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Smile Design with Dr Vandana Katyal

Smile Design expertise in now available in North Shore Sydney, Mosman with Specialist Orthodontist Dr Vandana Katyal. Dr Katyal heads a specialist team in the business of creating smiles. Years of experience and knowledge come together to create the Clean Clear and Correct Smile Design Methodology. Dr Vandana uses state-of-the-art technology to design and create the perfect smile for every individual — there are no cookie-cutter smile designs here!

Not only is Dr Vandana Katyal an Australian Orthodontic Board Certified Specialist Orthodontist, she graduated with a dental degree in 2001 from The University of Sydney and her specialist orthodontic degree in 2013 from The University of Adelaide. Dr Vandana is one of the few Orthodontists in Sydney to use cutting-edge technology from around the world to ensure the perfect smile is designed and customised for you.

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All orthodontists are specialists in straightening teeth and bites but not all orthodontists use the same techniques.

Orthodontist do not only straighten teeth. Many people believe an orthodontist key objective is to take crooked teeth and move them into a straight position. This is true, but there is so much more to orthodontics than just straightening crooked teeth.

An influx of 3D scanning technology and methods means there are more materials at our disposal to design and create a personalised and balanced smile. Gone are the days metal braces was our only option to straighten teeth. Now we have clear plastic aligners, clear ceramic brackets and wires which are uniquely made specifically for each and every patient’s tooth. The more materials and techniques we have, the more personalised the smile design process can be.

Dr Vandana Katyal prides herself to be at the forefront of designing personalised smiles that are in perfect harmony with the face and personality of every patient.

Dr Vandana Katyal treats orthodontics as a scent and an art form “We have to include the individual as a whole to design the perfect smile”. And this is the Clean Clear & Correct Smiles Design in North Shore Sydney (Mosman) Method — a holistic approach including the mouth, face, and lifestyle of the patient. These 3 factors are examined to form the perfect smile design. Everyone is unique with different smile needs.

Smile Design Factors

There is much to consider when designing the perfect smile – and its not just about making crooked teeth straight. It is critical to design a smile that is balanced, functional and stunning.

Dr Vandana Katyal assesses each individual case when designing a smile – examining a variety of factors including the teeth, mouth, lips, face, muscular tone, lifestyle and looking at the latest research in dental aesthetics.

Smile design factors

Smile Design, Factor 1: Angle of the Front Teeth (a.k.a Torque):

Some people present with severe angles of their front teeth either forwards, backwards, or both. In each of the below cases, the aim is to bring the teeth to a more centralised harmonious place.

Purposeful forward angling of the top front teeth (known as proclination) has become a trend in the last decade. This is where the teeth are moved into a straight and symmetrical position but instead of the front teeth being straight down, the orthodontist angles them slightly forwards. This can look brilliant for some people, especially those with lip collagen collapse during ageing – proclination can give a less aged appearance. However, this doesn’t suit everyone, to choose this look is dependent on the dynamics of the smile, lip tone and overall dental health.

Straightened Teeth without proclination
Straightened teeth without Proclination of Top Front Teeth; the teeth are straight up and down. The appearance here is straight, symmetrical and masculine.

Smile Design, Factor 2: Width of the Smile (a.k.a. Arch Width):

I’m sure you’ve noticed it — some people have big broad smiles and it looks like they have an endless number of teeth in their mouth. Others, have shorter smiles. This appearance of width is related to the shape of the dental arch and can be manipulated to create the ideal width.

Buccal corridor

A narrow arch creates what is known as the ‘Buccal Corridor’ — these are dark spaces either side of the teeth as can be seen in the above left image. The teeth in the above case are straight, but the buccal corridor can make the smile less aesthetic than when the buccal corridor is absent.
However, if you already have a broad smile already and in proportion to your lips & face then further broadening might not be aesthetic in that case.

Smile Design, Factor 3: Lips (a.k.a. Vermillion Composition):

The lips are integral when designing and creating a smile. The lip position, their shape and volume are assessed as this can heavily influence our end goal. In some dental cases, the lips cannot completely close (this is known as lip incompetence). Most individuals have partially competent lips, in that the lips close but there is a slight opening. This sometimes cannot be avoided. But the ideal goal is to get lip competence and closure without muscular strain.When the lips are open all day the mouth can become dry and the teeth can become sticky with plaque and the individual is more prone to decay and gum disease.

As mentioned previously, lip collagen collapse as a result of ageing can take away from the smile aesthetics, often a slight protrusion of the top front teeth can result in a nice lift in the top lip. Dr Vandana Katyal considers the ageing process to design a smile that can aesthetically last as long as possible.

Smile Design, Factor 4: Teeth size & shape:

Some people have very long or large teeth, others have small teeth (a natural occurrence or can be a result of chronic clenching and grinding — let Dr Vandana know if you have a grinding or clenching habit). The shape and size of the teeth tell us what is achievable and if you will need more dental treatment such as veneers and teeth whitening at the end of your treatment.

