Digital Smile Design meets Direct Composite Veneers

Community - Direct anteriors
25 Jan 2017

When reshaping and restoring anterior teeth, the main challenge is good facial integration of the new shapes. Using Digital Smile Design we can achieve that and get more predictable results.

Fig. 1

Img. 1 – Pre-op photo shows diastema between the two centrals, difference of the color between the central and laterals.

Fig. 2

Img. 2 – DSD analisys shows that we need increase width to close the diastema but also we need to elongate the centrals to get good width to length ratio, same for the laterals.

Fig. 3

Img. 3 – Wax up was made using the parameters from DSD.

Fig. 4

Img. 4 – Control of the preparation with the silicone key made from the wax up.

Fig. 5

Img. 5 – Post-op image showing good color and gingival integration of the composite.

Fig. 6

Img. 6 – Close-up image showing surface texture (Perikymata) and morphology.

Fig. 7

Img. 7 – Low birghtness photography showing the internal structure of the upper composite restorations and lower natural teeth

Fig. 8

Img. 8 – Note the smile improvement and facial integration of the new shapes

 

Conclusions

Thanks to proper diagnosis with the help of the DSD concept and understanding of the aesthetic challenges and optical properties of composites, excellent aesthetic results can be appreciated, with a confident and happy patient at the end of the treatment.

Bibliography

Manauta J, Salat A. Layers: An Atlas of Composite Resin Stratification. 2012 Quintessence publishing
Christian Coachman, Livio Yoshinaga, Marcelo Calamita, Newton Sesma THE DIGITAL SMILE DESIGN CONCEPT – Documenting, Designing, and Communicating in Interdisciplinary Dentistry
Eduardo Mahn and Christian Coachman Smile design with composites: A case study