Complex esthetic restoration


Requirements

The jury anonymously evaluates the submissions in each category according to the following criteria:

  • Diagnosis and treatment plan

  • Techniques

  • Minimal invasiveness

  • Complexity

  • Photo documentation

  • Occlusion

  • General treatment execution

Judging criteria


This category includes complex esthetic treatments for the realization of which at least three dental specialties were needed (e.g.: implantology, orthodontics and prosthetics).


Case description


Submissions must include a short description of the clinical case in English, not longer than 6,000 symbols.

Descriptions must outline:

  • Diagnosis

  • Treatment plan

  • Materials that were used according to the treatment protocol

  • Short summary of the case

  • Removed saliva, plaque, food, crown-cement residue.

  • Use make-up when photographing the patient’s face.

  • The camera is centered at an appropriate angle.

  • Use a backdrop when necessary.

  • Retractors, mirrors and other elements must not be in the field of view.

  • Images must have good contrast, brightness and white balance.

  • Photos must be symmetric and cropped properly.

  • Objects in photos must be scaled appropriately.

  • Exclude any personal information, names and initials patient’s and dental professional’s).

General photo documentation guidelines


2. Frontal smile
• 1:2 magnification.
• Lips and teeth are visible, natural smile.
• Camera is levelled with the smile.
• Camera is oriented on the incisal plane and the midline, as long as they coincide with the interpupillary line and the vertical midline of the face.
• In case of asymmetry, it must be apparent in the image.
• Focus is on the central incisors, the laterals, and the canines.
• Image is cropped to the mouth edges and a little above the upper lip.

Initial photo documentation (before treatment)

1. Full facial front, wide smile
• 1:10 magnification.
• Patient’s smile is wide and natural.
• Whole face is visible, the top of the hair and the bottom of the neck can be cropped out.
• Both dental arches are visible.
• Background shadows must be reduced.
• The philtrum and nose are centrally positioned in the frame.
• Patient’s head is straight up.
• Camera is levelled with the nose.
• Camera is oriented on the interpupillary line and the vertical midline of the face.
• Focus is on the teeth.
• Background is plain and undistracting.

3. Full smile, left and right, non-retracted (frontal sagittal view)
• 1:2 magnification.
• Lips and teeth are visible, wide smile.
• Image is taken from the side so that the lateral incisor is in the center of the frame.
• The contralateral incisor and the canine must be visible, depending on arch size.
• The vertical midline is the lateral.
• Focus is on the lateral.
• Background might be necessary.
• Image is cropped to the nose, the top of the cheeks and the chin.

4. Frontal view, bite
• 1:2 magnification.
• Show as much of the gingiva and teeth as possible.
• The philtrum is centered.
• The incisal plane of the upper teeth is the horizontal midline of the image.
• Camera is levelled with the teeth.

5. Frontal view, retracted (central view, teeth apart)
• 1:2 magnification.
• Upper and lower teeth are slightly parted so that the incisal edges are visible.
• Show as much of the gingiva as possible.
• No lips and retractors visible in the frame.
• Use the midline of the face as the vertical midline of the image.
• The incisal plane of the upper arch is the horizontal midline of the image.
• If there is asymmetry, it must be apparent in the picture.
• Camera is levelled with the teeth.
• Focus is on the central incisors, the laterals, and the canines.

6. Frontal view, upper and lower teeth, bite
• 1:1 magnification.
• The midline of the incisors is the vertical midline of the image.
• The horizontal midline of the image bisects the upper incisors.
• Selected 4-6 teeth are cropped out of the image.
• Show as much of the gingiva as possible.

7. Frontal view of treated teeth, teeth apart (upper or lower: show teeth that have been treated)
• 1:1 magnification.
• The upper and lower incisors are visible (the ones that have been treated), the gingiva adjacent to the teeth is also visible. The retracted lip and antagonists must not be visible. At this level of magnification, 4-6 upper teeth or 6-8 lower teeth are visible.
• Camera is levelled with the teeth.
• The central incisors are the midline of the image.

Upper front, teeth apart
• No retractors are visible.
• Show as much of the gingiva as possible.
• The philtrum and the midline of the incisors are the vertical midline of the image.
• No antagonists are visible.
• Selected 4-6 teeth are cropped out of the image.

Lower front, teeth apart
• The midline of the incisors is the vertical midline of the image.
• Show as much of the gingiva as possible.
• No antagonists are visible.
• Selected 4-6 teeth are cropped out of the image.

8. Recommended: upper and lower front using a contraster.

Upper front with contraster
• 1:2 magnification.
• Use a contrasting device.
• Color may be other than black.
• No shadows on the contraster.

Lower front with contraster
• 1:2 magnification.
• Use a contrasting device.
• Color may be other than black.
• No shadows on the contraster.

9. Sagittal view: profile in a mirror


• 1:2 magnification.
• Show the front teeth including only half of the contralateral central incisor.
• Show as much of the gingiva as possible.
• Show as little of the retractors and lips as possible.
• The midline of the image is the midline of the canine.
• If possible, the incisal plane of the upper teeth is the horizontal midline of the image, if possible.
• Use a mirror.

10. Occlusal view of lower teeth


• 1:2 magnification.
• Use a mirror.
• Use a contraster.
• The nose is not visible.
• Crop the image to show as many teeth as possible.
• Camera is at a 45-degree angle with the mirror.
• Tongue is not visible.
• Take the picture facing the patient. If you take the picture from behind the patient, it is recommended that they lie down.

11. Occlusal view of upper teeth


• 1:2 magnification.
• Use a mirror.
• Use a contraster.
• Crop the image to show as many teeth as possible.
• Camera is at a 45-degree angle with the mirror.

12. Include X-ray images.

During treatment

Photo documentation of the different complex treatment stages are compulsory. Please refer to the photodocumentation guidelines in the respective categories.

After treatment

  • Same photo documentation as in Before Treatment.

  • IMPORTANT! Include final x-ray (panoramic or periapical).

Important

  • Submissions which deviate from the requirements and do not include all compulsory images will be disqualified and will not be allowed to participate in the contest.

  • Photo documentation is the main point of evaluation. The jury maintains that the quality of the submitted images relative to the photographic and dental guidelines is a decisive criterion in the evaluation of the submitted clinical cases.