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Minimally invasive cosmetic dentistry: alignment, bleaching and bonding (abb)

From Volume 38, Issue 9, November 2011 | Pages 586-592

Authors

Tif Qureshi

President, The British Academy of Cosmetic Dentistry

Articles by Tif Qureshi

Abstract

This article will outline how combining existing techniques in a new and unique manner can potentially redefine the traditional approach to smile design planning and execution. Alignment, tooth whitening and edge bonding with new highly polishable nano-hybrid composites can make cosmetic dentistry far simpler and less invasive. Patients' perceptions of their end smile result can change dramatically if they are allowed to see their teeth improve gradually.

Clinical Relevance: This technique will highlight a choice of pathways available in cosmetic dentistry making it much less invasive for the patient and less risky for dentists.

Article

The United Kingdom has seen a large increase in the demand and provision of cosmetic dentistry over the last 10 years.

Smile Design Principles have provided a format for dentists and orthodontists to create what has been widely accepted as an aesthetic target to achieve in the treatments of their patients.

Smile design theory can be broken down into four components:1

Facial aesthetics forms the frame of the smile with the lips and surrounding soft tissues, which vary from patient to patient and can change depending on various positions of speech and when smiling or laughing.

Gingival aesthetics particularly relates to gum health. Unhealthy and inflamed gums may be generally considered unaesthetic. Too much gum display is also sometimes considered unaesthetic, even if the gums are healthy and pink.

Microaesthetics relates to specific anatomical details that characterize teeth, such as surface contour and texture, incisal translucency, halo effect.

The macroaesthetic requirements for smile design theory may be considered to encapsulate several requirements to achieve what is arguably a correct aesthetic smile.

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