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cosmetic section

Fig 3: Measurements based on the ‘rule of 20’ using Hufriedy’s meter Fig 4: Patient with ‘wish smile’, colour test, shape and dental
measurement

Fig 5a: Installation of ‘wish smile’ facets as a surgical Fig 5b: Immediately after surgery
guide

Fig 6: Smile after composite resin on anterior teeth Fig 7: Postoperative upper arch, restoration of all lost enamel
and dentin on the occlusal and palatal face

measurements, and the facets are removed and stored to be used as a the size of the teeth. The facets from the ‘wish smile’ were used as a
surgical guide. The patient was advised to undergo teeth whitening, surgical guide, harmonizing the relationship between the teeth and
gingivoplasty and rehabilitation with composite resin in the whole mouth. gum. A healing period of 30 days was undertaken before continuing
The treatment started with at-home whitening. The gel of choice the treatment (Figure 5).
was carbamide peroxide 15% (Opalescence) and it was prescribed for After the recovery time, rehabilitation with composite resin started,
21 days to be used four hours a day. following the sequence below over five days:
Dr. Viviane Álvares performed gingival plastic surgery to increase • Day one: Occlusal rehabilitation began in the upper posterior teeth:

16 Dental Practice i November-December 2023 i Vol 19 No 6