**5. Conclusion**

it won't really work. 

and dental professions.

**(right).**

**Conclusion**

The indication for crown lengthening is: cases of satisfying harmony of the upper lip height and maxillary bone relation, healthy dentition and periodontium but with poor dentogingival relation such as gingival overgrowth or poor architecture. It is used as well to optimize the

**The advantages**: done under office local anesthesia, can be done using a laser for less bleeding

**The disadvantages**: Asymmetry, might require re‐treatment to remove more gingival tissue or/ and bone, gingival recession, discomfort that lasts

A young male patient referred complaining of unesthetic anterior maxillary teeth. On clinical and radiographic evaluation, the patient had a poor dentogingival relation of the anterior maxillary teeth, poor crown shape, color and texture. The patient was presented to the team which advised a multi‐step intervention starting from proper planning to restore the eight anterior teeth after a crown lengthening procedure using laser therapy

**The disadvantages**: Asymmetry, might require re-treatment to remove more gingival tissue

A young male patient referred complaining of unesthetic anterior maxillary teeth. On clinical and radiographic evaluation, the patient had a poor dentogingival relation of the anterior maxillary teeth, poor crown shape, color and texture. The patient was presented to the team which advised a multi-step intervention starting from proper planning to restore the eight

**Figure 12: The picture on the left showing poor dentogingival relation of the anterior maxillary teeth. The right figure is showing the poor alveolar crestal bone relation to the first maxillary right crowned incisor, which looks short and misshapen. Those poor relations lead to**

**Figure 12.** The picture on the left showing poor dentogingival relation of the anterior maxillary teeth. The right figure is showing the poor alveolar crestal bone relation to the first maxillary right crowned incisor, which looks short and

Some patients can be unsatisfied with their smiles regardless of the type of treatment planned. Unless the operator figures out the exact factor contributing to the problem treatment will not really work. To provide examples, patients might be looking for cheek, lip, or chin piercing as the major key factors to their internal satisfaction while others, regardless of the procedures performed on their teeth, a single cheek dimple may be the change that the patient desires. And once that left cheek dimple procedure is performed, self-satisfaction is reflected positively

‐ **INTERNAL SMILE PROCEDURES (patient's personal satisfaction)**

Some patients can be unsatisfied with their smiles regardless of the type of treatment planned. Unless the operator figures out the exact factor contributing to the problem treatment will not really work. To provide examples, patients might be looking for cheek, lip, or chin piercing as the major key factors to their internal satisfaction while others, regardless of the procedures performed on their teeth, a single cheek dimple may be the change that the patient desires. And once that left cheek dimple procedure is performed, self‐satisfaction is reflected positively on the actual smile

**esthetically non‐balanced anterior maxillary teeth.**

**4.5. Internal smile procedures (patient's personal satisfaction)**

misshapen. Those poor relations lead to esthetically non-balanced anterior maxillary teeth.

anterior teeth after a crown lengthening procedure using laser therapy (Figure 12).

or/ and bone, gingival recession, discomfort that lasts for few days. [14, 15]

restorability of the coronal portion of teeth. [14, 15]

202 A Textbook of Advanced Oral and Maxillofacial Surgery Volume 2

and better postoperative recovery.

for few days. (14, 15)

CASE PRESENTATION

*4.4.1. Case presentation*

(**Figure 12**).

(**Figure 13**). (18)

on the actual smile (Figure 13). [18]

 **Figure 14: Although the patient presented with what looks like <sup>a</sup> retruded lower jaw (left), his occlusion is in an acceptable relation, that clarifies that the defect is mainly at the chin level, microgenia** In conclusion, this chapter presents the major components of a "smile" from the anatomical aspect as well as the evaluation methodology. A multi team approach can provide the best evaluation and management plan. Hence, the term "Smile Team" is appropriate to be em‐ braced in the medical and dental professions.

In conclusion, this chapter presents the major components of a "smile" from the anatomical aspect as well as the evaluation methodology. A multi team approach can provide the best evaluation and management plan. Hence, the term "Smile Team" is appropriate to be embraced in the medical The trick is always the proper diagnosis, treatment plan, and best implementation of one or more of the treatment modalities.
