Complex Dental Aesthetics – Patient Story

Failed aesthetics: failing crowns and bridgework affecting patient’s comfort, function and aesthetics. This is further compounded by the presence of a high smile line. Treatment: reconstruction of maxilla (upper arch) and mandible (lower arch) using tooth supported, and implant supported, crowns and site augmentation (soft and hard tissue grafting) where teeth have failed that require removal.

Complex Dental Aesthetics – Patient Story

Failed aesthetics: failing crowns and bridgework affecting patient’s comfort, function and aesthetics. This is further compounded by the presence of a high smile line.

Treatment: reconstruction of maxilla (upper arch) and mandible (lower arch) using tooth supported, and implant supported, crowns and site augmentation (soft and hard tissue grafting) where teeth have failed that require removal.

This study will show:

CHIEF CONCERNS

Improving the aesthetic appearance of her smile.
To improve the upper arch shape, smile line, and tooth colour.

This lovely patient wants to smile and chew her food confidently.
She was concerned explicitly about recent dental work by another dentist causing protrusion and canting of upper central incisors creating an aesthetic disturbance.

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INITIAL PRESENTATION

The patient was referred by her dentist, seeking a specialist's opinion and treatment concerning the fixed option of restoring missing teeth and failing dentition as well as tooth-supported crowns.
The loss of teeth from failing bridgework has left significant soft and hard tissue defects that require augmentation to create a base for tooth replacement.
We have unacceptable aesthetics and function. It's surprising to see how much patients can tolerate with broken down dentition.
In general, I would like to replace or at least get close to the foundation bone and gum tissues to allow optimal tooth position in the arch that creates natural aesthetics.
Note Upper arch: broken-down dentition, discoloured crown margins, unnatural teeth: colour, form, progression and gum line.
Lower arch: Missing molars and premolars on the lower right side.

Diagnosis: Unacceptable dental aesthetics and function due to dissatisfaction with failing fixed restorations and general tooth discolouration
Our aim: to improve the aesthetics of the upper arch: Tooth shape, display, tooth colour, length, symmetry and smile line in general, as well as replace missing teeth: 23,24,14,16 using implant-supported crowns and replace existing faulty crowns with new ceramic crowns.This was accomplished with minimal discomfort to the patient, and she never left the practice without teeth. The temporary bridgework is both aesthetic and functional.

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PROCEDURE & RESULTS

This work was completed in six months so the implants were given time to integrate with bone. It is best not to rush biology and allow optimal healing.
Final treatment outcome: we have restored aesthetics, comfort and function, and we have a happy patient.
Unfortunately, this work was initially completed by a dentist with minimal qualifications and experience. Hence, the patient is seeking a specialist prosthodontist for correct diagnosis and treatment planning, providing an optimal outcome for this lovely patient.
Note improvement in lip thickness and support in combination with correcting protruding maxillary central incisors.

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FINAL TREATMENT OUTCOME

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

If you have any of the stains mentioned above, choosing our whitening treatment can help you achieve sparkling white teeth.

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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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