When planning large cosmetic cases we pay meticulous attention to not only the patient’s teeth, but also, the gums the lips and the bite. All this information allows us to design the custom smile for our patient that will transform their smile. With the help of our talented ceramist a wax up is fabricated along with silicone putty guides Just like when an an engineer and an architect design a building they need to plan accordingly. Well the same goes for smile design and oral rehabilitation. Dr. Carnazza and his ceramist work extensively so they can create exceptional smiles and deliver dental excellence.