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This is the Art Beauty podcast where we
tell the real truth about the fake shit.

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Hi everyone.

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I'm over a two day.

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My fabulous co-host is Dr.

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Stephanie Dumanian.

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She is a cosmetic dentist and owner
of the very posh Park Lex 60 Dental.

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Welcome to the show.

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Today, Amber.

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Thank you so much for having me.

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It's such a pleasure to be here with you
today.

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I am so, so excited to talk to you today
because,

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you know, I think so many people,

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you know, a smile is the first thing

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we notice when we look at a person,
for better or for worse.

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And I think there's been some people

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who have made themselves
very famous by not having a perfect smile.

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Right. Tom
Cruise comes to mind Madonna with The Gap.

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But I do think more and more people
are looking to get that,

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you know, quote unquote, movie star smile.

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And so I know her nerves are a very
popular way to do that. But

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there's a lot we
need to know before we go down that route.

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Right.

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And I'm happy to answer
all those questions. Yes.

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There's a lot to work through on this
call. So.

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So do you find that
you're doing a lot of veneers these days?

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Well, I married a cosmetic dentist.

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I will tend to,
you know, a variety of different needs

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that patients have from very basic
things to more involved things.

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But I do do a lot of veneers.

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People really seek that treatment
out for our office because they know

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that we do very realistic and lifelike
cosmetic work.

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So yes, we do a lot of veneers.

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What else?

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Like what are the hottest things going on
right now in cosmetic dentistry?

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You know, it hasn't really changed
that much over the years.

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I think veneers are a really big one
and Invisalign is another really big one.

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Of course, whitening is always popular,
but I'm sure we're going to get into today

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what causes shadows and teeth
and the appearance of darker teeth

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and veneers is really a very easy way
to get those results very quickly.

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Amazing. So let's get right into it.

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What are veneers?

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So veneers are restorations that fit

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over the fronts of teeth and they don't
just have to fit over the front

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if there's other issues going on.

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Sometimes we wrap around the back,

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but it's essentially something
that we're doing to change the appearance

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of a tooth and add a layer of protection,
generally speaking.

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And the ones that we do in my office
are exclusively made out of porcelain.

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But if you go to other offices,

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they may be also offering
composite veneers, for example.

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We just don't do those in our office.

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But the porcelain veneers are
the ones that we are are doing and the lab

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that we use is hand, making them to create
a natural and lifelike appearance.

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Okay,
so just give me so much information there.

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So we are essentially for people
who might not know, you're essentially

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like creating a structure
that's going over an existing tooth.

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You know,

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you mentioned
before the porcelain or composite.

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Are those the only two types of veneers
for the most part.

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For the most part,
those are the two types, of course.

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So why?

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Why only porcelain in your office
is one better than the other?

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I mean, porcelain is the top of the line.

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You know, it's going to last the longest.

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It's going to look the most lifelike
and it's not going to wear down with time.

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Composite veneers have a tendency

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to stain, to chip, to have a very matted
look to them.

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And so a lot of patients are coming in
with composite on their teeth.

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They have bonding on their teeth to begin
with.

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If they're unhappy with that,
they've had patched up over the years

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and they're ready for something
more permanent and cosmetic.

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So let's talk about
why would somebody come in for veneers?

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What are some of the things
that we can fix with veneers?

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There's a lot
that we can do with veneers, and

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there are many different reasons
to seek veneers.

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And sometimes my patients come in
not expecting

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that we're going to have a conversation
about veneers in the first place.

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I would say that most people
that reach out to me want a healthy smile

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and people
want it to look healthy as well.

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So if we're seeing chipped teeth,

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if we're seeing yellow teeth
if we’re seeing bleeding gums,

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these are all examples of something
that we associate with being unhealthy.

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So for bleeding gums, it's simple.

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We're doing
dental cleanings, things like that, but

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now we're talking about a chipped tooth
or discolored tooth.

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We really need to mask that.

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And so sometimes I'm getting patients
coming in with chipped

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and broken down teeth and we need to talk
about why is that happening?

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Because if we just put a veneer on there
without addressing someone's bite

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they're going to break that veneer
the same way they broke that tooth.

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So a lot of times
when your work is rehabilitated,

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so we're changing someone's bite
to give them something that is going

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to be functional and beautiful
and predictable in the future.

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They want to stop breaking things.

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And so veneers is a way that we can do

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that reconstruction,
the really natural way and functional way.

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So can you actually just get you know,

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I thought that with
when it came to veneers,

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it was sort of this all or nothing thing
either we are doing all of the teeth

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on the top, all of the bottom,
sort of like you would do like maybe

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a bridge
as opposed to just like a one off.

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Can you just veneer, one or two teeth?

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We can absolutely talk about that.

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I have been here for a patient,
just one tooth.

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It's very difficult to get an exact match.

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It was someone who had broken

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just that one tooth
and she knew that it would not match like.

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Exactly.

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And truthfully, it came out excellent.

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But I still know it's there,
so it's in the back of my mind.

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But generally speaking,
we want to do different segments

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where the smile ends, the symbol,
the smile ends basically,

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and there are different places for that.

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So I would say the front four teeth
are one stream of the smile

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behind the canine is another scene.

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And then the corner of the lips.

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When you smile, your biggest smile,
that's your third scene.

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So those are places where we are hiding
the scene of the veneers, basically.

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So if we're doing the front four or
the front six, we can absolutely do that.

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I'm usually doing the six,
even if it's not for cosmetics

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for a bite issues, right.

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So if someone has chipping,
I want to include those canine eyes

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because it's going
to give me a better bite.

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But if someone has a good bite

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and they're doing it just for cosmetic,
I can do the front four.

