Interdisciplinary esthetic approach in clinical dental rehabilitation

Abstract

During the esthetic evaluation of smile, the presence of diastemas, tooth color, size and shape, and the amount of gingival exposure are important factors to be considered. A 23-year-old female patient was referred to us with a dissatisfaction with her smile. After clinical examination revealed esthetic alterations as generalized tooth yellowish discoloration, a slight diastema in the upper anterior region, and a shortened appearance of maxillary dental crowns, providing a gingival smile. The proposed treatment consisted of an esthetic rehabilitation for resolution of gummy smile and closure of diastema in anterior teeth by the use of digital planning as a guide for the accomplishment of integrated procedures. The result obtained by the multidisciplinary treatment associating periodontal surgical procedure for esthetic crown lengthening with in-office bleaching and direct restorations with composite resin, by digital planning, provided evident harmonization between tooth color and shape and gingival contour, enabling more harmonious smile esthetics.

Evaluation of Patient’s Aesthetic Satisfaction after the Cementation of the Porcelain Fused to Metal Crown

“…Hence, creating perfect smile correlates with facial appearance and aesthetics. It has been reported that individuals with less dental disease are judged to be more socially competent, show greater intellectual achievement and have better psychological adjustment 3,4 . Hence, people with dental problems tend to be more socially inactive.…”