Comprehensive Dental Evaluation: Where Do We Put the Teeth Within the Face?

In this complex case, the patient presents with implants, veneers, and crowns, with a prominent gray discoloration as the primary concern. Additionally, there is a slight lip imbalance attributed to previous surgeries. Using Dental Facial Analysis (DFA), the smile and lip dynamics were analyzed. The patient exhibits excessive tooth exposure, necessitating careful decisions regarding tooth placement within facial proportions, while maintaining minimal invasiveness. For treatment planning, it is proposed to consider shortening the anterior teeth and potentially using Invisalign to intrude the canines, thereby enhancing the smile curve. Discussion was had regarding the most suitable material for this combination case. The proposition of splinting the implants is suggested to facilitate the housing of pink porcelain, simulating natural papilla. Furthermore, a comparable case is presented wherein adjustments to tooth proportions yielded significantly enhanced aesthetics. Finally, emphasis is placed on the paramount importance of effective communication with the laboratory for optimal material selection and seamless blending, thereby optimizing outcomes.