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At least 217 records · Page 12Linked to original sources

Esthetic management of the upper labial frenum: a novel frenectomy technique.

An abnormal upper labial frenum is capable of retracting the gingival margin, creating a diastema, limiting lip movement, and in cases of a high smile line, affecting esthetics also. When an abnormal frenum is present, frenectomy is advised. This technique has been modified in many ways. But in most of the techniques the zone of attached gingiva and esthetics are not considered. This case report highlights a new technique of frenectomy that results in good esthetics, excellent color match, gain in attached gingiva, and healing by primary intention at the site of the thick, extensive abnormal frenum.

Adult↗

Restoring function and esthetics in 2 patients with amelogenesis imperfecta: case report.

This case report describes the prosthodontic treatment for a 28-year-old man and a 16-year-old boy diagnosed with amelogenesis imperfecta. The aim of treatment was to reduce dental sensitivity and to restore esthetics and masticatory function. Because of the socioeconomic status of the patients, direct resin composite laminate veneers were used to improve the esthetics of their maxillary and mandibular anterior teeth. Clinical examination 12 months after treatment revealed no evidence of disorders associated with the restored teeth or their supporting structures. Definitive treatment outcomes in terms of function and esthetics satisfied the expectations of both the patient and the interdisciplinary team.

Adolescent↗

An esthetic titanium abutment: report of a technique.

New esthetic two-piece titanium abutment cylinders have recently been introduced for the Brånemark implant system. The conical design allows for the fabrication of fixed partial dentures with improved esthetics compared to the conventional abutment design. The improved feature provides for the ability to begin the restoration closer to the implant while still maintaining a titanium/soft-tissue interface. Two designs, one short and one long, are currently being produced. The components, techniques, and clinical advantages of the short two-piece esthetic abutment are reviewed.

Dental Abutments↗

Esthetics in fixed and removable prosthodontics: the composition of a smile.

The composition of an esthetic smile can be an elusive goal. The purpose of this paper is to present and clarify the principles of perception and the common errors in dental esthetics. A review of the literature is distilled into basic building blocks for composing the esthetic smile. Utilization of the principles presented here will allow the practitioner+ to improve the appearance of fixed and removable restorations.

Denture Design↗

Color and shade matching: the weak link in esthetic dentistry.

While esthetics has always been important, the introduction of new esthetic products, simplified techniques, and increased patient awareness have expanded the public demand for esthetic dentistry. This article will present information on three components necessary to obtain an accurate shade match.

Color↗

[Conservative applications on treatment of teeth with esthetic problem].

Today with the development of new restorative materials, the esthetic problems of the anterior teeth because of hypoplazies, fluorizes, fractures shape, form or color irregularities can be treated with conservative preventive and esthetic techniques such as bleaching, surface coating, cosmetic contouring and composite laminate veneering. These procedures are usefull adjuncts and economic alternatives to more extensive procedures such as crown applications. In this study, the young patients who have esthetic and psychologic problems due to color, form, shape, surface texture abnormalities and fractures of their anterior teeth were treated with bleaching, composite laminate veneer and cosmetic contouring techniques.

Adult↗

Maxillary anterior esthetics. Preservation of the interdental papilla.

Periodontal therapy for the maxillary anterior area requires careful consideration as to the choice of therapy, as esthetic results are just as important as eradication of disease. The extensive shrinkage or loss of the interdental papilla, especially between the two central incisors as a result of periodontal therapy, should be minimized by the proper selection of therapy. Thorough subgingival scaling and root planing without surgical flaps is the treatment of choice as the maxillary anterior area is compatible for this type of therapy from the anatomic and access standpoints. In the posterior dentition, the surgical, conventional flap approach is encouraged after initial scaling, because of the anatomy of the roots (concavities, furcations) and difficulty with access makes thorough root therapy difficult. Fortunately, esthetics is not a major concern in the posterior areas. If surgical therapy is necessary for the maxillary anterior area, the papilla preservation flap technique better preserves the papilla for esthetic purposes but allows good access to the roots for root planing and, if necessary, the placement of graft material.

Dental Plaque↗

Esthetic principles; concepts, and practices in pediatric and adolescent dentistry.

The foundation of all dental esthetics is health. A beautiful dentition only occurs in supporting structures free of disease and inflammatory responses. Beyond health, the desire for manipulation of the oral cavity for esthetics in pedodontics is guided by the expectations of the dentist and the parents. When treatment planning for young children and adolescents, it is imperative that the dentist helps to distinguish procedures performed for the health and functional needs of the child from techniques performed to meet cultural standards of esthetics.

Adolescent↗

Esthetic orthodontic appliances for the adult.

There is no malocclusion in the adult that cannot be treated as well with esthetic appliances as with the conventional metal brackets. In a study about adult orthodontic patients. Breece and Nieberg found that most people wait until they are adults to start treatment because no one recommended it previously. It is essential that the dental practitioner understand the positive psychological impact of esthetic appliances upon the attitude of the adult and recommend that the adult needing orthodontic treatment enjoy the benefits of these technologic advances in esthetics and comfort.

Adult↗

Enhancing esthetics in porcelain fused to metal through technique modifications.

