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7Dental Tribune Middle East & Africa Edition | September-October 2014 mcme Aiham Farah, Syria Certified Dental Technician by the National Board for Certifica- tion in USA (Dental Laboratory Technology) with a specialty of Dental Ceramic. And a member of the National Association of Dental Laboratory in USA, cur- rently he is a material consult- ant and opinion leader for Ivo- clarvivadent dental company for the Near East & Orient region since 2009, and MDT (Master Dental Technician) certified by the ICDE Ivoclarvivadent, Swit- zerland. He was a Teacher Lec- turer at Alkalmoon University, in Dental Technology division for graduate students in All- Ceramic Subject in Syria (2010, 2011). He had his private den- tal-lab practice “one-man-show cosmetic laboratory” in Syria (2003-2006/2009-2012) spe- cialized in selective cosmetic cases, currently he is a lecturer in dental international confer- ences, speaks in esthetic den- tistry about topics like (Ceramic material, Esthetic solutions in CAD/CAM, Dental teamwork, Psycho-morphology, Advanced cosmetic characterization etc), and a demonstrator in courses and workshops for dentists and dental technicians. He writes and publishes articles in local and international dental maga- zines like (Reflect, Dental La- bor middle east, Dental News, Dental Tribune etc), in different teaching topics based on both theoretical researches and own practical experience, also he reviews and edits all the (Ara- bic language translations) of the IvoclarVivadent communi- cation tools publications. 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The answers and critiques published herein have been checked carefully and represent authoritative opinions about the questions concerned. Articles are available on www.cappmea.com after the publication. For more information please contact events@cappmea.com or +971 4 3616174 FOR INTERACTION WITH THE WRITERS FIND THE CONTACT DETAILS AT THE END OF EACH ARTICLE. < Page 6 esthetic parameters of fit have also been checked carefully, fine-grit diamond burs, finish- ing and polishing rubber heads (OptraFine Assortment, Ivoclar- Vivadent) were used to remove excess residual cement and to eliminate all occlusal interfer- ences and to give natural glamor of ceramic surface shin. (Fig 11) During the follow up appoint- ment, a final checkup and modi- fications were made to eliminate all occlusal interference. Relative translucency level The level of translucency was kept minimal relatively to the patient age and shade white- ness chosen by her, as our pri- ority was to mask and boost the brightness, and brightness and translucency contradict to a cer- tain extent, though translucency kept relatively minimal. (Fig 12) Color restriction What makes bleach cases more complicated is color restriction, as in our present patient case, she wants to keep the old lower veneers that she had before, and replace just the uppers with a brighter and more vital set of bleach veneers, so we are obli- gated here to keep a chromatic shade matching especially on the cervical part of the upper veneers with the lowers, and increase the level of brightness in the mid-third of the upper veneers than that of the lowers. (Fig 13) Personality change What we simply did was chang- ing not just the patient smile literally, but changing the smile on her face emotionally, the feel- ing that she can look younger pushed her to continue working on herself, and that appeared clearly on each follow up visit to the clinic she was making, one time skin was taken care off, the next time hair and make-up, then back again to the smile to contour it with a better frame of lips by using fillings. (Fig 14) So what we did is that we put her on the beginning of the cosmetic track, (A year after the dental treatment she looked one year younger) what dentist stated. So we contributed to change her life. Dental Photo shooting Our patient has a photogenic face and she didn’t mind to be our model for a few photo shoot- ing sessions, which encouraged us to take all possible poses that showed clearly the strength are- as and talent in fabricating such cases, some snakes with differ- ent color contrast were used to show the optical properties of the translucent opal and bright Mamlone material used. Thanks to the expert Mr. Florin Stoboran from Romania who helped in the final photoshoot. (Fig 15, Fig 16, Fig 17) Conclusion A decision to repeat the veneers with a new brighter set of ve- neers was faithfully taken (after recognizing that a flawless set can be achieved if all obstacles can be taken into considera- tions). The honest and ethical opinion of the dental teamwork (what we did was okay, but we can do better), even if the patient okayed the present outcome. This is what really takes the level of esthetic dentistry to the next level. Fig 11a.11b. The glamor smile right after cementing the second set of veneers, and using the polishing rubber heads (OptraFine, Ivoclarvivadent) Fig 15. Bright mamlons strips overlapping with translucent opal strips, all framed with halo effect Fig 16. One of the artistic photos taken by Mr.Florin Stoboran, Romania, big thank to him Fig 17. The front set of veneers with a black background contrastor Fig 12. One month recall, Close-up front picture, showing the improvement in the interdental papilla and the relative translucency level with the lower set Fig 14. The change on our patient face from the time she showed up to the clinic, till one year recall visit Fig 13. One month recall, Profile picture, showing the cervical chromatic color restriction I would like to thank Dr. Duval Aloush for his faithful opinion and esthetic vision that played a big role in the successful out- come of this case.