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General Dentistry

Dr. Sarkis Nalbandian

Registered Specialist, Prosthodontist & Implant Surgeon In Sydney

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Specialist Services

Dr. Sarkis Nalbandian

Registered Specialist, Prosthodontist & Implant Surgeon In Sydney

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Children Dentistry

Dr. Sarkis Nalbandian

Registered Specialist, Prosthodontist & Implant Surgeon In Sydney

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Specialist Prosthodontist & Implant Surgeon

Dr. Sarkis Nalbandian

Registered Specialist, Prosthodontist & Implant Surgeon In Sydney

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Worn Teeth Fixed in One Visit

Worn Teeth Fixed in One Visit – Patient Story

The patient was referred by her general dental practitioner for specialist evaluation, and presented with healthy natural dentition. With time teeth wear meant that her smile appeared worn and given how energetic she is we all felt that her smile is lot older than her biologic age.

This study will show:

  • Complexity of treatment. Hence specialist intervention is required as precise outcome is critical
  • Treatment outcome
  • Patient’s assessment

My approach was smile rejuvenation with improvement in the level of tooth display using direct composite veneers/restoration using my one visit procedure. This involved no tooth intervention, no discomfort or injections (on the upper arch) using composite veneers to improve: tooth shape, colour, display, arch form & shape (the reverse smile line) to complement facial aesthetics of this lovely patient.

Step 1

Initial Presentation

The patient presented with healthy dentition. Time and tooth wear go together as it is a natural process. However, when tooth wear affects patient’s aesthetics, it becomes a concern, hence the reason for her presentation. Her referring dentist was adamant about a non-invasive approach and therefore referred the patient to my practice

Chief concerns:

  1. improve the aesthetic apperance of her worn smile
  2. improve the the teeth display during speech and smile dynamics,
  3. improve the narrow upper arch shape and smile line as well as tooth colour.

Diagnosis: Unacceptable tooth, assymetry and narrow upper arch: creating an aesthetic disturbance.

Diagnostic mock up 10 upper teeth: correcting the reverse smile line and accepted by the patient.worn teeth initial representation

Step 2

Mock-up diagnostics

Our Aim: to improve the aesthetics of upper arch: tooth shape, display, tooth colour, length, symmetry and smile line in general along the upper arch involving 10 maxillary teeth composite veneers.

This was accomplished with minimal discomfort to the patient and using no tooth intervention (I did not cut any of the patient’s teeth). Therefore, the tooth enamel is intact.

Diagnostic mock up 10 upper teeth; smile line arch shape and form and proposed colour of the planned restorations (material and shade) selection. The patient is now happy with the shade and level of teeth display. We have the formula for aesthetic success. There is no guessing. This is real smile design.

worn teth diagonstics

Step 3

Treatment

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

  • No treatment: this is an option as teeth are intact, however the patient has a specific request – aesthetic improvement
  • Proceed with proposed direct composite restorations as per diagnostic mock up – accepted by by the patient.
  • We tested the new provisional restorations and refined it for patient’s acceptance that guided the final desired aesthetic outcome.
  • I proceded with the planned composite veneers on the ten upper teeth.

worn-smile-fixed-composite-veneers

Step 4

Procedure & Results

The work was completed in one visit after mock-up diagnostics

One Visit Smile Lift™ – Final treatment outcome and we have a confident and happy patient.

The aesthetic effect should establish harmony and balance between dentition and surrounding soft tissues.

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.


worn-smile-fixed

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

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