Initial Presentation

Patient has this work completed in the practice some 10 years ago. However with time the restorations required revisiting.

Now we have a unique opportunity to improve on the design of proposed restorations using minimal intervention porcelain veneers, especially developed in collaboration it our laboratory team.

Note the optimal aesthetics features: lip thickness, symmetry & outline. The aim is to “fit” the upper arch frame within the face and this is where science and art meet.

In many ways the arch width (negative spaces to be reduced) needs increasing

Therefore the direct diagnostic composite mock is critical in formulating how we design these restorations for an optimal aesthetic outcome.

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.

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 12 maxillary teeth porcelain veneers.

This was accomplished with minimal discomfort to the patient and using no tooth intervention. No provisional veneers were required, since he existing composite veneers placed by the author 10 years ago required no tooth intervention. Therefore, the tooth enamel is intact and helped in gum healing process following gum lift.  (Please refer to Videos provided).

Treatment

Following with discussion of all risks and treatment modalities with our patient that included

1. No treatment: this is not an option as the restorations are failing and affecting aesthetics
2. Repair existing restorations and gum lift: this is a temporary measure and not accepted by the patient
3. Porcelain veneers: best long-term solution, Fixed option: accepted by the patient

Procedure & Results

1. Removal of existing composite veneers

2. Impressions for porcelain veneers

3. Issue the porcelain veneers

The work was completed in two visits. In general it takes about 3 weeks from diagnosis to final outcomes.

Creating balance and complementing on facial aesthetics: CONFIDENCE

The Aesthetic Effect

Should establish harmony and balance between dentition and surrounding soft tissues

Note how all compositional elements of teeth gums lips and face are in concert together.

Final treatment outcome: we have restored aesthetics using porcelain veneers

However most importantly we have complemented our lovely patient’s facial aesthetics.Hence the term: dentofacial rejuvenation by Dr Sarkis Nalbandian.

Final treatment outcome: we have restored aesthetics comfort & function. We have a happy patient

However most importantly we have complemented our lovely patient’s facial aesthetics.

Hence the term: dentofacial rejuvenation by Dr Sarkis Nalbandian

Final treatment outcome and we have a confident and happy patient.