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What you need to keep in
mind is the more veneers

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I do, the less
I need to prepare the teeth.

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And I'm sure we're going
to talk about this a little bit more.

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But usually when we're placing veneers,
we need to remove some enamel

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to place something on top.

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If I'm doing the front for teeth,
I need to fill the frame of the smile.

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I cannot now bring four teeth forward.

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They're going to look back.

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They're going to look too far forward.

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So if I now want those front teeth to fit
perfectly in front of those canine teeth,

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I need to remove as much tooth
as I'm going to be adding in porcelain.

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But if I'm going all the way to the false
in the mouth all the way back,

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I can bring everything forward

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unless there's one tooth that so far
forward and out of alignment.

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I would bring that one tooth back in,
but the rest of the teeth

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I can just add on top and I can do
a virtually prep list of them here

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and maintain
all of that enamel for that patient.

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So the more I do, the more conservative
I'm actually being, if that makes sense.

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Wow. You're kind of blowing my mind
right now and maybe would help

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for you to explain to myself
and to everybody listening

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what is the process of of sort of,
you know, coming in and getting veneers?

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How how are they applied?

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Yeah.

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So every office functions
a little differently.

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Some things will be the same,
some things will be different.

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It's really important for me to understand
why someone wants to do veneers.

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What are they looking to change?

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Right, because there's a lot of things
that we can change with veneers

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to a certain extent.

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It can even be almost
like a nonsurgical cosmetic procedure

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because it can change
certain appearances of our face,

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which we can come back to later.

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But at that first visit,
I want to know what you're looking for.

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And we're going to take photos,
we're going to take models.

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And a lot of times
I'll even do a mock up in the mouth.

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So I'll show you
if I bring your teeth out more,

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if I widen your smile, what is that going
to look like with your face?

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Right.

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Because you can show me pictures of people
who smiles you think are attractive.

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But if that doesn't suit your

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face,
then it doesn't really matter, right?

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So at that visit,
we would work out those details.

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Excuse me.

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Assuming someone's
ready to commit to the treatment,

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I send those models off to the lab

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and they will design and engineer with me

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what those veneers are going to look like.

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We'll use that as a template
going forward to the final results.

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So the next visit would be what I call
the preparation visit.

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And at that visit with Nomura,

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we would try in this template
and we would prep back from that.

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So basically,

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if I'm adding to all these teeth,
I really don't need to prep the tooth.

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I can just kind of polish it a little bit,
get rid of any sharp edges,

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take them all. So that's the lab.

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And now I make a temporary based off of
that template that I was given by the lab.

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So you're going to test drive your smile
before you get the final results

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soon.

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So so is that a very common thing
where the lab

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will send back sort of this temporary

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veneer before you put it on the full one?

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You know,
I think it depends on the office.

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I know someone who went and got veneers
in another office

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and she was very recruited.

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Her teeth were too far back.

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She had no lip support and she really
needed to be brought out forward.

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And she called me hysterical because
they cut her teeth down to almost nothing.

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And it was very aggressive.

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I think that if you're going to someone
who's a reputable doctor,

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that's the protocol
that they're going to use.

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So it's really important
that you do your research

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and you make sure
you're going to the right place,

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but you want to test drive those veneers
before you get the final.

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And I usually have patients come in
a few days later, we check your bite,

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we go over shades selection
and we make adjustments right?

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So if you want your front teeth to be
a little bit longer, a little bit shorter,

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making those adjustments after the fact,
when you leave my office, you're tired.

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You're not.

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I like everyone to come back
to the fresh mind. Not at all.

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And and really discuss what we like
and if we want to change anything.

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And then I can relay
those messages to the lab and make sure

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that the final veneers that come in
are just perfect.

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Okay, so then once you
the final ones, how, how are those

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being, you know, installed,
for lack of a better term?

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They're they're basically glued in.

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It's a resin material that's like cured.

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To get it to stick

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is actually not very different than
if you got a gel manicure, for example.

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So it's something
that goes on liquid underneath.

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And when the UV light hits it, it hardens
and that veneer is going to bind

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to the tooth.

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And the strength of that bond
is really strong.

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If we can stay really conservative.

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So back in olden days
when I used to do veneers,

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they would do a lot of preparation.

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And now we're realizing that the more
enamel we have, the stronger the bond.

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So the more conservative we can
be, the better, not just for the tooth,

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but also for that veneer
that's going on top.

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So now, you know, you've mentioned this
a few times.

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You know that people are removing
your natural teeth

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in order to sort of fit the veneer.

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How much are we talking about here?

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How much tooth gets removed?

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And does that make this
a very permanent solution?

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It is permanent in the same way
that a bonding would be semi-permanent

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as well, or it's rather long term
at least, because nothing lasts forever.

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But it is intended, as you know,

233
00:11:59,920 --> 00:12:02,000
if you're getting veneers,
you're going to have veneers again

234
00:12:02,000 --> 00:12:05,520
in the same way that if you had bonding,
you're going to have bonding again

235
00:12:05,520 --> 00:12:08,360
because you can't remove that bonding
without removing some 200 years.

236
00:12:08,920 --> 00:12:10,000
And the amount that we need

237
00:12:10,000 --> 00:12:13,440
to remove really depends on what
we're trying to achieve cosmetically.

238
00:12:13,840 --> 00:12:15,960
So for some people,
I don't remember anything.

239
00:12:16,120 --> 00:12:17,400
I really don't remember anything.

240
00:12:17,400 --> 00:12:22,920
For others, I'm not moving anywhere
between point five and 1.3 millimeters.

241
00:12:23,320 --> 00:12:25,560
And then I would say
if I'm being aggressive,

242
00:12:25,880 --> 00:12:27,840
I could be removing up to two millimeters.

