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2-4 May, 2008
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Once the ideal relationship between the restoration and the facial soft tissues is achieved, improvements in natural
beauty can be expected to follow. With the ever-increasing importance that the media, patients and general society
place on appearance, an even greater emphasis has recently been placed on elective aesthetic dentistry. By
improving deficient facial proportion and integumental form, surgeons, orthodontists, and restorative dentists have
the unique opportunity to weave these aesthetic needs and the creation of a pleasing smile into the fabric of their
comprehensive treatment planning.
Creating the precission in terms of the preparation, fit and the aesthetic final outcome needs a serious treatment
planning which is different for each case. Designing a new smile consists of many steps which are so very
important and if followed right, produce predictable success.
At this point I would also like to emphasize the importance of minimally-invasive dentistry. This is only possible if
we can insure that proper tooth position in the arch is established, eliminating the need for any soft or hard tissue
removal. This brings to mind the importance of the interdisciplinary team (in contrast to multidisciplinary). The major
difference between an interdisciplinary versus a multidisciplinary approach, is that with an interdisciplinary approach,
treatment planning is accomplished in a group setting with all treatment team members present. All treatment
planning and treatment challenges can be discussed in a collaborative environment with team members
complementing and supporting the efforts of each other. A multidisciplinary approach only represents that each
discipline or area of dentistry is involved in one aspect of the treatment without necessarily working together in a
unified manner. After that stage, in order to achieve a very precise and predictable tooth preparation, wax-up, silicon
indexes and related techniques such as APR (Aesthetic Pre Recontouring), APT (Aesthetic Pre-evaluative
Temporaries) and preparation through the APTs are extremely crucial. This eliminates all the possible mistakes and
destruction of the depth cutters that could have been done if the tooth was to be prepared without realizing the aging
affects on the enamel (volumetric enamel loss) or their unappropriate teeth positions on the dental arch....
Title : INTERDISCIPLINARY APPROACH FOR BETTER AESTHETIC RESULTS
Abstract :
A beautiful smile seems to reflect a certain style of living, and the enhancement of facial
beauty is one of the primary goals of patients seeking elective dental care. The lower
one-third of the face has a major impact on the perception of facial aesthetics, and the role
of a beautiful smile design not only changes the smile alone but also the overall facial
appearance as well.
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