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Cosmetic Dentistry Photo GalleryDental Photography contained in this gallery represents real case histories and treatment plans belonging to patients who have been treated by dentists in their community. Before and after photos and actual picture sequences of procedures and dental surgery are provided for detail.
Porcelain Veneer Dentistry
More Choices - More Cosmetic PossibilitiesDental bonding and veneer dentistry have become one of the most popular smile design treatments currently available. Specialized Post Graduate training centers, including the Las Vegas Institute and the American Academy of Cosmetic Dentistry have developed training resources that focus entirely on the Makeover Experience made popular on ABC TV.
As with everything else in dentistry.... it is the NOT the skill (a learned behavior) of bonding a veneer product that determines the outcome of treatment... in terms of cosmetic result and long term endurance.
The successful veneer makeover is determined primarily by the talent and creativity of the dentist (acquired through extensive experience) and the access to popular, proven veneer technologies.
Unfortunately, more and more stories of horrible veneer experiences are being told and even appearing on the internet. Visit www.DentalPolls.com and www.Dental--Health.com to learn more of what can happen when the wrong veneer products are used for the wrong application.
Different Types - Different CosmeticsPatients need to be aware that there are numerous veneer technologies and laminate materials that skilled dentists can use to create the attractive cosmetic outcomes they want. Dental practices that only offer a single type of porcelain veneer product may be limited in creatively treating difficult or challenging cases.
Anyone seeking veneer treatments should be aware that that while different types and brands of porcelain veneers can achieve a variety of cosmetic goals for patients.... there is no single veneer product that provides the best of everything.
Non invasive, minimally invasive, no prep and low prep tooth preparation are rapidly becoming associated with certain types of veneer products.
Many veneer practices offer standard veneers and premium grade feldspathic veneers that enable accomplished veneer dentists to reshape and resurface individual tooth structures with such precision that it can fool Mother Nature herself.
Veneer characteristics should be unique for nearly every tooth in a patient's smile line. Occlusal, biting and chewing forces differ from tooth to tooth.
The overall shape and degree of sizing change or change in length creates a level of fabrication complexity that is usually mastered by those dentists who have successfully treated severe or challenging cases (experience forms the basis of creativity and talent).
Smile Makeover Types
Standard Prep VeneersThe popular veneer products, including DaVinci, Eris and Empress, are outstanding products that can mimic natural tooth colors, shading and opalescence to an astounding degree. Premium porcelain materials provide the necessary depth and density needed for achieving substantial color changes but usually require standard tooth preparation (sometimes considered too invasive).
Mid Prep VeneersVeneer products that require "some" tooth prep are emerging as a popular choice. Tooth preparation is significantly minimized yet has enough reduction to accommodate a veneer product that has "depth" or thickness.... a necessary element for getting the most attractive, creative result.
One such product, the Nano Veneer, is used with the patient pictured here. Veneer cosmetics are excellent while the patient's desire to minimize invasive grinding of her teeth was achieved.
Notice, too, how the lower biting edges of the upper arch teeth have a curve line that matches the curve of the lower lip. This is the Smile Line principle that when created carefully can make an average smile into a truly gorgeous smile... It is determined primarily by the mathematical formula's within the Rule of Proportions.
Minimal - No Prep VeneersOther brands of veneers, such as Lumineers and Vivaneers, can provide an attractive cosmetic result that requires little or no tooth preparation. The veneer material is ultra thin and very functional. Thin shell veneers can be an excellent choice for patients who may have either compromised tooth enamel or sensitive teeth.
Veneers that mimic natural tooth appearance and shading understandably require a thicker veneer structure... thereby requiring more invasive treatment of the tooth to accommodate the veneer. Veneers that are micro-thin are ideal for preserving tooth structure... but don't offer the shading qualities of thicker veneers, appearing somewhat opaque.
Diagnostic Wax Up ModelingPatients who are undergoing multiple veneer treatments that represents a makeover outcome should expect (even require) to undergo a Diagnostic WaxUp phase. This process involves the use of impressions and models that enable the doctor and patient to literally hand craft the desired smile.
Specialized veneer temporaries are created, enabling the patient to wear them for several days to a few weeks to assure ALL cosmetic goals are being achieved. Vigilence during this important step eliminates the incidence of mistakes.
In many cases where veneer failure is reported (wrong color, size, fit, too thick, bite is changed, etc.), the failure of the patient to undergo a diagnostic wax up is considered to be a primary cause.
Smile Design Principles ExplainedPatients can select new color shades, resizing, changes in tooth shapes (masculine vs feminine vs youthful vs mature), thereby creating a custom smile redesign.
In many instances, premium veneers can overcome the cosmetic problems associated with a Reverse Smile Line, an unusual situation where the smile line is essentially upside down and creates the appearance of frowning.
Our last 2 smile line correction treatment photos demonstrate the importance of having a normalized smile line. Notice how the incisal (biting) edges of the patients upper teeth do not arc whatsoever, and actually show a potential reversal (other cases can be more dramatic).
Veneer makeovers that carefully include and apply all of the principles of sequential sizing in width and length create the magic of what the text book defines as the perfect smile.
The final after photo reflects what the patient had in mind when she designed her smile.
This phenomenon is called the "makeover experience" ....an event that changes the way we feel about ourselves... and project ourselves.
Ara Nazarian, D.D.S.
Michigan Reconstructive Implant Dentistry
1857 East Big Beaver Road
Troy, Michigan MI 48083
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