243
00:12:27,840 --> 00:12:30,840
But those are some very,
very unique situations

244
00:12:31,280 --> 00:12:34,080
where someone has a very dark tooth,
maybe it's had a root canal,

245
00:12:34,080 --> 00:12:36,840
it's really dark and I need more porcelain

246
00:12:37,080 --> 00:12:39,920
to block out the natural shade
of the tooth underneath it.

247
00:12:40,120 --> 00:12:43,880
But generally speaking,
these juniors are like a contact lens.

248
00:12:43,880 --> 00:12:45,680
They are very, very thin.

249
00:12:45,680 --> 00:12:49,680
And for that reason I really don't need to
remove more than a millimeter of enamel.

250
00:12:49,680 --> 00:12:51,840
And that's when the more aggressive side,
to be honest.

251
00:12:52,600 --> 00:12:55,960
So, you know, I always like to ask,
when we have an expert, it's clear

252
00:12:55,960 --> 00:12:58,920
that you, you know,
are sort of at the top of your game.

253
00:12:59,160 --> 00:13:03,880
You know, you take a lot of care
and a lot of thought into your patients.

254
00:13:03,880 --> 00:13:07,760
I love this idea that you sort of
have them try before they buy or rather

255
00:13:07,800 --> 00:13:09,720
not before they buy
because they've already bought them.

256
00:13:09,720 --> 00:13:13,840
But at least try, you know, a temporary
before they install the full things

257
00:13:13,840 --> 00:13:16,920
that there is a period where you can go
back and make changes if needed.

258
00:13:17,280 --> 00:13:20,840
And what are things,
you know, that people who

259
00:13:20,960 --> 00:13:24,160
maybe can't come to your office, you know,
what are some of the things

260
00:13:24,160 --> 00:13:28,360
that they should be aware of
and asking their dentists before getting,

261
00:13:28,360 --> 00:13:31,520
you know, veneers
to make sure that that they're not that

262
00:13:31,520 --> 00:13:34,920
they're going to get the best results
or the results that they're hoping for?

263
00:13:35,880 --> 00:13:37,160
Absolutely.

264
00:13:37,160 --> 00:13:40,920
I would say look at photos before
and actors are going to tell you a lot.

265
00:13:40,920 --> 00:13:44,080
If the style of this dentist
is your personal style,

266
00:13:44,760 --> 00:13:46,800
there isn't one right way to do this.

267
00:13:47,000 --> 00:13:48,920
There's just a lot of different styles.

268
00:13:48,920 --> 00:13:50,880
I'm sure you watched on TV

269
00:13:50,880 --> 00:13:53,160
and you see people
that, you know, have had veneers, right?

270
00:13:53,160 --> 00:13:54,720
Those teeth are really, really white.

271
00:13:54,720 --> 00:13:56,800
I have some patients
who come into my office and they go

272
00:13:57,080 --> 00:13:59,080
when I get veneers,
I don't want it to look like toilet

273
00:13:59,080 --> 00:14:00,720
bowl, white teeth, you know.

274
00:14:00,720 --> 00:14:01,880
And there are other people who are like,

275
00:14:01,880 --> 00:14:03,720
I want the widest possible teeth
you can give me.

276
00:14:03,720 --> 00:14:05,640
I want it as wide as this piece of paper.

277
00:14:05,640 --> 00:14:09,920
So it's really important that someone
is following your personal style.

278
00:14:09,920 --> 00:14:13,400
I like to do very lifelike veneers
and I like to prep minimally,

279
00:14:13,400 --> 00:14:15,640
so check out those before
and after photos.

280
00:14:16,000 --> 00:14:19,560
I would also say, you want someone
who's going to give you models, show

281
00:14:19,560 --> 00:14:21,960
you models of what the teeth are going
to look like ahead of time,

282
00:14:22,200 --> 00:14:24,720
a mock up or something
that you can try it in your mouth.

283
00:14:25,000 --> 00:14:26,880
They can even do a mock up chair side.

284
00:14:26,880 --> 00:14:29,880
So when you get to the dentist,
you can say, What would that look like?

285
00:14:29,880 --> 00:14:31,200
Can you show me a few teeth?

286
00:14:31,200 --> 00:14:33,080
That's something that I always do.

287
00:14:33,080 --> 00:14:36,360
I take a picture with the patient and
I show them picture of their face with it.

288
00:14:36,360 --> 00:14:38,080
Actually,
a picture of their face without it.

289
00:14:38,080 --> 00:14:40,080
And I think that's the easiest way to see

290
00:14:40,440 --> 00:14:42,760
what are we changing with
the shapes of the teeth?

291
00:14:43,240 --> 00:14:45,480
And is that something
that will match your face?

292
00:14:45,840 --> 00:14:48,920
We always have certain parameters
that we follow,

293
00:14:48,920 --> 00:14:51,720
which is why I like to try things
in some months now.

294
00:14:51,960 --> 00:14:55,640
It's not just about the teeth, but it's
about how did you fit in with the smile?

295
00:14:55,840 --> 00:14:58,440
Does it follow the curve of the left?
Right?

296
00:14:58,640 --> 00:15:00,640
Do we have the right amount of length?

297
00:15:00,760 --> 00:15:04,600
And then that's why I like patients
come back a few days later

298
00:15:04,880 --> 00:15:08,920
about making sure that they're happy
with the cosmetics, but also fanatics.

299
00:15:09,040 --> 00:15:11,040
Phonetics
is another really important part.

300
00:15:11,280 --> 00:15:13,560
So I'd say ask for before
and after pictures

301
00:15:13,680 --> 00:15:16,160
and ask if they could do
a little trial. Smile for you.

