Dr. Victoria Rose Veytsman explains her cosmetic dentistry workflow centered on smile design: assessing the patient’s facial structure and existing smile, creating mock-ups (in-mouth or on models) as a blueprint, and preparing teeth only after ensuring oral health. She emphasizes managing patient expectations, knowing the treatment goal before starting, and that health is the foundation of aesthetic outcomes.
Chapters
It's a great way to manage patient expectations and my own. I want to know what's possible before I start treating a patient. What I do with cosmetic dentistry, dental facial aesthetics, anti aging dentistry, all the stuff we talked about involves a smile design. And what we do is we take the patient's existing smile, we have moles and models, we will create mock ups. I can do that either in the mouth or on a model, but eventually you do see it in the mouth because we want to see where the smile is going. You always want a blueprint, right? You never want to build a house without a blueprint. You never want to build a smile without one either. And it's a great way to manage patient expectations and my own. I want to know what's possible before I start treating a patient. I always want to know where we're going before we even begin. So after the planning process and during, we look at the patient's facial structure, we look at the patient's features, their colorway, and really hone in on the different details and nuances of the smile that really accentuate things for them. Once that's done, we actually start the process and we, what we call prepare the teeth. We want to make sure that the mouth is healthy before we start anything aesthetic. Because I think that health is really the foundation of all beauty. It's not the other way around. And a lot of times having a healthy mouth, the byproduct will naturally be a beautiful smile.