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At least 343 records · Page 19Linked to original sources
PubMed2002

Esthetic correction of gingival recession using a modified tunnel technique and an acellular dermal connective tissue allograft.

UNLABELLED: Esthetic correction of gingival recession is an important goal of periodontal therapy. This article describes a surgical technique that combines a modified tunnel technique and an acellular dermal connective tissue allograft. With the aid of vertical incisions, a tunnel is created under the buccal mucosa of the affected tooth. These incisions enable easy access for graft placement and create mobility for gingival coronal positioning. The use of an acellular dermal connective tissue allograft eliminates the need for a surgical palatal donor site. This minimizes postsurgical complications. CLINICAL SIGNIFICANCE: The combination of a modified tunnel technique and an acellular dermal connective tissue allograft permits esthetic root coverage in a manner that reduces postsurgical complications.

Adult↗
PubMed2002

[Treatment of multiple recession-type defects in a young patient with esthetic demands].

Treatment of gingival recession has become an important therapeutic issue due to the increasing number of cosmetic demands from patients. Frequently, gingival recessions affect groups of adjacent teeth. In order to optimize the esthetic result all the contiguous recessions should be treated at the same time. The purpose of this article is to compare some techniques of root coverage in a patient with Miller class 1 recessions. A mean of 80% of root exposure was covered using the free gingival graft and free connective tissue graft with repositioned flap compared to 67% using coronally positioned flap over a connective tissue graft. In conclusion, partial root coverage and gingival augmentation with a good esthetic appearance were obtained by a one-step connective tissue graft procedure.

Adult↗
PubMedDate not supplied

Guidelines for periodontal prostheses serve esthetic and functional demands: a case report.

Periodontal-prosthesis guidelines have long been defined to specifically address dental reconstructions after moderate to advanced periodontal disease has occurred. More recently, specific dental techniques and materials have shown promise in addressing patients' increasing esthetic demands. However, treatment planning to achieve pleasing results for patients with advanced periodontitis requires a complex, multispecialty approach that is rarely discussed. A case report and literature review illustrate that the original periodontal-prosthesis guidelines not only remain useful today for obtaining esthetic results but also conform to recent understanding of maxillomandibular physiology.

Crowns↗
PubMed2002

Considerations for anterior implant esthetics.

There are several factors to consider when restoring failing dentition in the anterior region. While a tooth can be replaced with an implant, achieving an esthetic result is challenging. The dental team must evaluate numerous criteria to define the optimal treatment plan. Among the considerations are whether to extract the tooth and perform immediate implant replacement or to perform a ridge preservation procedure. This article presents diagnostic determinants to help decide the most appropriate course of therapy to achieve functional and esthetic results.

Alveolar Bone Loss↗
PubMed2002

Beyond cosmetics--the esthetic rehabilitative patient.

The evolution of the esthetic movement has been sustained over time because it touches a base psychological need for most people to feel they are attractive, youthful, and a vital part of society. Through well-organized team diagnosis and treatment planning, patients can benefit from a solid diagnostic and prerestorative foundation that can more predictably produce consistent optimal treatment results. As the chief diagnostician and treatment supervisor, the restorative dentist must continue to advance his or her knowledge and training to provide the other team members with a concise treatment vision for the patient. With a newly developed synergy among the disciplines of dentistry for team treatment and tremendous advancement in dental markets and equipment, it is possible to create natural-looking, esthetic rehabilitative treatments.

Adult↗
PubMedDate not supplied

A review of esthetic pontic design options.

Advances in the field of restorative materials allow a lost tooth to be replaced by artificial tooth structure that is virtually indiscernible from the original. However, in fixed partial dentures the standards for the pontic area and the adjacent soft tissue in the maxillary anterior region have increased in particular. The pontic design in this region is primarily influenced by esthetic and phonetic considerations. Local defects of the alveolar ridge often complicate restorative measures. Treatment methods proposed to solve this problem involve modification of the pontic design and pretreatment of the recipient site for the pontic. This article reviews the different clinical and technical options that are available for designing esthetic and functional pontics for the anterior region.

Alveolar Process↗
PubMed2003

An interdisciplinary approach to treatment planning in the esthetic zone.

The practice of prosthodontics requires a multidisciplinary approach that integrates the knowledge, skills, and experience of all the disciplines of dentistry into a comprehensive treatment plan. This article outlines a comprehensive interdisciplinary treatment philosophy designed for developing the foundation for optimal esthetics in fixed prosthodontics. Cases are presented to illustrate the utility of interdisciplinary treatment in which specialists are recruited to enhance and improve a patient's dental function and esthetics.

Crown Lengthening↗
PubMed2003

Treatment planning and soft-tissue management for optimal implant esthetics: a prosthodontic perspective.

Esthetic restoration of implants in the anterior region of the mouth is one of the most difficult procedures to execute. This article discusses patient selection criteria. Implant position and its relationship to the esthetic outcome are also addressed. The importance of soft-tissue management in all phases of the surgical and restorative phases is emphasized. Guidelines are given for the successful delivery of this service for the patient.

Dental Implantation, Endosseous↗
PubMed2003

Method for immediate measurement of in vitro bond strength of bonded direct esthetic restorations.

