• Beyond smile design

    • Friday 19th May, 9:00 - 10:00
    • This lecture is presented by: Dr Christopher Orr
    • This session will take place in: Room 1

    • dentist, team

    Beyond smile design: planning the whole mouth for function and aesthetics

    The most common mistake made in aesthetic treatment planning is to try to decide the treatment modality too quickly. The principles of smile design are well known, but are only the first step in aesthetic treatment planning.

    It is often said that aesthetic dentistry ignores function. While the vast majority of patients who seek elective treatment are occlusally asymptomatic, the goal of treatment is to keep them asymptomatic by avoiding the introduction of changes which exceed the patient’s adaptive capacity, or making planned and modifiable changes to the occlusal scheme before making final restorations.

    During this presentation, we will discuss a structured approach to aesthetic treatment planning which first allows the clinician to envisage the ideal aesthetics, and then combine needed treatment with the elective treatment required to idealise aesthetics; before considering the consequential effect that the whole treatment plan will have on the patient’s function so that potential occlusal issues can be avoided or built into the treatment plan.

    This technique lets us manage the risks associated with each case as we perform many of the diagnostic tests during planning like simple screening examinations, which lead to more detailed examination of patients at risk on any given area e.g. caries risk or periodontal disease.

    This comprehensive aesthetic treatment planning sequence can be applied to restorative, orthodontic or interdisciplinary cases and will be illustrated with several cases showing the application of its principles.

    Aims and objectives/Learning outcomes
    By attending the lecture, participants will gain the following:
    1. A structured approach to comprehensive aesthetic treatment planning
    2. A rationale for selecting restorative or orthodontic modalities
    3. Understanding of the times when a change in the patient’s occlusal scheme is inevitable and how to safely manage those changes
    4. Knowledge of simple risk management examination tools which can be applied at the chairside
    5. Knowledge of a structured approach to treatment delivery.


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Christopher Orr