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Smile Design Cases

A Journey to a Perfect Smile: From Invisalign to Porcelain Veneers

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Case 64

Comprehensive Smile Makeover: Improving Vertical Dimension of Occlusion (VDO) with Porcelain Veneers and Crowns at Toronto Smile Design - Yorkville Dental

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Before Smile Transformation

At Toronto Smile Design - Yorkville Dental, we believe every smile tells a story, and as cosmetic dentists, we are honored to be part of our patients' journeys towards achieving their dream smiles. Today, we'd like to share a particularly inspiring transformation of a patient who sought to change the colour of his teeth and correct various dental issues after completing his Invisalign treatment. His journey is a testament to the power of cosmetic dentistry and the profound impact it can have on one's life.

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Digital Smile Design Planning of the Smile Transformation

The Initial Consultation: Understanding the Patient’s Desires and Needs

Our patient, a gentleman in his early 30s, came to our office with a beautiful but imperfect smile. He had recently finished his Invisalign treatment, successfully straightening his teeth. However, he was concerned about the yellowish hue of his teeth and wanted to enhance their appearance without resorting to unnaturally white veneers. He desired a natural-looking smile that exuded confidence and elegance.

During his initial consultation, we conducted a thorough examination and discussed his goals. He expressed a preference for veneers that were not opaque white and looked natural. Additionally, he had canted teeth, which required levelling, and his anterior six teeth were hitting each other in a traumatic way, causing bone resorption and mobility. It was clear that we needed to address both the aesthetics and functionality of his smile.

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Intraoral Picture of the patient before Smile Makeover

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The Treatment Plan: A Comprehensive Approach to Smile Transformation

Creating a treatment plan for this patient involved a multi-faceted approach, addressing both cosmetic and functional aspects. Here’s a detailed breakdown of the procedures we followed:

  1. Balancing the Canting with Porcelain Veneers:

    • The first step was to balance the canted teeth and level his smile using porcelain veneers. Porcelain veneers are a fantastic option for achieving a harmonious and symmetrical smile. These thin shells of porcelain are custom-made to fit over the front surfaces of teeth, providing a natural look while correcting various imperfections.

  2. Addressing Traumatic Occlusion:

    • The traumatic occlusion of the anterior six teeth needed immediate attention. To prevent further bone resorption and mobility, we decided to increase the length of the anterior teeth and adjust the vertical dimension of occlusion (VDO) using dental onlays and crowns on the molar teeth. If the VDO was not adjusted, increasing the length of the anterior teeth alone could create a deep bite, leading to more serious issues in the future.

  3. Designing the Smile in 2D and Creating a 3D Smile Prototype:

    • After finalizing the treatment plan, we designed the smile in 2D and sent the data to our dental lab. The lab then transferred the design to a 3D Smile Prototype, which allowed us to visualize the final outcome. This step is crucial as it ensures precision and accuracy in the smile makeover process.

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3D Design of the Case 

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The Mock-Up Process: A Sneak Peek into the Future Smile

The 3D Smile Prototype was printed and used to create temporary materials for a mock-up. This process has several advantages for the patient:

  • Visualization:

    • The patient could see and feel the proposed changes in real-time, providing a clear understanding of the expected results. This visualization helps build confidence and ensures the patient’s expectations align with the outcome.

  • Non-Invasive:

    • Importantly, this step is non-invasive. We do not shave or harm any tooth structure during the mock-up process. It is a safe and reversible way to preview the final results.

  • Feedback:

    • The patient’s feedback during the mock-up phase is invaluable. It allows for adjustments and refinements, ensuring complete satisfaction before proceeding with permanent restorations.

Our patient was thrilled with the mock-up and gave us his approval to move forward with the treatment.

Transformation of the patient's smile with Mock Up

The Kois Deprogrammer: Finding the Ideal Bite

To address the issues caused by years of grinding and clenching, we introduced the Kois Deprogrammer. This device helps identify the ideal bite that is comfortable and neutral for the muscles and brain. By wearing the Kois Deprogrammer for two weeks, the patient could find a bite that relieved stress on his teeth and muscles, providing a stable foundation for the subsequent treatments.

