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Soft Tissue Management and Functional Mock-Ups Soft Tissue Management and Functional Mock-Ups

Author(s):

Lee H. Silverstein, DDS, MS, FACD, FICD;Gregori M. Kurtzman, DDS

Date Added:

1/6/2008


Summary:

Patients desiring a cosmetic smile improvement can present treatment planning challenges. An excessive display of gingiva resulting from a high lip line often complicates treatment planning and can compromise the final esthetic result. As we evaluate the patient, we often have to ask ourselves, do we “lower the river” (increase tooth length incisally), “raise the bridge” (increase tooth length gingivally) or use a combination of both approaches? This article addresses this issue using a methodological approach to treatment planning and the execution of a functional mock-up to fine-tune the esthetics and achieve the patient’s desires before finalization of the definitive restorations.

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