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 Program 3 :  Architecture of Smile Design
 Maurice A. Salama, DMD, David A. Garber, DMD
 
 


Dental esthetics today has evolved beyond the esthetic restoration of individual teeth to incorporate beauty in its fullest sense. However, the making of beautiful teeth is only the final phase in esthetic smile design. The real essence of smile design is orchestrating labial gingival harmony prior to the creation of the actual teeth.

This program will take you through the “ten step program in smile design” demonstrating the clinical procedures to diagnose and reconstruct the individual “restorative receptive sites” and their collective arrangement in harmony with the patient’s individual and specific lip and facial form. The common denominator for an optimal esthetic reconstruction is the restorative receptor site, and today surgical plastic procedures and orthodontic manipulation of the hard and soft tissues allows for reconstruction of most all esthetic deficiencies. This is especially important when considering tooth replacement with dental implants. In addition, an innovative classification of papilla defects similarly allows for prognostic treatment planning and therapy to ensure predictable esthetic success. These key issues must be preemptively addressed regardless of whether the restoration is to be a tooth, an implant or pontic.

 
     
 

Learning Outcomes:

 
 
  • To delineate the dental team’s essential “ten steps in the architecture of a smile.”
  • You will learn the six types of papilla defects and how to predictably correct them.
  • The crucial role of timing and sculptured healing in implant replacement.
  • When to use orthodontic versus surgical manipulation to eliminate esthetic defects.
  • Sequential discussion of the specific resective and additive clinical techniques available to facilitate optimal smile design.
  • To explain the specialist’s role in developing the individual restorative receptive sites.
  • “Cotherapeutic option” to deliver quality of life dentistry for both patient and dentist.