DentaltownUK February 2018 - 30

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case study

A Combined Digital
Orthodontic and
Restorative Approach
Traditionally cosmetic dentistry was a term associated with the placement
of crowns and veneers in the aesthetic zone, with many dentists adopting an
aggressive preparation approach in order to facilitate the placement.
by Dr. Andrew Culbard
Andrew Culbard, BDS MJDF RCS
Eng, General & Cosmetic Dentist
is a general dentist passionate
about cosmetic dentistry and
facial aesthetics. He is based
in private practice in Dubai and
Glasgow, and is the founder and
clinical director of aesthetic
training academy Facial
Aesthetic Courses.

Fig. 1a

30

FEBRUARY 2018 // dentaltownuk.com

Advances in cosmetic orthodontics and
digital dentistry, coupled with a change in
mindset toward prioritising the preservation of tooth structure, has led many
patients presenting for cosmetic solutions
for their smiles to undergo a multidisciplinary approach.
This 21-year-old patient presented
for cosmetic improvement of her teeth.
In her own words, she wanted a 'wider and
brighter smile with bigger teeth.'
These clinical issues presented:
* Starting shade was A3.
* Peg laterals and canines in the
upper arch, with a generally
anaesthetic tooth morphology
throughout.

Fig.1b

*

*
*

Spaced upper arch with a lack of
symmetry and some minor rotations on the canines.
Lower arch had mild crowding.
Gingival zeniths were uneven,
with some recession and a lack of
keratinized tissue.

The treatment plan was based on a
facially driven smile design, with calibrated
images measured against the Invisalign
ClinCheck software. The benefit of using
a digital system here was to allow for
accurate positioning of the anterior teeth
for minimal preparation and the ideal
restorative outcome (Figs. 1a-1f).

Fig. 1c



http://www.dentaltownuk.com

Table of Contents for the Digital Edition of DentaltownUK February 2018

Cover
Mike Gow: Contracts & the Hit Man
Howard Speaks
Message Board: Predictable Marginal Ridge
Dr. Harry Singh’s Financial Freedom Formula
Private Removable Prosthetics
Message Board: Large Composite Restorations
Quiz: Name that Oral Lesion!
The Boxing Dentist
Don't Make Assumptions
A Combined Digital Orthodontic and Restorative Approach
To Fill or Restore?
Back to Birmingham: BDC & Dentistry Show 2018
Temporomandibular Joint
Spin Me Right Round: Crown Preparations
Through the Keyhole-Dr. Alif Moosajee
Wish List-Dr. Yogi B. Savania
DentaltownUK February 2018 - Cover
DentaltownUK February 2018 - Cover2
DentaltownUK February 2018 - 3
DentaltownUK February 2018 - 4
DentaltownUK February 2018 - Mike Gow: Contracts & the Hit Man
DentaltownUK February 2018 - Howard Speaks
DentaltownUK February 2018 - 7
DentaltownUK February 2018 - 8
DentaltownUK February 2018 - 9
DentaltownUK February 2018 - Message Board: Predictable Marginal Ridge
DentaltownUK February 2018 - Dr. Harry Singh’s Financial Freedom Formula
DentaltownUK February 2018 - 12
DentaltownUK February 2018 - 13
DentaltownUK February 2018 - Private Removable Prosthetics
DentaltownUK February 2018 - 15
DentaltownUK February 2018 - Message Board: Large Composite Restorations
DentaltownUK February 2018 - 17
DentaltownUK February 2018 - Quiz: Name that Oral Lesion!
DentaltownUK February 2018 - 19
DentaltownUK February 2018 - 20
DentaltownUK February 2018 - 21
DentaltownUK February 2018 - 22
DentaltownUK February 2018 - The Boxing Dentist
DentaltownUK February 2018 - 24
DentaltownUK February 2018 - 25
DentaltownUK February 2018 - 26
DentaltownUK February 2018 - 27
DentaltownUK February 2018 - Don't Make Assumptions
DentaltownUK February 2018 - 29
DentaltownUK February 2018 - A Combined Digital Orthodontic and Restorative Approach
DentaltownUK February 2018 - 31
DentaltownUK February 2018 - To Fill or Restore?
DentaltownUK February 2018 - 33
DentaltownUK February 2018 - Back to Birmingham: BDC & Dentistry Show 2018
DentaltownUK February 2018 - 35
DentaltownUK February 2018 - Temporomandibular Joint
DentaltownUK February 2018 - 37
DentaltownUK February 2018 - 38
DentaltownUK February 2018 - Spin Me Right Round: Crown Preparations
DentaltownUK February 2018 - 40
DentaltownUK February 2018 - 41
DentaltownUK February 2018 - Through the Keyhole-Dr. Alif Moosajee
DentaltownUK February 2018 - 43
DentaltownUK February 2018 - 44
DentaltownUK February 2018 - 45
DentaltownUK February 2018 - 46
DentaltownUK February 2018 - 47
DentaltownUK February 2018 - 48
DentaltownUK February 2018 - 49
DentaltownUK February 2018 - Wish List-Dr. Yogi B. Savania
DentaltownUK February 2018 - Cover3
DentaltownUK February 2018 - Cover4
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