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Designer Smiles Dentistry

Dental Facelift: Case Study Smile & Gum Lift

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: shape, colour, display, arch form & shape to complement facial aesthetics of this lovely patient.

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.
Model

Gum Lift and Porcelain Veneers – Patient Story

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 assessmen
INITIAL PRESENTATION

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.

step
1
DIAGNOSIS

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.

 

 

step
2
DIAGNOSTIC MOCK UP

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).

 

step
3
TREATMENT

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. Gum lift & porcelain veneers: best long-term solution, Fixed option: accepted by the patient.

 

step
4
PROCEDURE
  1. Diagnostic: mock-up & assessment. Finalise degree of gum and tooth showing during smile & speech dynamics, maxillary arch form & smile width
  2. Removal of existing composite veneers & gum lift
    Impressions for porcelain veneers
  3. 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.

step
5
RESULTS

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

step
6

Health Fund Rebates Available

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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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