Key Points
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Correct diagnosis and treatment planning is crucial.
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A diagnostic wax up is essential to allow conservative preparation and prototype fabrication and thus verifying any change in the occlusal scheme.
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Porcelain laminate veneers can be a conservative treatment modality for treating signs and symptoms of occlusal disease.
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A thorough understanding of occlusion is essential for any rehabilitation case be it functional or aesthetic.
Key Points
Aesthetics 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. Porcelain laminate veneers have a role in the restoration and rehabilitation of a wearing and functionally compromised dentition.
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Acknowledgements
Many thanks to Luke Barnett Dental Ceramic Specialists in Watford for all the porcelain work shown. We are also indebted to Roy Higson for providing us with an occlusal learning pathway (www.ipsoseminars.org) and his continued support.
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Bloom, D., Padayachy, J. Smile lifts — A functional and aesthetic perspective. Br Dent J 200, 199–203 (2006). https://doi.org/10.1038/sj.bdj.4813252
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DOI: https://doi.org/10.1038/sj.bdj.4813252
