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cosmetic dentistry_ beauty & science

_It is widely accepted that in order to ob- tain highly aesthetic results, detailed treatment planning is mandatory in order to schedule the various stages of the restorative treatment to achieve the best possible outcome. Time too is a very important factor in terms of complying with dental principles concerning biology, func- tionandaestheticsbecauseoftheneedtowaitfor a favourable biological response, to test occlusal function and to achieve the biopsychosocial ac- ceptance of the patient. Thesedentalprinciples have to be considered in close communication with the laboratory tech- nician to treat each case using the ideal material and fulfilling the expectations of the patient. The present case report demonstrates the impor- tance of handling high-tech dental materials to achieve integration between dental aesthetics and nature. In certain clinical situations, it is necessary to use dental ceramics and composite resins, whether due to specific indications, biologic rea- sons, budget, etc. The dentist nowadays must be able to achieve optimum aesthetics with appro- priate handling of dental materials. One of the challenges in this regard is that there is no corre- lation in colour selection and brightness between ceramics and composite resins. We understand that integration of a resto- rative material with the surrounding natural dentition must be an essential triad of individual aesthetics: form (surface and periphery), colour and brightness. Creating an organised system of the entire range of ceramics, ceromer, and now direct resto- rative materials (in this case IPS Empress Direct, IvoclarVivadent)allowthelattertobecompatible with the color of indirect restorative materials (ceromer and ceramics) or even be used in urgent situations for the repair of indirect restorations intra- or extra-orally. Considering patients’ demand for highly aes- thetic results and that many clinical situations require adequate handling of ceramics and com- posites, it is evident that the integration of in- direct and direct restorative dentistry is crucial, as is good communication with the laboratory technician, as well as good management of the clinical steps, in order to achieve the best possible 18 I I case report _ smile design and reconstruction cosmeticdentistry 2_2013 Ceramic and composite resin integration for custom smile design Authors_Prof. Rony Hidalgo, Prof. Rafael Barrantes, Dr Joanna Dávila, Paola Chinchay, Peru Fig. 6 Fig. 7 Fig. 4 Fig. 5 Fig. 2 Fig. 1 Fig. 3