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Designer Smiles Dentistry

Dental facelift: Margaret

Failed aesthetics: failing veneers, crowns and bridgework affecting patients comfort, function and aesthetics. This is further compounded by the presence of dark spaces in the lower arch with asymmetric lower lip deflection. Treatment: reconstruction of maxilla (upper arch)and mandible (lower arch) using tooth supported veneers, crowns and bridgework.

Dental facelift: Margaret

Failed aesthetics: failing veneers, crowns and bridgework affecting patients comfort, function and aesthetics. This is further compounded by the presence of dark spaces in the lower arch with asymmetric lower lip deflection. Treatment: reconstruction of maxilla (upper arch)and mandible (lower arch) using tooth supported veneers, crowns and bridgework.
Model

Dental facelift: Margaret

Dental facelift: Margaret

Failed aesthetics: failing veneers, crowns and bridgework affecting patients comfort, function and aesthetics. This is further compounded by the presence of dark spaces in the lower arch with asymmetric lower lip deflection. Treatment: reconstruction of maxilla (upper arch)and mandible (lower arch) using tooth supported veneers, crowns and bridgework.

new project

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
  • Please refer to the video provided

Chief concerns: improving the aesthetic apperance of her smile. The concern is to improve the upper arch shape and smile line as well as tooth colour. This lovely patient wants to smile with confidence.

INITIAL PRESENTATION

Patient 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 required augmentation to create base for tooth replacement. Since the existing design of the crowns and bridgework has served well last 20 years, we decided to replace the restorations and improve on the design, using only tooth supported bridgework as there was no need to complicate the treatment and increase the costs by dental implants.

We have unacceptable aesthetics.

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
Diagnosis:

Unacceptable dental aesthetics due dissatisfaction with failing fixed restorations and general tooth discolouration

Our Aim: to improve the aesthetics of both arches: Tooth shape, display, tooth colour, length, symmetry and smile line in general, replacing existing veneers and crowns with new porcelain technology.

This was accomplished with minimal discomfort to the patient and Mrs. M. Never left the practice without missing teeth. The provisional restorations constructed was instrumental in final aesthetic and functional outcome.

step
2
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 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: tooth supported crowns and bridgework, described below

Removal of failing bridgeworks

  1. Placement of provisional crowns and bridgework
  2. Finalize the treatment with tooth supported porcelain veneers. crowns and bridgework in the upper arch. The Provisional restorations provided that important confidence for normative function comfort & aesthetics.
step
3
PROCEDURE & RESULTS
  1. The work was completed in two months
    Final treatment outcome: we have restored esthetics comfort & function and we have a happy patient
    Note improvement in lip thickness & support

     

STEP
4

Health Fund Rebates Available

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What our Clients Say!
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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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