There are many different ways to measure the bond strength of direct esthetic restorations to various dental substrates. Unfortunately, most methods cannot measure bond strengths immediately after a restoration has been placed. This lack of clinically-relevant information seriously affects the clinician's ability to select and use various bonding agents and procedures. The aim of this article is to provide a very detailed method for immediate measurement of in vitro bond strengths of direct bonded esthetic restorations. It focuses on the steps that should be taken to select and prepare various tooth substrates for bond strength testing, the steps to "restore" various tooth substrates, and to measure the immediate in vitro bond strength. A fundamental understanding of a standardized testing protocol should provide clinicians with a clearer appreciation of bond strengths associated with various bonding procedures.

Dental Bonding↗
PubMed2003

[Evaluation of dentition from esthetic viewpoint].

A method for evaluating the esthetic aspects of human teeth is suggested: a sum of qualitative and quantitative characteristics objectively evaluates the esthetic status of dentition, helps monitor and compare the results of treatment.

Dentition↗
PubMedDate not supplied

Esthetic re-creation of soft tissue architecture in replacing missing maxillary anterior teeth.

Replacing missing maxillary anterior teeth while providing an adequate esthetic can present a considerable challenge. A substantial effort is directed toward achieving a better tooth-to-soft tissue relationship, regardless of whether the restorative modalities are implants, naturally supported fixed bridges, or removable partial dentures. The interdental papilla is critical to the esthetically pleasant architecture and contributes to successful harmonious restoration, especially in patients with a high smile. There are several techniques for restoring the indental papilla. The best result comes from careful planning and good communication with the patient.

Adult↗
PubMed1992

Achieving ideal esthetics in osseointegrated prostheses. 1. Multiple units.

This article describes two new abutments that are intended to enhance the esthetics and function of the implant prosthesis while keeping it in harmony with the periodontium. Part 1 discusses the EsthetiCone, designed for use with multiple-unit restorations, which allows subgingival placement of porcelain for maximal esthetics. Unlike traditional abutments, the EsthetiCone is placed 4 to 6 weeks after the fixture is uncovered. Therefore, the size and type of abutment are chosen by the restorative dentist, rather than by the surgeon. Guidelines for abutment selection and placement are provided in this paper.

Dental Abutments↗
PubMedDate not supplied

Functional and esthetic rehabilitation after mandibular resection in a child using a tooth/implant-supported distraction device: a case report.

After resection and autogenous bone grafting in infancy and childhood, hypotrophy of the concerned jaw can often be observed. A 6-year-old male patient with osteogenic sarcoma was treated with partial resection of the mandible from the left first molar to the right first premolar. The aim was to rehabilitate the patient functionally and esthetically as he grew. At the age of 16, after the placement of 4 Brånemark System implants in the consolidated autogeneous bone graft, the patient was treated with horizontal distraction osteogenesis. A new and unconventional type of individual tooth/implant-supported distraction device was used to lengthen the mandible by 16 mm. The implants placed to support the device were later used for prosthodontic rehabilitation. Progress in bone reconstruction, plastic coverage, and implant dentistry, as well as distraction osteogenesis, have enabled the compensation of functional and esthetic impairments caused by resection, especially in infants and young children.

Child↗
PubMed2004

Closed-flap laser-assisted esthetic dentistry using Er:YSGG technology.

Use of a hard-/soft-tissue laser is a wonderful adjunctive tool for esthetic and restorative dentistry. The cases described here demonstrate some of the many ways in which this laser technology allows clinicians to make significant soft- and hard-tissue changes. These changes not only improve the final esthetic outcome of the case but also provide the biologic functional parameters required for successful dentistry.

Adolescent↗
PubMed2004

Prosthetic management of implants in the esthetic zone.

The purpose of this article is to review and project treatment procedures for areas of esthetic concern. The authors were participants in a consensus conference sponsored by ITI and held in August 2003 in Gstaad, Switzerland. This article deals with the basic prosthetic/restorative aspects in implant esthetics. It is based on a literature review performed by 16 participants from Group 2 (Buser et al) in this section of the Journal.

Crowns↗
PubMedDate not supplied

Clinical evaluation of two different methods of stainless steel esthetic crowns.

PURPOSE: The purpose of this study was to compare the clinical success of stainless steel crowns (SSCs) made esthetic by open facing or veneering on posterior primary teeth. METHODS: Thirty-three crowns (18 open-face and 15 veneered) were placed and followed up for 18 months with semiannual evaluations. RESULTS: Crowns made esthetic with the open-face method showed a success of 95%, while the veneered crowns showed a success of 80% based on greater than two thirds facing retention. Statistical evaluation by 2 proportion test showed no significant difference between groups (P>.05). In addition, a statistically significant difference was found between upper and lower crowns by Fisher's exact test (P<.05). CONCLUSIONS: This study showed that open-face SSCs had a higher but not significantly different success rate than veneered SSCs. Upper-arch crowns exhibited a higher success rate than those in the lower arch.

Child↗
PubMed2005

Porcelain veneers as an alternative for the esthetic treatment of stained anterior teeth: clinical report.

The esthetic treatment of anterior teeth with porcelain veneers is a conservative and lasting treatment option. When the tooth is severely discolored, the clinician must choose a ceramic system very carefully, because translucent materials, such as hot-pressed ceramic, require excessive reduction of the dental structure to mask the discoloration. This article describes a technique in which discolored teeth were masked in a conservative and esthetically pleasing way with feldspathic porcelain veneers.

Adolescent↗