2. Composed by Dr. Gary F. Turnier Closing the Gap with veneers SmilebydesignNY.com

3. Local anesthesia:4 carp. Articaine HCL 4% with epinephrine 1:100,000 Informed consent given Surgical procedure performed by Dr. Gary F.Turnier with the clinical expertise of Dr. Chanda Kale, Dr. Samuel First and photographic assistance of Dr. Ovral Wynter A Special Thanks to Dr. Trevor Bavar for taking the time to discuss further the patients case with me Premedication with 1gm Azithromycin 1 hour before tx Ibuprofin 600mg 1 tab 1 hour before tx Dr. Gary F. Turnier The Creative Process: utmost importance

4. GAP CLOSURE IN THE ESTHETIC ZONE WITH PORCELAIN VENEERS PART II OF THE SMILBYDESIGNNY SERIES August 18, 2012 BY SMILEBYDESIGNNY.COM SMILEBYDESIGNNY.COM HOW DO WE ACHIEVE THE ESTHETIC DEMAND OF AN IDEAL SMILE DESIGN IN CLOSING A GAP IN THE ESTHTETIC ZONE THAT WILL PROVIDE FORM AND FUNCTION AS WELL AS THE IDEAL PROPORTION OF INCORPORATING THE LIPS AND THE OCCLUSION FOR LONG TERM EFFECTS? DIAGNOSITC MODELS ESTHETIC MOCK UP CORRECT SHADE IDEAL FORM AND FUNCTION RELATIVE TO THE LIPS DEFINITIVE VENEERS INSERTED

5. EXCELLENT GINGIVA HEALTH(HEALTHY GUMS) Is the state of the gums healthy enough to fulfill the requirements for the veneers or composite mockup? Can we obtain tooth length from raising the gums to achieve the ideal tooth display?

6. Teeth size: What is the ideal width, length, shade and the emergence profile of the central and laterals to provide closure of the gap to meet the esthetic requirement for the esthtetic zone. GOAL:TO CREATE THE GOLDEN PROPORTION FOR THE FRONT CENTRALS AND LATERALS

7. INCISAL EDGE: How much esthetic display do we need in designing the proper length with lips at rest and when smiling?

8. EXCELLENT GINGIVAL HEAlTH Upper left central shows a composite from her past treatment which will have be to be removed to gage the exact contour of the emergence from the gingiva to the tooth edges in between of the gap SMILEBYDESIGNNY.COM

9. VENEER DESIGN: Upper left tooth shows a composite from her past treatment which will gave to be removed to gage the exact contour of the emergence from the gingiva to the tooth edges in between. SMILEBYDESIGNNY.COM

10. CONTACT POINT OF ADJACENT TEETH: CAN WE PROVIDE IDEAL CONTOUR TO CLOSE THE GAP IN AN ESTHETICALLY PLAEASING RESULT?. SMILEBYDESIGNNY.COM

11. A VERY HAPPY AND BEAUTIFUL GAP CLOUSURE BRIGHTER SHADE FOR THE UPPER TEETH: ENHANCING THE SHADE TO A BRIGHTER SMILE WILL HAVE TO TAKE INTO CONSIDERATION OF CHANGING THE LOWER TEETH BY TEETH WHITENING OR VENEER PLACEMENT.

12. EMBRAURES: CREATING THE NATURAL INDIVIDUALITY OF EACH TOOTH AFTER VENEER PLACEMENT AND GAP CLOSURE

13. The same color effect as previous photo display The gingiva line is relatively ideal to the tooth contour however what would demonstrate the ideal tooth length would determine if it remains at this level or not.

14. LIP AT REST AFTER THE VENEER INSERTIONS OF THE CENTRALS AND LATERALS

15. THE BEGINING.