CDOCS a SPEAR Company

Keeping restorations Natural

Thomas Monahan Mike Skramstad
9 years ago

Patient wanted to do something about his front 4 teeth.  Extensive failing restorations and unesthetic.  Was very concerned about the teeth looking natural and not fake.

Plan:

  • Same Day Treatment
  • Mockup in composite to get overall better shape.
  • Keep all 4 anterior teeth slightly asymmetric in order to look more natural.  Important to keep triangular shape here and not get them too "boxy"
  • Material: Vita Mark 2 shade 2M1
  • Bonded with Variolink Veneer +1

Things that are important to keep things natural IMO are:

  • overall shape:  Keep Height/Width ratios consistent to where there original teeth were if they were " in the ball park"
  • Incisal Edge length: Be careful not to lengthen teeth if it's not necessary. 
  • Asymmetries with both shape and embrasures.  You don't want them to be extreme, but slight differences will help.
  • Materials: nothing too bright and something that matches the overall value of their existing teeth.

I like cases like this because they are more fun and challenging.  Creating bright perfect teeth off a waxup is easy!

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