cosmetic dentistry_ beauty & science International Edition

CE article _ interdisciplinary approach I 23mm=1,725px;x=900px;mobility=x–y;=[(23 × 900) / 1,725] – 2 mm; = 12 mm – 2 mm; = 10 mm (Figs. 10–12) Since the aetiology is generally multifactorial, by combining all the clinical data gathered during the initial examination, including facial, periodon- tal, orthodontic, endodontic and restorative data, as well as radiographs and diagnostic photographs, the clinician has the ability to compose a very de- tailedandcomprehensivetreatmentplanespecially for a patient with high aesthetic demands. Following the digitally designed smile concept, balancing the relations between the teeth and ad- jacent structures will help the clinical co-ordinator and the specialty team propose treatment planning tothepatient.PresentingtheplaninKeynote(Apple) orMicrosoftPowerPointisaverypowerfulcommu- nication tool in obtaining treatment acceptance. _Case presentation A 32-year-old female patient came to the dental office with her chief complaints being short teeth, an uncomfortable bite, too much gingiva showing when smiling, brown-coloured areas of her teeth and insufficient contact points. The patient was in good general health with a good periodontal status and probing depths of 2 to 3 mm. The aetiology of the excessive gingival display was multifactorial, a combination of delayed eruption, altered passive eruption and hypermobility of the upper lip. From an evaluation of the teeth, both clinically and from the diagnostic photographs, we made the findings giveninTable1inorderofimportance(Figs.13&14). We placed incisal edge position first in order of im- portance because, in the majority of cases, without proper placement whatever follows could result in atooththattriestomimicnaturebutisnotproperly exposed in a full smile. Fig. 28_Controlled tooth reduction. Fig. 29_Tooth preparation. Fig. 30_Porcelain restorations on alveolar models. Fig. 31_The try-in paste and organiser. Fig. 32_Cementation. Fig. 33_Situation before. Fig. 34_Situation after. (Ceramics performed by Edwing Chung, Canada.) I 09cosmeticdentistry 1_2014 Fig. 34Fig. 33 Incisal edge position Missing Form Missing Value Missing Surface texture Missing Translucency Missing Chroma Missing Hue Present Gummy smile evaluation Missing Teeth ratios Missing Contact points Missing Occlusal interferences Present Table 1_Findings. Fig. 32Fig. 31Fig. 30 Fig. 28 Fig. 29 Table I CDE0114_06-10_Ercus 11.06.14 14:02 Seite 4