"This long-term patient had three previous veneers on #8, #9 and #10. The porcelain veneer on #8 had a history of fracture and composite repair. She had large amalgams on #5 and #12, which created a grayish appearance on the facial surfaces. After I completed Advanced at LVI, I had the skills and confidence to recommend that she replace the veneers and enhance her smile.

I had recommended that we do veneers on #6 - #11 and veneer-onlays on #5 and #12. We had discussed the alternative of four veneers on #7 - #10 but decided that eight teeth were needed to achieve the desired improvement in shade and smile design. The patient was imaged with FX and chose the 'natural' smile design. A diagnostic wax-up was fabricated by Aurum Ceramic to give the patient a 3-dimensional view and help me achieve beautiful temporaries in a matter of minutes.

With the new veneers, I was able to improve the width to length proportions, accomplishing a more aesthetic result. Her previous veneers had a more square appearance. I also performed a slight gingivoplasty to improve the gingival contour. IPS Empress was employed with Chromascop shades 030 for the body and 040 for the cervical, with light incisal translucency and medium texture.

The results were very rewarding. I was glad that I had the cosmetic training to understand why eight were necessary to complete the smile. Because Aurum Ceramic technicians have completed the same training we have, they are able to produce exactly what I ask for, making dentistry enjoyable and predictable.

This patient has become one of our best models for veneers. We enjoy taking our own portrait photography when our cases are done. It's more convenient for the patient and they seem to enjoy it. In addition, it is a great advertisement to display your own work."

- Randy Bryson, DMD

"A patient of record for about five years, this patient had composite veneers on teeth #6 - #11 that were approximately 10 years old and had a history of repairs. Generally, his teeth had a mild tetracycline stain. The width to length proportions were reasonable. Tooth #9 was in lingual version and alignment would need to be corrected again with the porcelain veneers.

Once again, my training at LVI gave me the skills and confidence to recommend that the patient replace the composite veneers. Because of the mild tetracycline staining, I felt that I could achieve a more esthetic result with porcelain veneers. I also recommended that we include veneers on #5 and #12 to fill out the smile better and mask the tetracycline stain.

After FX imaging, the patient and I liked the "enhanced" smile design. We chose Chromascop shade 110 for the body and 120 for the gingiva with mild translucency. A diagnostic wax-up was fabricated by Aurum Ceramic to assure simple and beautiful temps. IPS Empress was chosen for the veneers.

The results were very pleasing. The patient even liked the temporaries better than the old composite veneers. As he wrote in his testimonial, 'As you know I was apprehensive about the procedure but I am very happy I listened to your recommendations. The results exceeded my expectations.' These types of cases and hearing those kind words makes my job rewarding. Thanks to Aurum Ceramic and the great job they do, my job is also made a lot easier."

- Toni Margio, DMD

Both graduates of Temple University School of Dental Medicine, Drs. Randy Bryson and Toni Margio are a husband and wife dental team dedicated to creating incredible smiles. They have enjoyed the last 15 years growing a start-up practice together in Yardley, PA. Both doctors regularly attend intensive, hands-on aesthetic dentistry courses at the Las Vegas Institute for Advanced Dental Studies, staying ahead of the curve in the field of cosmetic dentistry. They are active members of local and national dental organizations, including the AACD, ADA, AGD and PDA. They are proud to be working towards their accreditation in the AACD.

They attribute their success in creating beautiful smiles to "the advanced education they have received at LVI and the highly skilled lab technicians they have had the honour to work with at Aurum Ceramic. Dentistry has become fun and a rewarding career for us. We look forward to the smiles we will be creating tomorrow."