Smile Analysis - Elaine Halley - Dentistry Book

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Smile Analysis

$238.70

Help your patients to smile with confidence. This non-formulaic focus on Smile Design offers a “how-to” approach to patient communication surrounding the art of smile analysis, the treatment planning process, and case presentation. Read it again and again as you master each step of smile creation at your own pace.

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Help your patients to smile with confidence. This non-formulaic focus on Smile Design offers a “how-to” approach to patient communication surrounding the art of smile analysis, the treatment planning process, and case presentation. Read it again and again as you master each step of smile creation at your own pace. This tried and tested method will transition your dental practice from a single tooth method toward full-mouth care. Honed over 30 years in her award-winning dental practice, Dr. Halley brings you her system for Smile Analysis, complemented by an array of case studies that allow you to test your skills before trying them in the clinic. Packed with “how-to” checklists, red flags, and decision points, this book will guide you through a step-by-step process, including how to incorporate technology, in the most understandable guide to better smiles available today. 

Author: Elaine Halley, BDS

Dr. Halley graduated from the University of Edinburgh in 1992 and achieved membership of the Royal College of General Dental Practitioners in 1995. She is a member of the American Academy of Cosmetic Dentistry and is a director of the UK’s first Seattle Study Club, Pathfinder in Scotland. She is a member and past president of the British Academy of Cosmetic Dentistry and was the first accredited member in Scotland. She is also a member of the International College of Dentists. She is clinical director for the Pain Free Dental Group. In 2018 Dr. Halley was awarded Outstanding Contribution to Dentistry at the Dentistry Scotland Awards. 

Table of Contents

WHY I WROTE THIS BOOK AND WHAT IS IT ABOUT........................................................................V

 

CHAPTER 1

Why Do We Smile?..............................................................................1

 

CHAPTER 2

Who Is the Person Behind the smile?.........................................................................................11

FIRST... LISTEN.......................................................................................................................................11

WHO IS THE PERSON BEHIND THE SMILE..............................................................................................11

 

CHAPTER 3

The Dental Experience...................................................17

VULNERABILITY AND TRUST................................................................................................................17

PATIENT PERCEPTION IS REALITY.....................................................................................................18

TIMELINES FOR THE PATIENT JOURNEY.............................................................................................. 20

CHANGE AND THE STAGE OF LEARNING.............................................................................................. 22

VALUES AND LEADERSHIP................................................................................................................. 23

HABITS................................................................................................................................................ 24

PERSONALITY STYLES........................................................................................................................ 26

LEARNING STYLES...................................................................................................................... 28

 

CHAPTER 4

Decision Point: Single Tooth or Comprehensive Approach...................................................................31

DENTIST: DR. SMITH............................................................................................................................. 32

DENTIST: DR. JONES.............................................................................................................................. 32

EMOTIONAL INTELLIGENCE .................................................................................................................. 34

SINGLE-TOOTH PROBLEMS................................................................................................................... 35

WHEN TO IMPLEMENT A DIFFERENT STRATEGY............................................................................ 36

APPOINTMENT STRATEGIES FOR TRANSITION TO GUIDED TREATMENT PLANNING.......................... 37

DIGITAL CAPTURE................................................................................................................................. 40

SCREENING VERSUS DIAGNOSIS.............................................................................................................41

RED FLAGS ............................................................................................................................................. 44

 

CHAPTER 5

Capture the Data.....................................................................47

PRECLINICAL............................................................................................................................................ 48

PHOTOGRAPHY AND VIDEO................................................................................................................... 49

Technical versus emotional photography................................................................................................ 50

Full-face smile photograph...................................................................................................................52

Full-face retracted photograph............................................................................................................ 52

Profile at rest......................................................................................................................................... 53

Full-smile profile.................................................................................................................................... 54

Full face at rest (M-Position)................................................................................................................ 55

Tooth display at rest............................................................................................................................... 56

FURTHER IMAGES................................................................................................................................. 58

INTRA-ORAL IMAGES................................................................................................................................ 59

The Value of a video capture protocol....................................................................................................... 60

FREEDOM—THE IMPORTANCE OF VIDEO.......................................................................................... 60

DIGITAL INTRA-ORAL SCAN......................................................................................................................64

