Planning the Smile Design / Enhancement

Below are several examples of the computer imaging and smile design steps that we have taken with some of our patients. I apologize in advance that the audio is very low, so you will need to turn up your volume to almost maximum to hear my commentary.

Below the videos you will find a description of the specific steps that we take to achieve the optimal results


Our Smile Design & Smile Enhancement Planning Steps

Esthetically pleasing and natural looking smiles do not come out of a cookie-cutter. We go through four very specific steps to ensure that there will be no surprises at completion of treatment.

We spend at least 15 – 20 minutes discussing what you like and would like changed in your smile, how you would see yourself in the future, and help you clarify priorities. A most important question is: “Do you want people to know you made a significant investment to gain your “perfect” smile, or would you prefer that people compliment you on your naturally gorgeous smile?

1. Computer Imaging [2-D Analysis]

Computer imaging is the first step in determining what you may desire, and how it may look. Developing several scenarios and mock-ups allows us to simulate, select, and refine the most appropriate design and personalized enhancements.

2. Diagnostic Models [3-D Analysis]

Once a plan has been co-developed , molds are taken of the teeth, and models made. The planned photographic results are then translated into 3-D, by reshaping the individual teeth on the models, as wll as building them up with white tooth colored wax. The overall jaw relationship, positions, and movements control the final positioning and esthetic enhancements.

3. Smile Design in the Mouth [Esthetic Mockup]

The computer imaging and wax-ups on the models allow me to carefully plan and design the final result, but you the patient are still not truly able to see what this all will look like in your mouth. We refined a technique that will actually let you try out your new smile design before we even touch a tooth. The enhancements are turned into very thin veneer like restorations in your mouth during a 15 minute appointment, and in most cases, you will be able to go home with these trial crowns and veneers on your own teeth. You will be able to flick them off before eating, or while brushing your teeth. Final size, shape and positions will now have been designed and tested. All that is left, is the actual treatment.

4. Transitional Restorations [Trial final results in plastic]

The design developed in the previous steps is then turned into plastic, and placed over the teeth during the main treatment appointment. Most dentists call these “Temporaries”, but we prefer to call them “Transitional Crowns”, because they allow us the final opportunity to make sure that the look and feel of the new veneers, crowns or bonding is just what we all want. At this appointment you head home looking and feeling as if all the work is done, but only we all know that what you are wearing are just the Transitional restorations. Additional molds will be taken, and the models will be the exact blueprint for the final product.