Smile Design Cases
Case 39
Comprehensive Dental Reconstruction using a Digital Smile Design Approach by Dr. Johnson at Toronto Smile Design - Yorkville Dental in Collaboration with RDT Dental Lab
Cosmetic Dentist in Toronto
Dental Veneer in TOronto
Before Smile Transformation
Digital Smile Design Planning of the Smile Transformation
Digital Smile Design Planning of the Smile Transformation
A young female patient in her mid-20s presented with a complex set of dental problems. She had midline canting, extensive molar wear, and was applying unnecessary pressure on her lower and upper anterior teeth causing trauma and recession. Despite referral to a periodontist, she was reluctant to undergo gum grafting surgeries. Instead, she wished to explore functional and cosmetic treatment options with Dr. Johnson at Toronto Smile Design - Yorkville Dental.
Intraoral Picture of the patient before Smile Makeover
The Concept of VDO and Treatment Plan: Vertical Dimension of Occlusion (VDO) refers to the distance measured between two points when the occluding surfaces are in contact with each other, typically from a point on the tip of the nose to a point on the chin. Altering the VDO is a common treatment for worn out teeth, which often cause changes in facial appearance and dental functionality.
In collaboration with the dental technicians at RDT Dental Lab, Dr. Johnson proposed a treatment plan to increase the patient's VDO. This approach aimed to restore proper facial proportions, improve dental function, and relieve pressure from the anterior teeth. The dental onlays needed for the procedure would be crafted by RDT Dental Lab.
Increasing VDO with Onlays: RDT Dental Lab uses the most advanced technology to craft dental onlays that are functionally perfect, aesthetically pleasing, and durable. The benefits of increasing VDO with onlays over dental crowns are numerous. Onlays, unlike crowns, preserve more natural tooth structure, as they only cover the areas of the tooth that are damaged. This minimally invasive approach offers a more conservative restoration that can strengthen the tooth and improve its appearance.
Photo Studio of Toronto Smile Design - Yorkville Dental
There are numerous advantages to having a dental studio and documenting cosmetic dentistry cases with high-resolution pictures and videos.
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Patient Education: High-resolution images and videos can serve as effective educational tools for patients. They allow dentists to explain complex dental conditions and treatment options more easily, increasing patients' understanding and comfort with proposed treatment plans.
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Documentation: High-quality images and videos can document pre-treatment conditions, progress during treatment, and final outcomes. This is essential for patient records, as well as for monitoring progress and comparing treatment outcomes over time.
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Increased Patient Trust and Satisfaction: Patients who can see the quality of their dentists' work in high detail may have more trust in their dentists and satisfaction with the treatment they receive.
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Professional Development and Peer Collaboration: Dentists can use high-resolution images and videos for professional presentations, case studies, or to consult with colleagues about complex cases..
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Quality Control: Detailed visuals can help dentists and their teams to identify and correct any issues or inconsistencies in their work, thereby enhancing the quality of care provided to patients.
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Improved Communication with Dental Laboratories: High-quality images and videos can also be used to communicate with dental laboratories about desired outcomes for crowns, bridges, and other dental appliances, ensuring a more precise and satisfactory result.
Having a dental studio with the necessary equipment for creating high-quality visuals can enhance the above benefits and provide a more professional environment conducive to delivering high-quality care.
Computer-Aided Design and Computer-Aided Manufacturing (CAD/CAM) technologies and digital designing and manufacturing have transformed the dental industry, making the process of designing and creating dental prosthetics like crowns, bridges, and implants more accurate, efficient, and cost-effective. Below are the primary advantages of using CAD/CAM technologies and digital designing and manufacturing over traditional dental technician production processes:
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Increased Precision and Accuracy: CAD/CAM technologies allow dental technicians to create highly precise and accurate digital models of the patient's mouth. These digital models are used to design and manufacture dental prosthetics, which leads to improved fit and comfort for the patient.
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Improved Efficiency: With digital technology, the process of creating dental prosthetics is faster and more streamlined. Dental technicians can use CAD/CAM technologies to rapidly design, prototype, and manufacture dental prosthetics, reducing the time it takes to get these devices to the patient.
