Treatment planning of complex cases requires the highest level of knowledge and skill from the treating team. Whether we are looking at mid-facial recession or black triangles due to loss of papilla, it is the orchestration of procedures and timing that make the difference. Some cases only need the restorative dentist, while others need surgical or orthodontic treatment to maximize the esthetic outcome. Envisioning that outcome before starting the case is critical to directing it. This, in conjunction with the patient’s needs and clinical situation, comprise the decision-making process for providing the best possible result.

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