Dr Randold Binns DMD

Dr Randold Binns DMD Your new smile starts here!

“Systematic Approach to a Beautiful Smile”▪️ It all start with the end result in mind. To accomplish that we listen the ...
05/31/2026

“Systematic Approach to a Beautiful Smile”
▪️ It all start with the end result in mind. To accomplish that we listen the expectations, we observe the current situation and we make preliminary decision to start the Smile Design process;
▪️ Followed by a functional and motivational mock up where more changes can be done based on patient function and esthetics;
▪️ “Duh” an expression I utilize always to determine incisors display to determine the bare minimum increase in tooth length;
▪️To be minimally invasive , the utilization of the mock up as guide for our depth cuts prevents unnecessary tooth structure removal. The more misaligned teeth are , the more tooth preparations is needed;
▪️when thin Feldspathic veneers are chosen as final material , the natural substrate shade must be selected for the laboratory to provide us with the final tooth shade;
▪️ Then we can be sure we will get the end results we visualized at the beginning of this process, but also feel good about preserving tooth structure;
▪️All in all 10 Feldspathic and 4 lithium disilicate veneers were fabricated by
▪️ This is an esthetic and functional rehabilitation as canine and anterior guidance are built in in this case for mutually protected occlusion;
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dentistry

“Natural Veneers” ??🫶🏻 We love natural teeth. If we can get a smooth, clean finish then count us in and I hope you too a...
05/21/2026

“Natural Veneers” ??
🫶🏻 We love natural teeth. If we can get a smooth, clean finish then count us in and I hope you too agreed;
🔹12 Feldspathic Veneers at 1 week post op since insertion;
🔸Natural or Unnatural ?
🔹 teamwork w
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“ Are you With me or Without Me” ??✅ With me I would’ve hope❌ Cement-retain /Screw -retained mixed approach was left for...
05/16/2026

“ Are you With me or Without Me” ??
✅ With me I would’ve hope
❌ Cement-retain /Screw -retained mixed approach was left for when poor implant planning was performed;
✅ Candidiasis was also a bad infection resulting from poor prosthesis design preventing hygiene issues (swipe and see the poor design) 🤢;
✅ Swipe and see the third slide for the best design, with Tissue level ti-bases and screw-retained esthetic Zirconia Fixed Complete Prosthesis;
⁉️ Again, are you with me or without me?
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“Dentures Anyone” ??▪️ No, Even though it is the standard of care, don’t settle for one of these full dentures until spe...
05/01/2026

“Dentures Anyone” ??
▪️ No, Even though it is the standard of care, don’t settle for one of these full dentures until speaking with us;
▪️ At our office we can find the ways for you to afford this State of the Art treatment that will increase chewing efficient and confidence;
▪️ These are Zirconia implant-supported fixed complete dental prosthesis for a winning smile;
▪️ Swipe and see the clean work after surgery;
▪️ Teamwork with
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“T-Marker - iPad/iPhone multiunit detecting solution “ ??▪️ Yes, Technology has come a long way ;▪️ Easy to use and accu...
04/24/2026

“T-Marker - iPad/iPhone multiunit detecting solution “ ??
▪️ Yes, Technology has come a long way ;
▪️ Easy to use and accurate for the fabrication of PMMA interim implant-supported fixed complete ;
▪️ I have not use it to fabricate the final prosthesis and evaluate the passivity against a conventional seating jig. Eager to know;
▪️ Super convenient using our iPad or iPhone 🤯
▪️ I cannot live without my phone anymore 🤔
▪️ In the phone below is the 4-weeks follow up on a AllOnX with a Zirconia provisional;
▪️ Any experience with this system out there ?
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“Tooth-Supported, Bone-Supported, Soft-Supported” ??🔹 Yes, teeth help support the best the surgical guides, but also hel...
04/23/2026

“Tooth-Supported, Bone-Supported, Soft-Supported” ??
🔹 Yes, teeth help support the best the surgical guides, but also helps during the scan process the day of surgery to help designer merge the digital smile design to the day of immediate implants ;
🔸 Additional pins were added to the system to help stabilize the guide should any of the unstable teeth would have broken during this procedure;
🔹 As FP1 design, the soft tissue was no flap and was kept it intact so the guide would rest upon it, adding just extra support specially on palate and tuberosity;
🔸 Slide and we can see the implants in place, the initial presentation and 1 week post of with OnX tough 2 printed in house by our laboratory using Pro;
🔹 Happy Patient, Happy Prosthodontist. Celebrating National Prosthodontic awareness week

“Substitution” ??🔹 Yes, substitution of a missing canine can involve: - ortho treatment ;- Soft tissue management;- Whit...
04/19/2026

“Substitution” ??
🔹 Yes, substitution of a missing canine can involve: - ortho treatment ;
- Soft tissue management;
- White esthetics and function;
🔸 This is the same case presented in the prior post of the White&Pink esthetics;
🔹 “If life give me lemons I will make lemonade approach”
🔸 In this case we have a unilateral missing canines that wasn’t managed before, and which I managed with Soft&Hard tissue management and white esthetic and functional approach. Swipe and see the contralateral side;
🔹 Would you have managed differently?
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“White and Pink Esthetics “ ??▪️ Yes, the framework of the smile are the lips, and the framework of good looking teeth a...
04/18/2026

“White and Pink Esthetics “ ??
▪️ Yes, the framework of the smile are the lips, and the framework of good looking teeth are the gingival tissue;
▪️ A Perfect balance is achieved when considering both in your evaluation to determine the final plan and the course of action;
▪️ Swipe and see how surgical guide was applied after a final smile design was approved;
▪️ Amber mill lithium disilicate for improved esthetics and better margins was chosen for this case, allowing some of the tooth dentin to show through for increase the natural look;
▪️ Both, the white and pink must be considered always;
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# veneers

“Perfection doesn’t exist, So, why pursuing it? “▪️ We strive in achieving the perfect balance between beauty & strength...
04/11/2026

“Perfection doesn’t exist, So, why pursuing it? “
▪️ We strive in achieving the perfect balance between beauty & strength, comfort & performance for the years to come;
▪️ This pursuit will get the best long-term outcomes every-time;
▪️ Predictability is the key, only achieved by following the research evidence, but also applying customizable features for every person that walks into our office;
▪️ Relentless until this balance is achieved;
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“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

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4413 Outer Drive
Naples, FL
34112

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