Pretty faced Apoorva landed at our office for Quick fix smile! The demand of the role was a ‘soft but perfect smile ‘in addition to pretty face and acting as well!
The task for us was as under
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| Imagie 1 |
· Remove the overlap of two centrals and align the right central. ( see image 01.)
· Take the right canine palatally till it almost matches contra lateral canine inclination.
· After the centrals, it was major concern for the left lateral, as I wanted to incline it mesially at the same time wanted to maintain “face of the tooth “unaltered.
· The right lateral needed a little body to match the contralateral.
I took the challenge and called her the next day to fix the desired effect.
On the day of photography and study model, me and my associates worked on study models for virtual mock up in composites. My wife sushama made digital mockup for Apoorva's smile.
And we were all set to fix Apoorva’s smile, the next day!!
I started with two centrals by keeping the silicon key (made on study model) in the anterior area from palatal side. It took me two hours to get central in alignment.
Then it was the turn for right canine. To get the best result, always start preparing the labial surface to your desired location as per digital imaging and mock up (does not matter even if it exposes the pulp chambers while doing so!)
In Apoorva’s case pulp exposure was very much expected beyond doubt. But trust me, as the canine had enough labial width before I could land into pulp, except a pink spot situation, nothing unusual took place..
I primed and bonded the open area of canine and finished the top layers without spending much time. The lateral on left was a challenge as it needed mesial built up, at the same time it was much broader mesiodistally because of the existing space.
There I have added plenty of ochre and brown colour from paint on brush kit. Fig 03(before) then fig 04(after)
That mellowed down the distal position of lateral making it virtually invisible!
(I would be happy to get your comments on this)
