Enquire Now Make An Appointment

General Dentistry

Dr. Sarkis Nalbandian

Registered Specialist, Prosthodontist & Implant Surgeon In Sydney

director-pic

Specialist Services

Dr. Sarkis Nalbandian

Registered Specialist, Prosthodontist & Implant Surgeon In Sydney

director-pic

Children Dentistry

Dr. Sarkis Nalbandian

Registered Specialist, Prosthodontist & Implant Surgeon In Sydney

director-pic

Specialist Prosthodontist & Implant Surgeon

Dr. Sarkis Nalbandian

Registered Specialist, Prosthodontist & Implant Surgeon In Sydney

director-pic

Dental Rejuvenation Using Porcelain Veneers

Dental Rejuvenation Using Porcelain Veneers – Patient Story
This patient presented with considerable enamel loss in the upper arch at such a young age. A high smile with general discolouration has been a major concern for her Treatment: Smile rejuvenation

Dental Rejuvenation Using Porcelain Veneers – Patient Story

This patient presented with considerable enamel loss in the upper arch at such a young age. A high smile with general discolouration has been a major concern for her

Treatment: Smile rejuvenation

The aim was to improve the display of maxilla (upper arch) using porcelain veneers to improve: tooth shape, colour, display, arch form and shape to complement facial aesthetics of this lovely patient.

This study will show:

  • Complexity of treatment. Hence specialist intervention is required as precise outcome is critical in this complex smile outline
  • Treatment outcome
  • Patient’s assessment – refer to the video provided
Step 1

Initial Presentation

Patient is in public relations, healthy fit and happy. Dietary acidity has resulted in extensive loss of enamel. The discolouration is due to dentine showing through remaining thin enamel.

Now we have a unique opportunity to improve on the diagnosis and design of proposed treatment plan. The difficulty here is minimal enamel present and the degree of discolouration (due to dark dentine showing through the thin enamel) and extent of the smile line: wide smile and display if 12 upper and lower teeth during smile and speech dynamics.

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

Chief concerns: improving the aesthetic apperance of her smile:

  1. To improve the general discolouration, tooth shape, shade and form and improve the arch width.
  2. This lovely socilite patient wants to smile, understanding the complexity and the precison of the work required.

Rejuvenation dental rejuvenation porcelain

Step 2

Chief concerns: improving the aesthetic apperance of her smile:

Diagnosis: Unacceptable tooth colour display, and narrow upper arch: creating an aesthetic disturbance

Enamel loss in the upper arch at such a young age. Note the translucent enamel present. She has lost about 3mm of enamel.

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.

Rejuvenation

Step 3

Diagnostic Mock Up

Diagnostic: mock-up and assessment. Finalise degree of teeth showing during smile and speech dynamics, maxillary arch form and smile width.

We tested the diagnostic mock-up for patient acceptance that guided the final desired aesthetic outcome.

Rejuvenation

Step 4

Treatment

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

  1. No treatment: this is not an option as we have considerable discolouration and enamel loss from acidic diet
  2. Repair existing restorations and gum lift: this is a temporary measure and not accepted by the patient
  3. Porcelain veneers / onlays: best long-term solution, Fixed option: accepted by the patient

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 12 maxillary teeth porcelain veneers.

This was accomplished with minimal discomfort to the patient and using no tooth intervention.

Rejuvenation final outcome dental rejuvenation

Step 5

Procedure & Results

  1. Diagnostic: mock-up and assessment. Finalise degree of gum and teeth showing during smile and speech dynamics, maxillary arch form and smile width
  2. Impressions for porcelain veneers
  3. Lower arch tooth in-house whitening
  4. Issue the porcelain veneers

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

We tested the diagnostic mock up for patient acceptance that guided the final desired aesthetic outcome.

Porcelain veneers creating balance and complimenting facial aesthetics: confidence. Note how all compositional elements of teeth gums lips and face are in concert together. Aesthetic effect should establish harmony and balance between dentition and surrounding soft tissues.

It’s always enjoyable to take images of this delightful patient. Most photogenic and always smiling!

Procedure & Results Rejuvenation

Thank you for taking the time to explore this patient’s story. I hope this gives you an idea of what I can do for you if you are having difficulty and need help, because there is always hope.

