Dr Randold Binns DMD

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Dr Randold Binns DMD Your new smile starts here!

“Space verification guide” ?🔹 Yes, when planning for veneers on and natural unmodified teeth, we must be conservative a...
10/03/2026

“Space verification guide” ?
🔹 Yes, when planning for veneers on and natural unmodified teeth, we must be conservative as possible;
🔸 A reduction guide can be planned and printed off of an approved Mock up to make sure:
- patients approval of esthetics;
- enough space is provided to the ceramist;
🔹 on the Pre-op photos we can see a chronic gingival inflammation around around 10, a dark crown on 11, crowns on 7 and 10 which are in reality 6 and 11 after canine substitutions early on that needed to be re-made, and centrals and premolars that needed minimally invasive veneers to improve malposition, shape and size;
🔸 At the bottom photos we can see the immediate provisionals and ready for final@impressions;
🔹 Happy patient, Happy Prosthodontist
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“Technology , are we there yet? “🔹 Using more digital and less analog protocols with the hopes of being more precise, mo...
09/25/2026

“Technology , are we there yet? “
🔹 Using more digital and less analog protocols with the hopes of being more precise, more efficient , and more progressive;
🔸 Don’t judge me yet, but from photogrammetry on day or surgery to scan bodies is a bold move, but I’m trying to make a point if anyone with a regular scan can be effective and efficient to carry out a hybrid protocol at a lesser cost;
🔹 Stay tuned as I’m asking Midwest Dental Arts 🇺🇸 for Stone Jigs to verify the accuracy of this impression;
🔸 Teamwork with Maria Dominguez Ortiz , Dr. Alessandra Forlano • All-on-Prosth , Justin McElroy & Dr. Sebas Andrade | Dental Implants Florida
🔹 I cannot wait to see the results from a less than ideal controlled environment outside of research laboratory studies;
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“ Collaboration Case ?? “🔹 Yes, our training involves not just to do and perform a correct treatment , but also to commu...
09/18/2026

“ Collaboration Case ?? “
🔹 Yes, our training involves not just to do and perform a correct treatment , but also to communicate between colleagues and dental laboratories to obtain the most predictable outcomes;
🔸 The most significant result is patient satisfaction , and in this particular case patient and husband are ecstatic of the results;
🔹Results are our office are not random , they are visualized from the beginning: they are imagined in our mind to fit your facial characteristics, state of mind and heart;
🔸Top photo is pink esthetic with 7 implants in place;
🔹 Bottom photo is the PMMA prototype to train soft tissue,and try the esthetic and function in a B1
shade;
🔸 Teamwork with Miguel Jusino
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“DSD derived gum-lift” ??🤯 Yes, from a digitally designed and patient approved mock up we are certain we are ready to ma...
09/13/2026

“DSD derived gum-lift” ??
🤯 Yes, from a digitally designed and patient approved mock up we are certain we are ready to make significant changes for good. Measure twice, cut once;
😇 Esthetic crown lengthening (gum lift) achieved followed by curated prepped and immediate provisionals technique to finalize guiding the soft tissue healing;
🥳 Only a systematic approach can give you predictable results;
🤜🏼🤛🏼 Teamwork with Adriano Baldotto | Master Ceramist | Dental Technician 🇧🇷🇺🇲
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“The Devil is in the details” ??▪️ Yes, a mismatch in size, shape, shade, and position can make a smile to look off, unp...
07/22/2026

“The Devil is in the details” ??
▪️ Yes, a mismatch in size, shape, shade, and position can make a smile to look off, unpleasant;
▪️ The photo above shows an single implant tooth in 7 position done many years ago using a PFM on Ann Astra TX implant;
▪️ Based on our expertise, an improvement could be done by switching this PFM into a metal-free layered Zirconia crown, a tissue augmentation procedure using a SCTG technique, and tissue training with a provisional restoration;
▪️ In approximate amount of time of 3 months, the final result can be revealed in the photo below;
▪️ If you have a dark tooth, there are plenty of options to get it corrected, whether is an implants or a dark natural tooth, we can help improve your smile;
▪️ teamwork with Key Element Dental Laboratory LLC
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“Esthetics Just Right” ??🔹 Yes, smile line, display, proportions, brightness , texture, symmetry , all that established ...
07/15/2026

“Esthetics Just Right” ??
🔹 Yes, smile line, display, proportions, brightness , texture, symmetry , all that established to obtain a pleasant smile;
🔹 It all start with proper evaluation and diagnosis , a discussion of findings and options, and a decision making process that lead to predictable results;
🔹 teamwork with Jonas Schindler Midwest Dental Arts 🇺🇸
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“Turner Class 2 Wear Case” ??▪️ Yes, since not changes in OVD was found and posterior kept the vertical, the anterior se...
07/12/2026

“Turner Class 2 Wear Case” ??
▪️ Yes, since not changes in OVD was found and posterior kept the vertical, the anterior segment continue to erode and passively erupting;
▪️ Increasing the OVD, no recommended, would not get you the space enough to restore function and esthetics. Instead it is an Ortho case or a Surhical case;
▪️ In this case, after providing all information and diagnosis to patient, it is the patient the ultimate decision maker;
▪️ Functional and Esthetic crown lengthening was achieved to restore the anterior segment including premolars;
▪️ A layered zirconia crowns and veneers (swipe and see the preps) were chosen due to its strength but also to hide the darker substrate on these teeth;
▪️teamwork with Jonas Schindler Midwest Dental Arts 🇺🇸.
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“Communication in Dentistry “ ??🔹 there are many lines of communication in dentistry:- Patient / Providers- Staff / Prov...
07/12/2026

“Communication in Dentistry “ ??
🔹 there are many lines of communication in dentistry:
- Patient / Providers
- Staff / Providers
- Dental MasterTechnicians / Providers
🔹 All of them are important in dentistry to obtain predictable outcomes in the service we provide;
🔹 In regard to Our laboratory communication with ceramist, the first communication starts with the primary intention in our lab script and data acquisition of teeth provided to them. Then there will be a follow up with initial design discussion, modification and approval;
🔹The more we work together , the easier should get to obtain the intended results. If that is not the case, move on 💪🏻
🔹teamwork with Jonas Schindler and Midwest Dental Arts 🇺🇸
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“Drama Queen” ??▪️ Yes, can’t get around without making some tremors;▪️ 13 over 12 layered Zirconia Crowns/Veneers;▪️ Le...
06/28/2026

“Drama Queen” ??
▪️ Yes, can’t get around without making some tremors;
▪️ 13 over 12 layered Zirconia Crowns/Veneers;
▪️ Leveling up no more than necessary;
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“It is not about being rushed, but about doing it right” ??💭 We, as professionals, need to stand our ground and follow o...
06/26/2026

“It is not about being rushed, but about doing it right” ??
💭 We, as professionals, need to stand our ground and follow our diagnosis;
💭 Diagnosis will tell us what is the right treatment , and even though patients are ok with a compromise results, we shouldn’t !;
💭 Top photo depicts a roller coaster 🎢 occlusal articulation that it must be corrected before any esthetic treatment. Securing a correct function will guarantee a longer survival of treatment being done;
💭 So, even though we must always listed to the chief complaint, we most see a bigger pictures and long into the future before approaching our patients with the correct plan of actions. Education is important, but the way we educate is the key to a successful treatment acceptance;
💭 Bottom photo features a corrected mandibular occlusal plane , a mutually protected occlusion, and a combination of Layered Zirconia crowns and Veneers. The beauty is just a side effect 😍
💭Teamwork with Juan Escobar CDT, AAACD
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