Esthetic Analysis Checklist for Veneers and Crowns Try-in
Dr. Mohanad Amasha
(a PDF version of this checklist looks better and is suitable for printing, download it through this link)
Trying in veneers or crowns involves checking multiple functional aspects such as their fitting, marginal adaptation, contact points, occlusion..etc. making it common to overlook the finer esthetic details and proceed to cementation. I have been using this Checklist to provide a systemic approach to an otherwise random process. I think it might be useful to other dental practitioners. Check each point as you proceed or mark your modifications in the specified lines.
- Appearance from a distance
Stand at an arms distance from the patient and ask them to smile and talk. The distance will allow you to see the smile as a whole to avoid analyzing teeth separately for now. Look for the size of the teeth in the context of the whole face and any tooth that stands out of what should be a harmonious smile.
- Protrusion
The best way to check protrusion is to check the profile at an arms distance. Look for the teeth’s relation and harmony with the lips and face. You can take a photograph and show it to the patient as well.
- Shade
Compare the veneers/crown’s shade with any visible natural teeth. For a full smile veneers/crown, look at the smile as a whole and take the patient’s feedback. Don’t forget to compare the shade of each tooth and look for individual discrepancies among them, try-in gel can help you change the value and test out the results before cementation.
- Special Characterizations
In addition to the degree of translucency/opacity, look for the internal effects such as the opalescence, internal stains, crack or intensities. Some lab technician may provide excellent internal effect on the anterior 6 teeth but neglect that on the premolar, pay attention to that as well.
- Shape
Check each tooth from a close distance, look for its morphology, line angles, incisal edge, cervical bulge and long axis. repeat this examination from the right and the left views.
- Texture
Look out for macro and micro texture. Check if the texture is harmonious with any visible natural teeth.
- Pink Esthetics
Check if there is any supra-gingival finish lines that resulted from gingival recession or apically located finish line. Additionally, scan for black triangles. Finally, examine the esthetics of the gingival shape and zenith points.
If you found this useful, be sure to check my other dental educative materials available on
