Multidisciplinary Approach to Anterior Aesthetic and Smile Design

Objectives: Treatment of patients dental esthetic problems is one of the most important topics in contemporary dentistry. Not only the appearance of the teeth but also soft tissue health and contours are significantly affective in smile design.
Methods: 37 years old female patient with esthetic complaints due to old prosthetic restorations attended to prosthodontics clinic of Kocatepe University Faculty of Dentistry. After clinical and radiographic examinations, the problems were; gummy smile, short clinical crown height and cervical gaps between restorations and gingiva. Due to inadequate interocclusal space and short clinic crown heights, it was decided to lenghten crown height with gingivectomy at the periodontology department. The prosthetic restoration consists maxiller and mandibular visually observerable teeth including the premolars. Although the aim was all esthetic restoration,due to financial difficulties metal infrastructure had to be used.
Results: At the end of treatment, more satisfactory esthetic appearance was achieved.
Conclusions: The teeth and the soft tissues should be considered as a whole at anterior esthetics and smile design.