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16 cosmetic section DENTAL TECHNOLOGY, APRIL-JUNE 2023

A CONTEMPORARY SMILE MAKEOVER

MANAV KALRA

This lovely 51-year-old woman, residing in London, had been plan- our own abilities, such tools are not always necessary. In fact, a test
ning to improve her teeth for some time. She was aware of her drive is not possible in such “reductive” cases.
options as she had consultations back home. After extensive discus- Once the veneers were ready, we temporarily placed them using
sions, we agreed on the following aesthetic goals: to align, brighten, a trial paste to take photos and videos and obtain informed consent
and enhance the volume of her smile. Initially, we planned to only from the patient regarding the final appearance before bonding.
work on her upper teeth, but after completing them, she requested For academic and learning purposes, using the Medit Design soft-
to also have her lower teeth done. In total we delivered 16 e.max ware we combined preoperative, tooth preparation, and postopera-
restorations which were bonded using the Variolink system from tive scans, and created sections of the front four teeth to evaluate
Ivoclar. the amount of tooth reduction and veneer thickness. These sections
We performed the entire procedure without the use of any prep show that more aggressive preparation was done on the lateral inci-
guides or mock-ups. Although this may seem counterintuitive, we sors, while almost no labial reduction was required on the right cen-
believe that with an understanding of the patient's expectations and tral incisor, which was positioned lingually.

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F FIG 1: Preoperative extra oral F FIG 2: Preoperative extra oral

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F FIG 3: Preoperative extra oral F FIG 4: Preoperative Intraoral
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F FIG 5: Preoperative Intraoral F FIG 6: Preoperative Intraoral
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