CATEGORY AUSTRALASIAN DENTIST79 CLINICAL At this stage, it became clear that improving a single tooth would not solve a whole smile problem. Outcome and 5-Year Review At the 5-year review: u e restorations remained stable u Gingival health was maintained u e patient was satis ed with the aesthetic outcome Importantly, the case held up not because compromises were eliminated, but because they were understood and managed appropriately. should be guided by patient expectations, biological considerations, and long-term stability. As demonstrated in this case, success is not de ned by eliminating all compromises, but by understanding and managing them e ectively. Want to Go Deeper? If this topic resonated with you, it’s just the beginning. We explore this – and much more – in my immersive program: Mastering Porcelain Veneers. is course isn’t just about veneers; it’s about achieving predictable aesthetic outcomes in everyday practice using advanced adhesive protocols, smart material selection, and work ow mastery. u Program Starts Soon – Limited Spots Available u Register at: www.dentalmasteryacademy.com.au/ MPV u For those looking to upskill in indirect quadrant dentistry, I’ll also be running a 2-day hands-on workshop with ADA Queensland this July 17-18. It’s a deep dive into practical, real-world techniques to take your posterior indirect restorative game to the next level. u Visit the Events Calendar at www.adaq.org.au Dr Andrew See is a highly-trained cosmetic and implant dentist with over 20 years of experience. His practice is focused primarily on aesthetic rehabilitation, implantology and hard and so tissue augmentation. He completed his Bachelor of Dental Surgery with Honours from the University of Sydney in 2003 and then went on to complete a Postgraduate Diploma in Dental Implantology and a Masters Degree with Distinction in Aesthetic Dentistry through the prestigious King’s College London. Dr See has completed his Fellowship by primary and secondary examination for The Royal Australasian College of Dental Surgeons (FRACDS) achieving numerous commendations for outstanding performance. He has also been awarded Fellowship into the International Congress of Oral Implantologists and the Faculty of General Dental Practitioners in the UK. Definitive Treatment: Porcelain Veneers (Premolar to Premolar) A decision was made to proceed with porcelain veneers extending from premolar to premolar. is allowed for: u Redistribution of tooth proportions u Control of line angles and symmetry u Harmonisation of the entire anterior segment The Real Question: How Far Do You Go? e most important decision in this case was not whether to place veneers. It was: How far do you go in disguising a canine as a lateral incisor without over-preparing the tooth? ere is no perfect answer. Only trade-o s. A conscious decision was made to: u Minimise reduction u Preserve enamel where possible u Accept that some anatomical limitations would remain is re ects a fundamental reality in aesthetic dentistry: ere is always an arm wrestle between aesthetics, biology, and occlusion. Discussion is case demonstrates that while canine substitution o ers a conservative and biologically sound solution, achieving ideal aesthetics is not always straightforward. Key learning points include: u Additive approaches such as composite bonding can serve as valuable diagnostic and transitional tools u Isolated treatment of lateralised canines is often insu cient for optimal aesthetic outcomes u Integration of surround teeth may be required to achieve harmony u Treatment planning is driven by managing trade-o s rather than achieving perfection Ultimately, the challenge lies not in the execution of techniques, but in decisionmaking within clinical constraints. Conclusion Canine substitution cases require a nuanced and multidisciplinary approach to achieve predictable aesthetic outcomes. While conservative methods should be considered initially, clinicians must recognise their limitations. e transition to more comprehensive restorative treatment
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