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Before
After
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Preparation for Porcelain Veneers: Precision and Care

After the successful deprogramming phase, we prepared the patient’s teeth for porcelain veneers. This involved removing approximately 0.5mm of tooth structure to ensure a seamless transition from the veneers to the natural tooth at the margins. The minimal removal of tooth structure is essential for the longevity and aesthetic appeal of the veneers.

The Final Steps: Crafting and Placing the Restorations

In collaboration with RDT Dental Lab, we created the porcelain veneers and dental crowns. The lab’s expertise ensured that the restorations were of the highest quality, matching the patient’s desired shade and natural appearance.

During the first try-in session, the patient was ecstatic with the results. The veneers and crowns fit perfectly, enhancing his smile while maintaining a natural look. He gave us his consent for the final placement, and we proceeded with the insertion of the restorations.

The Result: A Transformed Smile and Renewed Confidence

The final outcome was nothing short of spectacular. By adjusting the vertical dimension of occlusion and addressing the length of the anterior teeth, we not only improved the aesthetics but also the functionality of the patient’s smile. The traumatic occlusion was resolved, preventing further damage and ensuring the longevity of his teeth.

The patient was overjoyed with the transformation. His new smile was everything he had hoped for – natural, beautiful, and perfectly balanced. The veneers were not overly white, but a shade that complemented his complexion and looked incredibly natural.

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Reflecting on the Journey: A Testimony to the Power of Cosmetic Dentistry

This journey was not just about changing the coluor of the patient’s teeth; it was about restoring his confidence and improving his quality of life. Each step, from the initial consultation to the final placement of the veneers and crowns, was meticulously planned and executed to ensure the best possible outcome.

Conclusion: Embracing the Art and Science of Cosmetic Dentistry

At Toronto Smile Design - Yorkville Dental, we take pride in our comprehensive approach to smile makeovers. This case is a testament to the transformative power of cosmetic dentistry, combining art and science to create beautiful, functional smiles.

Whether you're dealing with worn out teeth from grinding and clenching, or simply looking to enhance your smile, our team is here to help. From porcelain veneers and dental crowns to advanced treatments like the Kois Deprogrammer, we have the expertise and technology to meet your needs.

If you’re considering a smile transformation, we invite you to schedule a consultation with us. Let us help you achieve the smile you’ve always dreamed of – natural, beautiful, and uniquely yours.

For more details about our services and to see more inspiring transformations, follow us on Instagram and watch our patient interviews. We are committed to making your smile journey a positive and rewarding experience.

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"Your life does not get better by chance, it gets better by change."

– Jim Rohn

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Smile Transformation at Toronto Smile Design - Yorkville Dental

At Toronto Smile Design - Yorkville Dental, we view every smile as a work of art. Dr. Johnson combines his extensive knowledge in dental science with advanced cosmetic techniques to improve both the aesthetics and health of your smile.

Why Choose Us?

Expertise in Cosmetic Dentistry: Dr. Johnson has years of experience and uses Digital Smile Design (DSD) to create personalized treatment plans. This ensures that every patient's unique dental characteristics are considered, leading to results that are both beautiful and functional.

Comprehensive Care: Our recent patient's journey is a testament to our comprehensive approach. He came to us with canted teeth and yellowing after his Invisalign treatment. We provided a holistic plan, including balancing the cant with porcelain veneers, addressing traumatic occlusion with dental onlays and crowns, and improving the vertical dimension of occlusion (VDO) to prevent future issues.

Innovative Techniques: We utilize the latest technology and minimally invasive techniques. The mock-up process, using a 3D Smile Prototype, allows patients to preview their new smile without any damage to their natural teeth. Our use of the Kois Deprogrammer ensures that we find the ideal bite for each patient, enhancing comfort and function.

Patient-Centered Care: Our focus is on your comfort and satisfaction. From the initial consultation to the final placement of veneers and crowns, we prioritize clear communication and patient feedback, ensuring you are delighted with the outcome.

Experience the Difference

At Toronto Smile Design - Yorkville Dental, we are committed to delivering comprehensive and personalized dental care. Whether you need cosmetic enhancements or general dentistry, our goal is to provide you with a smile that not only looks beautiful but also enhances your overall well-being and confidence.

Discover the possibilities and join us on a journey towards a healthier, more beautiful smile. Schedule your consultation today and take the first step towards achieving the smile you've always dreamed of.

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