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A beautiful natural smile

21 May 2016 by Nico Kamosi

The paradigm of “a beautiful natural smile
“A smile costs nothing but gives so much. It enriches those who receive, without making poorer those who give. It takes but a moment, but the memory of it sometimes lasts forever. none is so rich or mighty that can get along without it. A smile creates happiness in the home, fosters goodwill in business, and is the countersign of friendship. it brings rest to the weary, cheer to the discouraged, sunshine to the sad, and is nature’s best antidote for trouble. Yet it cannot be bought, begged, borrowed, or stolen, for it is sometimes that is of no value to anyone until it is given away”   (Samson Raphael Hirsch) 
“ beauty is in the eyes of the beholder ” is a great saying however the concept of the “ Golden Proportion ” has been a universally accepted as the essential arithmetic and aesthetic rules of beautifying derive from the early era of Leonardo Davinci since then smile proportionally guided rules have been the center of classic facial cosmetic surgery and aesthetic dentistry.
The concern about your beautiful natural smile could be analyzed and evaluated on the basis of many tooth-related factors among which the followings are being mostly taken into account:
  • Colour: despite good oral hygiene, stained teeth may subconsciously giving a perception of dirtiness, carelessness, and lack of hygiene in an individual. Teeth discoloration is a continuous and gradual natural process caused by some drinks, smoking and tooth wear. It is a common fact that bright clean tooth color is relevant for a confident good look. Therefore, whitening and in some cases veneering of the teeth are considered to be an effective approach to treat the darkened teeth and brighten your smile.
  • Proportion: the ideal proportion of the tooth width and length related to each other, the smile corridor, the size of the smile window and the other facial components should give a spontaneous pleasant sensation within the beholder. The concept of “Golden proportions” has been prevailed in the field of cosmetic dentistry for decades dictating the main guidelines for the teeth proportions both in orthodontic teeth movement as well as in the fabrication of the veneers and crowns, especially in the anterior oral space.
  • Symmetry refers to the 3-D position of the teeth in one side of the arch in a mirror image to the teeth on the other side, while the central line of the upper and the lower arch should coincide with the vertical facial midline.
  • Alignment and spacing: While orthodontic tooth-movement can rectify the true tooth 3-D position, alignment, and symmetry, the provision of the ceramic veneers can camouflage the same features.
  • Size: discrepancies may merely be harmonized in proportion with reshaping and provision of the ceramic veneers.
  • Length: orthodontic tooth-movement can change the tooth length by aligning the tooth position while gum correction may increase the tooth length when teeth are correctly aligned.


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Courtesy: DR. Nico Kamosi
History of present complaints (HPC): Discoloured fractured unaesthetic anterior teeth; black cervical stains Diagnosis: Restorative failures; fractured incisal tips; compromised canine guidance/protection; arrested cervical caries Treatment: 1. Restoration of canine rise/guidance 2. Home teeth whitening 15% Carbamide peroxide 3. Composite restorations 4. Provision of aesthetic E-Max laminate veneers 12 . 11 . 21. 22 (Courtesy: DR. Nico Kamosi)
Clinical presentation: Fracture & deterioration of the restoration 21 Cosmetic restoration technique: Direct composite resin 21