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COSMETIC TRIBUNE The World’s Dental Newspaper · US Edition Do you have general comments or criti- cism you would like to share? Is there a particular topic you would like to see articles about in Cosmetic Tribune? Let us know by e-mailing feedback@ dental-tribune.com. We look forward to hearing from you! Tell us what you think! Publisher & Chairman Torsten Oemus t.oemus@dental-tribune.com Vice President Global Sales Peter Witteczek p.witteczek@dental-tribune.com Chief Operating Officer Eric Seid e.seid@dental-tribune.com Group Editor & Designer Robin Goodman r.goodman@dental-tribune.com Editor in Chief Cosmetic Tribune Dr. Lorin Berland d.berland@dental-tribune.com Managing Editor/Designer Implant, Endo & Lab Tribune Sierra Rendon s.rendon@dental-tribune.com Managing Editor/Designer Ortho Tribune & Show Dailies Kristine Colker k.colker@dental-tribune.com Online Editor Fred Michmershuizen f.michmershuizen@dental-tribune.com Account Manager Mark Eisen m.eisen@dental-tribune.com Marketing Manager Anna Wlodarczyk a.wlodarczyk@dental-tribune.com Sales & Marketing Assistant Lorrie Young l.young@dental-tribune.com C.E. Manager Julia E. Wehkamp j.wehkamp@dental-tribune.com Dental Tribune America, LLC 213 West 35th Street, Suite 801 New York, NY 10001 Tel.: (212) 244-7181 Fax: (212) 244-7185 Published by Dental Tribune America © 2010 Dental Tribune America, LLC All rights reserved. Cosmetic Tribune strives to maintain utmost accuracy in its news and clini- cal reports. If you find a factual error or content that requires clarification, please contact Group Editor Robin Goodman at r.goodman@dental-tribune.com. Cosmetic Tribune cannot assume respon- sibility for the validity of product claims or for typographical errors. The pub- lisher also does not assume responsibility for product names or statements made by advertisers. Opinions expressed by authors are their own and may not reflect those of Dental Tribune America. Clinical COSMETIC TRIBUNE | July 20102D AD f CT page 1D Multiple images were taken of the various mockup options and e-mailed to the patient, along with multiple treatment plan options After careful consideration, the patient opted to do the resin veneers on teeth #7 through #10 as well as the gumlift. It was because of the mockup and photographs that the patient realized the value of the gum- lift in creating a more ideal smile. He wanted to think about the resin veneers for the premolars and pos- sibly have them done in the future. The procedure The patient presented for the bonding appointment with his teeth whitened and ready to go. We began by placing topical anesthetic before anesthetiz- ing teeth #7 through #10 with The Wand. Subsequent injections of Lidocaine were placed around the gumline of teeth #7 through #10 before electro- surgery of the gums. Using Bident, a bipolar electrosur- gery unit, the gingiva around #8 was contoured to ideal proportions (Fig. 7). Once the gingiva was removed, it was discovered that the underly- ing bone had grown into the cervical divot of #8, right on top to the enamel. It was then decided that crown lengthening would be indicated, so a small, round diamond bur was used to contour the bone to match the ideal gumline. We proceeded to contour the gin- Fig. 2: Pre-op, close-up, retracted. Fig. 3: Pre-op, close-up, after canines were bonded. Fig. 4: Full-face with mockup of #7 and #10. Fig. 5: Mockup, close-up of veneers #7, #8, #9 and #10. Fig. 6: Bident on #6. Fig. 7: Gumline after Bident and CCL. Fig. 8: Immediate post-op of resin veneers and gumlift on #7 through #10.