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Designer Smiles Dentistry

Small Teeth Smile Lift

Small Teeth Smile Lift – Patient Story This patient was initially referred by her father, an existing patient, and presented for improving the aesthetic appearance of the upper ach: colour, small teeth for the size of the arch creating spaces/gaps between the teeth. Treatment: Smile rejuvenation with improvement in level of tooth display with construction of maxilla (upper arch) using porcelain veneers to improve: tooth shape and close spaces, colour, display, arch formand shape to compliment facial aesthetics of this lovely patient.

Small Teeth Smile Lift

Small Teeth Smile Lift – Patient Story This patient was initially referred by her father, an existing patient, and presented for improving the aesthetic appearance of the upper ach: colour, small teeth for the size of the arch creating spaces/gaps between the teeth. Treatment: Smile rejuvenation with improvement in level of tooth display with construction of maxilla (upper arch) using porcelain veneers to improve: tooth shape and close spaces, colour, display, arch formand shape to compliment facial aesthetics of this lovely patient.
Model

Small Teeth Smile Lift – Patient Story

This patient was initially referred by her father, an existing patient, and presented for improving the aesthetic appearance of the upper ach: colour, small teeth for the size of the arch creating spaces/gaps between the teeth.

Treatment: Smile rejuvenation with improvement in level of tooth display with construction of maxilla (upper arch) using porcelain veneers to improve: tooth shape and close spaces, colour, display, arch formand shape to compliment facial aesthetics of this lovely patient.

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
INITIAL PRESENTATION

Smile rejuvenation with improvement in level of tooth display with construction of maxilla (upper arch) using porcelain veneers to improve: tooth shape and close spaces, colour, display, arch form and shape

Now we have a unique opportunity to improve symmetry and harmony. Therefore the direct diagnostic composite mock is critical in formulating how we design these restorations for an optimal aesthetic outcome.

Chief concerns:

  1. Improve the aesthetic apperance of her smile.
  2. Improve the smile, close the spaces, upper arch shape and smile line as well as tooth colour.
  3. This lovely socilite patient wants to smile understanding the complexity and the precison of the work required.

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
1
DIAGNOSTIC MOCK-UP

Diagnostic: mock-up and assessment. Finalise degree of gum and tooth showing during smile and speech dynamics, maxillary arch form and smile width. The spaces are closed with natural tooth formation.

We tested the diagnostic mock up for patient acceptance that guided the 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 the existing tooth positions were ideal and required no tooth intervention. Therefore, the tooth enamel is left intact.

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 since the patient is most concerned about spaces: affecting aesthetics
  2. Composite additions: this could work but this is a temporary measure and not accepted by the patient
  3. Orthodontic closing of the spaces: this could make the upper arch narrower, further complicating aesthetics: not accepted by the patient
  4. Porcelain veneers: best long-term solution: accepted by the patient

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

    The ultrathin porcelain veneers are tried in the mouth: note the change in colour, length and shape of the teeth.

    The work was completed in two visits. In general it takes about 3-4 weeks from diagnosis to final outcomes.

Step
4
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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