302
00:15:16,160 --> 00:15:19,600
Because a trial smile is really going
to help you understand this.

303
00:15:19,600 --> 00:15:23,120
Doctors esthetic and if they understand
the shape of your face

304
00:15:23,120 --> 00:15:26,760
and things are going to enhance your smile
and your beauty.

305
00:15:26,760 --> 00:15:30,240
You know, it's funny
you've mentioned tooth color quite a bit,

306
00:15:30,720 --> 00:15:33,000
you know, and I know at the beginning
we kind of tapped on

307
00:15:33,040 --> 00:15:35,280
why people might come in.

308
00:15:35,280 --> 00:15:36,520
When would you?

309
00:15:36,520 --> 00:15:39,160
You know,
it seems to me, especially some some

310
00:15:39,760 --> 00:15:43,200
from some of the before and after is
I've seen that you've done that.

311
00:15:43,200 --> 00:15:48,120
When you have, you know, a very noticeable
smile with teeth that are maybe

312
00:15:48,160 --> 00:15:50,920
misshapen or, as you mention, cracked or,

313
00:15:51,720 --> 00:15:56,200
you know, they look like.

314
00:15:56,200 --> 00:15:58,160
Well, actually, I would say it's widely.

315
00:15:58,160 --> 00:15:59,400
Known or worn.

316
00:15:59,400 --> 00:16:00,720
Broken or worn.

317
00:16:00,720 --> 00:16:05,400
When would you go with, like,
for example, braces in Invisalign versus,

318
00:16:05,440 --> 00:16:08,600
you know, or just whitening versus going
veneers?

319
00:16:09,240 --> 00:16:11,400
Absolutely. Absolutely.

320
00:16:11,400 --> 00:16:14,840
So whitening works
well when you have good quality enamel.

321
00:16:15,120 --> 00:16:20,600
So you want enamel that's nice and shiny
so and doesn't have that matte appearance.

322
00:16:20,600 --> 00:16:22,280
Sometimes you'll see people that have like

323
00:16:22,280 --> 00:16:22,840
it almost

324
00:16:22,840 --> 00:16:26,200
looks like their teeth are see through and
the under layer of the tooth is showing

325
00:16:26,640 --> 00:16:30,840
or they look very matte,
sort of like etched, etched marble.

326
00:16:31,080 --> 00:16:33,280
Those are going to be difficult
teeth to white.

327
00:16:33,280 --> 00:16:36,800
And so the best way to whiten
those teeth is going to be with a laminate

328
00:16:36,800 --> 00:16:41,400
because they gloss enamel
or their enamel quality is pretty poor.

329
00:16:41,760 --> 00:16:46,200
So the layer under the enamel is really
what's yellow and that's coming through.

330
00:16:46,360 --> 00:16:48,280
So instead of light reflecting off

331
00:16:48,280 --> 00:16:51,120
of, it's used a lot of light
being absorbed into that tooth.

332
00:16:51,280 --> 00:16:54,280
So it is only going
to give minimal results

333
00:16:55,080 --> 00:16:57,920
if we have teeth that are misshapen
or misaligned.

334
00:16:58,240 --> 00:17:02,720
Your lips also going to cast
a big shadow on those teeth.

335
00:17:02,720 --> 00:17:05,040
So if we do whitening your teeth
for The Fighter,

336
00:17:05,400 --> 00:17:06,800
but they're not going to look as white

337
00:17:06,800 --> 00:17:09,640
because you're getting some shadow
being cast in those areas.

338
00:17:10,080 --> 00:17:13,520
And so in those situation, you know,

339
00:17:14,320 --> 00:17:16,840
veneers would work out better,
but there are a lot of situations

340
00:17:16,840 --> 00:17:18,040
in which whitening will work.

341
00:17:18,040 --> 00:17:21,040
And I actually also have a lot of patients
who choose

342
00:17:21,040 --> 00:17:24,320
to do a combination
of Invisalign and veneers

343
00:17:24,480 --> 00:17:27,000
because they want the case
to be minimally prepped.

344
00:17:27,360 --> 00:17:30,680
So in some cases, if I have people
that have really small teeth,

345
00:17:31,080 --> 00:17:32,080
I will do Invisalign.

346
00:17:32,080 --> 00:17:35,120
I will open spaces up around those teeth,
and this way

347
00:17:35,120 --> 00:17:37,000
the veneers will just slide on top.

348
00:17:37,000 --> 00:17:37,680
And I've done that.

349
00:17:37,680 --> 00:17:39,720
A lot of times it takes longer.

350
00:17:40,200 --> 00:17:41,640
But if people are concerned

351
00:17:41,640 --> 00:17:46,040
about the enamel quality,
that's one option that I will often do.

352
00:17:46,280 --> 00:17:47,760
And then also sometimes people

353
00:17:47,760 --> 00:17:50,880
don't want to get veneers top and bottom
and the bottom teeth are crooked.

354
00:17:51,560 --> 00:17:53,760
So I'll do a little Invisalign, straighten
those out,

355
00:17:53,760 --> 00:17:56,240
do a little whitening on the bottom,
and then do veneers to kind of

356
00:17:56,760 --> 00:17:58,760
round everything out
and just enhance the smile.

357
00:17:59,760 --> 00:18:02,040
So I happen to know, you know, I have,

358
00:18:02,760 --> 00:18:06,160
I have something called embrace,
which are sublingual or lingual

359
00:18:06,200 --> 00:18:10,400
braces, rather lingual braces, which means
they are on the back of my teeth.

360
00:18:10,400 --> 00:18:15,240
And I was amazed because my teeth didn't
have a lot to move and shift.

