Collaborative Development of a Natural-Looking Smile:
Case Presentation

James Fondriest, DDS

Sophisticated patients want their dental concerns treated without appearing as if they have been restored. This case presentation describes the planning and treatment steps for the re-creation of an aesthetic smile. The patient had dento-facialasymmetries and an elevated occlusal risk of fracture due to bruxism. Lithium disilicate glass ceramic in a pressed version with stacked veneering porcelain was selected as an ideal restorative material for natural aesthetics and to fulfill the strength requirements for the maxillary anterior restorations.

This article discusses the use of collaborative treatment planning method in order to provide aesthetic improvement for facial asymmetries in high-stress areas. Upon completing this article, the reader should:

  • Understand the communication protocols involved in including both the patient and the laboratory technician in the entire treatment planning and restorative phase.
  • Be aware of the role of strength requirements when treating patients with proven bruxism and destructive wear patterns.

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