Fig 1: Initial Smile
Fig 5: Video: Smile Design
Before and After
To create the emotional mock-up, a silicone impression was made from the digital diagnostic wax-up to fabricate a matrix. The emotional mock-up was then placed in the patient’s mouth. The patient was not allowed to see themselves with the mockup. New pictures were taken from different angles and were then compiled into a case presentation. Mirrors were removed from the consultation room while the patient viewed the presentation. Once shown the transformation, she was immediately appreciative and instantly approved the case (Fig. 7A,7B, 7C).
A gingivoplasty was made at the gingival margin of the upper central right incisor where about 1.6mm was removed. After 30-40 days, teeth were prepped, and direct composite veneers were created using a palatal silicone index. The incisal edge of the central incisors and the left lateral incisor was lengthened by 1–1.2 mm while the mesial-incisal third length of the left upper canine was lengthened by 1.2mm. The right lateral and canine were also included in the treatment planning to create a harmonic smile. The occlusal bite and guidelines were checked to ensure the final results matched aesthetic and functional design (Fig. 8). The use of a digital tool such as DSDApp helps dental practitioners create faster and better outcomes, giving the dentist and patient confidence to a satisfying end-result.