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Before and After 2026: Bridging the Gap – Redefining the Temporary Stage in Aesthetic Dentistry: AI-Assisted Visualisation to Enhance Patient–Clinician–Ceramist Communication

Introduction: In aesthetic dentistry, considerable attention is given to the beginning and end of treatment: the initial smile design and the final restorations. Between these two points lies the temporary stage—an essential but often underutilised phase that is commonly treated as little more than a functional transition. Temporary restorations are typically used to evaluate broad parameters such as tooth shape, proportion, length and phonetics. Yet many of the qualities that ultimately determine whether a smile appears natural—or whether it genuinely reflects the patient’s preferences—are still deferred until the final ceramic restorations are produced. These may include brightness, enamel translucency, incisal effects and the subtle characteristics that give teeth their individual appearance. This creates a significant gap in the decision-making process. Patients are often...

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

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...

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Reproducing Nature Part 4: Smile Design

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...

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