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Fig 6a: Labial view of prepared veneers Fig 6b: Occluded view of prepared veneers

Fig 7a: Immediate post-operative intraoral labial view Fig 7b: Immediate post-operative intraoral labial view in comparison to
pre-operative view

tooth library in exocad. The library offers a variety of tooth shapes
and sizes to choose from, enabling the creation of a perfect match
for the patient’s facial characteristics. This allowed for the generation
of tooth outlines from labial, occlusal, or side views. (Figure 3f) The
position, rotation, and display of each tooth were adjusted to enhance
the overall aesthetic result of the proposed smile, as well as its
functionality. After selecting the ‘Free Forming Tool,’ further manual
corrections were made to the anatomical shape.

4. Shade Selection
The preliminary tooth shade was chosen as A1. The advanced color
Fig 7c: Post-operative intraoral view at 3 months follow-up selection tools in the exocad software allowed us to fine-tune the
selected shade in terms of base color, highlight tone, and overall
registration and key alignment points were marked on the image chromaticity to ensure an exact match with the patient’s natural
to establish accurate scaling and to align the digital model with the dentition (Figure 3h).
patient’s facial anatomy. These alignment points, typically placed on
the left and right sides of the image, ensured that the digital mock-up Final Preview and Approval: The final digital mock-up was sent to
would correspond precisely to the patient’s actual facial proportions the patient in PDF form for approval. Based on the patient’s feedback,
(Figures 3c and 3d). changes were made to the shape of the teeth, shade, and the overall
smile design. (Figure 4a)
3. Smile Analysis and Design
With the foundational alignment in place, the smile analysis and design Veneer Fabrication and Placement: After patient approval, the
process commenced. This process carefully considered the golden veneers were fabricated, ensuring a 0.05mm gap between the tooth
ratio, interpupillary distance (Figure 3e), and smile curve to create surface and the veneer to accommodate the cement layer. The veneers
a symmetric, natural-looking smile. A digital representation of the were bonded with Variolink, ensuring a precise fit and optimal
desired smile was created using a comprehensive three-dimensional aesthetic result. (Figure 4b)

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