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Smile Makeovers with Porcelain Veneers/Crowns

The aesthetic nature of a persons smile can affect how the individual feels about themselves and how others perceive them. The term Cosmetic Dentistry refers to the types of dental services that improve the aesthetic appearance of teeth and a persons’ smile.

Contemporary Smiles offers a range of dental treatments to enhance the appearance of a persons smile. Our experienced dentists, led by Dr Barry Phelan, tailor make the dental treatments to suit an individual’s needs.

In our effort to provide people with beautiful smiles they can be proud of, we have a number of treatment modalities that we can offer including teeth whitening, direct resin restorations, porcelain veneers and crowns and orthodontics.

During the initial consultation, we perform a thorough examination, including digital radiographic exam and intra-oral and extra-oral photography. With our ability to quickly display all of this information to our patients in a coherent fashion, we can find out what it is about their smile which is of concern to them.

Here at Contemporary Smiles we do not have a one size fits all approach. Our goal is to address the concerns of our patients in the most conservative, efficient and cost effective way.

We endeavour to give our patients an impartial opinion as to the range of options available to the patient always with what will the deliver the most durable, long term aesthetic results for our patients as our priority.

Dr Barry Phelan is proud of his ability to deliver and all the clinical photographs contained in this website are of cases delivered at his Corrimal based dental practice.

Indirect Ceramic Restorations

Indirect Ceramic restorations are the ultimate material in terms of strength, durability and importantly aesthetics.

They are commonly utilised at our practice in Corrimal to achieve lasting aesthetic results where teeth are:

 

  1. Discoloured and misshapen teeth due to previous restorations or natural defects
  2. Malpositioning of teeth in the arch where they may be crowded, crossed over or have the wrong angulation compounded by the presence of unsightly old restorations
  3. Spacing, small teeth
  4. Where the arch form is naturally narrow resulting in only the front teeth showing.

Case Study - Smile Rehabilitation

This patient was unhappy with the look of her smile and upon close examination presented us a complex set of problems and concerns. A treatment plan that was fully itemised for the patient to take the time to consider…

What is involved?

An intra-oral mock up is done sometimes during that initial consultation. This involves the temporary placement of composite resin to the teeth so that our patients can visualise proposed changes to improve the appearance of their smile.

We take pictures and impressions so that a wax up of these changes can be fabricated on a model of our patients teeth. We can use this to do a trial run for our patients before finally committing to the treatment plan.

After a treatment plan involving indirect ceramic veneers and crowns has been presented and accepted by our patients a date is set for preparation and impression taking.

With the use of the wax up and preparation guides we prepare the teeth as conservatively as possible. In many instances, some teeth have little to no preparation when possible.

An impression is taken and sent to our master ceramist who within one to two weeks fabricates the porcelain crown or veneer. In the meantime a temp restoration with the new proposed shape and dimensions is fabricated chairside.

Finally the restorations are cemented. These techniques and materials have developed to such an extent, that to date we have not had any debond of the restorations which we have been placed.

Our treatment plans and the execution of them is protocol driven and exact. We employ a top master ceramist Rob Dulieu, RWD Dental Imaging, to use his artistic and scientific expertise to recreate durable,aesthetic ceramic veneers and crowns.

Case Study - Ceramic Veneers

This patient attended our dental clinic in Corrimal to improve her confidence in her ability to smile. She was unhappy with the shape, positioning, colour and the dominant nature of her two front teeth.

Advantages

  • Emax porcelain crowns provide both excellent strength and natural optical quality as natural teeth
  • Durability of aesthetic outcomes
  • Long term cost effectiveness.

Disadvantages

  • Higher initial cost
  • Preparation of teeth.

We strongly discourage porcelain veneers or crowns where there are no underlying issues with discoloured or failing restorations and the teeth require preparation just to get them into alignment.

In these circumstances, orthodontics is a superior method to correct these concerns and as there are a multitude of ways to do this other than with the traditional braces for 2 years, we find that patients (once they understand all the pros and cons) are more than willing to investigate this alternative further.

However, where we are able to rectify the issues with little to no preparation or the underlying tooth structure would be improved or strengthened with ceramic restorations, porcelain veneers and crowns are our preferred method to deliver beautiful lasting results.

Mouth and Bite Rehabilitation

Often, when people present with a complex set of issues, a number of treatment modalities are required to rectify the situation.

We cannot rebuild the front teeth only without repairing the functionality of the back bite as this would be an outcome doomed to failure.

Case Study - Bite Stabilisation

After careful consultation, Dr Barry Phelan, outlined in detail the challenges that needed to be overcome to correct the issues and give the patient a natural smile and functional, pain free bite.

We cannot build beautiful veneers on teeth with uncontrolled periodontal disease. This would be like building a house on unstable foundations- a project doomed to crumble.

A functional healthy mouth tends to be attractive and stable into the longterm.

At Contemporary Smiles, the team led by Dr Barry Phelan, is methodical in rehabilitating our patients mouths. It is imperative to understand why things have come to pass that has led our patients to requiring such extensive treatment. In doing so, we can execute a treatment plan and maintenance schedule to provide aesthetics and functionality into the longterm.

We have outlined briefly some case studies to embellish this point.

Case Study - Ceramic Veneers

This patient presented quite distressed, unhappy with her smile and had also lost the ability to chew food. Her upper left canine and first molar were recently extracted after the failure of a bridge that they were holding…