CDEN0110

I 11 MICD _ diastema closure I cosmeticdentistry 1_2010 Beautifil Flow Shade #A3T with giomer adhesive system FL-Bond II (SHOFU Inc.) were used in FFT to create the lingual frame. Beautifil II (SHOFU Inc.) dentine shade A1 and enamel shade Inc. were used to restore the defects using the bi-layered shad- ing technique to achieve the desired aesthetics with an invisible restoration. The Direct Cosmetic Restoration Kit and the Super-Snap Rainbow Tech- niqueKit(bothSHOFUInc.)wereusedtopreparethe teeth and to finish and polish the final restorations (Figs. 7–22). PhaseIII:Keepintouch After completion of the treatment, the impor- tance and role of the keep-in-touch concept to the long-term success of aesthetic enhancement procedures were briefly explained to the patient. She was advised to continue her normal oral hygiene procedures and shown how to keep the interdental space of the closed diastema clean. In the final step of MICD TP, the patient was re- questedtofillouttheMICDclinicalevaluationform. Thepatientevaluatedhernewsmile as excellent and mentioned that shewasfullysatisfiedwiththeover- all clinical services at our centre. The MICD summary ten (Table I ➝) helpstoevaluatetheoverallsuccess of the case. _Conclusion Diastema closure or reduction in clinical practice requires detailed case analysis. The successful treat- ment of diastemata depends on eti- ological factors, size and extent of the diastema, andthepatient’saffordabilityintermsoftreatment time and costs involved. The MICD TP guides the clinician and the patient and helps both to under- stand, plan and complete the clinical case using diagnosis and treatment modalities that are the least invasive in order to preserve sound tooth structure and achieve natural aesthetics, consider- ing the patient’s best interests._ Editorial note: A complete list of references and the MICD formsareavailablefromthepublisher. Fig. 22_Final smile. Dr Sushil Koirala is the founding president of theVedic Institute of SmileAesthetics and the chief instructor of ComprehensiveAesthetic Dentistry,a two-year training programme based uponVedic philosophy of beauty and aesthetics.He maintains a private practice focusing primarily on MI cosmetic dentistry (MICD).Based on more than 17 years of clinicalexperienceinaestheticdentistry,DrKoiraladevelopedtheVedicSmileConcept, the Smile DesignWheel,the MICDTP,and various clinical techniques for direct aesthetic restorations.He is the founding president of the NepaleseAcademy of Cosmetic andAesthetic Dentistry and SouthAsianAcademy ofAesthetic Dentistry. He has published numerous clinical articles in aesthetic dentistry and authored A clinical guide to Direct Cosmetic Restorations with Giomer,published by DentalTribune International GmbH.In addition,Dr Koirala serves as Editor-in-Chief of cosmetic dentistry_beauty & science.He frequently conducts hands-on programmes and delivers lectures globally on smile aesthetics.He can be contacted at skoirala@wlink.com.np. cosmeticdentistry _about the author 1. SMILE SELF-EVALUATION: BELOW SATISFACTORY 2. SMILE GRADE: B 3.TREATMENT CATEGORY:TYPE I 4.TREATMENT COMPLEXITY: GRADE I 5. PROPOSEDTREATMENT:ACCEPTED 6. ESTABLISHMENT OUTCOME: NOTAPPLICABLE (N/A) 7. SMILE RE-EVALUATION: N/A 8. ENHANCEMENT CATEGORY: NATURO-MIMETIC (NEED-BASED) 9. EXIT REMARKS: EXCELLENT 10. CLINICAL SUCCESS: SATISFACTORY MICD summary ten Fig. 22 Table I