361
00:18:15,560 --> 00:18:19,240
But even just small,
small shifts can actually like push,

362
00:18:20,000 --> 00:18:22,640
you know, where your sort of lips fall.

363
00:18:22,640 --> 00:18:24,000
And that's what you're mentioning.

364
00:18:24,000 --> 00:18:27,320
What are some of those other you know,
you and I have discussed offline

365
00:18:27,320 --> 00:18:32,640
some of the other benefits
that people get from having veneers.

366
00:18:32,640 --> 00:18:33,680
Oh, yeah, absolutely.

367
00:18:33,680 --> 00:18:34,240
I mean, Amber,

368
00:18:34,240 --> 00:18:37,800
you're all about beauty, so
this is the perfect time to talk about it.

369
00:18:38,280 --> 00:18:42,120
We are basically slowing down
the aging process

370
00:18:42,120 --> 00:18:45,120
or even reversing it
slightly with veneers.

371
00:18:45,320 --> 00:18:48,240
So let's talk about the way
that people age over time.

372
00:18:48,360 --> 00:18:51,160
And so something that you'll notice a lot
is that

373
00:18:51,240 --> 00:18:54,760
people tend to get a thinner,
more flat lip, okay?

374
00:18:55,120 --> 00:18:59,760
People tend to get these deep nasal labial
folds and they tend to get saggy cheeks.

375
00:19:00,000 --> 00:19:01,880
And the other thing you'll see with people
who really don't care

376
00:19:01,880 --> 00:19:04,920
for their smiles is
and this is an exaggeration,

377
00:19:04,960 --> 00:19:09,120
but if you were to kind of like
pull your lips in like this, but notice

378
00:19:09,120 --> 00:19:12,720
that the space between your nose
and your chin gets closer together.

379
00:19:12,720 --> 00:19:15,280
And when you do that, imagine
just squishing all this together.

380
00:19:15,640 --> 00:19:18,040
You're going to deepen those lines
and your cheeks

381
00:19:18,040 --> 00:19:20,400
are going to feel a lot heavier.

382
00:19:20,400 --> 00:19:22,200
So when we're doing veneers

383
00:19:23,160 --> 00:19:23,480
and it

384
00:19:23,480 --> 00:19:27,000
acts like a rubber band
for the lip in a nice way, right?

385
00:19:27,000 --> 00:19:29,840
So it's kind of like lifting curtains
a little bit.

386
00:19:29,840 --> 00:19:32,400
It's going to fill out your lip
if they're done properly,

387
00:19:32,400 --> 00:19:34,120
so you're just going to get a bit
more support.

388
00:19:34,120 --> 00:19:36,800
It's not going to be a lot
and it's not going to be extreme.

389
00:19:37,000 --> 00:19:38,680
We'll get a bit more support.

390
00:19:38,680 --> 00:19:43,440
These nasal labial folds will just soften
a bit and it'll lift your cheeks.

391
00:19:43,800 --> 00:19:47,600
And so all of those changes
that we're seeing really help

392
00:19:47,600 --> 00:19:50,720
to kind of slow down the aging process.

393
00:19:51,320 --> 00:19:55,280
If you've ever seen someone who has gotten
veneers that's, you know, perhaps older

394
00:19:55,440 --> 00:19:58,200
or has really worn down teeth
where you don't see them at all,

395
00:19:58,480 --> 00:20:01,640
all of the sudden when they get veneers,
now they've got their teeth

396
00:20:01,640 --> 00:20:05,120
showing a little bit and their lip
is automatically getting bogged down.

397
00:20:05,160 --> 00:20:08,720
Anyone who's got short,
worn down teeth, that lip just sinks in

398
00:20:09,040 --> 00:20:11,160
and we don't see teeth anymore.

399
00:20:11,160 --> 00:20:14,640
And it's actually a big reason
I'm doing veneers right now is for people

400
00:20:14,640 --> 00:20:18,400
who kind of done a little too much
lip filler and they've lost their left

401
00:20:18,720 --> 00:20:21,360
and they like the lips
that they lose their teeth.

402
00:20:21,360 --> 00:20:23,960
Sorry, they like the lip filler,
but they're noticing

403
00:20:23,960 --> 00:20:26,320
the more that they do,
they can't see their teeth anymore.

404
00:20:26,600 --> 00:20:26,880
So I'm

405
00:20:26,880 --> 00:20:29,880
doing a lot of veneers in those instance
because we've got to bring back the teeth.

406
00:20:29,880 --> 00:20:34,680
Right, because right there, talking
without teeth. Wow.

407
00:20:34,680 --> 00:20:36,960
I mean, it's absolutely incredible
what you can do.

408
00:20:36,960 --> 00:20:41,640
You know, I think back to,
you know, the veneers of old and endless.

409
00:20:41,640 --> 00:20:45,560
And like you said,
you know, we've all seen somebody who it's

410
00:20:45,560 --> 00:20:49,200
really obvious
whether it's like that chick lit smile.

411
00:20:49,720 --> 00:20:52,360
But I think technology has come a long way

412
00:20:52,400 --> 00:20:54,920
when it comes to veneers.

413
00:20:55,640 --> 00:20:58,520
Can you run us through any any, like,

414
00:20:59,640 --> 00:21:00,520
tips that we want to

415
00:21:00,520 --> 00:21:03,120
consider before we go in to get these?

416
00:21:05,000 --> 00:21:07,560
Yeah,
I would say look at Inspo photos for sure.

417
00:21:07,560 --> 00:21:11,480
Like you want to look at photos online
and give examples of what you like,

418
00:21:11,720 --> 00:21:15,000
but as important as what you like
is what you don't like.

419
00:21:15,040 --> 00:21:18,360
Find those photos of the patient's teeth
that you do not like, right?

