6/27/2019 1 The Nuts & Bolts of Veneers TODD C. SNYDER, DDS, FAACD, FIADFE, ASDA Accredited Fellow, American Academy of Cosmetic Dentistry Fellow, International Academy for Dental Facial Esthetics Member of The American Society For Dental Aesthetics Former Faculty, UCLA Center For Esthetic Dentistry LEGIONpride.com, Online Training Challenge for Dentists Todd Snyder, DDS, FAACD, FIADFE, ASDA Laguna Niguel, CA Aesthetic Dental Designs ® [email protected]13 14
143
Embed
TODD C. SNYDER, DDS, FAACD, FIADFE, ASDA The Nuts & …...Digital Smile Mockup-is a proven practice building program that can: Dramatically increase your patient’s interest in a
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
6/27/2019
1
The Nuts & Bolts of Veneers
TODD C. SNYDER, DDS, FAACD, FIADFE, ASDA
Accredited Fellow, American Academy of Cosmetic Dentistry
Fellow, International Academy for Dental Facial Esthetics
Member of The American Society For Dental Aesthetics
Former Faculty, UCLA Center For Esthetic Dentistry
LEGIONpride.com, Online Training Challenge for Dentists
Todd Snyder, DDS, FAACD, FIADFE, ASDALaguna Niguel, CA
Possibility of More Patients, Money…? Freedom?1006
19
20
6/27/2019
4
• Finding Patients? (advertising/marketing)
• Why they should work with YOU?!
• Close the Commitment. (Technology)
• Collect Cash or Set Up Payment Plan
What Might Be Just As Important?
21
23
6/27/2019
5
Consumer/Patient Impression
• Do they know what a Cosmetic Dentist is?
• Do they perceive you are one?
• Will they go somewhere else because they think you are a family dentist?
• Do they think you are capable of providing a great smile for them?
• How can you alter their perception?
• What is your brand image?• Your office appearance?• Website?• Your ads?• Your social media?
24
25
6/27/2019
6
According to the American Academy of Cosmetic Dentistry 50% of patients are
unhappy with their smiles and 3 out of 5 people will invest in their smiles.
How Do You Get More Cases?
Invest in technology.
-Office iPad (Large)
-35mm Digital Camera
-Big Lobby Television
-Software Systems
Personal Case Books
Office Displays
Referral Cards
Gift Cards
Custom Smocks & Bleach Kits
Modern Tools**
26
27
6/27/2019
7
One of the most powerful & fastest tools you own to create cosmetic opportunities??
What Tools Might Be Important?
28
30
6/27/2019
8
WHITENING
Immediate Call to Action Motivator
Start Here
Over-the-Counter Teeth
Whiteners: $1.4 billion
(MSNBC) ...
(Consumer Reports).
31
32
6/27/2019
9
Over The Counter Whitening
Whitening
33
34
6/27/2019
10
Opalescence GO!• Fast, Easy, Effective, Better
Experience• Convenient & affordable
professional whitening to GO• Pre-loaded, disposable UltraFit™
tray for a custom-like fit• Molar-to-molar coverage• No chair time
300
35
36
6/27/2019
11
Reduce or Eliminate Sensitivity
• Potassium Nitrate & Fluoride
37
38
6/27/2019
12
Opalescence Go Sample Tower
“Total annual revenue in the teeth whitening industry topped $11 billion at the beginning of
2015, with $1.4 billion spent on teeth whitening products. These figures suggest a steady annual increase in the teeth whitening market industry, which is expected to continually climb over the
next 10 years” AACD Research
39
41
6/27/2019
13
Cosmetic Alterations
• How many of you want to buy something sight unseen?
• How many of you want to experience something first before investing?
• Your patients are no different!
• They are concerned about how it will look and feel. They want to be excited and happy!
• Don’t Just Tell…..Show & Tell!
42
43
6/27/2019
14
So why are people willing to pay top dollar for a beautiful smile
44
45
6/27/2019
15
The Key to Success:
VisualizationWhat is the patient’s perception or desired outcome in their mind to create the EMOTION and DESIRE?
• Digital Agents• Virtual Smiles ($125/image)• DreamSmiles (<$4000 a year?)
• Ivoclar/Kapanu?
Why Does this Work?
✓Creates awareness
✓Suggests the possibility
✓Promotes discussion
✓Provides bridge to clinical evaluation and
presentation of options
✓Creates EMOTION and DESIRE
69
70
6/27/2019
25
Digital Smile Mockup
-is a proven practice building program that can:
Dramatically increase your patient’s interest in a smile
transformation
Remember, 50% of your patients want to improve their
smile
The goal is to help them visualize themselves with an
improved smile
When you hand a Digital Simulation to your patient, you plant a seed of what is possible, a constant reminder of what their potential new smile can be. They can show it to their friends and family, you can put a copy in their chart for follow-up, have them hang it on their refrigerator...!
