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CAD/CAM - international magazine of digital dentistry

10 I I special _ dentofacial aesthetic analysis _Introduction Dentofacialabnormalitiesarealterationsinfacial proportion and dental relationships, and such ab- normalities in dental and facial appearance often lead to societal discrimination. While orthodontic treatment restores correct dental relationships, it is often not sufficient to solve the facial disharmony andcertainlycannotresolvetheaccompanyingpsy- chological difficulties in certain patients (Fig. 1a). For this reason, aesthetic medicine is utilised to harmonise the final result. Owing to virtual den- tistry, the expected smile and face of the patient at the end of orthodontic therapy and aesthetic treatment can be shown to the patient. In order to achieve this, a new diagnostic approach is used in the correction of dental malocclusion: capturing and analysing preoperative photographs in con- junction with CT scans and X-rays with the help of 3-D software specifically for aesthetic dentistry. In this way, the final expected result can be shown to the patient. _Aesthetic analysis Often the patient is directed to a dental consult- ant because he or she does not like his or her smile and this has affected him or her psychologically such that aesthetic dentistry is inevitable. The role of the dentist today should be to ensure that the reasons for intervention will be agreed upon with the patient and to ensure predictability of the aesthetic result. CAD/CAM 1_2013 Fig. 1a_Objectives of aesthetic dentistry and aesthetic medicine. Fig. 1b_Class III/I malocclusion and labial disharmony. Fig. 2_Dentofacial aesthetic analysis showing incongruent lip relationship with asymmetry. Fig. 1a Fig. 1b Fig. 2 Dentofacial aesthetic analysis using 3-D software Synergy between aesthetic dentistry and aesthetic medicine Author_ Dr Valerio Bini, Italy