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Esthetic dentistry

Alireza Torabi, Babak Najafi, Howard J Drew, Emil G Cappetta
Improvement of smile esthetics is a major goal of modern dentistry. Various treatment modalities have been proposed to correct excessive gingival display (EGD), depending on the identified etiologies. This study reports on the clinical and patient-centered outcomes of a novel lip repositioning technique with vestibular shallowing approach in the treatment of three types of EGD with varying etiologies. Periosteal fenestration with cicatrization (scarification) was performed at the mucogingival junction to ensure the stability of esthetic outcomes...
March 7, 2018: International Journal of Periodontics & Restorative Dentistry
Nicholas Marongiu
When planned and implemented appropriately, single-unit implant dentistry in the smile zone can be an excellent alternative to attempting to save a failing natural tooth. Historically, implant success has revolved around assessment of osseointegration and the healing of bone around the implant, without much regard for esthetics upon completion. As implant dentistry has evolved, the expectations of both restoring clinicians and patients have expanded to emphasize the esthetic outcome as well as faster treatment with immediate implant placement...
March 2018: Compendium of Continuing Education in Dentistry
M Stefanini, P Felice, C Mazzotti, I Mounssif, M Marzadori, G Zucchelli
Criteria for successful implants, in the rehabilitation of a single missing tooth in the esthetic area, should be determined by composite outcomes, including functional and esthetic aspects of soft tissues and the reconstruction, as well as patient-reported outcomes. This paper focuses on current methods in esthetic assessment and patient-centered/reported outcomes in single-tooth implant rehabilitation in the esthetic area. The relationship between subjective, patient-based esthetic evaluations and objective, professional-based esthetic evaluations is reviewed...
February 28, 2018: Periodontology 2000
Isabella Rocchietta, Luca Ferrantino, Massimo Simion
The reconstruction of deficient alveolar ridges using vertical and/or horizontal guided bone regeneration techniques allows for ideal implant placement, which is crucial for function and also for esthetically successful outcomes. Unlike in the past, when meeting a patient's functional demands was sufficient, many patients now have greater expectations from their implant restoration. Hence, it is no longer enough simply to restore the edentulous space with a functioning tooth or teeth. It has been suggested that patients now measure their final restoration using the contralateral natural tooth as the gold standard...
February 25, 2018: Periodontology 2000
Matteo Chiapasco, Paolo Casentini
The rehabilitation of partially or totally edentulous patients with implant-supported prostheses has become routine, with excellent long-term outcome. A proper implant position is mandatory to achieve good functional and esthetic outcome and may require an adequate amount of alveolar bone and surrounding soft tissue. When this is lacking because of atrophy, sequelae of periodontal disease, traumas or congenital malformations, increased bone volume and/or keratinized mucosa can be obtained by guided bone regeneration, bone-grafting techniques and alveolar bone expansion...
February 25, 2018: Periodontology 2000
L Ottria, L Tettamanti, F Guzzo, M Gargari, A Barlattani
The purpose of this research is to perform and verify the “modified 50° preparation” suggested by the authors. This procedure was performed with a scrupulous standardization of the tooth’s preparation and then of the laboratory techniques to produce a metal-ceramic crown, and the same for the crown cementation technique of on the preparation of the original sample. After the esthetic evaluations, the obtained sample was included in EPON resin and sectioned in the lingual-vestibular sense. The sections were then observed with an optical microscope in different magnifications for the final evaluations...
January 2018: Journal of Biological Regulators and Homeostatic Agents
Ambar W Raut, Vijay Mantri, Vaibhao I Shambharkar, Mitul Mishra
Anterior crown fractures are a common form of traumatic dental injuries that mainly affect the maxillary incisors, especially in children and adolescents. Complicated crown fractures although less common, pose a challenge to the clinician. The main objective while treating such cases is successful pain management and immediate restoration of function, esthetics and phonetics. Since the development of the adhesive dentistry, the patient's own fragment can be used to restore the fractured tooth. Reattachment of fractured tooth fragments offers a viable restorative alternative...
