Composed by Dr. Gary F. Turnier

Closing the Gap with veneersSmilebydesignNY.com

Local anesthesia:4 carp. Articaine HCL 4% with epinephrine 1:100,000

Informed consent given

Surgical procedure performed by Dr. Gary F.Turnier with the clinical expertise of Dr. Chanda Kale, Dr. Samuel First

and photographic assistance of Dr. Ovral Wynter

A Special Thanks to Dr. Trevor Bavar for taking the time to discuss further the patient’s case with me

Premedication with 1gm Azithromycin 1 hour before txIbuprofin 600mg 1 tab 1 hour before tx

Dr. Gary F. Turnier

The Creative Process: utmost importance

GAP CLOSURE IN THE ESTHETIC ZONE WITH PORCELAIN VENEERS PART II OF

THE SMILBYDESIGNNY SERIESAugust 18, 2012

BY SMILEBYDESIGNNY.COM

SMILEBYDESIGNNY.COM

HOW DO WE ACHIEVE THE ESTHETIC DEMAND OF AN IDEAL SMILE DESIGN IN CLOSING A GAP IN THE ESTHTETIC ZONE THAT WILL PROVIDE FORM AND FUNCTION AS WELL AS THE IDEAL PROPORTION OF INCORPORATING THE LIPS AND THE OCCLUSION FOR LONG TERM EFFECTS?DIAGNOSITC MODELS ESTHETIC MOCK UPCORRECT SHADEIDEAL FORM AND FUNCTION RELATIVE TO THE LIPSDEFINITIVE VENEERS INSERTED

EXCELLENT GINGIVA HEALTH(HEALTHY GUMS)Is the state of the gums healthy enough to fulfill the requirements for the veneers or composite mockup?

Can we obtain tooth length from raising the gums to achieve the ideal tooth display?

Teeth size:What is the ideal width, length, shade and the emergence profile of the central and laterals to provide closure of the gap to meet the esthetic requirement for the esthtetic zone.

GOAL:TO CREATE THE GOLDEN PROPORTION FOR THE FRONT CENTRALS AND LATERALS

INCISAL EDGE:How much esthetic display do we need in designing the proper length with lips at rest and when smiling?

EXCELLENT GINGIVAL HEAlTHUpper left central shows a composite from her past treatment which will have be to be removed to gage the exact contour of the emergence from the gingiva to the tooth edges in between of the gap

SMILEBYDESIGNNY.COM

VENEER DESIGN:Upper left tooth shows a composite from her past treatment which will gave to be removed to gage the exact contour of the emergence from the gingiva to the tooth edges in between.

SMILEBYDESIGNNY.COM

CONTACT POINT OF ADJACENT TEETH:CAN WE PROVIDE IDEAL CONTOUR TO CLOSE THE GAP IN AN ESTHETICALLY

PLAEASING RESULT?

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A VERY HAPPY AND BEAUTIFUL GAP CLOUSUREBRIGHTER SHADE FOR THE UPPER TEETH:ENHANCING THE SHADE TO A BRIGHTER SMILE WILL HAVE TO TAKE INTO CONSIDERATION OF CHANGING THE LOWER TEETH BY TEETH WHITENING OR VENEER PLACEMENT.

EMBRAURES:CREATING THE NATURAL INDIVIDUALITY OF EACH TOOTH AFTER VENEER PLACEMENT AND GAP CLOSURE

The same color effect as previous photo displayThe gingiva line is relatively ideal to the tooth contour however what would demonstrate the ideal tooth length would determine if it remains at this level or not.

LIP AT RESTAFTER THE VENEER INSERTIONS OF THE CENTRALS AND LATERALS

THE BEGINING

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