SMILE DESIGN SOFTWARE VS DRAG AND DROP SMILE GALLERY?
76
77
6/27/2019
28
Overall Feel
Appearance…what is it? who decides, Dentist? Ceramist? Patient? Combined effort?
THEIR DECISION √
BUT YOU HAVE TO GUIDE THEM
The Key to Success:
Traditional Veneers
78
79
6/27/2019
29
Diagnosis & Treatment Planning
The Key to Success:
Traditional Veneers
80
81
6/27/2019
30
82
83
6/27/2019
31
84
85
6/27/2019
32
You are selling the Emotion…
Do you know “THEIR” desired outcome?
86
89
6/27/2019
33
90
91
6/27/2019
34
MARKETING
92
93
6/27/2019
35
Advertising Evolution- Internet & Social Media
• Traditionally Marketing was Expensive• Internet is very Inexpensive comparatively• Website (SEO Management/Quality Code/Page Speed)• Reviews• Social Media (need to claim them all with same name)
• YouTube• Facebook• Twitter• Flickr• Instagram-no cost High Return
• Cosmetic Imaging• In Office • OUTSIDE OFFICE? www.smilevirtual.com
• There never seems to be enough of it…
• It has to be built into the schedule or out source to employee
• Take the time to huge profit
• Know what the case is going to entail ahead of time
• What is the patients Chief Complaints?• Pick 3 to address
3 out of 5 • Patient came in to fix small lateral incisors
• Wants “Absolutely” no tooth reduction
• What drives him?• Appearance
• No Tooth Reduction
• Emotion
• Desired Outcome…. Feel Better, more confident?
Results
Confidence, Dating,Work,Emotional Goals
111
113
6/27/2019
41
Cosmetic Dentistry
• Do YOU WANT more Cosmetic Cases?
• Patients desire a change• But don’t know what they want (typically)
• What are their Chief Complaints (pick 3)
• Why?
• And What will that accomplish? Reasoning behind Tx.
• Always look at the big picture
• Take photos
• Write down where they can see their Chief Complaints• Signature on waxup
• Signature on provisionals
• Signature for final cementation approval
REVIEW
• Existing In Office Patients (3 out of 5) want to fix their SMILES!
• Shade Evaluation every exam & everyone in Hygiene Department
• Website, Social Media Accounts all setup and posting RELEVANT content
• Photos of everyone to send home (possibly with imaging) GET A CAMERA
• Take a photo and do a Cosmetic Simulation/Mockup
• Instant visualization through software on an iPad or possibly internet
• Instant Composite Mockup in the dental chair
• Take an impression and have lab do a waxup to facilitate a Beadline
Provisional Mockup (reduced fee or no fee agreement with lab)
114
121
6/27/2019
42
Diagnostic Models & Records
How Do We Create The
Intraoral Mockup?
• First take an impression of teeth with a material that allows you multiple repours.
• Want one original model
• One model for laboratory
• Extra model if you need bleach trays or practice preparations
• Photos
• Facebow
• Horizontal Plane Indicator
• Teeth that are too far facial will remain untouched. When photos are taken they will be less obvious.
122
123
6/27/2019
43
Silginat – Kettenbach 201
Counter FIT- Multipurpose Replication Silicone
(Clinician’s Choice)
Counter FIT- Multipurpose Replication Silicone
(Clinician’s Choice)
Silginat - Kettenbach
124
125
6/27/2019
44
Wear Facets & Interferences
3 Sets of Models-One is untouched for legal documentation-Second to practice preparations (It will be waxed up)-Third is a spare to practice on or make bleach trays
Mounted and Equilibrated
126
127
6/27/2019
45
—MEG BIRAM
128
Tooth Size Averages
2nd Premolar 1st Premolar Canine Lateral Incisor Central Incisor
6.6mm 7.1mm 7.6mm 6.6mm 8.6mm
7.7mm 8.6mm 10.6mm 9.8mm 11.2mm
Width
Length
128
129
6/27/2019
46
0.6-1-1.68
Golden Proportion Measurement.
• Practice Preparations
• Waxup
130
132
6/27/2019
47
ADDITIONAL TOOLS
◆ Panadent: Multi Purpose Ruler
◆ Erskine: Dentagauge 1 & 2
ADDITIONAL TOOLS
133
134
6/27/2019
48
What Records & WhenDiagnostic & Prep Reduction Models
Diagnostic Guides
135
136
6/27/2019
49
TRAIN
Are you confident in creating beautiful outcomes on anterior teeth quickly &
easily? IF NOT, PRACTICE!
1
Diagnostic Guides
137
138
6/27/2019
50
Bead Line Veneer Provisional Restorations. Pract Proced Aesthet Dent 2009;21(3):E1-E7.
Cosmetic Mockup or Provisionals (Bead Line Technique)
Cosmetic Provisionals (Bead Line Technique)
Scribe a 0.5mm-1mm groove into tissue & a little on tooth