Dentaltown June 2023 - 43
FIG. 3
FIG. 1
FIG. 5
FIG. 4
FIG. 6
FIG. 2
Case report and treatment plan
A 32-year-old patient in good health
presented to the practice for consultation
(Fig. 1). His chief complaint was
the aesthetics of his smile-he was
concerned by the chipping occurring
on his maxillary central incisors
(Fig. 2), the discolorization of tooth #8
and the crowded teeth in the lower
anterior arch (Fig. 3). He wanted a
smile makeover to address these concerns
and a case outcome that would
give him a brighter, whiter, more
natural-looking smile.
A preliminary examination revealed
his teeth on both arches were natural.
Composite restorations on #8
and the midline of #8 and #9 were
deteriorating and discolored. His
lower anterior teeth displayed moderate
crowding on #22-#26, which was
contributing to the chipping of his two
central incisors. The patient's narrow
jaw when smiling revealed deficient
buccal corridors from molars to
canines (Figs. 4 and 5), which affected
the aesthetics of his smile.6
The patient was assured that his
concerns could be addressed and
aesthetics restored by placing minimally
invasive veneers on teeth #4-#13
in the maxillary arch, which would
restore #8 and #9 and fill in the buccal
corridor to broaden his smile and
create a smile-lifting effect. To address
the overcrowding on #22-#26, veneers
JUNE 2023 | 43 | DENTALTOWN.COM
would be placed on #21-#28 on the
mandibular arch, with the focus on
straightening and creating proper
tooth form on #22-#26 to eliminate
overcrowding and occluding interference
with his central incisors.
One of the most powerful tools dentists
can use to ensure case acceptance
is to provide patients with a visual of
the proposed case outcome. Using one
of the many 2D digital smile design
software programs on the market,
I uploaded measurements of the
patient's mouth and a photograph of
him smiling into SmileFy calibrated
smile design software (Fig. 6). Selecting
tooth forms from the digital tooth
library, the blueprint of the patient's
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Dentaltown June 2023
Table of Contents for the Digital Edition of Dentaltown June 2023
Dentaltown June 2023 - Intro
Dentaltown June 2023 - Cover1
Dentaltown June 2023 - Cover2
Dentaltown June 2023 - 1
Dentaltown June 2023 - 2
Dentaltown June 2023 - 3
Dentaltown June 2023 - 4
Dentaltown June 2023 - 5
Dentaltown June 2023 - 6
Dentaltown June 2023 - 7
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Dentaltown June 2023 - 60
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Dentaltown June 2023 - 64
Dentaltown June 2023 - Cover3
Dentaltown June 2023 - Cover4
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