Dr Vandana Katyal will look at the measurements of each tooth and determine their best place in relation to the other teeth and to the smile.

During the smile design process, Dr Vandana Katyal uses the “Golden Proportions” as a guide when determining where the teeth should go. The Golden Proportions is a ratio based on the number Phi 1.6818.., and this is a great guide for aesthetic symmetry. These proportions are everywhere in nature, in trees, leaves, the body… everything. So it would only be natural when designing a smile masterpiece to incorporate and use this ratio and proportions to ensure harmony and aesthetics.

When it comes to small or big teeth, either side of the spectrum, it can be difficult, even impossible to get the ideal Golden Proportions to get the perfect smile. This doesn’t mean it can’t happen – anything is possible! It would mean moving the teeth to their best position that they can get into and then perhaps performing further aesthetic dental treatment to get your smile to perfection. Some are happy without further dental treatment, but we always give complete options for your perfect smile.

Smile Design, Factor 5: Symmetry (midline):

Here we are following an imaginarily line in the middle of the face. The orthodontically aesthetic scenario is when the midline of the teeth (the line between the two front teeth) are in line with the midline of the face). Beauty and aesthetics is all about symmetry. By developing a more symmetrical smile we increase the aesthetics of the face.

Our patient here has occlusal tipping of teeth on one side – called “occlusal plane canting”; her teeth are straight and have a great aesthetic shape but the smile is uneven and is asymmetrical. Although it may not be immediately obvious, when you look at the smile one can tell something is off kilter.

Smile Design, Factor 6: Facial profile (nose, chin):

The side profile of the face is imperative when analysing the face and designing the best smile for the individual. Most cases, there are slight variations, in other more severe cases there are major variations from the norm as in the case below. Following orthodontic treatment there is complete facial harmony and consequently the profile is more aesthetic.

We all get ready and make ourselves as polished as possible for a job interview so why not beautify your smiles – we strive to put our best foot and SMILE forward!

Clean Clear and Correct Smiles focuses on the union between functionality and aesthetics when it comes to your smile.

Occlusal Tipping
SMILE SMILE SMILE!Occlusal tipping: the LHS of the top teeth is inclined upwards as shown by the arrow. The left top front tooth is clearly higher it’s neighbour

THE DESIGN PROCESS

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CONSULTATION & EXAMINATION

You will get all the information you need to make your decision

DIGITAL SCAN OF MOUTH & TEETH

No more messy moulds and impressions, state-of-the-art digital technology takes an accurate 3D model

Digital Scan
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PHOTOS OF TEETH & FACE

Quick snaps to get a baseline before treatment and to guide in the smile design process

YOUR NEW SMILE IS DESIGNED

Dr Vandana Katyal digitally moves each tooth to create your perfect smile

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LET’S GET IT STRAIGHT!

Wear your aligners or braces and watch as they move

WAITING GAME

Teeth need to move in their own time, each day the teeth are moving to closer to their final position

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follow up appointments

FOLLOW-UP APPOINTMENTS

Every 6-8 weeks we see you to make sure everything is on the right track

KEEP THOSE BEAUTIFUL TEETH IN PLACE

You’ll be given clear retainers to wear to make sure your new smile stays in place

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ORTHODONTIC TREATMENT FINISH

Congratulations on finishing your smile journey! Smile!

Have your Smile Design completed with absolute digital precision

Dr Vandana Katyal is one of the few Specialist Orthodontists in Sydney (based in North Shore, Mosman) using the cutting-edge smile design equipment including custom Insignia Digital Braces.

Smile Design is in its true form with Insignia braces because they are completely custom-built for your teeth to move teeth efficiently. Unlike conventional braces, every piece of Insignia (from brackets to wires) is custom design for your mouth.

Using our state-of-the-art iTero scanner we take a 3D image of your teeth – no messy and uncomfortable impressions. Dr Katyal then devises a tailored and bespoke smile design and orthodontic treatment plan to get your teeth in the correct alignment.

Insignia then create beautiful custom clear/metal brackets and wires which precisely and efficiently works to straighten your teeth.

How much does it cost to get your smile designed?

In general, costs for your advanced smile design with either Invisalign® or Insignia® digital braces is included in the cost of your treatment. Advanced digital smile design by Dr Vandana Katyal is taking your straight teeth and smile journey to the next level!

The treatment costs of most orthodontic treatments can vary from $3500 – $9000 depending on the case, complexity of treatment and length of treatment.

Why should you choose Insignia Digital Braces vs normal braces?

Traditional braces are stock-standard braces based on one size fits all methodology. The latest braces are designed to overcome the inefficiencies of traditional braces. An advanced digital smile design is created, brackets made specific to each tooth and the movements required, wires custom-made to fit your mouth. Hence, your smile can now be achieved faster, with fewer appointments and with a better result.

And at CCC Smiles, Insignia® digital braces do not cost any more than traditional braces.

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