Dr Sarkis Nalbandian

Dr. Sarkis Nalbandian

Final treatment outcome: we have restored aesthetics comfort and function. However most importantly we have complemented our lovely patient’s facial aesthetics. Hence the term: dentofacial rejuvenation. We have a confident and happy patient.

Visiting Professor YSMU
Specialist Prosthodontist & Implant Surgeon

B.D.S.(Hons), Dip. Clin. Dent. (Oral Implants), Uni. Syd.,
M. Clin. Dent. (Prosth) King’s College, Uni.London.,
D. Clin. Dent. (Prosth), Uni. Syd.,
FIADFE, FPFA, FRACDS, MRACDS(Prosth)

MEET SPECIALISTS
Chief Concern

Chief Concern

Failing porcelain veneers. Uneven smile line and shape of the teeth. Irregular arch shape, improved symmetry, and fuller smile. The lower lip asymmetry in relation to the lower arch. Just to create a balance as well as improving the colour of the teeth
Diagnosis: smile dynamics asymmetry: uneven smile, crowded upper arch, general discolouration creating an aesthetic disturbance

Step 1

Dental Problems / Concerns

Failing porcelain veneers. Uneven smile line and shape of the teeth. Irregular arch shape, improved symmetry, and fuller smile. The lower lip asymmetry in relation to the lower arch. Just to create a balance as well as improving the colour of the teeth

chief concerns Tatiyana

Step 2

Diagnosis

Smile dynamics asymmetry: uneven smile, crowded upper arch, general discolouration creating an aesthetic disturbance.

Tatiyana tatiyana initial

Step 3

Treatment

Diagnostic mock-up to finalise the position of the arch teeth in relation to facial frame. Followed by replacement of existing veneers and general modification of teeth with minimal intervention such as 0.2mm. This procedure required no local injections and was totally painless.

Tatiyana Final Tatiyana Smile

Step 4

Results

Note The improved facial form reduction in facial folds
The nasolabial line angle, the flow from the chin to the jaw line
The Lips upper and lower in concert with the smile, However the most of all it’s the twinkle in her eyes!
It’s like Symphony complementing beautiful and elegant Tatyana.

Tatiyana Final

Step 5

Final Outcome How did we achieve this?

Because the diagnostic mock-up directly sculptured by Dr Nalbandian was an excellent guide to create the correct arch form; tooth form; in the correct facial frame.
NOT digital BUT REAL SMILE DESIGN IN REAL TIME by the specialist cosmetic dentist with an artistic eye.
One must be an artiste before being a specialist cosmetic dentists-prosthodontist.
Please do not ask how much a single veneer is, if you value your smile!
It’s the smile in the facial frame and NOT thew single veneer!
Therefore, prior to any advice Dr Sarkis Nalbandian must have the following
Comprehensive examination
Optimal gum and tooth health
Diagnostic mock-up
Then we are in a position to discuss your treatment plan and fees…

Tatiyana Final

It’s not about the teeth, it’s always about the face.
My job is complementing and if possible, enhance facial aesthetics by positioning teeth (orthodontics, veneers crowns etc.) in the right place in the facial frame. There are NO formulas on smile design) One must be an artiste to understand as what’s natural.

Have More Questions ?

Enquire now and one of our friendly staff will be in touch shortly

    YOUR PRIVACY IS VERY IMPORTANT TO US AND WE WILL NOT SHARE YOUR PERSONAL INFORMATION WITH ANYONE. CHECK OUR PRIVACY POLICY HERE.

    Get In Touch

    Thank you for taking the time to explore our website. We hope we have given you an idea of what we can do for you. If you need assistance with cosmetic dentistry in North Sydney, Call us on (02) 8074 1722.

    Dr. Sarkis Nalbandian

    Visiting Professor YSMU
    Specialist Prosthodontist & Implant Surgeon
    B.D.S.(Hons), Dip. Clin. Dent. (Oral Implants), Uni. Syd., M. Clin. Dent. (Prosth) King’s College, Uni.London., D. Clin. Dent. (Prosth), Uni. Syd., FIADFE, FPFA, FRACDS, MRACDS(Prosth).

    Get Direction
    Get In Touch