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FIG 6: Initial models in STL format FIG 7: Exocad “Smile Creator” Module

FIG 8: Virtual waxing of the front teeth FIG 9: Creation of the STL model with the new morphologies FIG 10: Prototyped model and silicone index

FIG 11: Mock-up and aesthetic impact on the patient's face FIG 12: Definitive treatment plan

smile following the concepts of the “Digital work until finalization (Figure 12). 1) teeth 1.3 to 2.3 were etched in order to
Smile Design” (DSD), trying to optimize the adhere the mock-up. This decision allowed
harmony between the patient's teeth and WORK PROTOCOL me to virtually draw the 2.1 temporary tooth
his/her face (Figure 5). In this case, in order First step with adequate cervical shape, to copy with
to test the aesthetic potential of my project, I Five days after the trauma, the goal was to the scanner and then to mirror the new mor-
decided to create a mockup that simulated regenerate the volume of bone in area 2.1. phology of tooth 1.1 with the design software
the final result. In order to reduce waiting The key to the success of this phase is to (Figures 13 to 16).
times, I followed a digital path, prototyping a create a provisional able to condition soft tis- 2) bone regeneration of the alveolus in the
resin model bearing the new morphology sues while maintaining in situ, the bio-mate- 2.1 area through the use of Bio-oss and
and, subsequently, creating a silicone index rial grafted into the alveolus. It is emphasized Mucograft.
for the execution of the try-in directly in the that the immediate insertion of an implant at At this stage the previously milled provi-
patient's mouth (Figures 6 to 10). After sim- this stage in this specific case was not possible sional was luted to the neighboring teeth by
ulating the patient's new smile by verifying its as it would not have allowed the achievement means of braided metal wire and flowable
harmony and proportionality, (Figure 11) it of optimal primary stability. resin after etching and application of adhe-
was possible to define the treatment period - To obtain the provisional, following a dig- sive on palatal surfaces. Adequate compres-
4 phases of a total duration of 8 months of ital path, I proceeded as follows: sion of the provisional protected the papillae

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Dental Practice // November-December 2022 // Vol 18 No 6 19