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Reduced Costs: As the process becomes more efficient, the cost of producing dental prosthetics can be significantly reduced. Digital technology eliminates the need for physical models and moulds, reducing material costs and waste.
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Predictability: CAD/CAM and digital technologies provide detailed visualization, enabling better predictability of the outcome. This technology helps both dentists and patients to see and understand the treatment plan, thereby improving patient satisfaction.
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Innovative Materials: Digital manufacturing processes can easily work with a wide range of dental materials that might be difficult to handle with traditional methods. This allows for the creation of dental prosthetics with advanced materials that are more durable, aesthetic, and compatible with the patient's biology.
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Minimally Invasive Procedures: Digital impressions are more comfortable for patients compared to traditional impression materials, which can be invasive and cause discomfort.
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On-Demand Production: Digital technology allows for in-office fabrication of dental prosthetics. This can drastically reduce the waiting time for patients and enable the dentist to make adjustments immediately.
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Improved Collaboration: Digital files can be easily shared between different members of the dental team, or even between different locations. This facilitates communication, improves patient care and results in better outcomes.
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Overall, CAD/CAM technologies and digital designing and manufacturing have a wide range of advantages over traditional dental technician production processes, driving improvements in patient care, efficiency, cost, and outcomes in the dental industry.
A dental mock-up in cosmetic dentistry is a procedure that provides a preview of the final result of a cosmetic dental treatment before the actual procedure is carried out. This technique involves creating a physical model of the patient's teeth, typically using wax or resin, and applying it to their teeth to show them how the final results may look.
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This can be particularly useful for procedures like veneers, crowns, bridges, and implants, where significant changes to the teeth will be made.
The benefits of using a mock-up in cosmetic dentistry include:
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Patient Understanding: Mock-ups allow patients to see and understand what the final result will look like. They can help the patient better appreciate the proposed treatment plan, which may lead to increased treatment acceptance.
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Improved Communication: A mock-up can enhance the communication between the dentist and the patient, as they provide a clear and visual tool to discuss treatment options and expectations.
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Customization: Mock-ups can be adjusted easily, allowing the patient and dentist to experiment with different looks and outcomes before the actual procedure. This ensures that the final result matches the patient's expectations as closely as possible.
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Increased Confidence: For patients, seeing a physical representation of the end result can help alleviate anxiety about the procedure. This can lead to a more comfortable and positive experience overall.
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Pre-operative Evaluation: The mock-up can also help the dentist assess the potential challenges and complexities of the procedure. This could lead to better planning and potentially a more successful treatment outcome.
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By providing a mock-up, dentists can ensure that the patient is fully informed and comfortable with the planned procedure, which can lead to increased patient satisfaction.
Before Smile Makeover Mock Up
After Smile Makeover Mock Up
Before Mock Up
After Mock Up
Before Mock Up
After Mock Up
Dental veneers are super-thin shells placed on the front of teeth to improve aesthetics. On the other hand, dental crowns are tooth-like caps that cover the entire tooth. A veneer is ideal for front teeth, while a dental crown encases both front and back teeth.
Dental Crown Preparation
Dental Veneer Preparation
Final Check - Dental Veneers on the 3D Printed Model
Enhancing Cosmetics with Dental Veneers:
After correcting the patient's VDO, the cosmetic aspect of the treatment began. RDT Dental Lab, using their advanced technology and expert craftsmanship, designed and fabricated dental veneers that perfectly matched the patient's natural teeth. Dental veneers were chosen over crowns due to their less invasive nature and their excellent esthetic results.
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Role of Digital Smile Design:
The use of Digital Smile Design (DSD) played a pivotal role in treatment planning and execution. DSD involves creating a digital simulation of the potential outcomes of cosmetic dentistry. It provides an accurate representation of the final results and allows for a patient-driven design process, improving patient satisfaction. RDT Dental Lab's collaboration in this process ensured the precision and quality of the final restorations.
