Functionally Driven, Minimally Invasive Cosmetic Dentistry
Greenwich Family Dental

Smile Design & Makeover

Our philosophy for smile designs is: “Begin with the end in mind.” To put this into practice, our highly-experienced cosmetic dentist, Dr. George Tsangaroulis, uses several state-of-the-art diagnostic and smile planning methods to construct physical and digital models of how your future smile can look, prior to moving forward with treatment. This allows you to work together with Dr. Tsangaroulis to fine-tune your unique smile design while providing peace of mind that the end result can meet—or possibly even exceed—your expectations. Ultimately, our goal is not only to help you improve the appearance of your teeth and gums, but to achieve a beautiful smile that simultaneously enhances the balance and symmetry of your entire face. 

To learn more about smile design and smile makeover treatments, we invite you to read the informational sections provided below.

What Is Smile Design?

The cutting-edge digital smile design (DSD) software allows you to be the co-designer of your perfect smile. During the process, Dr. Tsangaroulis produces a smile simulation by using either a video, headshot, or selfie of your face. By analyzing your facial and dental proportions, you and Dr. Tsangaroulis can better understand the relationship between your teeth, gums, lips, and smile. This is why DSD technology is an invaluable smile makeover planning tool that gives you a realistic preview of your smile and what your facial features will look like in motion. For your smile design, you can simulate the following cosmetic and reconstructive dental treatments that may be included in your smile makeover:

Smile Design Process

What to Expect at Your First Visit

Your initial visit provides the opportunity for you to get to know Dr. Tsangaroulis and our team, explain what specifically concerns you about the appearance of your teeth and/or gums, and gain a comprehensive understanding of how your smile can be transformed based on your unique needs and goals. As a cosmetic dentist devoted to the concept of “complete dentistry,” Dr. Tsangaroulis leaves no stone unturned, examining everything from bite alignment and jaw joint function to facial/temporal musculature and, of course, smile aesthetics. 

Every smile design begins with a thorough clinical examination, detailed photographs, and custom 3D models, followed by a digital smile analysis and mock-up. These are used to help create a “diagnostic wax-up”—or, in other words, a physical prototype—of the end result. In addition to serving as a tool for you to visualize your potential outcome, this wax-up enables you to participate in the design of your new smile, functions as a blueprint for final restorations to make treatment far more predictable, and allows for responsible, minimally-invasive care by limiting the amount of unnecessary tooth preparation/reduction. 

To further improve treatment planning and customization, Dr. Tsangaroulis also sends impressions and details of your proposed plan to the PreNew® PreView lab in New York City. There, a realistic mock-up will be hand-crafted and sent back to our Greenwich dental office for you to try on, allowing you to literally see the way in which your proposed plan can transform your smile. 

Throughout the entirety of this initial appointment, we encourage you to ask questions, voice any concerns, and be as interactive as you wish in your smile design. While Dr. Tsangaroulis will provide his professional recommendations for what he feels will achieve the best cosmetic and functional results, the ultimate decision is up to you—down to the size, shape, and color of your teeth. 

Once you feel completely comfortable with your treatment plan, our office will move forward with contacting the appropriate dental labs to construct your wax-up and PreNew® PreView mold.

Your Follow-Up Smile Design Visit

At your second smile design visit, you will be able to closely examine the physical wax-up of your new smile, as well as actually try on a “preview” of your new teeth using the PreNew® PreView mold. To do this, Dr. Tsangaroulis will fill the mold with a temporary acrylic compound and apply it to your teeth in a matter of minutes. Wearing your mock-up, you will have a better sense of how your smile will look in the future without any drilling, anesthesia, or discomfort.

When you are pleased with the final look and ready to proceed, Dr. Tsangaroulis will use the custom wax-up as a blueprint for treatment. Depending on the procedure(s) included in your plan, your smile enhancement may be completed in a single visit or over the course of multiple appointments.

In the end, you can expect a beautiful, functional, long-lasting smile you are proud to put on display.

Smile Design Before & After Photos

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