Aesthetic Dentistry of the Smile Line




The Clinical Problem ( Figs. 24.1A, 24.2A, 24.3A, 24.4A, 24.5A, and 24.6A )




  • 1.

    Bleaching of discolored teeth


  • 2.

    Improving tooth length to enhance the smile line


  • 3.

    Surgical correction of hard and soft tissue to correct anatomic disparities and subsequent dental procedure


  • 4.

    Restoring worn and missing spaces with crowns, veneers, and implants


  • 5.

    Treating a single tooth space with an implant, eliminating the need for a bridge, which involves a reduction of two adjacent teeth




FIGURE 24.1


(A) The aesthetic problem—short teeth, disparity in gums, and tipped teeth in the buckle corners. (B) Treatment technique—orthodontic tooth movement, with surgical soft and hard tissue shaping.

(Courtesy of Dr. Gerald Benjamin.)



FIGURE 24.2


(A) The aesthetic problem—patient presented with a discolored tooth due to injury. (B) Treatment technique—included root canal and internal bleaching. This approach eliminates the need for a full crown.

(Courtesy of Dr. Yogesh Virmani.)



FIGURE 24.3


(A) The aesthetic problem—smile line of the patient is compromised due to disproportionate growth of the upper and lower jaws and display of excessive gums. (B) Treatment technique—surgical correction included a Le Fort procedure and chin reduction, followed by orthodontic treatment. To enhance the lip line further, the patient elected to have veneers. This approach eliminated excessive gum visibility and improved the smile line.

(Courtesy of Dr. Sandesh Mayekar.)



FIGURE 24.4


(A) The aesthetic problem—a comprehensive oral reconstruction is indicated for a patient with a poor smile line due to discolored or worn teeth, old restorations, and missing spaces. (B) Treatment technique—a detailed analysis is needed to establish a treatment protocol. Soft and hard tissues are surgically contoured for an aesthetic smile line. Implants placed in missing spaces eliminate the need for a partial denture. Full mouth reconstruction was completed with veneers, crowns, and implant-supported restorations.

(Courtesy of Dr. John Highsmith.)



FIGURE 24.5


(A) The aesthetic problem—the traditional technique of restoring a missing space has been a three-unit bridge that requires the reduction of adjacent teeth. A single-unit implant is a good treatment option. (B) Treatment technique—a single-unit implant restored with a custom-made abutment and well-contoured crown is a successful long-term treatment of choice.

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Sep 14, 2018 | Posted by in ANESTHESIA | Comments Off on Aesthetic Dentistry of the Smile Line

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