Dental Facelift: Case Study Smile & Gum Lift
Dental Facelift: Case Study Smile & Gum Lift
Gum Lift and Porcelain Veneers – Patient Story
The existing composite veneers and past gum lift 15 years ago have served well. High gummy smile with general dark gum discolourations is a concern for Mrs. S.
Treatment: Smile rejuvenation with improvement in level of tooth display using gum lift and construction of maxilla (upper arch) using porcelain veneers to improve: tooth shape, colour, display, arch form & shape to complement facial aesthetics of this lovely patient.
This study will show;
- Complexity of treatment. Hence specialist intervention is required as precise outcome is critical in this complex smile outline
- Treatment outcome
- Patient’s assessment
Patient has this work completed in the practice some 15 years ago. However with time the restorations required revisiting.
Past smoker, stopped now for 2 years.
Now we have a unique opportunity to improve on the diagnosis & design of proposed treatment plan:
The difficulty here is the gum pigmentation that is present with the proposed tooth length using combination of gum lift and porcelain veneers. Therefore the direct diagnostic composite mock is critical in formulating how we design these restorations for an optimal aesthetic outcome.
Chief concerns: improving the aesthetic apperance of her smile:
- To improve the the gummy smile, narrow upper arch shape and smile line as well as tooth colour.
- This lovely socilite patient wants to smile understanding the complexity and the precison of the work required.
Unacceptable tooth an gum display, assymetry and narrow upper arch: creating an aesthetic disturbance.
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 & assessment. Finalise degree of gum and tooth showing during smile & speech dynamics, maxillary arch form & smile width.
We tested the diagnostic mock up for patient acceptance that guided for final desired aesthetic outcome.
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 12 maxillary teeth porcelain veneers.
This was accomplished with minimal discomfort to the patient and using no tooth intervention. No provisional veneers were required, since he existing composite veneers placed by the author 15 years ago required no tooth intervention. Therefore, the tooth enamel is intact and helped in gum healing process following gum lift. (Please refer to Videos provided).
Following with discussion of all risks and treatment modalities with our patient that included
- No treatment: this is not an option as the restorations are failing and affecting aesthetics
- Repair existing restorations and gum lift: this is a temporary measure and not accepted by the patient
- Gum lift & porcelain veneers: best long-term solution, Fixed option: accepted by the patient.
- Diagnostic: mock-up & assessment. Finalise degree of gum and tooth showing during smile & speech dynamics, maxillary arch form & smile width
- Removal of existing composite veneers & gum lift
Impressions for porcelain veneers - Issue the porcelain veneers
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 for final desired aesthetic outcome.
Gum Lift & porcelain veneers
Creating balance and complementing on facial aesthetics: CONFIDENCE
Note how all compositional elements of teeth gums lips and face are in concert together
The Aesthetic Effect: Should establish harmony and balance between dentition and surrounding soft tissues
Final treatment outcome: we have restored aesthetics.
However most importantly we have complemented our lovely patient’s facial aesthetics.
Hence the term: dentofacial rejuvenation by Dr Sarkis Nalbandian
The Aesthetic Effect
Should establish harmony and balance between dentition and surrounding soft tissues
Final treatment outcome and we have a happy patient
Final treatment outcome: we have restored aesthetics comfort & function.
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!
Get In Touch
Mon to Fri: 8.00AM-5.00PM
Sat-Sun: Closed
What Are Dental Veneers?
Dental veneers are an excellent solution for those looking to improve their smile’s appearance.
Veneers are thin, custom-made shells designed to cover the front surface of your teeth. They are made from porcelain, a durable, long-lasting material resembling tooth enamel.
They can be used to correct stained or discoloured teeth, close gaps between teeth, and even change the shape or size of teeth and can be customized to match the colour, shape, and size of your natural teeth.
The result is a smile that looks beautiful and natural.
If you are considering porcelain veneers, consult a qualified dentist who can assess your needs and determine if veneers are the right solution.
Why Porcelain Veneers?
Porcelain veneers are a popular cosmetic dental treatment that can give you a Hollywood smile. But what are they and why should you consider them?
Improved Tooth Appearance
If you are unsatisfied with the appearance of your teeth, porcelain veneers may be an excellent solution. Veneers can alter the color, shape, size, or length of your teeth.
Durability
Porcelain veneers are comprised of porcelain, a robust and durable material that can last for many years with proper care. Veneers are also stain-resistant, which means they will not yellow with time.
Improved Oral Health
Because porcelain veneers are attached to your teeth, they can assist to protect them from damage and decay.
Minimally Invasive
Unlike other cosmetic dentistry, porcelain veneers do not necessitate considerable tooth preparation. Most of the time, only a small amount of enamel is removed to place the veneers. Thus the process is minimally invasive as opposed to dental crowns
What does the process look like?
Caring for your Veneers
Porcelain veneers require similar maintenance as real teeth. Below are some pointers to keep your veneers in good condition:
- Regular tooth brushing and flossing: Use fluoride toothpaste and clean your teeth at least twice a day with a soft-bristled toothbrush. Additionally, floss daily to get rid of food particles and debris between your teeth and veneers.
- Avoid firm and crunchy foods: they can damage or chip your veneers, including ice, popcorn, and hard candies.
- Wear a mouthguard: If you participate in sports or grind your teeth at night, you should wear a mouthguard to protect your veneers.
- Avoid excessive biting: Avoid biting on hard things such as pens, pencils, or fingernails with your veneers. Avoid using your veneers to open bottle tops as well. This can cause chipping, cracking, and damage to your veneers.
- Visit your dentist in a regular basis: Regular dental check-ups and cleanings can help keep your veneers in good shape. Your dentist can also inspect your veneers for signs of damage or wear and repair them if necessary.
What our Clients Say!
Get In Touch
Mon to Fri: 8.00AM-5.00PM
Sat-Sun: Closed