Key Points
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Correct diagnosis and treatment planning is crucial for all cosmetic cases.
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A diagnostic wax up is essential to allow conservative preparation and prototype fabrication.
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Porcelain laminate veneers are a conservative treatment modality.
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Through the conjunctive use of tooth whitening, bonding and orthodontics it is not always necessary to prepare a full smile (10 units) to make dramatic cosmetic changes.
Key Points
Aesthetic and cosmetics
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1
Aesthetic changes with four anterior units
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2
Smile lifts - a functional and aesthetic perspective
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3
Increasing occlusal vertical dimension - why, when and how
Abstract
Cosmetic dentistry has evolved with the advent of more robust porcelain materials and ever-stronger bonding agents. This series of three articles aims to provide a practical overview of what is now possible both functionally and cosmetically from the preparation of a small number of teeth, through a whole smile, to full mouth rehabilitation. A complete diagnosis is the starting point to planning any cosmetic or functional changes. Guidance is given on the techniques used but adequate training must be considered essential before embarking upon modification in occlusal schemes or even minor adjustments in smile design. Conservative use of porcelain laminate veneers can result in significant aesthetic improvements to a patient's smile and it is not always necessary to prepare all the teeth visible in a smile.
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References
Dumfahrt H, Schaffer H . Porcelain laminate veneers. A retrospective evaluation after 1 to 10 years of service: Part II - Clinical results. Int J Prosthodont 2000; 13: 9–18.
Rinaldi P . Simplifying anterior aesthetics in general practice. Contemporary aesthetic and restorative practice. April 2001.
Gurel G . The science and art of porcelain laminate veneers. UK: Quintessence, 2003.
Haywood VB, Parker MH . Quintessence Int 1999; 30: 743–747.
Rufenacht CR . Fundamentals of aesthetics. UK: Quintessence, 1990.
Edelhoff D, Sorensen JA . Tooth structure removal associated with various preparation designs for anterior teeth. J Prosthet Dent 2002; 87: 503–509.
Castelnuovo J, Tjan AH, Phillips K et al. Fracture load and mode of failure of ceramic veneers with different preparations. J Prosthet Dent 2000; 83: 171–80.
Orr C . 12 steps to smile design 1: Macroaesthetic elements. Aesthetic and Implant Dent 2005; 7.1: 16–22.
Filho AM, Vieira LCC et al. Effects of different ceramic treatments on resin microtensile bond strengths. J Prosthodont 2004; 28–35.
Tay FR, Pashley DH et al. Aggressiveness of self etch adhesives on unground enamel. Oper Dent 2004; 29: 309–316.
Armellini D, von Fraunhofer JA . The shortened dental arch: a review of the literature. J Prosthet Dent 2004; 92: 531–535.
Friedman S, Mor C . The success of endodontic therapy–healing and functionality. Calif Dent Assoc 2004; 32: 493–503.
Acknowledgements
Many thanks to Dr Asif Chatoo BDS MOrth of London Lingual Orthodontic Clinic and to Luke Barnett Dental Ceramics, also in Watford.
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Bloom, D., Padayachy, J. Aesthetic changes with four anterior units. Br Dent J 200, 135–138 (2006). https://doi.org/10.1038/sj.bdj.4813192
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DOI: https://doi.org/10.1038/sj.bdj.4813192
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