Tuesday, October 30, 2012

S l i d e P r e s e n t a t i o n Te m p l a t e

Tuesday, October 30, 2012

 S l i d e P r e s e n t a t i o n Te m p l a t e
video

Tuesday, October 30, 2012

 Facial Analysis
&
Digital Design
(Mac-Keynote Software)

Tuesday, October 30, 2012

 Dental midline shifted but not canted
Facial Analysis Occlusal plane OK
&
Digital Design

Tuesday, October 30, 2012

 Dental midline shifted but not canted
Facial Analysis Occlusal plane OK
&
Digital Design

Anteriors are short related to posteriors and lips

Tuesday, October 30, 2012

Tuesday, October 30, 2012
Tuesday, October 30, 2012
 8.5mm

Tuesday, October 30, 2012

 8.5mm 10mm
Tuesday, October 30, 2012
Tuesday, October 30, 2012
Tuesday, October 30, 2012
Tuesday, October 30, 2012
 Sub-gingival probing
Crown lengthening or Gingivoplasty
on Bicuspids
Tuesday, October 30, 2012
 Tooth proportion
Tuesday, October 30, 2012
 L=10mm
Tooth proportion
W=7.5mm
Tuesday, October 30, 2012
Tuesday, October 30, 2012
 Dominant Centrals

Smaller incisal embrasures

Tuesday, October 30, 2012

Tuesday, October 30, 2012
Tuesday, October 30, 2012
 Options x Limitations x Decisions

Crown lengthening x Gingivoplasty?

Veneers: 4, 6, or 10 teeth?

Tuesday, October 30, 2012

 Morpho-Psychology

Choleric Sanguine Melancholic

Square Triangular Oval
Straight lines Incline lines Curves
Dominant Centrals Even incisal edge Open embrasures
Strong cusps Incline cusps Round cusps
Tuesday, October 30, 2012
 Morpho-Psychology Interview Oval
Sensible

Patient basic temperament Triangular

Dynamic
Patient Desire

Retangular
What do you want to express with your smile??? Strong

Tuesday, October 30, 2012

 Morpho-Psychology Interview Oval
Sensible

Triangular
Dynamic
Reference

Retangular
Strong

Tuesday, October 30, 2012

Tuesday, October 30, 2012
 Pre-op model

Tuesday, October 30, 2012

 Pre-op model Digital Design

Tuesday, October 30, 2012

 Pre-op model Digital Design

Wax-up

Tuesday, October 30, 2012

 Pre-op model Digital Design

Wax-up

Snap-on Mock-up
(Acrylic Outline-
Anaxdent)

Tuesday, October 30, 2012

 Pre-op model Digital Design

Wax-up

Snap-on Mock-up
(Acrylic Outline-
Anaxdent)

Tuesday, October 30, 2012

 Pre-op model Digital Design

Wax-up

Snap-on Mock-up
(Acrylic Outline-
Anaxdent)

Tuesday, October 30, 2012

 Pre-op model Digital Design

Wax-up

Snap-on Mock-up
(Acrylic Outline- Esthetic Evaluation
Anaxdent) Surgical Stent

Tuesday, October 30, 2012

 Snap-on Mock-up
(Acrylic Outline-Anaxdent)

Try-in and adjustments

Tuesday, October 30, 2012

 Mock-up
&
patient communication

Tuesday, October 30, 2012

 Final Esthetic Conclusions

-1.5mm longer
Very conservative preps
-0.5 buccal addition
are possible.
-Subtle color change

Tuesday, October 30, 2012

 T h e M o c k- U p

Tuesday, October 30, 2012

 Active Clinical Treatment

Tuesday, October 30, 2012

 Hygiene session before:
-gingivoplasty
-prepping
-impression
Tuesday, October 30, 2012
 Mock-up
&
Gingivoplasty Surgical Stent
Tuesday, October 30, 2012
 Incision guided by the stent

Gingivoplasty
Tuesday, October 30, 2012
 Incision guided by the stent

Gingivoplasty
Tuesday, October 30, 2012
 Incision guided by the stent

Gingivoplasty
Tuesday, October 30, 2012
 Incision guided by the stent

Gingivoplasty
Tuesday, October 30, 2012
 Incision guided by the stent

3mm

probing to check biological width

Gingivoplasty
Tuesday, October 30, 2012
 Incision guided by the stent

Same on contralateral side

Gingivoplasty
Tuesday, October 30, 2012
 Snap-on mock-up

Indirect mock-up
(silicone index)

Esthetic evaluation

Tuesday, October 30, 2012

 Preping through the Mock-up
Gurel G, The Science & Art of Laminate Veneers, Quintessence, 2005.
Tuesday, October 30, 2012
 Preping through the Mock-up
Gurel G, The Science & Art of Laminate Veneers, Quintessence, 2005.
Tuesday, October 30, 2012
 incisal
grooves
Tuesday, October 30, 2012
 incisal
grooves
Tuesday, October 30, 2012
 Preping through the Mock-up
Gurel G, The Science & Art of Laminate Veneers, Quintessence, 2005.
Tuesday, October 30, 2012
 Preping through the Mock-up
Gurel G, The Science & Art of Laminate Veneers, Quintessence, 2005.
Tuesday, October 30, 2012
 Depth Cutters

Preping through the Mock-up

Gurel G, The Science & Art of Laminate Veneers, Quintessence, 2005.
Tuesday, October 30, 2012
 Depth Cutters

