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Designer Smiles Dentistry

Dental facelift: Complex Aesthetics

Dental facelift: Complex Aesthetics Mandibular (lower arch) fixed tooth supported crowns & bridgework Failed aesthetics: missing teeth, failing crowns and bridgework affecting patients comfort, function and aesthetics. This is further compounded by the presence of mobile partial denture and general discomfort. 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.

Dental facelift: Complex Aesthetics

Dental facelift: Complex Aesthetics Mandibular (lower arch) fixed tooth supported crowns & bridgework Failed aesthetics: missing teeth, failing crowns and bridgework affecting patients comfort, function and aesthetics. This is further compounded by the presence of mobile partial denture and general discomfort. 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.
Model

Dental facelift: Complex Aesthetics

Maxillary full implant supported bridgework
Mandibular (lower arch) fixed tooth supported crowns & bridgework

Failed aesthetics: missing teeth, failing crowns and bridgework affecting patients comfort, function and aesthetics. This is further compounded by the presence of mobile partial denture and general discomfort.

This study will show

  • Complexity of treatment
  • Treatment outcome
  • Patient’s assessment
img2-1

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.

Chief concerns: “I want to smile with confident and chew with comfort””. 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.

INITIAL PRESENTATION

Mrs J. was referred by her dentist, seeking specialist’s opinion and treatment in relation to fixed option of restoring missing teeth and failing dentition as well as tooth supported crowns. The loss of teeth from failing bridgework has left considerable soft and hard tissue defect that was replaced by partial denture.

We have unacceptable aesthetics and function. It’s surprising to see how much patients can tolerate with broken down dentition. I guess we all are busy in our lives, looking after the family and finally when everyone is ok, it time for us.

In general, whenever possible we 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.

 

step
1
MISSING TEETH REPLACED BY PARTIAL REMOVABLE DENTURE

Although the existing crowns and partial denture are holding well during dull smile, unfortunately the existing restorations are failing at gum margins with fractured roots not shown in the images. The lower teeth with multiple repairs was also concern with discoloured crown margins, unnatural teeth: colour, form, progression & gum line.

 

step
2
DIAGNOSIS: UNACCEPTABLE DENTAL AESTHETICS & FUNCTION DUE DISSATISFACTION WITH FAILING FIXED RESTORATIONS, MMISSING TEET AND GENERAL TOOTH DISCOLOURATION

Our Aim: to improve the aesthetics of upper arch: tooth shape, display, tooth colour, length, symmetry and smile line in general, using implant-supported fixed bridgework and tooth-supported crowns and bridgework in the lower arch. This was accomplished with minimal discomfort to the patient and Mrs J. Never left the practice without missing teeth. The provisional bridgework as both aesthetic and function (please Videos provided).

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3
TREATMENT
  1. 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 the longevity of supporting teeth
    2. Repair existing restorations and make removable partial denture: this is a temporary measure and not accepted by the patient
    3. Fixed option: implant & tooth supported crowns and bridgework, described below

     

STEP
4
REMOVAL OF FAILING BRIDGEWORKS

Creating an upper lip and profile creating a youthful, fresher look with provisional restorations 2 months post-implant placement.

  1. Placement if implants: Upper arch to support fixed porcelain bridgework Temporary bridgework while implants are integrating with bone: we also have the opportunity to improve upper lip and facial support. The aim is to “evert” the upper lip and profile creating a youthful, fresher look.
  2. Why? Because during the provisionalisation phase this is the best opportunity by the specialist to show the patient the possibilities. Once approved by the patient, this “template “can be copied with further improvement in the final bridgework.
  3. Finalize the treatment for both arches with implant and tooth supported crowns and bridgework. The Provisional restorations for that important confidence for normative function comfort & aesthetics.

We need to improve the upper lip profile: This was completed.
Final treatment outcome: we have restored esthetics comfort & function and we have a happy patient

step
5
PROCEDURE & RESULTS

Clinical: Reconstruction of upper arch: implant supported bridgework & tooth supported crowns

The work was completed in six months and implants to integrate with the bone. Is best not to rush biology and allow optimal healing.

Note improvement in lip thickness & support in a combination of correcting protruding maxillary central incisors

Full lower arch reconstruction using special porcelain technology to restore tooth anatomy strength colour.

Clinical: Reconstruction of upper arch: implant supported bridgework &tooth supported crowns.

step
6

Your Teeth Are Fixed in the Jaw with Implants!

Full lower arch reconstruction using special porcelain technology to restore tooth anatomy strength colour

Full lower arch reconstruction using special porcelain technology to restore tooth anatomy strength colour Lower arch positioned forward for improved lip support

We also extended the arch length to give fuller and complete lower smile line and lower cheek support for improve jaw line. This is most important for women with missing back teeth to reduce lower facial folding.

step
7

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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