January 2018: Journal of Natural Science, Biology, and Medicine
Stefen Koubi, Galip Gurel, Patrice Margossian, Richard Massihi, Herve Tassery
Treatment of tooth wear has increased over the last two decades. However, the treatments involved have not been satisfactory to most patients, nor have they achieved the expected goal on some worn teeth. New approaches have emerged to reconstruct full arches in a minimally invasive way that take advantage of developments in the field of adhesive dentistry. These new concepts constitute a revolution in dentistry and their application requires adapted techniques and training. The purpose of this article is to suggest a precise and reproducible method that simplifies the treatment of worn dentition...
March 2018: International Journal of Periodontics & Restorative Dentistry
Rafał Pokrowiecki, Krzysztof Pałka, Agnieszka Mielczarek
AIM: The studies on tooth structure provided basis for nanotechnology-based dental treatment approaches known as nanodentistry which aims at detection and treatment of oral pathologies, such as dental caries and periodontal diseases, insufficiently being treated by conventional materials or drugs. This review aims at defining the role of nanodentistry in the medical area, its potential and hazards. MATERIALS & METHODS: To validate these issues, current literature on nanomaterials for dental applications was critically reviewed...
February 8, 2018: Nanomedicine
Gabriela Mendonça Rando, Paula Karine Jorge, Luciana Lourenço Ribeiro Vitor, Cleide Felício Carvalho Carrara, Simone Soares, Thiago Cruvinel Silva, Daniela Rios, Maria Aparecida Andrade Moreira Machado, Maria Beatriz Gavião, Thais Marchini Oliveira
Oral health problems can influence people's Quality of Life (QoL) because of pain, discomfort, limitations, and other esthetics problems, affecting their social life, feeding, daily activities, and the individual's well-being. To compare oral health-related quality of life (OHRQoL) of children with and without oral clefts and their families. 121 children aged from 2 to 6 years, from both sexes, enrolled in the treatment routine of the Pediatric Dentistry Clinics of a Dental School and a Hospital for Cleft Treatment were divided into two groups: Group 1 - children with cleft lip and palate; Group 2 - children without cleft lip and palate...
February 1, 2018: Journal of Applied Oral Science: Revista FOB
Rubén Agustín-Panadero, Daniel Ausina-Escrihuela, Lucía Fernández-Estevan, Juan-Luis Román-Rodríguez, Joan Faus-López, María-Fernanda Solá-Ruíz
Recent years have seen increasing demand for treatments aimed at improving dental esthetics. In this context, both patients and dentists prefer to preserve dental structures as far as possible; thanks to technological advances, especially in adhesive dentistry, new materials and minimally invasive techniques such as "no-prep" (no preparation) veneers have made this possible. Nevertheless, no-prep veneers have specific indications and suffer certain disadvantages. OBJECTIVES: This clinical case describes the rehabilitation of the upper anterior region by means of no-prep veneers, with BOPT (Biologically Oriented Preparation Technique) cervical margins...
December 2017: Journal of Clinical and Experimental Dentistry
Jeff H Bynum
Achieving successful long-term esthetic outcomes in implant dentistry requires that the height and width of the facial or buccal alveolar bone wall and, subsequently, the peri-implant tissues be maintained. Partial extraction therapy (PET) can be used to reduce the risk of facio-lingual collapse after tooth loss and improve the preservation of alveolar bone height and blood supply. This article demonstrates the use of PET for treatment of a hopeless tooth in the esthetic zone. After removal of the fractured maxillary central incisor, an implant was placed and restored with excellent esthetic, functional, and periodontal results...
February 2018: Compendium of Continuing Education in Dentistry
Filippo Del Curto, Carlo Massimo Saratti, Ivo Krejci
Since the first introduction of the Cerec system (Sirona) in the early 1980s, the use of computer-aided design/computer-aided manufacture (CAD/CAM) technology has spread widely in modern adhesive dentistry. Thanks to this innovative technology, it has been possible to carry out chairside restorations fully managed by the clinician, with the advantages of lower costs for the patient, more rapid execution of the restorations, and the exclusion of the provisional phase. With further improvements in chairside technologies and materials, specifically in the field of composite resin blocks, it is now possible to fabricate multiple ultrathin, minimally invasive or even noninvasive restorations in one single appointment...
