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Designer Smiles Dentistry

CASE STUDY Crooked teeth

Patient initially presented for improving the aesthetic apperance of upper teeth (upper arch crowding). Examination, x-rays, photos and study models and composite mock up confirms the following: Anterior cross bite 12/42, patient refused any form of orthodontic treatment-invisalign/lingual/labial.Patient wanted a quick fix option due to TV/modelling engagements.

CASE STUDY Crooked teeth

Patient initially presented for improving the aesthetic apperance of upper teeth (upper arch crowding). Examination, x-rays, photos and study models and composite mock up confirms the following: Anterior cross bite 12/42, patient refused any form of orthodontic treatment-invisalign/lingual/labial.Patient wanted a quick fix option due to TV/modelling engagements.
Model

CASE STUDY Crooked teeth

Patient initially presented for improving the aesthetic apperance of upper teeth (upper arch crowding).

Treatment proposed as per composite mock up that has confirmed amount of gum and tooth exposure required for improved aesthetics and lip support.

We discussed all modalities, risks and benefits of composites, porcelain and orthodontic treatment. Patient was happy to proceed with composite veneers and accept that some adjustment of 11, 12, 21 and gum recontouring of 12, 21 etc may be required for optimal outcome. This will be followed by immediate composite veneers on upper ten teeth 15-25, to balance the smile as we discussed during composite mock up).

Composite mock upNote how closely it simulates the final smile

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Examination, x-rays, photos and study models and composite mock up confirms the following:

  1. Anterior cross bite 12/42, patient refused any form of orthodontic treatment-invisalign/lingual/labial.Patient wanted a quick fix option due to TV/modelling engagements.
  2. Moderate smile line with optimal thick lips, narrow upper arch-large dark corridors with upper teeth midline is in symmetry with upper lip. During full smile we have asymmetrical exposure of gums. Upper lip tends to cant during full smile (right side lower) and lower lip is symmetrical.
  3. Upper skeletal and dental midlines are correct.
  4. The smile wear pattern has created reverse smile line as is evident during full smile, where the lower lip hides upper anterior teeth during full smile.
  5. The periodontal health is optimal, all teeth tested vital.
  6. Normal range of craniomandibular (jaw) movements: jawfunction.
  7. Composite mock up was completed and the patient was happy with the initial effect.

We also discussed that any bruxing/grinding habits will play an important role in the future longevity of the restorations and dentitions as a whole. A night guard will be provided to control any bruxing.

Most importantly this treatment is conservative and the least biologically invasive to the tooth structure. It will maintain the integrity of your tooth structure and repairs are easy to make. The composite mock up confirmeda better more pleasing tooth/smile exposure would be achieved by improving the smile line and restoring “dark lateral corridors” –improving the width of the smile (this will be combined with gum recontouring of teeth 21, 12) to create flow, to balance the smile and pleasing teeth emergence profile.

We need to regard this as a long-term provisional measure to serve us as a guide in future reconstructions: porcelain veneers if required etc. However we can from time to time extend the life of these restorations by resurfacing the veneers with new composite materials at a minimal cost. In the future porcelain veneers(if required) etc. can commence by removal of these veneers, since your teeth are sound underneath the composite veneers

We pride ourselves with the quality of dentistry we provide however, there are always limitations placed on us by materials and oral environment. One can be reassured at the end of the treatment that all will be well, however if anything unexpected does show up or unusual symptoms occur, we ask our patients to please let us know. We are always here to look after you. Should any problems occur with the composite veneers within 2 years, we will replace themat no cost to you, provided regular 6 monthly check-ups and maintenance visits which will enhance the longevity of the restorations and your oral health.

Note the cross bite at teeth 12/42. This was a major concern for this attractive patient that would affect her career at this stageinher life.

Patient requested a restorative correction which we would expect to be an orthodontic treatment. Due to her career in TV and modelling, the restorative option with minimal intervention was chosen. This gives the patient future options for orthodontic treatment, when and if the need arises.

