What makes a great smile? Ultrathin porcelain veneers. The patient initially presented for improving the aesthetic appearance of the upper ach: teeth display, colour and arrangement (crowding). Orthodontics was not an option for him. This study will show:
The patient was referred by his friend, an existing patient, seeking a specialist’s opinion and treatment in relation to fixed crowded upper and lower arches. The lower arch was a lesser concern. The position of the upper lateral incisors and narrow upper arch was a considerable concern for him. This most handsome patient presents with symmetrical face, which I find is a unique feature of his. I know given such a handsome face we can easily complement it by restoring the teeth and positioning the arches to complement his facial aesthetics.
You may notice symmetrical lips with optimal thickness and outline. The cheek bone levels, the eyes. You see as an experienced specialist in aesthetic dentistry one needs to appreciate aesthetic, beauty and learn how to complement it for patients in general, however especially for this handsome gentleman, who is so conscious of his smile.
The upper arch is narrow for his face and we need to balance the teeth and face and this is artform which I enjoy every day of my practice. Chief concerns: improving the aesthetic apperance of his smile. The concern is to improve the upper arch shape and smile line as well as tooth colour
So, for this patient, who refused orthodontic leveling and alignment after so many consultations, we decided to proceed with the important diagnostic mock-up/direct intraoral modeling to assess the speech comfort smile line, level of teeth exposure and most importantly overall dentofacial aesthetics. Diagnosis: unacceptable dental aesthetics. Following the diagnostic mock-up, we achieved the following:
Our aim is to improve the aesthetics of upper arch: tooth shape, display, tooth colour, length, symmetry and smile line in general, as well placing maxillary (upper arch) porcelain ( eMAX-lithium Disilicate veneers. This was accomplished in two visits, following the important diagnostic visit.
Following with discussion of all risks and treatment modalities with our patient that included:
The work was completed in two visits. Final treatment outcome and we have a happy patient.
My dental colleagues and referring dentists often asked me how I manage to create such beautiful natural smiles specific to each and every patient. My answer is that you must like your patients, enjoy their company, be genuinely interested to understand the reason for their dental and aesthetic concerns, desires, request and help our patients to achieve this with minimal biologic intervention.
We have restored aesthetics comfort and function. However, most importantly we have complemented our lovely patient’s facial aesthetics. Hence I use the term: dentofacial 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
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, FRACDS, MRACD (Prosth) FIADE, FPFA