- 17 Gerard St, Cremorne, Sydney, NSW, 2090
- I Mon to Fri: 8:00AM-6:00PM Sat: 8:00AM-12:00PM
Ms.C initially presented for improving upper arch crowding and uneven tooth wear: affecting her aesthetic appearance of the upper ach: colour, worn teeth. The orthoodntic treatment was not an options at this stage for Ms C.
This study will show;
Smile rejuvenation with improvement in level of tooth display with construction of maxilla (upper arch) using composite veneers to improve:tooth shape, colour, display, arch form & shape. The reason for using composite veneers was to have the option in considering orthodontic treatment in the future, if required. This is a minimal intervention aesthetic treatment, where the tooth basically remains intact.
Ideally, orthodontic levelling and restorative correction is the best option. However it is not an option for Ms C.
Chief concerns: improving the aesthetic apperance of her smile:
Diagnosis: Unacceptable tooth an gum display, assymetry and narrow upper arch: creating an aesthetic disturbance
Diagnosis & Patient centred treatment planning
Once we have determined their needs and expectations and when the patient is ready, we begin to restore their teeth to optimal function and aesthetics.
DIAGNOSTIC MOCK UP: Real Smile Design™ by Dr Nalbandian
Diagnostic: mock-up & assessment. Finalise degree of gum and tooth showing during smile & speech dynamics, maxillary arch form & smile width. The spaces are closed.
We tested the diagnostic mock up for patient acceptance that guided for final desired aesthetic outcome.
We ASSESS
Smile dynamics
Speech dynamics
Functional envelope
Now you have preferred template
1. Smile line
2. Tooth shape & form
3. Level of tooth display
4. Gum symmetry and tooth emergence profile
5. Occlusal scheme creating/improving excursive movements
6. Assessment of speech, comfort and bite level
7. Assessment of lip support, outline and symmetry
8. Accepted patient assessment of speech and smile dynamics: ideal consenting process by the patient who can assess every detail in 3D in her own mouth, without any laboratory step or costing.
9.REAL SMILE DESIGN™
D.S.D is totally irreverent here
Diagnostic: mock-up & assessment. Finalise degree of gum and tooth showing during smile & speech dynamics, maxillary arch form & smile width. The spaces are closed with natural tooth formation
Our Aim: to improve the aesthetics of upper arch: Gum level, tooth shape, display, tooth colour, length, symmetry and smile line in general along the upper arch involving 10 maxillary teeth direct composite veneers.
This was accomplished with minimal discomfort to the patient and using no tooth interventionand required no tooth intervention. Therefore, the tooth enamel is left intact. (Please refer to Videos provided).
Following with discussion of all risks and treatment modalities with our patient that included
Composite veneers on ten upper teeth: note the change in colour, length and shape of the teeth.
The work was completed in one visit.
Note symmetry &harmony
We tested the diagnostic mock up for patient acceptance that guided for final desired aesthetic outcome.
Final treatment outcome: we have restored aesthetics.However most importantly we have complemented our lovely patient’s facial aesthetics.
9 Years Later Mandible (lower jaw): Request for Orthodontic correction
10 Years Post Op
Aesthetic Effect
Should establish harmony and balance between dentition and surrounding soft tissues
Final treatment outcome and we have a happy patient
However most importantly we have complemented our lovely patient’s facial aesth
etics.
Hence the term: dentofacial rejuvenation by Dr Sarkis Nalbandian
Dr. Sarkis Nalbandian
Registered Specialist
Prosthodontist & Implant Surgeon
B.D.S. (Hons), Dip. Clin. Dent. (Oral Implants) Uni Syd, M. Clin. Dent (Pros) King’s College, Uni London
17 Gerard St, Cremorne, Sydney, NSW, 2090
Mon to Fri: 8:00AM-6:00PM
Sat: 8:00AM-12:00PM
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