Multiple Gaps Between Teeth

This quite upcoming and soon to be famous opera singer and actor were referred by his dental practitioner, presented with request for improving his smile (wants to brighten up his smile and close the spaces on upper (13-23) and lower (42- 32) anterior teeth) using minimal or zero tooth intervention approach. Examination, x-rays, images & study models confirmed the following:

Multiple Gaps Between Teeth

Multiple Gaps Between Teeth – Patient Story

This quite upcoming and soon to be famous opera singer and actor were referred by his dental practitioner, presented with request for improving his smile (wants to brighten up his smile and close the spaces on upper (13-23) and lower (42- 32) anterior teeth) using minimal or zero tooth intervention approach. Examination, x-rays, images & study models confirmed the following:

Close the spaces (gaps) of upper and lower front teeth
Prominent (pointy) canines
Flaring of upper teeth
The reverse smile line was most evident during his professional performance
Mouth breather & anterior tongue thrust

DIAGNOSTICS

Direct Kessling set up. Composite Mock up establishes:

Desired tooth form/shape
Symmetry across the midline
axial tooth alignment
Lip support and profile
Composite mock up helps both you (the patient) and myself assess:

Overall Dentofacial aesthetics
Speech
Comfort
Patient tolerance-habitation level
Assess smile line, teeth arrangement, gum symmetry

Note immediate improvement in both arches. Overall Dentofacial aesthetics. Smile line, teeth shape, teeth arrangement, gum symmetry and teeth display. Correction of Reverse Smile Line.

Diagnosis: reverse smile line with multiple spaces. After considerable discussion regarding all options of treatment, including porcelain veneers as well as no treatment and the consequences of no treatment we agreed to proceed with composite veneers Sydney as per patient request.

Orthodontic treatment in this situation to close the spaces is contraindicated, because we have a tooth mass problem. This means we have lack of tooth mass for the size of the dental arch, therefore best treatment option is additive: hence zero tooth intervention. This treatment can be considered using either composite or dental veneers The cost was the determining factor for patient decision making process.

Naturally porcelain veneers were also an option, however finances were a major concern for this patient.

Lower arch aesthetics is also an essential part for this professional actor and singer. May I also say that most patients presenting in our surgery also ask for improvement of lower teeth aesthetics. This is more evident during 35-45yrs as lower lip drops slightly as part of aging process.

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TREATMENT

Note the improvement in symmetry across the midline. The surface texture and tooth anatomy, flowing with optimal lip support and symmetry. Most importantly this treatment is the conservative and least biologically invasive to the tooth. It maintains the integrity of the tooth; furthermore, repairs are easy to make. Any post op sensitivity, is rare and transient.

Pictures speak for themselves. We improved this patient’s smile with minimal financial cost and zero biological cost. Patient also regularly attends our centre for gum care and oral health maintenance.

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FINAL OUTCOME

A direct composite veneer is an art in its purest form. Very few dentists in the world have excelled in this procedure. Today we have computer generated veneers (CAD CAM), turning out assembly line porcelain veneers. However, art remains art when an experienced clinician commits to his craft.

Speech dynamics was maintained and smile dynamics improved.
Softening of prominent canines

The treatment comprised: composite veneers teeth: 13, 12,11,21,22 & 23 on the upper arch and teeth 42, 41, 31 and 32 on the lower arch. Night guard is recommended – Item 965.

We need to regard this as an interim restorative measure to serve us as a guide for future reconstructions including porcelain veneers if required. We can from time to time extend the life of these restorations by resurfacing the veneers with new composite materials at a minimal cost. In the future, porcelain veneers can commence by removal of these veneers since the teeth are sound underneath.

We recommend regular 6 monthly check-up and maintenance visits to help to enhance the longevity of the restorations and oral health.

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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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