The Significance of Treatment Planning
The significance of treatment planning in dentistry lies in its ability to transform patient care. Careful treatment planning can result in exceptional outcomes, increased patient satisfaction, and improved long-term oral health.
By implementing a well-structured and thoughtful treatment plan, practitioners can provide personalized care, ensuring reliable outcomes and fostering patient trust.
Dr. Katie Sugar of Sugar Family Dental submitted the following case study. We are very fortunate to have worked with Dr. Katie Sugar, DMD, on her 85-year-old patient.
Case Study
This patient presented with a large diastema between 8 and 9. His teeth were worn down, chipped, cracked, and uneven. In addition, he had over-erupted anterior mandibular teeth. For these reasons, this case was challenging and required a comprehensive treatment plan.


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Invisalign® Treatment

Invisalign® was used to address initial concerns of uneven spacing between teeth 6 to 11 and to intrude on the lower teeth. By employing clear removable aligners, the patient’s teeth were gradually repositioned over a period of approximately six months.
The patient demonstrated excellent compliance by consistently wearing the aligners as instructed. These positive outcomes provided a solid basis for the subsequent stages of treatment.
Noteworthy advantages of clear aligners like Invisalign® include:
Preparation and Impressions

To address the case’s visual concerns, such as wear and chipping, preparations were made for crowns on teeth 6-11. Impressions were taken and sent to the Smiles By Design team at Burbank Dental Lab to create the final restorations.
The advantages of choosing Burbank’s Smiles by Design are as follows:

E.MAX Restorations

This patient was found to be a perfect fit for E.max restorations due to their excellent esthetics and strength. E.max restorations, made from lithium disilicate ceramic, closely resemble natural teeth, thanks to their outstanding translucency. Burbank Dental Lab carefully crafts E.max crowns for a precise fit and exceptional marginal integrity. Additionally, these crowns are highly resistant to chipping and cracking, making them an ideal choice for this particular case.
Case Insertion
Dr. Sugar underwent the placement of custom-made E.max restorations, commencing the seating process following an assessment of the restorations. The initial trial of the E.max crowns ensured that they aligned with both the patient’s and doctor’s expectations. Upon the patient’s approval, the teeth were prepared to accommodate the new crowns.
Subsequently, the bonded restorations underwent a final evaluation for aesthetics and functionality, ultimately resulting in the patient’s high satisfaction.


Treatment planning is crucial for providing comprehensive and successful dental care. It involves assessing and strategizing based on each patient’s individual needs and goals. By creating customized roadmaps, dental professionals can navigate the complexities of treatments, resulting in predictable outcomes, patient contentment, and sustained oral well-being.
Our ability to work together and employ advanced technology, as well as the exceptional skills of our Smiles by Design team, has significantly impacted the positive outcomes of challenging cases such as this one.
Thank you, Dr. Katie M. Sugar, DMD

Burbank Dental Lab sincerely thanks Dr. Katie Sugar of Sugar Family Dental for the opportunity to collaborate on this case. The results are outstanding, which can be attributed to careful planning and effective communication throughout the process. By prioritizing the patient’s desire for a conservative approach, we established an excellent foundation regarding tooth position and shade.
Successful cases rely on thorough preparation, careful design, appropriate material selection, patient input, and skilled technicians who can replicate the surrounding dentition using the chosen materials. If you have any questions about your upcoming case, please feel free to call or chat with a team member at Smiles by Design at Burbank Dental Lab.
Burbank Dental Lab extends deep gratitude to Dr. Katie Sugar for her notes, input, and photos on this case and for granting us permission to use them.











