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Video: Reverse Smile Line Corrected

Reverse Smile Line - Patient Story

Restoring lost tooth mass (hard tissues) is an art form to compliment nature and make it not only aesthetic but functional. Respecting biology is the key to lasting aesthetics and function.

Initial presentation

Chief Complaint: Worn smile line and discoloured teeth. The reverse smile line is replaced by negative anterior space, which is least aesthetic according to Tjan et al 1984. We need to restore this dark anterior corridor (anterior negative space) to improve the interplay of all compositional elements of anterior smile dynamics. That is to fill this area with missing tooth mass that has occurred as a result of accelerated tooth wear, changes in facial tone and loss of collagen and elastin fibres.

What do we want to see?

  1. Pleasing length
  2. Pleasing dominance of central incisors
  3. Pleasing and moderately convex smile line or arc
  4. Pleasing progression of the incisal embrasures
  5. High & pleasing brightness

Symmetry as an adjunct to proportion display and length. What do we see? Lack of:

  1. Pleasing length
  2. Pleasing dominance of central incisors
  3. Accelerated tooth wear

Destroys the pleasing appearance of the smile! Solution: One Visit Smile lift™. The rest is history for this beautiful and elegant patient!

Final Presentation (2007)

Why is the patient smiling, because these procedures were completed in one visit without any drilling, injection or discomfort to the patient and most importantly this was provided at a fraction of the cost! Affordable but elegant smile that compliments this beautiful patient’s facial aesthetics using direct composite technology.

The Aesthetic Effect after One Visit Smile lift™.

2017

Ten years on, the composite restorations have worn. Time for a change, “I want to regain my youthfullness”.

In 2017 we decided to replace worn composite veneers with new minimal intervention porcelain veneers - eMax ultrathin veneers by Dr Nalbandian. 10 years post op with new porcelain veneers restoring and complementing this elegant patients facial aesthetics. The Aesthetic Effect after Real Smile Design™ 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. Final treatment outcome and we have a confident and happy patient.

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

How can we help you?

Cosmetic information

Missing teeth

Personal details