Case of the week – minimally invasive smile makeover with Lumineers

Lumineers clinical caseCharlie Attariani gives his patient her dream smile makeover using Lumineers in time for her wedding day, only a few months away.

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A 30-year-old woman came to Ego Cosmetics with her chief complaint being the unaesthetic appearance of her teeth.

They had been bothering her all her life and she was now ready to make a drastic change with her wedding being only a few months away.

Like every bride, she wanted to feel her best on the day of her wedding. She felt that by enhancing her smile she would have more confidence.

She reported that she had been to a lot of consultations over the years. However, she had not committed to any treatment because she wanted to avoid any invasive dentistry procedures.

Lumineers treatment

After a hygienist appointment, new Itero scans were made for digital ordering of diagnostic wax ups from Denmat Los Angeles, California. Then the scan was sent to Omniwhite lab for special bleaching trays to be made.

Two weeks of external bleaching carried out using 16% carbamide peroxide whitening gel by Omniwhite with their special remin gel.

Walking try-in of the waxed up veneers was carried out using DMG Luxatemp plus – shade: bleach white.

Following this we:

  • Discussed the shape of the teeth; patient was very happy
  • Digital photos and videos were taken with the patient’s phone. She was sent home to think about it and get used to the new shape of the teeth before any permanent treatment was performed. Importantly – two videos were taken – one with sound and one without
  • 48 hours later the client came back for a review appointment and asked for a minor adjustment on the central incisors. She wanted a rounder shape and smoother incisal edges with the intention of a more feminine result
  • Patient approved treatment plan!

The results of the tooth whitening were very successful and shade B1 was achieved.

Each individual tooth was minimally contoured and was carried out without any local anaesthetic.

Shade B1 was selected by the client and stump shades taken. A digital photo and new scan was then made and sent to Denmat lab in the USA for production of the Lumineers.

Patient was provided with a temporary made from the diagnostic model and returned two weeks later for fitting.

The Lumineers were tested and then cemented with Denmat’s own special luting cement kit.

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