7 Steps for Anterior Esthetics Success

Improving esthetics is no longer a by-product of the treatment plan—patients often focus on it more than anything else. In this article, Dr. Mistry discusses seven steps of esthetic treatment planning that ensure good biologic, functional, and esthetic outcomes. 

Esthetic treatment planning, or “smile designing,” has become an integral part of today’s dental treatments. Improving the smile is no longer a by-product of a treatment plan, but is actually the goal of modern dental therapy.

The biggest challenges for the dental practitioner come in creating esthetic outcomes for complex cases that involve various disciplines of dentistry. A systematic approach to planning and sequencing treatment can eliminate guesswork from the equation, and empower a practitioner in creating predictable results.

A comprehensive esthetic treatment plan enables you to visualize the final outcome from biologic, functional, and esthetic perspectives. The following steps are used as a blueprint and aid in identifying the various treatment modalities required for executing the treatment and sequencing them correctly for achieving the final outcome.


Steps for success

  1. Facially-generated esthetic treatment plan
  2. Diagnostic wax-up, mock-up, or trial smile (3-D visualization of the plan)
  3. Interdisciplinary procedures
    1. Orthodontic tooth movement
    2. Periodontal crown lengthening
    3. Site development and implant placement
  4. Controlled and conservative tooth reduction using preparation guides (APT concept), keeping the final outcome in mind
  5. Creation of lifelike temporaries that provide functional and esthetic data
  6. Use of the matrix and stents during fabrication of the restorations
  7. Cementation of the restorations – realizing the smile design

Once the smile design has been developed, it is imperative to carry it forward so that the final smile is actually a replica and visualization of the treatment plan. Complete control over the esthetic blueprint will enable you to get predictable results no matter the case complexity. This ensures creation of esthetics with a facial and global perspective, respecting the biology of the tissues and ensuring functional stability.

Source : Dental Economics

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