Deborah had significant dental anxiety that kept her from getting the regular dental care needed to maintain a healthy, functional bite. She also had cosmetic concern over the appearance of dark lines at the edges of her old porcelain-fused-to-metal crowns. She ground her teeth, which resulted in uneven anterior teeth with jagged edges. Sedation dentistry helped Deborah overcome her anxiety to get the smile makeover she desired. She received 10 upper porcelain restorations. Soft tissue laser contouring also helped give her smile an even appearance.