high sugar diet. Also as a result of diet and lack of care, she had inflamed gums that were overgrown. It only took two visits for Courtney to get her new smile. Sedation dentistry calmed her anxiety and helped calm her gag reflex. Laser gum contouring helped restore a proportional gum line in her smile. She received 10 upper porcelain restorations.