„At this point, I stop thinking like a dentist and start thinking like an ARCHITECT. I like to say about myself that I am the "architect of the smile". Radial symmetry, golden Fibonacci proportions, lengths, widths, shapes, verticals and levels are the components of designing a perfect smile. As Pablo Picasso used to say: "Learn the rules like a professional so that you can break them later like an artist." I have been guided by this quote from the beginning of my professional career.”
STAGES:
1) Consultation:
- in the office
- virtual (FaceTime / Whatsapp)
MAKE AN APPOINTMENT
2) Visit to the office
- Photo session
HOME POSITION
- mouth breathing / "EMMA" pronunciation
- checking the exposure of teeth at rest
The so-called A SPIRITUAL SMILE
- mapping the muscles that raise the corners of the mouth (zygomatic muscles), lift the cheeks, and create wrinkles around the eye (eye circular muscles)
- checking the maximum exposure of teeth in a smile
SMILE IN RETRACTION
- establishing the zenith of the gums
- determining the shape of the teeth
MEASUREMENTS TRANSFER
FOR A LABORATORY MODEL
- impression taking + FACIAL ARC registration bite
- digital smile design
After getting to know the patient's expectations, his personality type and determining the real treatment options, the shape of the teeth, their length and setting in a smile, I design the shape of front tooth - medial incisors and the degree of their dominance in the smile, the shape and degree of exposure of the canines, the shape and position of next tooth - lateral incisors. Everything in accordance with the "golden proportions" in order to achieve a radiant symmetry and a harmonious smile. In the presented case, the patient is an extrovert, communicative and dynamic person. A typical sanguine. I decided to make the teeth in a triangular shape in the proportion of 80%, with dominant and well-defined central incisors and canines. A rising smile line, converging long teeth axes and inclined cusps have been planned. The impressions along with the design are sent to the laboratory, where the two-dimensional design turns into a three-dimensional design - the so-called wax up.
LABORATORY: The technician casts plaster models from the impressions of the upper and lower arch, assembles them in the articulator and creates an aesthetic wax-up according to the design.
Wax up aims to create an initial aesthetic and functional treatment plan and test it with the patient in the office (transfer to mock up)
3) Trying on a new smile - the so-called mock up.
During this visit, the patient can see his/her new smile for the first time, not as a two-dimensional project, but physically in the mouth. This visit evokes a lot of emotions. It is also the time for all design corrections, teeth shortening / lengthening, shape changes, and teeth alignment. The patient sees the planned final effect of the treatment even before it starts.
The transfer of the new shape of the teeth from waxing is carried out using individual silicone splints made on the basis of wax up. The index is filled with a composite resin intended for temporary restorations and transferred to the mouth. After the resin has set, the composite excess is removed and polished.
Silicone rails
MOCK UP (aesthetic and functional jaws)
Then we move on to making a photo session, recording a video with a phonetic test in NEW SMILE, discussing the EFFECTS and comparing the project to the initial state.