2018: International Journal of Esthetic Dentistry
Farhad Tabatabaian
Zirconia ceramic is a popular trend in esthetic and restorative dentistry. Computer-aided design/computer-aided manufacturing (CAD/CAM) systems have been well developed to fabricate zirconia frameworks and restorations with acceptable mechanical properties. Zirconia ceramics have excellent optical characteristics; however, achieving optimal esthetic outcomes with zirconia-based restorations is still challenging due to multiple effective factors on the final color. These factors are different layers of a zirconia-based restoration and its underlying structures including: dental substrate, cement, zirconia coping, veneering ceramic, and glaze...
January 9, 2018: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
Shuang Zhang, Tian-Heng Cai, Cong-Bo Mi
PURPOSE: In order to provide reference for orthodontic and esthetic dentistry, we measured anterior teeth widths, and analyzed the ratio between the teeth in 236 Uygur teenagers. METHODS: Two hundred and thirty-six samples were selected from Uygur population,Vernier calipers was used to measure the widths of the anterior teeth. SPSS21.0 software package was used for independent sample t test, paired t test and REG regression. RESULTS: Except for mandibular lateral incisors, significant difference was observed in anterior teeth widths between males and females, the ratio between the upper and lower central incisors in males was nearly 1...
October 2017: Shanghai Kou Qiang Yi Xue, Shanghai Journal of Stomatology
Nirmal Famila Bettie, Saravanan Kandasamy, Venkat Prasad
The anatomical form of a tooth can undergo changes leading to loss of tooth form. The loss of tooth surface can be due to varying etiology. Dental caries, attrition, abrasion, erosion, involving any surface of the tooth can lead to loss of tooth structure. The rate of tooth destruction may proceed to such an extent that the esthetics, function and comfort may be lost. The role of a practioner lies in identification and screening of such case and motivate for oral rehabilitation that includes habit cessation...
November 2017: Journal of Pharmacy & Bioallied Sciences
Rajesh Gopal, Lalkrishna Raveendran, Sonia P Pathrose, Benin Paulaian
Reattachment of the tooth fragment is an ultraconservative technique for managing coronal tooth fractures when the tooth fragment is available, and there is minimal violation of the biological width. The advances in adhesive dentistry have allowed dentists to use the patient's own fragment to restore the fractured tooth which provides fast and esthetically pleasing results. This article reports fragment reattachment technique and presents two clinical cases of complicated crown fracture.
November 2017: Journal of Pharmacy & Bioallied Sciences
Simone Beatriz Alberton, Victória Alberton, Rodrigo Varella de Carvalho
The most common discrepancy concerning tooth size is the presence of peg-shaped lateral incisors, which can cause teeth with reduced size, anterior diastema, and consequently an unpleasant smile. The development of the adhesive dentistry and ceramic veneers allowed all ceramic-bonded restorations to become an esthetic and functional approach to reestablish the smile harmony. The purpose of this clinical report is to describe a conservative treatment approach to recover an esthetic disharmony caused by bilateral peg-shaped lateral incisors...
May 2017: Journal of Conservative Dentistry: JCD
E G Margaryan, Yu O Paramonov
The aim of the study was to assess gender-related preferences in the choice of oral rehabilitation methods. The study involved 225 patients aged 16-75. The analysis included patients survey and the assessment of actual procedures received during one year follow-up. The study revealed women to be more attentive to oral health issues resulting in more regular appointments and better compliance. Dental treatment before planned pregnancy was, however, completed in only half of the patients. When choosing materials and constructions for oral rehabilitation the leading criteria for men were 'quality' and 'safety', while women chose 'esthetics' and 'quality'...
2017: Stomatologii︠a︡
H M Nassar, Y S Park, A Tekian
PURPOSE: The weighted mean (WM) method for combining scores of assessment components can provide outcomes with biased reliability and score precision. The objective of this study was to compare the traditional WM with another method utilising the composite score (CS) principle for combining scores of a final summative assessment exercise for a pre-clinical dental course. METHODS: Data were collected from the final examination of third-year Preclinical Operative and Esthetic Dentistry course consisting of 3 parts: practical competency, objective structured practical examination and a written examination with weights of 33%, 17% and 50%, respectively...
December 11, 2017: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
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