Virtual Aesthetic Dental Simulations

1. Virtual Aesthetic Dental Simulations Robert T. Golia, DDS, FAGD One Hamden Center 2319 Whitney Avenue Hamden CT 06518 (203) 248 - 7400 www.goliadental.com Section Chief, Department of Restorative Dentistry Department of Dentistry Yale New Haven Hospital Assistant Professor of Surgery (Dental) Yale School of Medicine New Haven, Connecticut

2. Patient Questions • Do you dislike the color of your teeth? • Do you have spaces between your teeth that bother you? • Do you have chips or uneven edges on your teeth? • Do you feel that your teeth are too long or too short? • Do you have dark fillings that show when you smile? • Do your gums show too much when you smile?

3. Patient Questions • Are your teeth crowded or crooked? • Do you have existing crowns or dental work you consider “ugly”? • Are you self-conscious of your teeth and/or smile? • Has anyone ever suggested that you should have something done with your teeth or smile? • Do you avoid smiling when you have your picture taken? • Would you like to improve your existing smile? • Do you wish you had a “new smile”?

4. Patient Concerns • Fear of treatment • Time of treatment concerns • Financial concerns • Distance to office • Not understanding treatment • Embarrassment

5. General Aesthetic Concepts • Gingival (Gum) Display – 3 types • Gingival (Gum) Horizontal Symmetry • Midline • Incisal and Occlusal Plane Considerations • Interpupillary Line • Golden Proportion

6. Gingival Display High Smile 11%

7. Gingival Display Normal or Average Smile 69%

8. Gingival Display Low Smile 20%

9. Gingival Architecture Horizontal Symmetry – Facial levels Cuspid– Cental – Cental - Cuspid Laterals 1.0 – 1.5 mm more coronal

10. Incisal Plane, Midline & Interpupillary Line

11. Golden Proportion

12. Aesthetic Treatment Options • Conservative Reshaping of Teeth • Direct Composite Bonding • Porcelain Veneers • Porcelain Crowns • Surgical Crown Lengthening • Implant Supported Crowns & Bridges • Orthodontics • Orthognathic Surgery

13. Virtual Aesthetic Dental Simulations • Unique digital technology that allows patient’s to preview aesthetic changes to their smile • Full face photographs are more desirable than close ups • Color, shape & length of teeth can be altered • Gum tissue levels can be altered • Simulations may not accurately match actual treatment outcomes • Actual treatment possibilities demand a comprehensive work up

14. Virtual Aesthetic Dental Simulations Photographs are very powerful and compelling tool to attaining a beautiful smile. How often can you “road test” a new smile?

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