Dr Randold Binns DMD

Dr Randold Binns DMD Your new smile starts here!

“Minimally Invasive Veneers” ?🟤 DSD and Mock up Steps are paramount for the decision making process and to avoid unneces...
03/29/2026

“Minimally Invasive Veneers” ?
🟤 DSD and Mock up Steps are paramount for the decision making process and to avoid unnecessary tooth preparation;
🟣 Only breaking contact when improving tooth proportion, moving midlines, eliminating restorations, and closing diastema;
🟤 Clean and smooth surfaces for a better bonding strength;
🟣 Teamwork with
🟤 Shown here is the same day provisional restorations ;
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cosmeticdentistry

“ Esthetic Compromise “ ?⁉️ Maybe , papilla between 7 and 8 was difficult to sculpt , even after tuberosity SCTG and lon...
03/24/2026

“ Esthetic Compromise “ ?
⁉️ Maybe , papilla between 7 and 8 was difficult to sculpt , even after tuberosity SCTG and long-term provisionals;
🔹 The addition of veneers on the rest of the worn dentition made masking of the lack of papilla inconspicuous at first glance;
🔹 ERA = HIGH
🔹Teamwork with
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cosmeticdentistry

“2- Implants rather than 1-Implant cantilever FDP “ ??🔹Yes, I have done so often the 1-implant cantilever to improve gin...
03/22/2026

“2- Implants rather than 1-Implant cantilever FDP “ ??
🔹Yes, I have done so often the 1-implant cantilever to improve gingival esthetic , but finding unwanted mechanical complications that made me rethink the hard pursuit of pink esthetic;
🔹 Pink porcelain material and technicians skills still faces challenges mimicking that of natural soft tissue making hard to find the great match;
🔹 It then becomes a trade off between minor to non-complications with 2-implants and lack symmetry in soft tissue esthetics Vs. Potential bio mechanical complications with 1-implant supported FDP with better soft tissue symmetry;
🔹 No patient like any potential complication with the treatment , then they should know ahead that gingival symmetry with be a compromise;
🔹 As described before, this patient ERA (esthetic risk assessment)was HIGH as he presented with 2 missing teeth in the esthetic zone with a Medium smile line;
🔹 We tried multiple times to add pink porcelain and being unsuccessful in matching the soft tissue hue and texture. The outcome of no having the pink porcelain, in this case, resulted in a more pleasant senile for both: patient and our team;
🔹 Porcelain veneers were added to the worn dentition to improve overall esthetics;
🔹Teamwork with
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“ Keeping it simple”??🔹 Yes, in regards to Occlusion in Full Arch & Material Selection, Zirconia can handle mutually pro...
03/17/2026

“ Keeping it simple”??
🔹 Yes, in regards to Occlusion in Full Arch & Material Selection, Zirconia can handle mutually protected occlusion, but if resins teeth are selected , group function or progressive disocclusion will handle better the increase wear f the material overtime;
🔸 Material thickness or Restorative space: when selecting Zirconia as monolithic material a minimum thickness of 13mm is recommended, if no enough space then consider increase the # of implant and the spread in the planing phase;
🔹Layered zirconia should be minimal and confined to the facial, no incisal, of the prosthesis 🤓
🔸 🤜🏼🤛🏼teamwork with and
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“Happy Patient, Happy Prosthodontist “ ??🔘Yes, at advanced prosthodontics & implant esthetics we are proud to design tha...
03/16/2026

“Happy Patient, Happy Prosthodontist “ ??
🔘Yes, at advanced prosthodontics & implant esthetics we are proud to design that smiles you have been looking for to build confidence in you ;
🔘 And you can see that confidence here in this photo ;
🔘 Our pleasure, enjoy it !
🔘 Teamwork with &

“Dual Zirconia Fixed Complete” ?🔹 Yes, beauty & strength;🔸 But, it does come with its own challenges , specially when it...
03/14/2026

“Dual Zirconia Fixed Complete” ?
🔹 Yes, beauty & strength;
🔸 But, it does come with its own challenges , specially when it comes to biology and implants. In this case smoking;
🔹Smoking can create up to 12% complication rate , therefore the way to deal with this is smoking cessation counseling, or just put more number of implants throughout 😝
🔸teamwork with and
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cosmeticdentistry veneers implants dentist odontología odontologiaestetica USA prosthodontist smile restorativedentistry smilemakeover dentistryworld dentistry2today sorriso cosmeticdentist doktergigi bonitaspring odontolove stomatology Implantología orthodontics dentures

i-Pad based Photogrammetry??🔹 Yes. This technology have been released recently by with the name TMarker and I am very ...
02/25/2026

i-Pad based Photogrammetry??
🔹 Yes. This technology have been released recently by with the name TMarker and I am very excited as the cost is not even close to the expensive PIC or iCam;
🔹 We tried it, design, printed and load same day using these scanbodies and an IPad. Incredible fit, but it was only a PMMA;
🔹 For my final I will want to use this same scan, but also make a jig to verify the accuracy of these scan bodies and system;
🔹 Are you open to the new and less expensive photogrammetry?
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cosmeticdentistry veneers implants dentist odontología odontologiaestetica USA prosthodontist smile restorativedentistry smilemakeover dentistryworld dentistry2today sorriso cosmeticdentist odontolove stomatology Implantología orthodontics dentures

Full Zirconia direct to mili-units ?▫️ Yes, it can be done with a fully digital workflow or analog workflow. My prefer i...
02/01/2026

Full Zirconia direct to mili-units ?
▫️ Yes, it can be done with a fully digital workflow or analog workflow. My prefer is to use a combined approach using both of them;
▫️ No debonding of ti-basis, therefore less variables to the equation of stability;
▫️ what’s your approach ?
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cosmeticdentistry veneers implants dentist odontología odontologiaestetica USA prosthodontist smile restorativedentistry smilemakeover dentistryworld dentistry2today sorriso cosmeticdentist doktergigi bonitaspring odontolove stomatology Implantología orthodontics dentures

01/29/2026

All in 6 direct to multi-units . Happy Patient and Happy Prosthodontist

12/14/2025

We work hard, we play hard. Bye bye 2025 and welcome 2026. We are ready 💪🏻

“Smoking Smile” ??▪️ Yes, smoking can kill you, same with your teeth. So stop smoking and live longer with a new smile; ...
12/12/2025

“Smoking Smile” ??
▪️ Yes, smoking can kill you, same with your teeth. So stop smoking and live longer with a new smile; just before the holidays , we delivered the Maxillary Titanium Bar Zirconia Superstructure for a superb Smile ;
▪️ Need a smile like this , DM us at . My team is excited to help you get one like this 💪🏻
▪️ Happy Holidays everyone from the bottom of our hearts;
▪️ Teamwork with and
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Know What You Getting ?? 🟪 Yup, you know what you are getting at ;🟫 Double AllOnX Titanium Bar Zirconia Superstructure ...
12/05/2025

Know What You Getting ??
🟪 Yup, you know what you are getting at ;
🟫 Double AllOnX Titanium Bar Zirconia Superstructure with unilateral Zygo Implant ;
🟦 Break me if you can, kiss me if you can’t resist ♥️
🟨 Teamwork with and
🟩 Thank you for your trust 💪🏻
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Naples, FL
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