Form, function, and esthetics are all critical aspects of a successful restoration.
We have the opportunity to change how the functional aspects of a patient's teeth interact, within limits of course. The common goal that we have, both clinical and lab, is to create improved smiles. This may require a change in VDO, change in TMJ relationship, surgical and orthodontic treatment, change in tooth positions, or implant augmentation.
We learned from Dr. Frank Spear, the importance of “facially-generated treatment planning”. We look at this principle this way: we are responsible for facilitating the restorative process by positioning the restorations in the smile to be in harmony with the desired outcome of the smile design. With that being the end goal, the process becomes that of determining what procedures must be performed in order to get there.
It is critically essential for smile makeover cases, and dental rehabilitation cases, to involve the lab early as one of your multi-disciplinary partners. Along with x-rays, photos, and articulated models, a diagnostic wax-up from the lab is critical in evaluating the potential options and challenges with any case. You can use the design template of the wax-up, your surgeon, and orthodontist to diagnose and develop their part of your treatment plans.
