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Taking away “guessing” in the Digital Smile Design

I would like to share two cases. In the first case , I was literally forced to do. In my years in Practising Prosthodontics I’ve come across so many instances of patients wanting to rush the end product without a reasonable idea of what it will be.
I do my best with every case and try to envision what will please dentist and patient, but without proper information I have to guess at several critical issues. Guessing is a recipe for failure.

There’s an old adage I’ve often referred to: ‘there never seems to be time to do things right, but there’s always time to re-do it’.

Now, by incorporating orthodontics and the digital smile design , I can’t emphasis enough about the importance of having a ‘blueprint’ in regards to the desired result of cosmetic treatment.

With digital smile design it makes so much sense . Since attending several lectures and online courses , I finally attended attended the hands-on course. I wonder why every dentist doesn’t just routinely follow these relatively simple techniques, ensuring predictable results. The word ‘predictable’ is key. Why would anyone deliberately choose uncertainty over predictability in their work?

When things go awry from lack of planning and from the failure to work out details before starting an actual restoration, it may shake a patient’s faith in their dentist. Even though to some, digital smile design, seems time consuming and meticulous especially in treatment planning . However this has been my missing link all these years . It is the secret to having a happy patient.

Case 1

This case was done 4 years ago. I can’t emphasis enough that general dentists must learn orthodontics to practice cosmetic dentistry. With the current technology in aligners and simple orthodontics to correct mild crowding , general dentists wouldn’t succumbed into doing the unthinkable , i.e. cutting too much of the teeth structure.

Patient wanted a quick fix
Patient wanted a quick fix
A quick-fixed , 4 years follow-up.
A quick-fixed , 4 years follow-up.

Case 2

Patient came because she was unhappy with the discoloration of her teeth. She doesn’t want to touch her canines. After a few minutes and following the smile design protocol, case was planned and presented to her and she accepted the treatment plan .

The severe discoloration and mottling was particularly noticeable on the front two left teeth. Large cavities on the sides of the the other teeth on the right.
The severe discoloration and mottling was particularly noticeable on the front two left teeth. Large cavities on the sides of the the other teeth on the right.
Porcelain veneers were used to mask this colour and give a beautiful new smile on the 4 front teeth.
Porcelain veneers were used to mask this colour and give a beautiful new smile on the 4 front teeth. Case pending review.
The bond between original tooth and porcelain veneer is critical as it not only provides the esthetic perfection desired, but also a strong bond which is essential for correct veneer function.
The bond between original tooth and porcelain veneer is critical as it not only provides the esthetic perfection desired, but also a strong bond which is essential for correct veneer function.

A minimally invasive procedure was able to be carried out because, within minutes the teeth were studied with orthodontic principles and digital smile design were applied.

If any prospective clients have concerns or questions about getting porcelain veneers, I would highly recommend they ask their dentists to show his or her work prior to treatment .
If any prospective clients have concerns or questions about getting porcelain veneers, I would highly recommend they ask their dentists to show his or her work prior to treatment .
Dr Kamsiah G Haider Prosthodontist, DSD Master & Instructor, BDS, MDSc

A dentist , a continuous education junkie and inspiring other dentists to be a real dentist !

Who do you want to help you improve your smile if you are looking for a dentist? Dr. Kamsiah also known as Dr. Kam is cosmetic dentist with over 30 years experience . As a Master and Instructor of the Digital Smile Design , together with dental implantology , prosthodontics and orthodontics I have the experience and knowledge to handle the most complex cases in cosmetic dentistry. Oral reconstruction, rehabilitation with or without dental implants and conscious sedation dentistry all in one place.

She earns her membership of the International Association for Orthodontist (iAOi) in 2014.

She has been a Diplomate of the American Board of Prosthodontics and Implantology (ICOI) since 1997. She’s into guided surgery and full mouth rehabilitation on failed dentition also known as teeth in a day with the help with digital dentistry. Something she’s passionate about since embarking into private practice 23 years ago.

Dr. Kamsiah was a full time lecturer at the University of Malaya and an Associate Professor at the International Islamic University and lectures on prosthetics , the All-on-Four concept and recently on the Digital Smile Design.

Specialties: Prosthetic Dentistry, Dental Implants, Cosmetic Dentistry, Orthodontics, Invisalign, Bone-Screw Orthodontics, AO4, Teeth in one day.

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