A beautiful smile that ignores how your bite works is a temporary smile. Aesthetics and function are the same problem, and treating them separately is why cosmetic cases chip, wear and fail.
What goes wrong when function is ignored?
Teeth are lengthened for appearance without accounting for where the opposing teeth land. Veneers are placed on a bite that is already collapsing. Restorations are built in a mouth that clenches at night with nothing to absorb the force. The work looks superb on delivery day and fractures, debonds or wears within a few years.
What does the alternative involve?
Examining how your jaw actually moves, not just how the teeth look head-on — where they contact in closing, what happens as the jaw slides side to side, whether the joint is comfortable, and whether grinding is at work. Then designing the restorations around that.
Who benefits most from this approach?
Patients with heavily worn teeth, anyone who grinds or clenches, patients with TMJ symptoms, and anyone considering a full smile makeover rather than a single tooth. Also anyone who has had cosmetic work fail before — that history is usually informative.
Why we are set up for this
Dr. Boiano is trained in both surgical and prosthetic dentistry and has treated TMJ for over two decades, and our technicians work in the same building. Design, function and fabrication sit in one place instead of three.