It is quite apparent that the smile should be viewed also from oblique view. This view is the most revealing, because we are off-guard and not straight in front of the mirror. The same smile below restored using One Visit SmileLiftprocedure. Composite veneers on upper 10teeth.

New-Project-2-4
Cosmetic Dentistry

Achieving harmony: Aesthetic integration

One smile says it all!

Note the crowding of upper front teeth. Again the best treatment is orthodontic treatment followed by tooth whitening or veneers. Due to patient’s professional career, we decided to place non invasive composite veneers on upper ten teeth and lower tooth whitening. Naturally, in the future we can place lingual braces and complete the orthodontic treatment, while preserving and maintaining aesthetics.

Non invasive composite veneers on upper ten teeth and lower teeth whitening.
One Visit Smile Lift and Lower Tooth Whitening  – frontal view
One Visit Smile Lift: Almost ZERO intervention to the tooth structure. The smile must complement the lip and the face.
All above procedures performed by Dr Sarkis Nalbandian. 

Final treatment outcome and 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

What our Clients Say!

I've been a customer of Designer Smiles for over 20 years and I cannot say enough good things about them! From the moment you walk into the office, you are greeted with a warm and friendly atmosphere that immediately puts you at ease. The staff is knowledgeable, professional, and caring. They use the latest technology and take the time to explain everything. I highly recommend them!

Ken Baumli

Dr Sarkis is the maestro of cosmetic dentistry….for years I suffered with 2 slightly darker front teeth due to a childhood accident. I’ve had composite veneers before but nothing compared to the composite veneers Dr Sarkis did……now I feel so confident smiling again……Dr Sarkis I can’t thank you enough…

Monica McKenzie

Quite literally the best dentist I’ve been to in a lifetime. Dr Natasha Koelmeyer specifically is just a wonderfully kind and gentle Doctor. Must also mention that the head specialist here is also second to none. Their knowledge (goodness they know their stuff) their approach, their kind and gentle manner - my daughter actually enjoys going to the dentist. They’ve got a really considered patient centric mentality. I wouldn’t go anywhere else, every single person there including the reception staff is a star. Thank you Designer Smiles!

Michelle Lacasse

My journey with Dr Sarkis began about 10 years ago. I did not realise that I had lacked self confidence and shone away from "my true smile". Dr Sarkis was honest, reassuring and professional throughout my process and not only was he able to achieve that perfect smile but achieve same without compromising the health of my teeth and gums.The ongoing care at Designer Smiles is 5 star whether it is a routine check, clean minor or major dentistry. Thank you Dr Sarkis and also your team.

Christina Vergotis

I found Designer Smiles from one of their YouTube videos showcasing the Icon treatment to fix white spots on teeth. Dr. Sarkis Nalbandian's consultation provided me with a thorough plan and showed me how their practise could give me predicable results for my concerns. I knew I was in safe hands. I had Kristy Gupta perform both of my procedures and she was very professional and so kind. I am very happy with my results!

Winsome Kain

I cannot express how grateful I am for Sarkis and the team at Designer Smiles. Around 11 years ago my life changed when Sarkis first transformed my smile with composite veneers. This month, with my original teeth in tact I returned to have my composite veneers upgraded to porcelain. I was amazed that Sarkis and his team could do this without an injections, no pain and whilst still keeping my original teeth in tact. I absolutely love the result and I would highly recommend that anyone that is unhappy with their smile in any way, must visit designer smiles

Matt Williams

Started my treatment with the team at Designer Smiles in 2019. Had other dental treatments including Maxillofacial, expanders, straightening and gum grafting but out of all the procedures and surgeries Dr. Sarkis was the key as he was applying the ‘finishing product’ which included composite veneers. I am gobsmacked by the incredible job done. He talks the talk and definitely walks the walk. And his support team there are simply incredible and make you feel part of a family not just another dental clinic to take your money. Can not recommend highly enough. Customer for life here!!

Shaun Meader

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