CLINICAL EXAMINATION.............................................................................................................................65

RADIOGRAPHS/CBCT................................................................................................................................ 66

EMERGING TECHNOLOGIES .................................................................................................................... 66

COMMUNICATION SKILLS TO ENHANCE CASE ACCEPTANCE ............................................... 67

HOW TO ORGANIZE THE CAPTURED DATA......................................................................................... 68

CHAPTER 6 Guided Observation..............................................................71

TIME  MANAGEMENT.....................................................................................................74

SCREENSHOT OF MULTIPLE SCREENS OPEN IN GOOGLE CHROME ................................. 76

Keynote storyboard open for the patient................................................................................................ 78

STEPS FOR ANALYSIS THROUGH GUIDED OBSERVATION........................................................ 79

 

CHAPTER 7

Macro Observations.............................................................81

STEP 1: GLOBAL DIAGNOSIS......................................................................................................................81

STEP 2: GENERAL RISK FACTORS............................................................................................................. 89

STEP 3: MACROESTHETIC CONSIDERATIONS.................................................................................. 92

 

CHAPTER 8

Mid Observations....................................................................121

STEP 4: GLOBAL FUNCTION ..................................................................................................................121

STEP 5: ORTHODONTIC OVERVIEW........................................................................................................122

STEP 6: MISSING TEETH........................................................................................................................122

 

CHAPTER 9

Micro Observations..........................................................123

STEP 7: TOOTH-BY-TOOTH ANALYSIS...................................................................................................123

Example of annotated screenshot from MyiTero inserted into storyboard........................126

Predicting the prognosis....................................................................................................................127

STEP 8: MICROESTHETIC EVALUATION...............................................................................................128

Other microesthetic observations.......................................................................................................128

STEP 9: SUMMARY RISK ASSESSMENT..............................................................................................134

Example case with storyboard and diagnosis and observations from filled out...............134

Diagnosis and Observations..........................................................................................................136

CHAPTER 10 Smile Design....................................................................................141

 SEEING BALANCE AND HARMONY.........................................................................................................142

SYSTEMATIC SMILE DESIGN......................................................................................................................149

NON-RESTORATIVE SMILE DESIGN ........................................................................................................161

 

CHAPTER 11

Dental Imaging — the Power of a Visual Image.....................................................................................165

SO HOW DOES DENTAL IMAGING HELP US?.....................................................................................167

ARTIFICIAL INTELLIGENCE OPTIONS....................................................................................................170

CHAPTER 12 Trial Smile.............................................................................................173

TRIAL SMILE..................................................................................................................................179

CHAPTER 13 Outcome Simulation....................................................183

 

CHAPTER 14 Risk Assessment..................................................................187

1. PATIENT’S ESTHETIC EXPECTATIONS AS A RISK ........................................................................190

2. MEDICAL CONDITIONS AS A RISK......................................................................................................193

Listen to your intuition............................................................................................................................195

3. PERIODONTAL STATUS AS A RISK......................................................................................................196

4. SMILE LINE AS A RISK..........................................................................................................................196

High Smile line—No Hiding Place............................................................................................................. 200

5. LIP MOBILITY AS A RISK......................................................................................................................201

6. GINGIVAL LEVELS AND BIOTYPE AS A RISK.................................................................................201

7. SKELETAL PATTERN, BUCCAL CORRIDORS AND ARCH WIDTH AS A RISK............... 202

Anteroposterior dimension................................................................................................................. 204

8. OCCLUSAL PLANES AS A RISK........................................................................................................... 207

Curves of Spee, Wilson, and Monson...................................................................................................... 207

9. TMJ/MUSCLES AS A RISK...................................................................................................................... 208

10. OCCLUSION AS A RISK...................................................................................................................... 208

11. GUIDANCE IN LATERAL EXCURSIONS AS A RISK.................................................................... 209

12. BITE FORCE AS A RISK................................................................................................................... 209

13. CHEWING PATTERN AS A RISK............................................................................................................210

14. TOOTH ALIGNMENT AS A RISK............................................................................................................210

 

 

Bolton analysis ......................................................................................................................................210

15. MISSING TEETH AS A RISK................................................................................................................211

