1.Extreme Makeover: The Dental/Plastic Surgery Team
2. Beauty
What is Beauty?
Beauty is a result of 2 ideal components:
Symmetry
Harmony
3.
SYMMETRY- the mirror image of parts or components about an axis
HARMONY- a recurring theme
4. 5. 6.
Beauty is power, a smile is its sword Charles Read
Beauty is not caused, it is
Emily Dickenson
7.
How is it measured?
The Golden Ratio
is a mathematical ratio that seems to appear recurrently in beautiful things in nature as well as in other things that are seen as "Beautiful".
The "Golden Ratio" is a mathematical ratio of1.618:1 , and the number1.618is called " Phi ".
8. The four front teeth, from central incisor to premolar are the most significant part of the smile and they are in Golden Proportion to each other. This phenomenon has been combined in a grid which can be used to assist us in perfecting the aesthetics of the eight front teeth. The above picture shows a grid in the mouth with the front teeth clearly shown in the demarcations predicted. 9. Smile Design:
General Criteria:
Smile Line
Midline
Axial Inclination
Buccal Corridor
Specific Criteria:
Incisal Embrasures
Golden Proportion
Symmetry
Incisal Edge Position
Emergence Profile
Labial Contour
10. Smile Design
Periodontal Issues:
Cervical Embrasures
Margin Placement and
Design
Periodontal Health
Gingival Contour and Shape
Materials and Finish:
Choice of Materials
Labial Anatomy
Surface finish
Shade Selection
11. General Concepts
Smile Line
Do the incisal edges follow the Curve of Spee and the Curve of Wilson?
Do the incisal edges follow the curve of the lower lip while smiling?
12. General Concepts:
Buccal Corridor
Is there dark spaces while smiling between the corners of the mouth and the buccal surfaces of the upper teeth?
What is the arch form?
13. Specific Criteria:
Symmetry:
Is the cervical/incisal tooth length symmetrical from right to left?
Is the interproximal contact proper in length and position?
Are contralateral teeth properly arranged for size and position?
14. Periodontal Related Issues:
Cervical Embrasures
Are there black triangles present?
Margin placement and Design
Is the treatment a crown or veneer or something in between?
Gingival contour and shape
This is the biggest killer of a beautiful cosmetic result.
Is the gingival architecture in harmony with the smile design?
15. 16. Materials and Finish:
Choice of materials
When do I use a Veneer, all porcelain crown, or PFM with porcelain margin?
Shade Selection
What is the hue, chroma and value?
Is incisal translucency and halo effect appropriate?
17. Treatment Planning
It is the responsibility of the general dentist to offer the best possible treatment to the patient and hence must have the knowledge of the procedures he/she will refer out in order to confidently offer treatment to the patient.