Preping through the Mock-up 0.7 0.5 0.3

Gurel G, The Science & Art of Laminate Veneers, Quintessence, 2005.
Tuesday, October 30, 2012
 buccal
grooves
Tuesday, October 30, 2012
 0.7 0.5 0.3
buccal
grooves
Tuesday, October 30, 2012
 Preping through the Mock-up
Gurel G, The Science & Art of Laminate Veneers, Quintessence, 2005.
Tuesday, October 30, 2012
 Preping through the Mock-up
Gurel G, The Science & Art of Laminate Veneers, Quintessence, 2005.
Tuesday, October 30, 2012
 Preping through the Mock-up
Gurel G, The Science & Art of Laminate Veneers, Quintessence, 2005.
Tuesday, October 30, 2012
 final
prep
Tuesday, October 30, 2012
 Conservative
Preparation
Tuesday, October 30, 2012
 Interproximal Prep Design

Tuesday, October 30, 2012

 Interproximal Prep Design

Tuesday, October 30, 2012

 Transitional Line Angle & Tooth Width Coachman & Gurel in print
Tuesday, October 30, 2012
 Interproximal Prep Design

Tuesday, October 30, 2012

 Interproximal Prep Design

Modified Prepless

Coachman & Gurel in print

Tuesday, October 30, 2012
 Interproximal Prep Design

Modified Prepless

Coachman & Gurel in print

Tuesday, October 30, 2012
 Modified Prepless Technique
Tuesday, October 30, 2012
 Modified Prepless Technique
Tuesday, October 30, 2012
 Modified Prepless Technique
Tuesday, October 30, 2012
 Modified Prepless Technique
Tuesday, October 30, 2012
 Interproximal Chanfer

Modified Prepless Technique

Tuesday, October 30, 2012
 Modified Prepless Technique
Tuesday, October 30, 2012
 1 week turnaround/
No provisional
Tuesday, October 30, 2012
 Cords & Impression
Tuesday, October 30, 2012
 Cords & Impression
Tuesday, October 30, 2012
 Cords & Impression
Tuesday, October 30, 2012
 Work Model

Tuesday, October 30, 2012

 Work Model Gingival Margins

Tuesday, October 30, 2012

 Work Model Gingival Margins
Interproximal Margins

Tuesday, October 30, 2012

Tuesday, October 30, 2012
Tuesday, October 30, 2012
Tuesday, October 30, 2012
Tuesday, October 30, 2012
 IPS e.max HT A1 + Incisal Layering
Tuesday, October 30, 2012
Tuesday, October 30, 2012
Tuesday, October 30, 2012
 Pressed 0.3mm

Reshape 0.2mm
Tuesday, October 30, 2012
 Layered

Monolithic

Tuesday, October 30, 2012

 Layered

Monolithic

Tuesday, October 30, 2012

 Digital Smile Design Mock-up Ceramics

Tuesday, October 30, 2012

 Digital
Smile
Design

Mock-up

Ceramics

Tuesday, October 30, 2012

 Digital
Smile Facial
Design

Mock-up and
Emotional
Ceramics
Harmony
Tuesday, October 30, 2012
 Facial & Emotional Analysis
Digital
Smile
Design

Mock-up

Ceramics

Tuesday, October 30, 2012

 Facial & Emotional Analysis
Digital
Smile
Design
Test Drive

Mock-up

Ceramics

Tuesday, October 30, 2012

 Facial & Emotional Analysis
Digital
Smile
Design
Test Drive

Mock-up

Ceramics Predictable
Final
Outcome

Tuesday, October 30, 2012

Tuesday, October 30, 2012
 Incisal Edge Design
Tuesday, October 30, 2012
 Try-In

Tuesday, October 30, 2012

 LV +1 LV -1
Try-In Paste
Value

Tuesday, October 30, 2012

 Final Color = Substrate + Cement + Ceramic
Tuesday, October 30, 2012
 Final Color = Substrate + Cement + Ceramic
Tuesday, October 30, 2012
 Final Color = Substrate + Cement + Ceramic
Tuesday, October 30, 2012
 Final Color = Substrate + Cement + Ceramic
Tuesday, October 30, 2012
 Thickness

Final Color = Substrate + Cement + Ceramic

Tuesday, October 30, 2012
 Color Influence Thickness

Final Color = Substrate + Cement + Ceramic

Tuesday, October 30, 2012
 Final Try-in
Micro Esthetics Macro esthetics
(Dental esthetics) (Smile design)

Color Arrangement
Shape Incisal edge
Texture Display
Lips/Face
Tuesday, October 30, 2012
 Photography Analysis before Final Cementation
Tuesday, October 30, 2012
 Cementation
Tuesday, October 30, 2012
 supra gingival cervical finishing line

Try-in After bonding

Tuesday, October 30, 2012
 After bonding
Tuesday, October 30, 2012
Tuesday, October 30, 2012
 supra gingival cervical finishing line After bonding
Tuesday, October 30, 2012
Tuesday, October 30, 2012
Tuesday, October 30, 2012
Tuesday, October 30, 2012
 Cementation day 1 month post op
Tuesday, October 30, 2012
 Cementation day 1 month post op
Tuesday, October 30, 2012
Tuesday, October 30, 2012
Tuesday, October 30, 2012
Tuesday, October 30, 2012
 Before
Tuesday, October 30, 2012
Tuesday, October 30, 2012
Tuesday, October 30, 2012
Tuesday, October 30, 2012
Tuesday, October 30, 2012
Tuesday, October 30, 2012
 in partnership w/

Dr. Braulio Paolucci

CDT Edson Silva
So Paulo - Brasil
Tuesday, October 30, 2012