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Composed by Dr. Gary F. Turnier

Composed by Dr. Gary F. Turnier. Closing the Gap with veneers. SmilebydesignNY.com. Premedication with 1gm Azithromycin 1 hour before tx Ibuprofin 600mg 1 tab 1 hour before tx. Local anesthesia:4 carp. Articaine HCL 4% with epinephrine 1:100,000 Informed consent given

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Composed by Dr. Gary F. Turnier

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  1. Composed by Dr. Gary F. Turnier Closing the Gap with veneers SmilebydesignNY.com

  2. Premedication with 1gm Azithromycin 1 hour before tx Ibuprofin 600mg 1 tab 1 hour before tx Local anesthesia:4 carp. Articaine HCL 4% with epinephrine 1:100,000 Informed consent given Surgical procedure performed by Dr. Gary F.Turnier with the clinical expertise of Dr. Chanda Kale, Dr. Samuel First and photographic assistance of Dr. OvralWynter A Special Thanks to Dr. Trevor Bavar for taking the time to discuss further the patient’s case with me The Creative Process: utmost importance Dr. Gary F. Turnier

  3. GAP CLOSURE IN THE ESTHETIC ZONE WITH PORCELAIN VENEERS PART II OF THE SMILBYDESIGNNY SERIESAugust 18, 2012BY SMILEBYDESIGNNY.COM HOW DO WE ACHIEVE THE ESTHETIC DEMAND OF AN IDEAL SMILE DESIGN IN CLOSING A GAP IN THE ESTHTETIC ZONE THAT WILL PROVIDE FORM AND FUNCTION AS WELL AS THE IDEAL PROPORTION OF INCORPORATING THE LIPS AND THE OCCLUSION FOR LONG TERM EFFECTS? DIAGNOSITC MODELS ESTHETIC MOCK UP CORRECT SHADE IDEAL FORM AND FUNCTION RELATIVE TO THE LIPS DEFINITIVE VENEERS INSERTED SMILEBYDESIGNNY.COM

  4. EXCELLENT GINGIVA HEALTH(HEALTHY GUMS) Is the state of the gums healthy enough to fulfill the requirements for the veneers or composite mockup? Can we obtain tooth length from raising the gums to achieve the ideal tooth display?

  5. Teeth size: What is the ideal width, length, shade and the emergence profile of the central and laterals to provide closure of the gap to meet the esthetic requirement for the esthtetic zone. GOAL:TO CREATE THE GOLDEN PROPORTION FOR THE FRONT CENTRALS AND LATERALS

  6. INCISAL EDGE: How much esthetic display do we need in designing the proper length with lips at rest and when smiling?

  7. SMILEBYDESIGNNY.COM EXCELLENT GINGIVAL HEAlTH Upper left central shows a composite from her past treatment which will have be to be removed to gage the exact contour of the emergence from the gingiva to the tooth edges in between of the gap

  8. SMILEBYDESIGNNY.COM VENEER DESIGN: Upper left tooth shows a composite from her past treatment which will gave to be removed to gage the exact contour of the emergence from the gingiva to the tooth edges in between.

  9. . CONTACT POINT OF ADJACENT TEETH:CAN WE PROVIDE IDEAL CONTOUR TO CLOSE THE GAP IN AN ESTHETICALLY PLAEASING RESULT? SMILEBYDESIGNNY.COM

  10. A VERY HAPPY AND BEAUTIFUL GAP CLOUSURE BRIGHTER SHADE FOR THE UPPER TEETH: ENHANCING THE SHADE TO A BRIGHTER SMILE WILL HAVE TO TAKE INTO CONSIDERATION OF CHANGING THE LOWER TEETH BY TEETH WHITENING OR VENEER PLACEMENT.

  11. EMBRAURES: CREATING THE NATURAL INDIVIDUALITY OF EACH TOOTH AFTER VENEER PLACEMENT AND GAP CLOSURE

  12. The same color effect as previous photo display The gingiva line is relatively ideal to the tooth contour however what would demonstrate the ideal tooth length would determine if it remains at this level or not.

  13. LIP AT REST AFTER THE VENEER INSERTIONS OF THE CENTRALS AND LATERALS

  14. THE BEGINING .

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