420
00:21:18,360 --> 00:21:21,600
Because you may not exactly able
to explain what it is that you like.

421
00:21:21,920 --> 00:21:24,800
A smile that's clearly really beautiful
and appealing.

422
00:21:25,200 --> 00:21:27,240
But pick the ones that you don't like,
right?

423
00:21:27,240 --> 00:21:28,320
Pick the ones where people have had

424
00:21:28,320 --> 00:21:29,640
cosmetic work, where

425
00:21:29,640 --> 00:21:33,280
you think that someone might like this,
but you personally don't like that.

426
00:21:33,440 --> 00:21:36,960
It's important that the doctor you're
seeing understands your personal style.

427
00:21:36,960 --> 00:21:39,400
I think that's really the easiest way
to accomplish that.

428
00:21:39,760 --> 00:21:41,800
You want to make sure
that they have a good lab

429
00:21:41,800 --> 00:21:43,640
and you may not know that,
but like I said,

430
00:21:43,640 --> 00:21:47,200
looking at before and afters really
give you a clear indication in there.

431
00:21:47,800 --> 00:21:50,200
You want to see some variation
of the smiles that they're doing.

432
00:21:50,200 --> 00:21:52,800
Not every smile looks exactly
the same. Why?

433
00:21:52,920 --> 00:21:56,600
To make sure that those changes
are happening with different patients face

434
00:21:56,600 --> 00:22:00,440
shapes, smiles, age,
whatever their demographic might be.

435
00:22:00,640 --> 00:22:03,880
But like you want to make sure
that they have different smiles there

436
00:22:04,560 --> 00:22:06,480
because everyone has a different smile.

437
00:22:06,480 --> 00:22:07,560
And as I like to say,

438
00:22:07,560 --> 00:22:10,680
when patients come in, sometimes they go
just to do what you think is right.

439
00:22:11,400 --> 00:22:13,440
And I always say,
Well, give me some guidelines,

440
00:22:13,440 --> 00:22:17,040
because there is not one thing
that is considered beautiful.

441
00:22:17,040 --> 00:22:18,480
There's an umbrella

442
00:22:18,480 --> 00:22:20,960
in which I have to follow
a certain set of guidelines,

443
00:22:21,240 --> 00:22:22,920
but I want to know what it is
that you like.

444
00:22:22,920 --> 00:22:25,040
And so we'll go through pictures
of different teeth

445
00:22:25,400 --> 00:22:27,000
and we'll look at those and we'll see.

446
00:22:27,000 --> 00:22:31,440
Do you prefer that your your front to your
front centrals are a little bit longer

447
00:22:31,440 --> 00:22:34,840
or do you like things to be like
a little more even in that smile?

448
00:22:34,840 --> 00:22:37,440
Like all these different things are
what we'll discuss.

449
00:22:37,800 --> 00:22:40,880
So make sure that whoever you're seeing,
take a look at those before

450
00:22:40,920 --> 00:22:43,920
and after as they really are very telling
and they can tell you a lot.

451
00:22:44,200 --> 00:22:45,160
But don't be afraid

452
00:22:45,160 --> 00:22:48,200
to bring inspirational photos
or the ones that you don't like with you.

453
00:22:49,160 --> 00:22:51,360
Now, I have to just put this out there
because you

454
00:22:51,360 --> 00:22:56,240
you've told me that you have fixed veneers
from other people.

455
00:22:56,240 --> 00:22:59,560
So, you know, let's say we're out there,
we get veneers

456
00:22:59,560 --> 00:23:02,640
and we hate them.

457
00:23:02,640 --> 00:23:03,600
What do I know?

458
00:23:03,600 --> 00:23:06,720
Oh, goodness. What do we do?

459
00:23:06,960 --> 00:23:07,280
Is it.

460
00:23:07,280 --> 00:23:10,880
I think it's fixable, right?

461
00:23:10,880 --> 00:23:12,560
It's fixable, but it's a process.

462
00:23:12,560 --> 00:23:14,960
And I do charge more to replace veneers

463
00:23:14,960 --> 00:23:18,840
that were done before
because it's a lot more work for me.

464
00:23:19,240 --> 00:23:22,200
I am very conservative
in removing the old veneers

465
00:23:22,200 --> 00:23:24,760
because I don't want to remove more tooth
structure.

466
00:23:25,160 --> 00:23:26,520
That's what's under there.

467
00:23:26,520 --> 00:23:30,000
So it's a slow and tedious process,
but it absolutely can be done.

468
00:23:30,000 --> 00:23:32,400
I do it quite a bit

469
00:23:32,520 --> 00:23:35,280
and and yeah, usually in those situations

470
00:23:35,280 --> 00:23:38,400
we're making sure
to have a clear conversation about why

471
00:23:38,720 --> 00:23:42,160
that patient doesn't like those veneers
and what they're hoping to achieve the

472
00:23:42,160 --> 00:23:43,320
second time around.

473
00:23:43,320 --> 00:23:45,760
It may be obvious to me
what I don't like about them,

474
00:23:45,920 --> 00:23:48,960
but it's really important that
I know what they don't like about them

475
00:23:49,200 --> 00:23:50,840
because people will surprise

476
00:23:50,840 --> 00:23:53,000
you and their expectations
and what they're looking for

477
00:23:53,240 --> 00:23:56,920
in the most important part of this
whole process is clear communication.

478
00:23:56,920 --> 00:23:59,640
So make sure you find a provider
that you can communicate with

479
00:23:59,640 --> 00:24:02,680
and that is listening to your concerns
and what you're looking for.

480
00:24:03,400 --> 00:24:06,440
You know, I think we've gone over
a lot of the pros of veneers

481
00:24:06,440 --> 00:24:08,200
that we're fixing to shape.

