The dental midline should be as vertically straight as possible. If a midline cant is present, however, it is more favorable to have a dental midline angulation which points in the same direction as nose and chin deviations, rather than in the opposite direction.

Background: The successful use of zirconia ceramics in orthopedic surgery led to a demand for dental zirconium-based implant systems. Because of its excellent biomechanical characteristics, biocompatibility, and bright tooth-like color, zirconia (zirconium dioxide, ZrO 2 ) has the potential to become a substitute for titanium as dental implant material. The present study aimed at investigating the osseointegration of zirconia implants with modified ablative surface at an ultrastructural level.

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SUMMARY This article presents a clinical technique based on a case report for restoring the contours and shape of the upper teeth involved in the smile display of a young patient. After planning the treatment for the patient using digital tools (Digital pictures, Digital Smile Design, digital waxup, three-dimensional [3D] printed models, mockup), the upper teeth were restored using an improved injection technique. This improved technique involves the direct injection of flowable composite resin using clear polyvinyl siloxane molds made from 3D-printed models of the patient. The details and benefits of this new technique are described in the article.

Esthetic perception is an increasingly important criterion critical to satisfy patients. The correlation of reported tooth shapes with specific genders was not reliably observed in natural smiles. Tooth shapes should be selected according to the wishes of the patient rather than by previously believed gender specific tooth shapes. Pure basic tooth forms should be complemented with the addition of combination forms to more accurately portray forms found in nature.