J OURNAL OF C OSMETIC D ENTISTRY vol. 29 issue 3 Journal of Cosmetic Dentistry V OLUME 29 • N UMBER 3 F ALL 2013 Dr. Paulo Kano: Blending Photography & Passion www.aacd.com Prosthodontics—Mastering Oral Rehabilitation Must See! Visual Implant Essays F ALL 2013 all ceramic all options™ ® FULL CONTOUR ZIRCONIA Your best option for high-strength. The company that brought you all-ceramics now brings you Zenostar, your premium brand choice for full contour zirconia restorations. The Zenostar pre-shaded, high translucency zirconia, provides you with a strong and versatile restorative solution that meets the high performance demands of the most challenging cases. Prescribe the best zirconia – Prescribe Zenostar. 100% CUSTOMER SATISFACTION GUARANTEED! ivoclarvivadent.com Call us toll free at 1-800-533-6825 in the U.S., 1-800-263-8182 in Canada. © 2013 Ivoclar Vivadent, Inc. Ivoclar Vivadent is a registered trademark of Ivoclar Vivadent, Inc. Zenostar is a trademark of Wieland Dental + Technik GmbH & Co. KG ZENOSTAR AD - JCD.indd 1 9/13/13 2:21 PM A PEER-REVIEWED PUBLICATION OF THE AMERICAN ACADEMY OF COSMETIC DENTISTRY vol. 29 issue 3 Journal of Cosmetic Dentistry EDITORIAL REVIEW BOARD Pinhas Adar, MDT, CDT, Marietta, GA Naoki Aiba, CDT, Monterey, CA EDITOR-IN-CHIEF Edward Lowe, DMD, AAACD Gary Alex, DMD, AAACD, Huntington, NY Vancouver, BC, Canada, [email protected] Edward P. Allen, DDS, PhD, Dallas, TX EXECUTIVE DIRECTOR Barbara J. Kachelski, MBA, CAE Elizabeth M. Bakeman, DDS, FAACD, Grand Rapids, MI MANAGING EDITOR Tracy Skenandore, [email protected] Oliver Brix, MDT, Kelkheim, Germany EDITORIAL ASSISTANT Denise Sheriff, [email protected] Christian Coachman, DDS, CDT, Sáo Paulo, Brazil ART DIRECTOR Lynnette Rogers, [email protected] Michael W. Davis, DDS, Santa Fe, NM Gerald E. Denehy, DDS, Iowa City, IA GRAPHIC DESIGNER Elizabeth Cousineau, [email protected] Newton Fahl Jr., DDS, MS, Curitiba-PR, Brazil EDITORIAL CONSULTANT Juliette Kurtz, [email protected] Hugh D. Flax, DDS, AAACD, Atlanta, GA MANUSCRIPT David A. Garber, DMD, Atlanta, GA DEVELOPMENT LIAISON Allison DiMatteo, MPS, [email protected] Ronald E. Goldstein, DDS, FACD, FICD, Atlanta, GA CHIEF MARKETING OFFICER Michael DiFrisco, [email protected] Steve D. Hoofard, CDT, AAACD, Hermiston, OR ADVERTISING AND SPONSORSHIP Nelson Y. Howard, DDS, AAACD, San Marcos, CA DIRECTOR OF STRATEGIC PARTNERSHIPS Jeff Roach, [email protected] Ronald D. Jackson, DDS, FAACD, Middleburg, VA Sang K. Jun, CDT, Monterey, CA CONTRIBUTING EDITORS Julie M. Gillis, DDS, AAACD, Grand Junction, CO Michael J. Koczarski, DDS, AAACD, Woodinville, WA James H. Peyton, DDS, FAACD, Bakersfield, CA John C. Kois, DMD, MSD, Seattle, WA J.A. Reynolds, DDS, AAACD, Franklin, TN Gerard Kugel, DMD, MS, PhD, Boston, MA Gregory B. Wright, DDS, FAACD, Southlake, TX Trevor R. Laingchild, RDT, AAACD, Burlington, ON, Canada Ernesto A. Lee, DMD, Bryn Mawr, PA EDITORIAL MISSION David A. Little, DDS, San Antonio, TX The mission of the Journal of Cosmetic Dentistry is to educate AACD members, as well as other professionals in the field, on the art and science of cosmetic dentistry. We will endeavor to Robert A. Lowe, DDS, Charlotte, NC