Extremely useful special effects and ceramic materials have been described during the past years to solve difficult esthetic problems, demonstrating that “objective” harmony of the smile can be created by taking into account all the fundamental objective criteria related to soft and hard tissues and an adequate choice of restorative material.
However, global harmony of the final result remains subjective and will depend on these parameters in relation to the patient’s smile, face shape, age, and character. It is often difficult to define with precision which components are the key elements of total esthetic integration, which can be defined as the conformity with the individual’s personality. Therefore, a combined technical and artistic effort is necessary and depends on intuition and sensitivity of the operator, but also on the capacity to accurately perceive the unique and dynamic character of the patient.
The conference aim is to debate the topic of esthetic integration based on literature review and personal clinical experience. The presentation will mainly address cases of individuals with poor pre-existing dental work, who are the most challenging to address because they have lost their own perception of esthetics. They must be “reprogrammed” with different diagnostic templates that will allow the progressive recovery of esthetic landmarks. In this way, clinicians and laboratory technicians should not be afraid to address the subjective components of the smile, knowing that the final treatment objective will always result from a combination of knowledge and application of the objective criteria, time, and patient’s input.