The Art of a Beautiful Smile

Esthetics means a lot of different things .  To the eye of the esthetic/restorative dentist it can be form, shade, gingival architectural balance and must always be function.  In this case the patient presented with the desire to have a more attractive smile.  Her self evaluation included teeth that were in need of shade enhancement and a concern about “not being able to see enough of her teeth when she smiled or when her lips were at rest.”  Smile design analysis revealed a number of concerns.
 
FUNCTIONAL SMILE DESIGN ANALYSIS:
1.            REVERSE SMILE LINE
2.            ASYMETRIC GINGIVAL ARCHETECTURE
3.            DIMINISHED BUCCAL CORRIDOR PRESENCE
4.            DENTAL PROPORTION ISSUES
5.            DENTO-FACIAL PROPORTION CONCERNS
6.            LACK OF LATERAL GUIDANCE
7.            LACK OF ANTERIOR GUIDANCE
8.            SHADE IMPROVEMENT
 
Esthetic restorative dentistry need not always be aggressive to accomplish these goals.  More often than not minimally invasive tissue preparation is adequate to attain superior esthetic and functional results.

Placed on site: 6/19/2013

Note: No commercial support for this course was recieved.  The speaker is an investor in Envision A Smile.

1. Understand how smile design analysis and computer imaging were used.
2. Learn how minimally invasive tissue preparation can provide superior esthetic and functional results.
3. Describe the clinical sequence for tooth restoration.

I.     Case overview

II.    Preparation

III.   Provisionals

IV.   Removal of provisionals

V.    Final seat

• Part 1 - Review of the case
  Dr. Kirtley will walk you through the patient's pre-op photos

• Part 2 - Preparation Design
  Dr. Kirtley demonstrates a more conservative preparation design

• Part 3 - Preparation Design Continued
  Dr. Kirley continues the preparation design demonstration and introduces how he utilizes a laser to control bleeding.

• Part 4 - Removal of the provisionals
  Dr. Kirley removes the provisional restorations and prepares for the final seating

• Part 5 - Final Seat
  Dr. Kirley seats the final restorations