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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.
Creative Restorative Dentistry - Bending the RulesMany procedures in dentistry are age specific... for good reason. Growth factors certainly limit what can be done to reconstruct or restore teeth. Missing incisors, for example, can't really be treated with dental implant replacements until the patient has completed all known growth spurts that are known to affect the final stage of adult jawbone.
Dentures or fixed bridgework for "young" jaws is yet another example.
The use of porcelain veneers too, is typically "reserved" for adult patients due to the same growth factors. Teeth are moving and growing during the pre-teen and young adult years for many patients.
Orthodontics - Veneer Treatment ComboCircumstances and needs of individual patients do arise at times that can require (optionally by patient request) the creative use of cosmetic treatment procedures that produce what a patient wants as a final cosmetic result. Treatment time is often a factor.
The adjacent picture is of a young teenaged patient who had needs for an orthodontist intervention that was compounded by a strong desire to reshape her upper, maxillary teeth.
The prospect of undergoing traditional treatments by an orthodontist didn't appeal to the patient due to the traditional treatment time involved... and the expected, anticipated need to work with a cosmetic dentist who could address the issues of unwanted tooth shapes and discolorations.
Many dentists who practice orthodontics enjoy the challenges presented to them by discriminating (perhaps demanding) patients who know what they want and want things to occur within a specified time frame. This is the principle that made Invisalign Clear Aligners such a big hit... especially with older adults (no time for metal).
This young patient wanted treatments to straighten her teeth, optimize her overall occlusion and resurface - resize several teeth that she and her mother didn't think were too appealing.
The dentist created a treatment plan that combined accelerated orthodontics and the use of porcelain veneers that could create the degree of changes the patient wanted, all within a specificed time frame that was a fraction of what orthodontic treatments might require.
In the 3rd photo the patient's upper arch has been straightened via accelerated orthodontics (requiring about 6 months) that were then treated with custom porcelain veneers to create the cosmetic result she wanted, complete with a smile line that was appropriate for her facial features.
The 4th photo shows her lower arch continues to be under adjustment for finalizing the orthodontic alignment and tooth placement that corresponds with the physical characteristics of the upper and lower jaws.
The final close up and full face smile photos show off some great looking teeth and a smile line that exemplifies the LVI Rule of Golden Proportions.
The patient no longer has the concern of smiling too broadly and showing off ugly braces while her lower teeth continue adjusting during this final phase of straightening.
The lower teeth brackets and wires cannot be seen in her characteristic smile.
Once the lower brace is removed and teeth whitening products are used to treat coloring and possible decalcification issues that sometimes arise with bracket pads, an assessment of the need for veneers will be made.
Ara Nazarian, D.D.S.
Michigan Reconstructive Implant Dentistry
1857 East Big Beaver Road
Troy, Michigan MI 48083
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