482
00:24:08,200 --> 00:24:08,880
You know, it's something

483
00:24:08,880 --> 00:24:13,520
that can be pretty instantaneous,
not instantaneous, but very, very fast.

484
00:24:13,520 --> 00:24:17,400
You don't have to wait for the length of,
let's say, you know, braces.

485
00:24:17,400 --> 00:24:19,560
You can kind of fix a lot of things
much quicker.

486
00:24:20,520 --> 00:24:22,920
What are some
of the cons, in your opinion?

487
00:24:24,520 --> 00:24:25,320
I mean,

488
00:24:25,440 --> 00:24:28,960
the most obvious one that I think
people notice is the cost.

489
00:24:28,960 --> 00:24:31,000
They're incredibly expensive.

490
00:24:31,000 --> 00:24:34,480
And I mean, the same way
I shop for anything else.

491
00:24:34,480 --> 00:24:36,960
If nothing, it's too cheap. I'm
running away, right?

492
00:24:36,960 --> 00:24:39,240
Because you get what you pay for.
And I always like to say

493
00:24:39,240 --> 00:24:41,720
cheap is expensive
because then you're paying to fix it.

494
00:24:41,720 --> 00:24:43,680
So you're paying double

495
00:24:43,920 --> 00:24:45,440
veneers are really expensive.

496
00:24:45,440 --> 00:24:46,560
There are different labs,

497
00:24:46,560 --> 00:24:50,920
different quality labs out there
and the one I use is is very pricey.

498
00:24:51,240 --> 00:24:53,720
So that's really
the main thing is the cost.

499
00:24:53,720 --> 00:24:57,480
I mean, I think even in

500
00:24:58,080 --> 00:25:01,440
I happy to be in New York City,
which is a very expensive area

501
00:25:01,680 --> 00:25:07,240
and I see prices anywhere from 1200
to 5000 for porcelain veneers.

502
00:25:07,240 --> 00:25:10,320
Is that worth or for the whole house?

503
00:25:11,160 --> 00:25:13,520
Wow, you've got it. Okay.

504
00:25:14,000 --> 00:25:17,280
And most people are getting,
what, like a minimum of six?

505
00:25:17,280 --> 00:25:19,640
I know you said you could do one,
but what is the average?

506
00:25:20,000 --> 00:25:21,000
What is the average?

507
00:25:22,080 --> 00:25:24,720
Most of my patients who come in
are usually doing about ten.

508
00:25:25,080 --> 00:25:26,760
When I would say somewhere.

509
00:25:26,760 --> 00:25:30,120
Yeah, but I would say usually,
you know, we can get away with doing six.

510
00:25:30,120 --> 00:25:32,280
I've done four, I've done eight.

511
00:25:32,280 --> 00:25:34,600
It really depends on what
the patient's looking for.

512
00:25:34,880 --> 00:25:37,920
So I would say four
is probably the minimum,

513
00:25:38,200 --> 00:25:40,960
but people are coming in for a smile
transformation.

514
00:25:41,240 --> 00:25:44,080
They're probably going
to want to look at doing ten on the upper

515
00:25:44,360 --> 00:25:49,280
and maybe on the bottom, but that I find
that most more people start on top

516
00:25:49,280 --> 00:25:49,800
and they usually

517
00:25:49,800 --> 00:25:53,280
come to see me a few hours later
and I really want to do the bottom two.

518
00:25:53,600 --> 00:25:54,480
So okay.

519
00:25:54,480 --> 00:25:55,960
But we're looking,
you know, at that price.

520
00:25:55,960 --> 00:25:58,560
You know, listen,
we know New York is always more expensive.

521
00:25:58,560 --> 00:26:03,880
So you're looking at like, you know,
almost $50,000 for that beautiful smile.

522
00:26:04,040 --> 00:26:06,640
But like you mentioned,
getting it in porcelain with a good lab.

523
00:26:06,640 --> 00:26:09,320
Hopefully you don't have to do it again.

524
00:26:09,320 --> 00:26:12,800
Or at least the person is going to last
a lot longer than the composite would.

525
00:26:12,800 --> 00:26:13,480
It will?

526
00:26:13,480 --> 00:26:16,000
Yeah, it'll absolutely last a lot longer.

527
00:26:16,000 --> 00:26:17,880
It'll be better for your teeth.

528
00:26:17,880 --> 00:26:19,320
It's an investment.

529
00:26:19,320 --> 00:26:21,480
And I find that it really changes
people's lives.

530
00:26:21,480 --> 00:26:24,600
I mean, I've had patients who come to me
and they change careers.

531
00:26:24,880 --> 00:26:27,840
They get married,
they're just so much more confident.

532
00:26:27,840 --> 00:26:29,920
And there are a lot of people who feel
that their smile doesn't

533
00:26:29,920 --> 00:26:31,520
reflect who they are.

534
00:26:31,520 --> 00:26:33,800
So this is a really great way
to just give someone

535
00:26:33,920 --> 00:26:35,360
the self-confidence they deserve.

536
00:26:35,360 --> 00:26:39,880
I mean, people spend a lot on other things
and people want to spend

537
00:26:39,880 --> 00:26:40,680
on their own health.

538
00:26:40,680 --> 00:26:42,920
It means a lot to them
and it's really rewarding

539
00:26:42,920 --> 00:26:45,120
and it's something
that they see every day.

540
00:26:45,120 --> 00:26:49,080
So it is an expense for sure,
but anyone who's done it really

541
00:26:49,080 --> 00:26:49,960
feels that it's worth it.

542
00:26:51,120 --> 00:26:51,680
Amazing.

