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Related Experiment Video

Updated: Jun 23, 2026

Treatment of Facial Deformities using 3D Planning and Printing of Patient-Specific Implants

Treatment of Facial Deformities using 3D Planning and Printing of Patient-Specific Implants

Published on: May 23, 2020

Collaborative development of a natural-looking smile: case presentation.

James Fondriest¹, Matt Roberts

¹Lake Forrest Dental Arts, Lake Forrest, IL 60045, USA. jimfondriest@cs.com

Practical Procedures & Aesthetic Dentistry : PPAD

|May 22, 2009

Summary

Sophisticated patients desire natural-looking dental restorations. This case study details smile recreation for a patient with facial asymmetry and bruxism, using lithium disilicate for strength and aesthetics.

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Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer

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Area of Science:

Dentistry
Restorative Dentistry
Aesthetic Dentistry

Background:

Patient demand for undetectable dental restorations is increasing.
Dento-facial asymmetries and bruxism present complex restorative challenges.
Achieving both aesthetic harmony and functional longevity is paramount in anterior restorations.

Observation:

The patient presented with significant dento-facial asymmetries.
A high occlusal risk of fracture was identified due to bruxism.
The desire was for a smile makeover that appeared completely natural.

Findings:

A comprehensive treatment plan was developed for smile recreation.
Lithium disilicate glass-ceramic was chosen for its aesthetic properties and strength.
Pressed lithium disilicate with veneering porcelain provided a durable and natural-looking solution for maxillary anterior restorations.

Implications:

This approach offers a viable solution for patients seeking to correct asymmetries and enhance smile aesthetics.
Lithium disilicate is a suitable material for high-stress anterior restorations in patients with bruxism.
Successful smile recreation requires careful material selection and treatment planning to meet both functional and aesthetic demands.