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Dental Smile Makeover: What’s Involved?

14th August 2017

As dentists we often post before and after photos of people we have treated particularly when we have made a dramatic change with their smile. There are multiple ways of achieving this result.

I’ll talk you through the step by step process I use.

  1. The consultation. This is where we both explore what exactly you are looking to achieve or what is your end goal (without talking procedures). The usual answers are “I want my teeth to be whiter/straighter, last longer/stop breaking /free of pain”. When it involves a cosmetic change, we usually take photos and go through exactly what you would like to change.
  2. The next stage involves a Smile Analysis as to where the best position for the teeth should be. Once this is worked out, one or more treatment plans are developed to achieve this result. At this stage the patient has some input as to which treatment plan is best for them ie prefer veneers rather than braces to straighten teeth or dental implants preferred rather than a denture or a bridge
  3. Next we have the dental technician fabricate a diagnostic waxup which is based upon my recommendations as to where the teeth should be to achieve the agreed upon result. Now this is really just an accurate guess at this stage….which brings up to the next stage, the prototyping or try-in stage
  4. The teeth are prepared and a copy of the waxup is trialled in the mouth as a temporary/provisional stage. It is at this stage we do further facial/smile analysis and adjust the provisional restorations to till both myself and the patient are happy with the outcome. We then take a mould of the provisions and ask the technician to replicate them in the final restorations. Basically, we are taking the guesswork out of the smile makeover and making it a more predictable process
  5. Finally we get to the delivery of the restorations. We have a final check before placing them permanently.

Case Study

This lady was unhappy with her smile, in particular the colour and the alignment (her front teeth overlap).

We decided upon a combination of porcelain crowns/veneers to achieve her result. Orthodontics (braces) was discussed as an option but rejected by the patient. The teeth were prepared and the provisional restorations placed, analysed and adjusted. It’s important to get the size, position and alignment of the teeth in harmony with the face. A colour for the new teeth was also decided upon. She opted for a natural looking white colour.

The Final Porcelain crowns were bonded in place.

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