The art of cosmetic dentistry.
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Biomedical subjects
Publications and source records attributed to W H Okuda.
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BACKGROUND: The objective of esthetic dentistry is to treat diverse problems and achieve natural-appearing results. The author reviews the issues involved in the discoloration of human dentition and the concerns associated with current treatment for this problem. Understanding the proper use of materials in esthetic dentistry can result in a conservative, natural-appearing restoration. OVERVIEW: Dentition discoloration due to intrinsic staining can be a severe esthetic problem. Current treatment using crowns and highly opaque porcelain veneers has inherent disadvantages in regard to the final restorations. The author explores a subopaquing technique that allows for progressive lightening of highly stained teeth to create natural color depth in a conservative porcelain veneer procedure. CLINICAL IMPLICATIONS: In treating dental problems, the clinical practitioner looks for solutions that conserve tooth structure. To achieve natural-appearing esthetic results, it is important for the practitioner to be aware of technological advances in materials science as well as the proper use of esthetic dental techniques. Understanding the problems associated with dental discoloration and ways of correcting them will allow the practitioner to solve these moderate-to-severe esthetic problems on a consistent basis.
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With the increased awareness that optimal cosmetic dentistry can have on self-image, self-esteem, and self-confidence, patients are no longer just wanting to close gaps or whiten their smiles. Patients are becoming very conscious of the size, proportion, and position of their teeth as related to their smile and face. By incorporating the art and science of cosmetic dentistry into our enhancement therapy, we are able to create excellent results on a consistent basis. This review explores the impact that cosmetic dentistry can have on creating facial harmony. The discussion demonstrates the importance of a proper esthetic diagnosis as well as a thorough bioesthetic evaluation of each patient. This review also stresses the importance of an objective and subjective assessment and how a detailed evaluation of each patient can help create harmonious and natural smiles.
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