Natural Smile Makeovers by World Renown Cosmetic Dentist & Innovator

Communication in clear English

The challenge of aesthetic dentistry is trying to decipher the mental-image a patient has in their mind of what they want to achieve, namely, their 'aspirational identity'. The skill of a good aesthetic dentist is therefore to act as a translator — to take what is essentially a mental image, and bring that to physical reality. Many dentists fail here because a mental image has to be conveyed by words, and words are incredibly open to interpretation, and a lot can get lost in translation, between what the patient is saying, and what the dentist understands. This is where Dr. Bruno excels as a master communicator, and given the caliber of our dental clinic, we attract some of the most aesthetically demanding patients in Marbella, and having arisen to this challenge for almost a decade, we have refined our process and can consistently deliver excellence.

Design considerations

Designing a smile must always begin by considering a patient's face. What are its proportions? How much teeth are shown when smiling? What attractive features of the face do we want to bring further attention to? What less attractive features do we want to compensate for with an intelligently planned design?

• If the nose and lips of a patient are attractive we want to draw the eye to these areas by perhaps making the central top front teeth a little more prominent, as teeth are the most reflective surfaces on the face.
• If while talking the patient doesn't show enough teeth, then by elongating the front teeth, we can instantly make the smile look more youthful.
• If the patient's smile looks very worn, or the edges seem too square, this can sometimes make a smile look a little old and 'aggressive', which may not match a patient's 'warm' personality — curving the edges of the front teeth can make them more 'welcoming'.

Digital Smile Design & 3D Modelling

Once an in-depth analysis has been made it is time to actually design the size, shape and positioning of every individual tooth, and make sure it works together harmoniously. This is done either by Digital Smile Design using just photos, or Dr. Bruno adding removable material to your teeth directly, taking photos of these changes, and asking a lab to send us your physical mock up and trying this in your mouth. Every case is different. For some merely just visualising a 2D image of the before and after of their smile gives them the confidence to proceed with the process, while others may need to actually see the design physically in their mouth, to see it from all angles, and to test how they talk with the new teeth, and how their lips adapt around the new smile.

Test drive your new smile

Once we have a design proposal, it is important we test drive this in your mouth physically. Here we can assess if the design is harmonious with your face, and identify any details which need slight modification prior to beginning the work. We'll assess your smile, and how much teeth you show when talking and 'at rest'. You can even choose to go home with the mock up in your mouth to show your family and friends, and for your eye to get accustomed to your new smile.

Provisional veneers

On the day we actually begin the procedure, and have minimally shaped your teeth, you will leave home with the new design in your mouth as provisional veneers while we wait the 1–2 weeks the lab needs to make the final porcelain veneers. The trial smile is a plastic version of the final outcome, and although it is not an exact replica of the final shape, it is very close in proportion, and allows your eye to further get used to your new smile. This gives you the opportunity to provide further feedback about your final design.

What makes our porcelain veneers so spectacular yet natural-looking?

Finally the key to get an amazing aesthetic outcome is hugely dependent on the skill and caliber of the lab. Part of the secret of not getting fake, bland-looking teeth, is to mimic the internal anatomy of a natural tooth. This is achieved first and foremost by working with a master ceramist (some with more than 35 years of experience), and secondly in employing a technique called 'cut-back', which is where a very strong eMax or feldspathic core that is milled by a computer to fit the underlying tooth structure perfectly, is then 'cut-back' and hand-layered with translucent ceramic so that light can pass through the tooth to a similar degree as seen in natural teeth. 

Marrying together the superior fit of computer milled bases with the completely hand-layered outer ceramic means you get both of both worlds.  Perfect fitting veneers that don't potentially become bacteria-traps like hand-made veneers might, and natural ceramic that looks just like a real human tooth.