John Calamia

Smile design and treatment planning with the help of a comprehensive esthetic evaluation form.

Even if a clinician possesses basic knowledge in esthetic dentistry and clinical skills, many cases presenting in modern dental practices simply cannot be restored to both the clinicians and the patients expectations without incorporating the perspectives and assistance of several dental disciplines. Besides listening carefully to chief complaints, clinicians must also be able to evaluate the patients physical, biologic, and esthetic needs. This article demonstrates the use of a smile evaluation form designed at New York University that assists in developing esthetic treatment plans that might incorporate any and all dental specialties in a simple and organized fashion.

The Components of Smile Design: New York University Smile Evaluation Form Revisited, Update 2015

This article updates a simple checklist of foundational knowledge in aesthetic dental concepts that allows clinicians to organize their thoughts, to record the concerns of the patient, and to map out those improvements that must be addressed. This adjunct is called a Smile Evaluation Form. Along with other adjuncts such as radiographs, study casts, and diagnostic wax-ups, the Smile Evaluation Form allows clinicians to form a conceptual visualization of the expected end point. It provides a checklist for discussions with other disciplines in the team, to provide a logical sequence of treatment with a mutually agreed-on end point.

Management of an Adult with Class III Malocclusion, Gummy Smile, and Spaced Dentition

This case report presents an interdisciplinary approach to achieve functioning occlusion and an aesthetically pleasing smile. This patients concerns were spacing between upper front teeth and a gummy smile. The case was evaluated, and treatment was planned using a multidisciplinary approach. The patient rejected the option of orthognathic surgery to correct a skeletal problem. Treatment included orthodontics, osteoplasty, gingivoplasty, and porcelain veneer restorations to achieve the desired aesthetic result. Comprehensive orthodontics resulted in a functionally stable occlusion. Space distribution between maxillary anterior teeth with adequate overjet and overbite relationships allowed for conservative preparation to receive porcelain veneer restorations.

Replacement of Old Porcelain-Fused-to-Metal Crowns and Smile Rejuvenation Using All-Ceramic Restorations.

This case report points out the previous restorative breakdown of tooth #8. An interdisciplinary approach had to be applied to prepare the final treatment plan. All factors were taken into account when choosing the type of restorations and materials in this case. The ultimate treatment is presented with the final result. The objectives were to clinically assess patients current chief complaint, address her aesthetic needs, apply an interdisciplinary approach, deliver treatment of utmost quality, and maintain oral health.

An Aesthetic and Functional Rehabilitation A Case Study

This article describes a multidisciplinary approach to a functional and aesthetic rehabilitation. In this case study, we successfully corrected an anterior open bite and an exaggerated curve of Spee using restorative modalities while still maintaining a highly aesthetic outcome. The maxillary anterior teeth no longer appear to have a disproportional width/length ratio and are now in harmony with the mandibular veneers. Posterior function was re-established, mostly with implant-retained crowns. Occlusal harmony and stability are maintained through cuspid guidance and anterior disclusion. Proper selection of final restorative materials is imperative for the long-term survival of the restorations.

Restoration of the Dentition in a Patient with a History of Non-Hodgkin Lymphoma and Gastroesophageal Reflux Disease

Patients are concerned about dental disease and their appearance. Clinicians often must decide not only the type of restoration, but also the type of material for restoration that will provide aesthetics and longevity. A modern practitioner should know the pros and cons of different types of crowns and veneers. They are also responsible to provide treatment for patients with complicated medical histories. Risk assessments include current conditions, risks of recurrence, and suggestions for maintenance of restorations, as well as guidelines to promote the future health and well-being of the patient.

Modern Concepts in Aesthetic Dentistry and Multidisciplined Reconstructive Grand Rounds

In April 2007, Elsevier published an issue of Dental Clinics of North America entitled “Successful Esthetic and Cosmetic Dentistry for the Modern Dental Practice.” Authors and topics were selected that would provide generalists, specialists, seasoned practitioners, and recent graduates with foundational knowledge in a clear and concise text to help them provide their patients with those often elective procedures requested in the modern-day practice of dentistry. In April 2011, with our next project, entitled “Esthetic and Cosmetic Dentistry for Modern Dental Practice: Update 2011,” we continued to provide the readership with updated information on additional foundational material not covered in the previous issue. We also provided adjuncts for patient evaluation and improved communicative skills that would allow for better diagnosis, better treatment planning, better case presentation, and better laboratory communication. In this, our third project for Dental Clinics of North America, entitled “Modern Concepts in Aesthetic Dentistry and Multidisciplined Reconstructive Grand Rounds,” we have again provided foundational knowledge on adjuncts that will help clinicians provide quality, long-lasting restorations for their patients. In addition to this continued evidence-based information—including an updated Smile Evaluation Form, the use of the Kois analyzer, and Dr Ward’s proportional smile design—this issue champions “the medical model,” presenting numerous cases that apply all of our previous preparation with the intent of bringing our readers’ clinical knowledge to new heights. These cases furnish not only the functional and physiologic requirements of treatment planning but also the aesthetic component that is often considered a key component of excellence in modern dental care. They each offer pearls of information that in our opinion can be immediately incorporated into the practices of readers.