Three techniques have been discussed and illustrated, with diagrams and examples of clinical cases, that will aid the practitioner to achieve better esthetics when using porcelain fused to metal restorations. The labial butt joint preparation is particularly suitable for upper anterior teeth when the smile line exposes the gingival margin of the restoration and maximal esthetics are demanded. Clinically, the preparation has to be executed in such a way that technically the ceramist does not have to compromise the restoration. Wrong buccal shoulder preparations and too large a space between porcelain and shoulder are the most frequently observed errors. A porcelain sandwich technique in which a thin incisal porcelain layer is condensed between body and translucent porcelain enhances the translucency of the restoration and improves the natural appearance. This technique is particularly suitable for anterior teeth, yet posterior teeth benefit from this method as well, and particularly upper bicuspids are excellent candidates. The third technique uses a blend gold that is applied to the opaque and covered again with another layer of opaque. This method effectively blocks the graying effect often experienced at the gingival margin caused by the underlying metal. A deep chamfer offers the ideal preparation and accommodates the technical requirements best. In conclusion, it can be stated that dentists and dental technicians have available various techniques that make it easier to meet the theoretical and practical requirements of esthetics in dentistry.

Crowns↗

A new esthetic impression system.

Communication between the restorative dentist and the laboratory technician is essential to establish a predictable esthetic result. Errors in the laboratory can create the need for excessive clinical try-ins and modifications that waste valuable time. This paper reviews the use and potential benefits of a new facial impression system to minimize such esthetic errors. This system provides the laboratory technician with a three-dimensional reference of the local soft tissue frame during the fabrication of restorations. The application of this system to orthognathic surgical template fabrication is also discussed. The objective is to obtain the essential esthetic qualities of dentofacial harmony in the laboratory and not at the chairside. This system is compared with other methods of communication.

Dental Articulators↗

Esthetic considerations in the construction of a removable partial denture.

In the construction of a removable partial denture, the patient's interest frequently lies in the improvement of his or her esthetic appearance. This desire can be underestimated by the scientifically trained dentist, resulting in a disappointed patient. The perimeters of potential esthetic improvement might be influenced by the limitations of each individual case. However, appropriate care in the selection, arrangement, and position of teeth can overcome some of the limitations. This article describes the benefits of a well-planned, systematic approach to selection of the framework design, porcelain shade, and tooth mold as well as the base finish, and it illustrates, with specific examples, how to achieve the maximum esthetics in removable partial denture prosthodontics.

Acrylic Resins↗

[The expert esthetic evaluation of the face].

The authors suggest a scale for assessment of face esthetics, based on the notion of "esthetic perception" and anthropometric data. The scale consists of 6 grades, from disproportional (1 score) to proportional harmonic (6 scores). The method of expert evaluation of face esthetics facilitates planning of comprehensive treatment of patients with maxillodentofacial abnormalities and deformations and helps more objectively assess the results of treatment and the efficacy of this or that treatment modality.

Adult↗

Esthetic inlays and onlays.

Advances in adhesive technology offer the dentist the potential to place tooth-reinforcing restorations with more conservative preparations. At the same time, improvements in tooth-colored restorative materials are yielding high levels of durability and esthetics. The combination of these events has led to the development and continued refinement of an entirely new class of restorations for posterior teeth, called esthetic inlays and onlays. This paper summarizes current scientific and clinical opinion regarding this class of dental restorative and presents clinical technique criteria common to all types of esthetic inlays and onlays whether performed directly or indirectly, in resin or in ceramic.

Cementation↗

Esthetic implant restorations.

The success achieved with osseointegrated implants in the treatment of edentulous patients created a demand for their use in partially edentulous patients as well. New challenges confronted restorative clinicians with this group of patients, particularly esthetic challenges. New components and techniques had to be developed to improve the esthetic results. The "UCLA" abutment allows the restoration to connect directly to the implant fixture, emerging through the mucosa with a natural appearance. Esthetic titanium abutments can now also be used for a subgingival restorative design that creates a natural and gradual emergence profile similar to the UCLA abutment while maintaining more of the time-tested biomechanical principles of the older cylindrical titanium abutments.

Adult↗

Facial esthetics--presentation of an ideal face.

There appears to be a general consensus that a universal standard for facial esthetics is impossible due to so many variables that must be considered such as race, age, sex, cultural biases, etc. It is my conviction that a universal standard is not only possible, but highly desirable. In order for this to occur, it must be fully understood that facial esthetics is directly related to ideal facial proportions. Treating toward ideal facial proportions is desirable because it in turn appears to be directly related to ideal physiologic harmony. By clearly illustrating those faces considered to be ideal, it is hoped that this article will offer practitioners a greater understanding of this most important subject matter. Visual, cephalometric and physiologic criteria were used to assess facial esthetics.

Adult↗

Direct esthetic restoration of anterior root canal-treated teeth.

The esthetic restoration of anterior root canal-treated teeth with significant loss of tooth structure is a challenging clinical situation. For younger patients or for patients requiring interim treatment plans, restoring badly broken-down anterior teeth with composite resin provides an expedient and esthetic solution. Current visible-light-activated composite resin materials require an incremental build-up to ensure adequate depth of cure. With the use of custom-contoured, stabilized, thin crown forms and strategically placed vent holes, the clinician can efficiently provide cost-effective direct composite resin restorations that meet the patients' esthetic needs.

Composite Resins↗

Practical, esthetic options for retention of removable partial dentures: a case report.

This case report describes the treatment of an adult patient with a combination of fixed and removable prosthodontics. The patient was very conscious of esthetics and asked to have no clasps showing. Therefore, retentive features that produced good esthetics without being overly complex or expensive were provided. This report describes two less commonly used yet very practical and esthetic retentive features that can be used in many situations.

Dental Clasps↗