543
00:26:51,680 --> 00:26:53,120
I want to thank you so much.

544
00:26:53,120 --> 00:26:56,760
I feel like
we could talk about this days and.

545
00:26:56,800 --> 00:26:58,320
I need to talk to you for days.

546
00:26:58,320 --> 00:27:00,360
So I adore you.

547
00:27:00,640 --> 00:27:01,960
You're the voice. And great tips.

548
00:27:01,960 --> 00:27:03,520
I always love Blessed Again.

549
00:27:03,520 --> 00:27:05,640
And oh, thank you so much.

550
00:27:05,640 --> 00:27:06,080
And you know what?

551
00:27:06,080 --> 00:27:10,120
Listen, I care about my T,
so I really believe, you know, like you

552
00:27:10,120 --> 00:27:11,280
said, I went and

553
00:27:11,280 --> 00:27:15,840
I'm almost a year into wearing braces now
and it was minimal fixes, but for me,

554
00:27:16,160 --> 00:27:19,000
it was so worth it,
not only for the cosmetic,

555
00:27:19,280 --> 00:27:24,520
but as you mentioned, you know, you're
adding support back to your your mouth.

556
00:27:24,520 --> 00:27:27,480
You know, that's going to affect your gums
if you have a weird bite

557
00:27:27,480 --> 00:27:31,920
that can really affect
your overall dental health down the road.

558
00:27:31,920 --> 00:27:35,600
So while there is a great cosmetic reason
for a lot of these things,

559
00:27:35,600 --> 00:27:38,280
if you are able to support your

560
00:27:38,880 --> 00:27:42,320
your teeth and your gums
and your bones in your mouth better,

561
00:27:42,320 --> 00:27:45,360
you know, you're going to put off
other problems down the road

562
00:27:45,360 --> 00:27:47,800
as or at least that's
what my orthodontist sold me on.

563
00:27:48,880 --> 00:27:50,200
Well,

564
00:27:51,160 --> 00:27:52,680
he has told you the right thing.

565
00:27:52,680 --> 00:27:56,440
Yes. You know, and truth of the matter
is that forum follows function.

566
00:27:56,440 --> 00:27:58,560
And if you're functioning well
and you're feeling good,

567
00:27:58,560 --> 00:27:59,840
they're beautiful teeth, too.

568
00:27:59,840 --> 00:28:01,680
So I totally agree with him.

569
00:28:01,680 --> 00:28:02,480
And you look great.

570
00:28:02,480 --> 00:28:05,040
And it's progressing
so nicely. It's been so nice to see.

571
00:28:05,200 --> 00:28:07,960
And yeah, I'm
excited for the final results.

572
00:28:08,520 --> 00:28:10,200
You and me both, sister.

573
00:28:10,200 --> 00:28:13,240
So listen,
I know that you are here in New York City.

574
00:28:13,240 --> 00:28:15,560
If people want to come in and see you,

575
00:28:15,560 --> 00:28:17,760
what's the best way for them
to get in touch with you and find you?

576
00:28:18,560 --> 00:28:19,680
Absolutely.

577
00:28:19,680 --> 00:28:23,280
So, as our practice suggests, Park
Lex 60 dental is on

578
00:28:23,280 --> 00:28:26,040
60th Street
between Park Avenue and Lexington.

579
00:28:27,040 --> 00:28:28,000
You can give us a call.

580
00:28:28,000 --> 00:28:28,800
Our number is two.

581
00:28:28,800 --> 00:28:31,040
One, two, two, two, three, 1030.

582
00:28:31,240 --> 00:28:35,080
You can also follow us on Instagram
at park like 60 dental.

583
00:28:35,520 --> 00:28:39,920
And lastly, you can email us
hello at Park 60 dental dot com.

584
00:28:40,080 --> 00:28:44,080
So feel free to reach out
and we are looking forward

585
00:28:44,080 --> 00:28:48,360
to answering any questions you may have
and helping you get that perfect smile.

586
00:28:48,920 --> 00:28:52,120
And let me just tell you
what I happen to know.

587
00:28:52,120 --> 00:28:54,120
I happen to know Stephanie personally.

588
00:28:54,240 --> 00:28:55,680
So I know that she is responsible

589
00:28:55,680 --> 00:28:59,240
for a lot of celebrity smiles,
which, of course, we cannot mention here.

590
00:28:59,600 --> 00:29:00,480
We're going to keep people.

591
00:29:00,480 --> 00:29:02,840
But you're in really good hands
if you go there.

592
00:29:03,080 --> 00:29:04,560
Thank you so much
for being on the show with us.

593
00:29:04,560 --> 00:29:05,720
Thank you, Amber.

594
00:29:05,720 --> 00:29:07,760
I appreciate it. I'll see you soon.

595
00:29:08,040 --> 00:29:09,000
I'll see you. Soon.

596
00:29:09,000 --> 00:29:12,320
And of course, if you have questions,
whether you pass along to Dr.

597
00:29:12,360 --> 00:29:14,040
Dumanian, I'm always happy to do that.

598
00:29:14,040 --> 00:29:16,680
You can write us at Hello
at our podcast dot com.

599
00:29:16,680 --> 00:29:20,480
You can find us on Facebook, Instagram
and podcast our and YouTube at Art

600
00:29:20,480 --> 00:29:21,160
Beauty podcast.

601
00:29:21,160 --> 00:29:24,560
And as always, we'll see you next Tuesday,
hopefully with a brighter, more

602
00:29:24,600 --> 00:29:25,440
beautiful smile.

603
00:29:26,880 --> 00:29:27,640
Thanks, everyone.

604
00:29:27,640 --> 00:29:35,640
Thank you.

605
00:33:25,040 --> 00:33:25,440
All right.