do this by publishing well-researched, peer-reviewed articles accompanied by high-quality, Frank J. Milnar, DDS, AAACD, St. Paul, MN comprehensive clinical imagery. The objective is to enhance readers’ knowledge and skills while Ricardo Mitrani, DDS, MSD, Mexico D.F., Mexico showcasing the latest cosmetic techniques and procedures. The Journal of Cosmetic Dentistry Michael T. Morris, CDT, FAACD, Lexington, KY will strive to help readers become better clinicians, so they can offer their patients the best— Carlos A. Munoz, DDS, MSD, Buffalo, NY and most responsible—treatment possible. Thomas W. Nabors lll, DDS, AAACD, Nashville, TN W. Peter Nordland, DMD, MS, La Jolla, CA ADVERTISING POLICY Paul S. Petrungaro, DDS, North Oaks, MN All advertising appearing in the Journal of Cosmetic Dentistry (jCD) is approved by the editorial Gary M. Radz, DDS, Denver, CO team. Advertisements are not endorsed by the jCD or AACD. Christopher D. Ramsey, DMD, AAACD, Jupiter, FL Nelson A. Rego, CDT, AAACD, Santa Fe Springs, CA Dwight G. Rickert, CDT, AAACD, Indianapolis, IN AACD OFFICE 30 Robert G. Ritter, DMD, Jupiter, FL 402 West Wilson Street, Madison, WI 53703 year Matthew R. Roberts, CDT, AAACD, Idaho Falls, ID 800.543.9220 • 608.222.8583 of Makin Smile Jean-François Roulet, DDS, PhD, Schann, Liechtenstein fax 608.222.9540 • [email protected] • www.aacd.com Henry Salama, DMD, Atlanta, GA Maurice A. Salama, DMD, Atlanta GA Michael R. Sesemann, DDS, FAACD, Omaha, NE Michael Sonick, DMD, Fairfield, CT Advertising: 800.543.9220 • 608.222.8583 or [email protected] Rhys D. Spoor, DDS, AAACD, Seattle, WA Editorial: 800.543.9220 • 608.222.8583 or [email protected] Thomas T. Teel, DDS, Fort Wayne, IN Thomas F. Trinkner, DDS, AAACD, Columbia, SC Eric Van Dooren, DDS, Antwerp, Belgium Marcos A. Vargas, DDS, Iowa City, IA Reprints Dennis J. Wells, DDS, AAACD, Brentwood, TN High-quality reprints with possible customization are available for authors and advertisers. Please contact [email protected], Content Sales Specialist who will work with you to get the exact reprint you would like for your presentations, lectures, or patient literature. Journal of Cosmetic Dentistry 3 Journal of Cosmetic Dentistry • Fall 2013 • Volume 29 • Number 3 A peer-reviewed publication and member benefit of the AACD Features 26 Visually Speaking 116 From Dentures to an Esthetic Combined Use of Implant Restoration O Feldspathic Veneers and Stephen Travis, BDS(HONS), MDSC Zirconia with Implants Massimiliano Zuppardi, MDT to Treat Diastemas O Nondas Vlachopoulos, CDT 128 Advantages of Composite: Direct and New Semi-Direct Techniques (CE article) O 38 Clinical Cover Essay Antonio Cerutti, MD, DDS, PhD Resurrecting Natural Andrea Zubani, DMD Tooth Anatomy O Erica Nembrini, DMD Paulo Kano, DDS, MDT, MSc Prof. Massimo Amato, MD, DDS Priscila Saito Thiemi, DDS Prof. Dino Re, MD, DDS 50 How to Simplify 138 AACD Self-Instruction Implant Restorations O Continuing Education O 26 Michael W. Johnson, DDS, MS 140 Book Review 62 Cooperation Between the Atlas of Dental Rehabilitation Dental Office and Laboratory O Techniques O Giuseppe Romeo, MDT Angel Harounian, DDS 142 Product Review Clinical Considerations