'Most people do not listen with the intent to understand; they listen with the Fig. 1: Case A. 'I hate the dark areas around my old crowns-they're uneven, and my smile is narrow'. intent to reply.' Stephen R. Covey, author of 7 Habits of Highly Effective People How can we treatment plan for aesthetic success? Fig. 2: Direct composite mock-up to widen the upper premolars and fill the narrow buccal corridors. The use of simple digital photos will aid this process. The basic smile design principles can be explained to patients manually or using photo-editing software on either a screen or a printed image. This dialogue with visual aids can help us identify exactly how we can help patients achieve their goals for their smiles. After detailed discussions with my patients, identifying their main cosmetic concerns and educating them on the importance of a healthy foundation, the treatment planning process will commence either at that visit, or after further considerations have been made. Often, opinions will be required from our specialist endodontic and periodontal colleagues before presenting realistic treatment options to patients. Fig. 3: 3-D printed wax-up for upper central incisors. dentaltownuk.com \\ AUGUST 2017 49http://www.dentaltownuk.com