Contents CONTENTS
Welcome . . . . . . . . . . . . . . . . . . . . . . . . 3 Goal of Advanced Esthetic Dentistry . . . . 4 Face shapes . . . . . . . . . . . . . . . . . . . . . . 5 Lip shapes . . . . . . . . . . . . . . . . . . . . . . 11 Facial features . . . . . . . . . . . . . . . . . . . 15 Smile proportions: Tooth sizes and shapes . . . . . . . . . . . . .19 A New You . . . . . . . . . . . . . . . . . . . . . 32
Copyright © 2005 EC DENTAL SOLUTIONS INC. Text Copyright © 2005 EC DENTAL SOLUTIONS INC. EC DENTAL SOLUTIONS INC. Phone: (514) 762-2374 • Toll free : 1 (877) 662-2374 Fax: (514) 769-6158 • Toll free fax: 1 (866) 762-4701 • www.ecdentalsolutions.com All rights reserved. No part of this book may be reproduced, stored in a retrieval system or transmitted in any form or by any means without permission in writing from the copyright holders and the publishers. All photos are of Dr. Mechanic’s patients and have not been altered in any way.
AUTHOR Dr Elliot Mechanic, BSc, DDS Dr. Mechanic practices esthetic dentistry in Montreal, Canada. He received his Bachelor of Science (1975) and Doctor of Dental Surgery (1979) degrees from McGill University.
Welcome WELCOME
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The magic combination of meticulous treatment planning
together with special
chemistry between patient, dental team, and lab technician is usually common to our most successful cases. The appearance of a person’s teeth can dramatically influence how they are perceived by others. By altering tooth shape, size, length, and color we can influence perception of age, personality and projected self confidence. Not too long ago, dentists simply took an impression of their patients teeth, sent it to the dental lab and hoped for the best result the technician could design. When a general dentist referred a patient to a specialist, he left the treatment up to the specialist and accepted the result as being "all that was possible". However by the 1980’s not everybody was content with “Austin Powers teeth”. They actually wanted nice looking natural teeth and dentists began learning how to properly diagnose, treatment plan, and communicate exactly what they required to their dental labs and various dental specialists. Today we are constantly thinking outside the box, working intensely, pushing the barriers of esthetic dentistry to new heights. By taking the attitude that we don’t know everything we always manage to learn more. We are striving to achieve completely natural esthetic dentistry aiming for “asymmetric symmetry” ( harmony without symmetry ) as natural teeth do not present a perfect symmetry Dr Elliot Mechanic Smile Design
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GOAL OF ADVANCED ESTHETIC DENTISTRY
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We are all human beings ! We come in different sizes ! We are of different colors ! We have different personalities ! Our features and facial shapes differ !
Our teeth have different shapes too ! The goal of Esthetic Dentistry is to enhance what mother nature has given us.
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Esthetic Dentistry should be natural looking
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Smile Design
Face shapes FACE SHAPES
Smile Design
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ROUND SHAPED FACE
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A wide circular face can be made to appear narrower by designing a longer upper arch. This will center the viewers eyes at the bridge of the nose minimizing the round facial form.
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NARROW SHAPED FACE
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If we design a flatter smile line, a narrow face will appear wider.
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OVAL SHAPED FACE
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An oval face can accept many different smile designs as it is a very neutral shape.
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SQUARE SHAPED FACE
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A square face can be one person's best feature and another's worst.Tooth design can draw attention to or camouflage the effect of a square face. If we use narrow, long teeth, we will elongate facial appearance whereas square teeth will accentuate the square facial shape.
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HEART SHAPED FACE
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The triangular chin of a heart shaped face should be treated like a long narrow face and should be de-emphasized with a flatter smile profile.
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BALANCED LIPS
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Balanced lips offer the flexibility of accepting a multitude of tooth shapes and lengths.
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FULL UPPER LIP
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The central incisors should be long enough to be visible and to offer adequate lip support.
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FULL LOWER LIP
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The upper teeth should virtually “Touch“ the lower lip, in order to eliminate the perceived appearance of negative space.
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Facial Features FACIAL FEATURES
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CROOKED LIPS
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The teeth should follow the angle of the upper lip so that the face appears to be in harmony.
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UNEVEN FEATURES
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If the teeth are made very symmetric then the face will appear to be more balanced.
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Smile Design
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