for 74 How Do Patients Value Cementing Indirect Restorations O Esthetic Dentistry? O Sabiha S. Bunek, DDS 62 Sreenivas Koka, DDS, MS, PhD, MBA Alan B. Carr, DMD, MS 146 Advertiser Index Thomas J. Salinas, DDS Column 82 Achieving Dramatic Yet Minimally Invasive Smile 8 Editor’s Message Enhancements O Start Thinking Like a Prosthodontist! Andrew Denny, BDS, MFGDP(UK) Edward Lowe, DMD, AAACD 116 MGDS RCS (Eng) 2013 Statement of Ownership, Management and Circulation Opening Vertical Dimension 94 Statement of Ownership, Management and Circulation, required by Title 39, United States Code 3685. Title of publication: The O for Esthetic Treatment Journal of Cosmetic Dentistry. Date of filing: September 25, 2013. Publication number: 1532-8910, USPS# 10452. Frequency of issue: Sandra Hulac, DDS quarterly. Annual subscription price: members, included in the membership dues; non-members/subscribers, $200.00 (US and Canada), $240.00 (all other countries) by the American Academy of Cosmetic Dentistry®, 402 West Wilson Street, Madison, WI 105 Opening Vertical Dimension 53703. 800.543.9220 OR 608.222.8583. Periodicals postage paid in Madison, WI, and additional offices. for Esthetic Treatment: Analysis and Discussion O Mailing address of publisher: American Academy of Cosmetic Dentistry, 402 West Wilson Street, Madison, WI 53703. County: Gary Alex, DMD, AAACD Dane. Name and address of the Editor: Edward Lowe, DMD, 402 West Wilson Street, Madison, WI 53703. Name and address of the Managing Editor: Tracy Skenandore, 402 West Wilson Street, Madison, WI 53703. Average number of copies each issue during 106 Anterior Extraction and preceding 12 months: total number of copies (net press run): 7581; mailed outside-county paid subscriptions stated on PS Form 3541: 6516 paid distribution by other classes of mail through the USPS: 3; total paid distribution: 6519; free or nominal rate copies Implant Placement in a mailed at other classes through the USPS: 34; free or nominal rate distribution: 5; total free or nominal rate distribution: 39; total Severely Deficient Site O distribution: 6558; copies not distributed: 1023; percent paid: 99. Number of copies of single issue published nearest to filing Sergio Rubinstein, DDS date: total number of copies (net press run): 6714; mailed outside-county paid subscriptions stated on PS Form 3541: 6518; paid Maurice A. Salama, DMD distribution by other classes of mail through the USPS: 0; total paid distribution: 6518. Free or nominal rate copies mailed at other Henry Salama, DMD classes through the USPS: 20; free or nominal rate distribution outside the mail: 0; total free or nominal rate distribution: 20; total David A. Garber, DMD distribution: 6538; copies not distributed: 176; percent paid: 99.7. I certify that all information furnished is correct and complete. Mark B. Jacob, DDS, MS Signed Tracy Skenandore, Managing Editor. 4 Fall 2013 • Volume 29 • Number 3 The world needs more smiles. We’re doing our part. Springstone’s No-Interest* Plans have the highest approval rate. 3 out of 4 practices offering Springstone report our approval rate is as good as or better than “The Other Guys”† With Springstone, you’ll nd more to