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Porcelain Veneers in Toronto: Treating a Model with Cosmetic Dentistry

My model patient came to the clinic with the referral of Google. So he googled "Cosmetic Dentist in Toronto," and from the search results, he said he picked me for the reasons he listed below.

1- Number of the reference cases: He was impressed with the number of Cosmetic Dentistry Cases I published on the Toronto Smile Design - Yorkville Dental web page and Instagram.

2- Quality of the cosmetic dentistry treatment outcomes, variety and standards of the patient documentation. He said the quality of the results of cosmetic dentistry or oral surgery treatments, pictures and videos were outstanding.

I cannot stress the value of the documentation enough for my colleagues. In Cosmetic Dentistry applications, photos and videos have always acted like patient references. For example, seeing the best porcelain veneer cases on a website will give the patient confidence to visit that Cosmetic Dentistry Expert in Toronto. That's why, as cosmetic dentists, we need impeccable documentation skills.

3- The variety of the "Dental Services" I provide to my patients

In his initial assessment, he told me he came for Porcelain Veneers. His chief concern was the colour of his teeth. He said he tried teeth whitening applications to have a beautiful smile. However, he had one porcelain veneer on his right upper lateral tooth and a dental crown in his right upper central incisor.

His previous dentist provided his dental veneer and porcelain crown according to the colour of the rest of his teeth. Even if he uses teeth whitening products, his teeth might be whiter in the end, but these two restorations were going to be the same yellow colour. So he requested me to cover every tooth visible with dental porcelain veneers.

From my point of view, treating a patient like him with porcelain veneers was unnecessary because his teeth were close to ideal in the beginning. However, we need to touch his teeth even with minimally invasive preparation. Therefore, I tried to convince my patient to change the porcelain veneer and dental crown he has after the intensive teeth whitening applications. With this minimally invasive dental approach, we do not need to prep the rest of his teeth.

Unfortunately, he insisted on Dental Porcelain Veneers for the rest of his front teeth for his smile makeover. His concern was the stability of the teeth whitening. After a while, he needs to have teeth whitening regularly. Since he is an actor/model, he feels obligated to look perfect with his new smile transformation.

First of all, we need to understand what porcelain veneers are. Porcelain veneers are a thin layer of custom-made shells intended to repair minor tooth enamel and alignment defects. They can be used in cosmetic dentistry in Toronto to change small teeth, colour, shape, or length of your teeth, improving your appearance. Click the link for more details.

Even though porcelain veneers in Toronto are the best restorative cosmetic dentistry application, I still want to limit my dental care to a minimally invasive approach from all cosmetic dentistry procedures. To maintain oral health, Toronto cosmetic dentists avoid invasive general dentistry techniques such as dental porcelain crowns.

Although dental crowns are beneficial in many cases, porcelain crowns are highly invasive for cases like this patient. As a Cosmetic Dentist, I never prefer Dental Crowns if the situation can be changed by minimally invasive treatments such as porcelain veneers. Although porcelain veneers are advantageous in numerous ways against dental crowns, techniques sensitive veneer placement (insertion) makes porcelain veneers a more burdensome cosmetic dentistry procedure, among other applications.

I started the treatment with my regular Cosmetic Dentistry Workflow. First, I took detailed impressions, photos and videos of the patient. Then, with the guidance of the Digital Smile Design procedure, I obtained relevant information about the patient to Design his Smile Transformation and impeccably planned his treatment plan.

I transferred his new Smile Design prototype to his mouth in the second appointment using temporary dental materials. We call this procedure "Mock-up." This procedure allows patients to see and assess their final results before starting treatment. If they like how they look, they can proceed with the treatment. They can either request a modification or walk away if they don't. There are no strings attached.

I think rounder teeth morphology would look better, but he requested more squarish teeth morphology. We built a digital wax-up as he desired. He loved how he looked in the mock-up session. He wanted to proceed, and we stepped into the treatment phase.

His smile photos and videos show at least ten teeth on the top and eight on the bottom. So he wanted my treatment to extend every visible tooth in his mouth. So I planned nine porcelain veneers, one dental crown on the top, and eight porcelain veneers on the bottom.

The reason for choosing porcelain veneers over composite resin veneers is, first, the longevity of the treatment lifespan of the porcelain veneers. Second, as dentists, we shouldn't provide teeth chair side bonding in such extensive cases.

One of his most significant advantages was his lip was covering the gingival line of his teeth. Although he had minor gingival line discrepancies, he wasn't showing them, and we didn't plan any cosmetic periodontal surgeries such as crown lengthening operation. The other advantage was the lack of gum disease. We must have healthy periodontal tissues to have a cosmetic treatment.

After prepping his teeth, I provided temporary veneers. I never let my patients leave my clinic with prepared and exposed teeth. I used his mock-up to create a facially integrated perfect temporary dental veneers.

The permanent porcelain veneers and dental crown were ready in ten to fourteen days. I never rush my dental technicians and always request patience from my patients. I always respect the lab technicians' artistic skills, and no one should rush an artist while completing their artwork.

I inserted them with a try-in paste. I always request my patients to be patient and find the possible flaws they might not like in future on my restorations. I never rush my patients for permanent insertion of the restorations. I always give them time and space for them to feel comfortable. This way, they can check the restoration in detail. Also, I assess them with high-definition videos and photos.

Try-in step is super important because when we insert them, there is no turning back. Insertion is not a reversible process. That's why we need to detect and correct every possible flaw before the insertion.

When my patient was fully satisfied, we obtained his consent to insert the porcelain veneers and dental crowns, and I used the workflow I always use to insert his dental veneers and porcelain crowns. Insertion takes a long time and is one of the most technique-sensitive applications of Dentistry. It is a draining process for especially Dentists.

Proper isolation with a rubber dam is a crucial step in resin-based cement. If we make any mistakes in the insertion steps of dental veneers (each porcelain veneer requires 13-15 steps), the veneer will likely fall into the patient's mouth shortly.

After the insertion phase, the patient was super happy, and when he saw his teeth in his mouth, he hugged me! Changing patients' looks and giving them what they have always desired satisfies me. I always say that I am making a living with my hobby.

Note: I am using his face with his consent. I never use my patients' faces without their permission.

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