fbpx
Designer Smiles Dentistry

Dental facelift: Case Study2 worn smile/dentition Failed aesthetics

Full mouth rehabilitation on a limited budget: Long term interim restorations Failed aesthetics: failing crowns and bridgework affecting patients comfort, function and aesthetics. This is further compounded by the presence of high smile line and reverse smile line created by abnormal tooth wear from loss of posterior (back teeth) support and bruxing (grinding teeth together: nighttime and or day time). Naturally dietary influence of tooth surface loss has been accounted for this lovely patient.

Dental facelift: Case Study2 worn smile/dentition Failed aesthetics

Full mouth rehabilitation on a limited budget: Long term interim restorations Failed aesthetics: failing crowns and bridgework affecting patients comfort, function and aesthetics. This is further compounded by the presence of high smile line and reverse smile line created by abnormal tooth wear from loss of posterior (back teeth) support and bruxing (grinding teeth together: nighttime and or day time). Naturally dietary influence of tooth surface loss has been accounted for this lovely patient.
Model

Dental facelift: Case Study2 worn smile/dentition Failed aesthetics

Full mouth rehabilitation on a limited budget: Long term interim restorations

This study will show

  • Complexity of treatment
  • Treatment outcome
  • Patient’s assessment
New-Project-7-1

Failed aesthetics: failing crowns and bridgework affecting patients comfort, function and aesthetics. This is further compounded by the presence of high smile line and reverse smile line created by abnormal tooth wear from loss of posterior (back teeth) support and bruxing (grinding teeth together: nighttime and or day time). Naturally dietary influence of tooth surface loss has been accounted for this lovely patient.

You notice the poor adaptation of upper and lower removable dentures. Fractured teeth and failing restorations.

The sharp teeth were most uncomfortable for the patient. Uneven tooth wear on both arches.

The excessive teeth wear and loss of lower facial height (we refer this tor educed occlusal vertical dimension) that must be restored to allow correct tooth anatomy, arch level and position development and restore normal speech as this lovely patent’s speech was also affected due to short and sharp teeth.

Treatment: reconstruction of maxilla (upper arch) and Mandible using tooth supported direct composite restorations bonded to existing teeth. Patients own removable partial dentures were modified and refitted.

INITIAL PRESENTATION

Patient was referred by her sister an existing patient of Dr Nalbandian, seeking specialist’s opinion and treatment in relation to fixed option of restoring worn, missing teeth and failing restorations (dental fillings).

The loss of back teeth initially replaced with partial dentures are inadequate: providing no support and in may ways contributing for accelerated wear of maxillary (upper) front teeth with dire aesthetic and functional consequences. You note that the porcelain crown on upper lateral incisor is not affected, while the remainder of dentition are highly affected. This dissimilar wear will eventually exert critical force to fracture tooth 12 with past root canal therapy causing eventual loss of tooth 12 and further wear, eventually rendering entire dentition to costly full mouth crowns and bridgework rehabilitation.

Due to current state of finances for this patient direct composite reconstructions were chosen for the following reasons

  1. Immediate result
  2. Assessment of patient’s adaptation to new bite level and make necessary refinements to accommodate these changes.

step
1
CHIEF CONCERNS

Chief concerns:“ I want to chew my food and smile”

improving  the aesthetic apperance of  her smile. requiring improvement, “fresher look”. The concern is to improve the upper arch shape and smile line as well as tooth colour. This lovely patient wants to smile and chew her food confidently.

Diagnosis:  Unacceptable TSL (tooth suurface loss),  dental aesthetics & function and dissatisfaction with failing restorations causing fucntional and aesthetic disturbance.

Our Aim:To restore lower facial height and restore speech. Furthermore, in this process also to improve the aesthetics of upper and lower arches: tooth shape, display, tooth colour, length, and symmetry and smile line in general reconstructing teeth with tooth surface loss.

This was accomplished with minimal discomfort to the patient and Mrs. R. The procedure was completed in one long visit (please Videos provided).ONE VISIT SMILE LIFT™

 

step
2
TREATMENT

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

  1. No treatment is not an option, since restorations are failing: affecting longevity of supporting teeth
  2. Repair existing restorations and make removable partial denture: this is the best treatment due to financial reasons and constitutes good treatment for next few years and was accepted by the patient.
  3. Future reconstructions using crowns, bridges and implants can be considered, however for this lovely patient the proposed treatment was sufficient at this stage.
step
3
PROCEDURE & RESULTS
  1. The work was completed in onevisit. Naturally we carried out diagnostic mock up in the mouth to assess aesthetics and speech, followed by completed the diagnostic wax up in the laboratory as a part of assessment for the amount of bite opening is required and this was transferred in the mouth and both jaws restored to correct facial height in one long appointment.

    Dentistry changes lives of all ages. All we want is youthfulness. ONE VISIT SMILE LIFT™

STEP
4

Health Fund Rebates Available

Have any queries?

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
Get In Touch

Scroll to Top