16. BIOMECHANICAL RISKS....................................................................................................................212

17. CARIES RISK......................................................................................................................................212

18. TOOTH SURFACE LOSS AS A RISK.....................................................................................................213

19. TOOTH COLOR RISK ASSESSMENT..................................................................................................215

 

CHAPTER 15

The Pause Before the Patient Presentation..............................................................................................219

STEP 1: THE CHALLENGE SUMMARY................................................................................................... 220

Considering integrated treatment planning ....................................................................................... 223

STEP 2: ASK FOR OPINIONS.......................................................................................................................224

STEP 3: TREATMENT PLAN OPTIONS .................................................................................................. 226

STEP 4: PATIENT PRESENTATION TOOLS.......................................................................................... 229

 

CHAPTER 16

Case Presentation............................................................231

CODIAGNOSIS...........................................................................................................................................231

WHO OWNS THE PROBLEM? ................................................................................................................ 232

STEPS FOR CASE PRESENTATION......................................................................................................... 234

STEP 1: THIS IS WHAT I SEE..................................................................................................................... 236

STEP 2: THIS IS WHERE WE COULD GO............................................................................................... 239

STEP 3: HERE ARE THE WAYS WE COULD GET THERE............................................................... 240

STEP 4: HERE ARE MY CONCERNS/OUR LIMITING FACTORS................................................241

STEP 5: HERE ARE THE RISKS, INCLUDING DOING NOTHING................................................ 242

BUILDING TRUST.................................................................................................................................. 243

STEP 6: HERE ARE THE NEXT STEPS, THE FIRST THINGS........................................................ 243

STEP 7: HERE ARE THE COSTS INVOLVED........................................................................................ 243

Discussing finance............................................................................................................................. 244

COACHING OUR PATIENTS THROUGH THE DECISION-MAKING PROCESS................... 244

 

CHAPTER 17

Case Studies..............................................................................247

STUDY 1: PATIENT A........................................................................................................................... 247

Preclinical information.......................................................................................................................... 247

CLINICAL EXAMINATION......................................................................................................................... 248

STORYBOARD CREATION....................................................................................................................... 249

EDITING A VIDEO IN KEYNOTE ................................................................................................................ 250

GUIDED OBSERVATION..................................................................................................................250

FILLING OUT THE DIAGNOSIS AND OBSERVATIONS FORM.....................................................251

SMILE DESIGN........................................................................................................................................ 255

RISK ASSESSMENT FORM......................................................................................................................... 257

PRE-TREATMENT AND POST-TREATMENT PHOTOGRAPHS................................................. 259

Reflection.............................................................................................................................................. 259

CASE STUDY 2: PATIENT B..................................................................................................................260

Preclinical information.......................................................................................................................... 260

CLINICAL EXAMINATION..........................................................................................................................261

DIGITAL TOUR OF THE MOUTH................................................................................................................ 262

GUIDED OBSERVATION......................................................................................................................... 265

SMILE DESIGN.............................................................................................. 268

RISK ASSESSMENT.......................................................................................... 270

REFLECTION................................................................................................... 274

CASE STUDY 3: PATIENT C............................................................................... 276

Preclinical information...................................................................................... 276

CLINICAL EXAMINATION.................................................................................. 277

GUIDED OBSERVATION.................................................................................... 280

SMILE DESIGN............................................................................................... 283

RISK ASSESSMENT......................................................................................... 285

CASE PRESENTATION...................................................................................... 287

ETHICS ........................................................................................................ 287

REFLECTION...................................................................................................291

APPENDIX Diagnosis and Observations............................. 293

References.................................................................................................... 297

To the Reader................................................................................................ 299

Acknowledgments...........................................................................................301

9781737126119
100 Items

Data sheet

Author
Elaine Halley
Page count
328
Trim size
8.5 x 11 inches
Pub date
February 2022
Product type
Hard Cover

Specific References

isbn
9781737126119

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Smile Analysis

Help your patients to smile with confidence. This non-formulaic focus on Smile Design offers a “how-to” approach to patient communication surrounding the art of smile analysis, the treatment planning process, and case presentation. Read it again and again as you master each step of smile creation at your own pace.

Write your review