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A Caucasian female patient in her 20s was just about to get married and wanted to look the best. She was missing laterals with vampire-like fangs that bothered her. Because of the timeframe, orthodontic treatment was not an option. Since the teeth are all vital, we need to be conservative in prep generally, but the aggressive prep is necessary where required. Boding strength is another element we must consider. Thus, we decided to go with lithium disilicate (e.max) restorations – veneers on the central incisors and first-premolars, with joint crowns to replace the laterals and canines off one abutment for each quadrant. Fig 1 shows the pre-op condition. When working a case like this, the communication between the clinician and technician is...

BEFORE AND AFTER

Before and After 2014: Smile Makeover – Addressing Mid-line Cant and Proportion with Lateralised Canines

Mar 05. 2021

A Middle Eastern female patient was concerned about her smile’s asymmetry, cased by the midline cant and shift with missing laterals. The lateralised canines are as wide as the central incisors, so the overall proportion needs improvement. It is not visible in the initial smile photo, but the patient has a gummy smile, which she would like to address simultaneously. When working on a case like this, initial planning is crucial to visualise the outcome from the beginning, and thus, diagnostic wax-up is a must. We have decided to idealise the gingival level by crown-lengthening/gum-contouring, to begin with, then lithium disilicate (e.max) veneers from 13-23, right upper canine to left upper canine, a total of 6 teeth. Figs 1-4 show the pre-op condition. The...

Philosophy

Courage – Courage to be Disliked for Authentic Happiness (GAMSAT Essay Example)

Feb 26. 2021

Consider the following comments and develop a piece of writing in response to one or more of them. Your writing will be judged on the quality of your response to the theme, how well you organise and present your point of view, and how effectively you express yourself. ‘Courage is the thing. All goes if courage goes!’ – J.M. Barrie ‘None but the brave deserves the fair.’ – John Dryden ‘Courage is not simply one of the virtues but the form of every virtue at the testing point.’ – C.S Lewis ‘As to moral courage, I have rarely met with two o’clock in the morning courage: I mean instantaneous courage.’ – Napoleon I ‘Perhaps those, who, trembling most, maintain a...

BEFORE AND AFTER

Before and After 2013: Smile Makeover – Implant Zirconia Bridge with Gum Porcelain

Feb 19. 2021

An Asian patient in her 40s was depressed about the aesthetics of her smile. She had several attempts to replace the restorations to achieve natural aesthetics, which she found difficult. She was looking for “a durable, functional and, most of all, a beautiful smile” in her words. The treatment plan is to replace the existing restorations – 12-22 Screw-Retained Implant Bridge, and crowns on the canines - 13 and 23. To maintain the same property and material in the superstructure, we decided to use Zirconia with Ti interface abutment for the implant connections. Fig 1 shows the pre-op condition. The aesthetical and functional issues we need to address are: correction of the midline cant achieving a sense of symmetry on the central...

PUBLICATIONS

Reproducing Nature Part 4: Smile Design

Feb 12. 2021

LVI Visions featured Yugo’s article titled ‘Reproducing Nature: Smile Design in 2008 (published language: English). Introduction: Today, creating a natural-looking smile is essential in cosmetic/aesthetic dentistry. As I mentioned in the first part of this article (European Journal of Eesthetic Dentistry Winter 2008), many people think that white “Hollywood Smiles” look fake but is it true? Have you thought about bleached natural dentition? I think it looks healthy and attractive but doesn’t look fake at all. That is the type of benchmark I set for myself when the patient is after a perfect smile – i.e., bright yet natural. Now, what is the definition of “perfect” anyway? Does it mean that it’s perfectly in proportion, perfectly adapted to the patient’s desire or could...

BEFORE AND AFTER

Before and After 2012: Smile Makeover – Achieving Significant Change in Proportion with porcelain veneers

Feb 05. 2021

A Caucasian male patient in his 30s was deeply concerned about the aesthetics of his smile. There are several issues we had to address: most notably, changing the proportion and tooth size within the aesthetic zone, crown-lengthening/gum-contouring, and a replacement of a missing tooth on 14 (right first-premolar). We selected a Zirconia bridge on 15-13, and lithium disilicate (e.max) veneers for the rest – 12-26 (missing 25), from the right second-premolar to the left first-molar, a total of 10 units. I must admit that this case was one of the most challenging smile makeovers I had encountered at that time, but the result spoke for itself. The patient was “over the moon” with the outcome. The key to achieving such a result was...

BEFORE AND AFTER

Before and After 2011: Setting a Benchmark in Digital Photography

Jan 29. 2021

A male patient in his 30s presented with the aesthetic concerns on the gummy smile and prominent hypocalcification on the central incisors. Hypocalcification is a condition where your tooth’s enamel has an insufficient amount of calcium. When this happens, the enamel still covers the tooth’s surface but parts can be thin and weak, giving teeth an opaque or chalky appearance. We decided to proceed with crown-lengthening, to begin with, and lithium disilicate (e.max) veneers on the central incisors for the better blend with the rest of natural dentition. Figs 1, 3 and 5 show the pre-op condition. Figs 2, 4 and 6 show after completion of the crown-lengthening for the upper arch. See the consistency in the provided photos – retracted view,...

Philosophy

Ambition – Do you have what it takes to become someone? (GAMSAT Essay Example)

Jan 22. 2021

Consider the following comments and develop a piece of writing in response to one or more of them. Your writing will be judged on the quality of your response to the theme, how well you organise and present your point of view, and how effectively you express yourself. ‘Well is it known that ambition can creep as well as soar.’ – Edmund Burke ‘I had rather be right than be President.’ – Henry Clay ‘All ambitions are lawful except those which climb upwards on the miseries or credulities of mankind’ – Joseph Conrad ‘He is loyal to his own career but only incidentally to anything or anyone else.’ – Hugh Dalton ‘There is always room at the top.’ – Daniel...

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Yugo – the man behind Smile Virtuoso: Past – Present – Future

Foundations: Understanding GAMSAT Section 2 Before You Read Further

Reproducing Nature Part 1: Understanding the Composition of Natural Dentition

Before and After 2009: Soft-Tissue Management at the Socket on Pontic Sites

Morphology: Traditional Wax-up Technique for Anterior and Posterior Teeth

Before and After 2015: Smile Makeover – Replacement of 2 Teeth on 1 Abutment with Pink Ceramics

Mar 12. 2021

Before and After 2014: Smile Makeover – Addressing Mid-line Cant and Proportion with Lateralised Canines

Mar 05. 2021

Courage – Courage to be Disliked for Authentic Happiness (GAMSAT Essay Example)

Feb 26. 2021

Before and After 2013: Smile Makeover – Implant Zirconia Bridge with Gum Porcelain

Feb 19. 2021

Reproducing Nature Part 4: Smile Design

Feb 12. 2021

Before and After 2012: Smile Makeover – Achieving Significant Change in Proportion with porcelain veneers

Feb 05. 2021

Before and After 2011: Setting a Benchmark in Digital Photography

Jan 29. 2021

Ambition – Do you have what it takes to become someone? (GAMSAT Essay Example)

Jan 22. 2021