BACKGROUND The relationship of the labial soft tissues to the permanent maxillary teeth is well known in aesthetic dentistry. In addition to framing the smile and establishing the minimum areas in need of esthetic enhancement, the lips shade also reveal the correct morphology and position of the teeth. In esthetic restorative dentistry, the ultimate option for esthetic smile rehabilitation has become porcelain veneers. Porcelain laminate veneers redefined conservative cosmetic dental treatment. With a clear consensus, porcelain veneers now are evolving into more functionally and esthetically dynamic restorations. However, the dentist should complete a facial and dental analysis. The esthetic analysis should include an evaluation of the patient’s requests and expectations, and an assessment of the following oral features: dental midline, facial profile, lip thickness, tooth exposure at rest, incisal curvature, buccal corridor, tooth shape and texture, incisal edge position, individual tooth proportions and contours, occlusal relationship, tooth axis and tooth arrangement. The incorporation of these principles is illustrated in the following case presentation. METHODS AND MATERIAL Case Description. A 40-year-old woman with a VI class composite restoration on the surface of a maxillary incisor sought treatment for esthetic improvement of her smile. It was evaluated the patient’s goals, midline position and cant, lip position and fullness, color, incisal edge position, desired tooth contours and occlusion. Once it was determined the ideal final position and shape of the tooth, it was decided that the patient was a candidate for a porcelain veneer. RESULTS Porcelain veneer improved the final smile. A proportionate in anterior tooth shape was achieved with enhancement of the esthetic of the lips. CONCLUSION To optimize the outcome, dentists should perform a complete esthetic examination before selecting and planning treatment for patients receiving aesthetic correction of the smile.
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|Titolo:||Correlazioni estetiche dento-labiali nel restauro anteriore: presentazione di un caso clinico. Dental-labial esthetics correlations in maxillary teeth restorations. A case report.|
|Data di pubblicazione:||2011|
|Appare nelle tipologie:||4.1 Contributo in Atti di convegno|