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Designer Smiles Dentistry

Complex Dental Reconstruction & Aesthetic Rejuvenation

Are you looking for dental reconstruction surgery in Sydney? We are here to help you. This patient initially presented for an improvement in aesthetic appearance of her upper arch. As you can see we have considerable recession of gums and general tooth discolouration. The front crowns have been placed for some time.

Complex Dental Reconstruction & Aesthetic Rejuvenation

Are you looking for dental reconstruction surgery in Sydney? We are here to help you. This patient initially presented for an improvement in aesthetic appearance of her upper arch. As you can see we have considerable recession of gums and general tooth discolouration. The front crowns have been placed for some time.
Model

Dental Reconstruction

Are you looking for dental reconstruction surgery in Sydney? We are here to help you. This patient initially presented for an improvement in aesthetic appearance of her upper arch.

As you can see we have considerable recession of gums and general tooth discolouration. The front crowns have been placed for some time.

However, with time all restorations do breakdown and although over the years we have repaired these teeth, the patient felt that it was time to replace the restorations properly and get the smile right.

This study will show:

  • Complexity of dental reconstruction treatment. Hence dental specialist intervention is required as precise outcome is critical in this complex smile outline
  •  Dental reconstruction treatment outcome

The  dental reconstruction patient has a high gummy smile and general restorations and tooth discolourations is a concern her.

Treatment: Smile rejuvenation with improvement in level of tooth display by maintaining gum levels and construction of maxilla (upper arch) using tooth and implant supported crowns to improve: tooth shape, colour, display, arch form and shape to compliment facial aesthetics of this lovely patient.

INITIAL PRESENTATION OF DENTAL RECONSTRUCTION

Now we have a unique opportunity to improve on the diagnosis and design of proposed treatment plan: The difficulty here is the deciding the level of tooth and gum display required and to create that youthfulness, while maintaining natural colours for this elegant and delightful patient.

In this case the diagnosis was both intraoral and, on the study-models mounted in the articulator to be able to simulate and execute the  dental reconstruction treatment plan.

Since it is critical in formulating how we design these restorations for an optimal aesthetic and functional outcome. The good thing is that we have good gum and lip symmetry across the facial midline as this simplifies the restorative design.

Implants will be placed in the correct 3D position to facilitate planned aesthetic outcome.

High smile line, gum recessions, discoloured teeth & restorations

Chief concerns: improving the aesthetic appearance of her smile:

  1. To improve the the gummy smile, narrow upper arch shape and smile line as well as improve the tooth colour.
  2. This lovely socilite patient wants to smile, understanding the complexity and the precison of the work required.

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

step
1
DIAGNOSIS & PATIENT CENTRED TREATMENT PLANNING

Once we have determined their needs and expectations and when the patient is ready, we begin to restore their teeth to optimal function and aesthetics.

Diagnostic: mock-up and assessment. Finalise the degree of gum and teeth showing during smile and speech dynamics, maxillary arch form and smile width. This was complimented by the provisional crowns.

We tested the diagnostic mock up for patient acceptance which guided the final desired aesthetic outcome.

Provisional crowns helped initial assessment process and were further modified and approved by the patient.

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

This was accomplished with minimal discomfort to the patient. Provisional crowns helped initial assessment process and were further modified and approved by the patient, for that ultimate aesthetic outcome.

step
2
DENTAL RECONSTRUCTION TREATMENT IN SYDNEY

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

  1. No treatment: this is not an option as the restorations are failing and affecting aesthetics.
  2. Repair existing restorations and gum lift: this is a temporary measure and not accepted by the patient.
  3. Placement of 10 tooth and implant supported crowns in the upper arch: accepted by the patient.
step
3
RECONSTRUCTION PROCEDURE & RESULTS
    1. Diagnostic: mock-up and assessment. Finalise degree of gum and teeth showing during smile and speech dynamics, maxillary arch form and smile width
    2. Removal of existing restorations
    3. Impressions for porcelain crowns
    4. Issue the porcelain crowns on 10 upper teeth

    The work was completed in two visits. In general it takes about 3-4 weeks from diagnosis to final outcomes.

    I would prefer 3 weeks for gum healing. Is best not to rush biology and allow optimal healing

    We tested the diagnostic mock up for patient acceptance that guided thr final desired aesthetic outcome.

    Creating balance and complementing on facial aesthetics: confidence

    The aesthetic effect should establish harmony and balance between dentition and surrounding soft tissues. Note how all compositional elements of teeth gums lips and face are in concert together

    Hence the term: dentofacial rejuvenation. However, most importantly we have complemented our lovely patient’s facial aesthetics.

    Final dental reconstruction treatment outcome and we have a confident and happy patient.

Step
4
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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