Digital impressions in dentistry, specifically in the assessment of contact between jaws, offer several advantages over traditional methods:
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Accuracy: Digital impression systems can capture the exact intercuspation of teeth with a high degree of precision, facilitating the production of precise and well-fitting restorations.
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Efficiency: The process of taking digital impressions is usually quicker than traditional methods. This reduces chair time for the patient and allows the dentist to see more patients in a given period.
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Patient Comfort: Traditional impressions can be uncomfortable and even trigger gag reflexes in some patients. Digital impressions, however, are non-invasive and more comfortable.
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Data Storage: Digital data can be stored indefinitely without taking up physical space. This makes it easy to retrieve and reference in the future if necessary.
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Digital Workflow Integration: The data obtained from digital impressions can be seamlessly integrated into a digital workflow, including CAD/CAM systems for designing and manufacturing restorations, and digital occlusion and articulation systems for assessing and adjusting the occlusion.
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Improved Communication: Digital impressions can be instantly shared with dental laboratories, orthodontists, or other specialists, leading to improved collaboration and communication.
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Instant Validation: The software can provide immediate feedback on the quality of the impression and detect any areas that may need to be rescanned.
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Environmental Considerations: Digital impressions eliminate the need for impression materials and related waste, making them a more environmentally friendly option.
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Digital Planning and Simulation: With digital impressions, dental professionals can plan treatments more accurately and even simulate the outcome before starting the treatment. This can lead to better treatment planning and improved patient satisfaction.
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Reduced Manual Errors: Digital impressions reduce the risk of human errors, such as distortions in traditional impressions or inaccuracies in bite registration, that could lead to ill-fitting restorations.
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Despite these advantages, it's also important to consider that the initial investment for digital impression systems can be quite high, and they require training to use them effectively. However, over time, they can prove to be a good return on investment due to their numerous benefits.
Before Porcelain Veneers
After Porcelain Veneers
SOUND ON!
Dr. Johnson's Expertise:
With over 13 years of experience in DSD and comprehensive dental treatments, Dr. Johnson, in close partnership with RDT Dental Lab, has been able to combine his understanding of functionality and esthetics to offer personalized and effective treatments for his patients.
Dr. Johnson's holistic approach to the patient's dental concerns, combined with his expertise in Digital Smile Design, and the advanced technology and expertise of RDT Dental Lab, provided the patient with a functional, cosmetic, and minimally invasive solution to her complex dental issues. This case study demonstrates the importance of detailed planning, a collaborative approach, and the use of cutting-edge technology in achieving the best possible outcomes in complex dental restorations.
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"A smile is a universal welcome - it reflects beauty, warmth, and confidence. Remember, every smile makes you a day younger and more beautiful."
- Anonymous
Why Choose Toronto Smile Design - Yorkville Dental?
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At Toronto Smile Design, Dr. Johnson Ozgur, a seasoned cosmetic dentist with a Master's Degree in Oral Surgery, brings to bear his expansive knowledge and experience in the dental field. Entrusting your dental care to Dr. Johnson means you are choosing a professional with over 13 years of dedicated experience in providing comprehensive dental treatments.
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With Dr. Johnson's expertise, your vision of an ideal smile will be brought to life, utilizing the most advanced methods and technologies in the industry. His skillset enables him to expertly address various dental concerns including worn-down teeth, misaligned teeth, discoloured teeth, teeth with gaps, and broken teeth.
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In particular, Dr. Johnson excels in complex cases requiring a combination of cosmetic and functional restoration. He has substantial experience in innovative procedures such as increasing the Vertical Dimension of Occlusion (VDO) with dental onlays to restore worn teeth and applying dental veneers for aesthetic enhancement, all performed with a minimally invasive approach.
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Moreover, Dr. Johnson's proficiency in Digital Smile Design (DSD), combined with the collaboration of RDT Dental Lab's state-of-the-art technology, ensures precise planning and execution of treatment plans tailored to each patient's unique needs and expectations.
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Reach out to Dr. Cansin (Johnson) Ozgur at Toronto Smile Design today to discuss how his expertise in comprehensive dental treatments can bring your perfect smile to life.
