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At least 415 records · Page 23Linked to original sources
PubMed2006

[Effect of information by images on patients' anxiety and comprehension before esthetic surgery on the abdominal wall: a prospective randomised trial with 60 patients].

Informed consent is a legal and ethical requirement before every surgical procedure especially when it comes to esthetic surgery. Obtaining a satisfactory understanding of the risks and benefits of the operation by patients remains a critical problem. This trial aimed to assess the value of visual information. Patients scheduled to undergo abdominoplasty were approached during the first preoperative consultation. All patients were given an information leaflet about the procedure and completed a Spielberger state trait anxiety inventory (state-trait inventory, STAI form Y-1): questionnaire to assess baseline anxiety. The patients were then randomly assigned to watch or not watch the information CD-Rom during the second preoperative consultation. The day before surgery the patient completed a second anxiety questionnaire and a knowledge questionnaire. 67 patients were screened, 2 declined to participate and 5 were unable to complete the form. Of the remaining 60 patients 30 were assigned to look at the CD-Rom and the remaining 30 not. The groups were similar in regards to age, sex, education and initial anxiety score. Patients who watched the CD-Rom were significantly less anxious before a esthetic surgery than those who did not (Mean STAI 45 for the "image group" [38.2-46.3] vs 55 for the "no image group" [49.9-63.8]). Furthermore they also scored higher in the knowledge questionnaire than the "no image" group as far as the purpose and the procedural details of the surgery were concerned. However statistical difference of knowledge regarding the potential complications of the procedure was not found.

Abdominal Wall↗
PubMed2003

Restoring function and esthetics in a patient with amelogenesis imperfecta: a clinical report.

This clinical report describes the prosthodontic treatment for an 18-year-old man diagnosed with amelogenesis imperfecta. The aim of treatment was to reduce dental sensitivity and to restore esthetics and masticatory function. Metal-ceramic fixed partial dentures were placed on posterior teeth to modify the occlusion, and porcelain laminate veneers were placed to improve the esthetics of the maxillary anterior teeth. Clinical examination 12 months after treatment revealed no evidence of disorders associated with the restored teeth or their supporting structures.

Adolescent↗
PubMed1998

Esthetic, biologic and restorative considerations in coronal segment reattachment for a fractured tooth: a clinical report.

Reattachment of a fractured clinical crown involving minimal invasion of the biologic width can be accomplished without conventional ostectomy and crown lengthening so that satisfactory esthetics can be achieved. Adhesive techniques sometimes in conjunction with traditional mechanical retention, such as a post, can be used to reattach the fractured segment. An esthetic result can be obtained with a minimal number of procedures and cost to the patient.

Adolescent↗
PubMed2003

The recharge of esthetic dental restorative materials with fluoride in vitro-two years' results.

OBJECTIVES: A range of esthetic restorative dental materials are now available to dental clinicians. The aim of this study was to evaluate the relative fluoride recharge potential of a number of these materials in vitro over two years. METHODS: Disc samples (12 mm x 2 mm) of each of the materials were placed into artificial saliva at neutral pH. The materials tested were: two glass ionomers (Chemfil; Ketac-Fil), two resin-modified glass ionomers (Photac-Fil Aplicap; Vitremer), two compomers (Dyract; Compoglass) and two composites (Heliomolar; Concise). At 13 intervals over a two years period the discs were subjected to a 2 min fluoride recharge by exposure to sodium fluoride (500 ppm F). The pre- and post-recharge fluoride release values were determined using an ion sensitive electrode. RESULTS: At all time intervals the post-recharge fluoride release of the materials was significantly different (MANOVA p<0.0001). The mean values for post-recharge fluoride release after two years were: Chemfil 10.3, Ketac 3.0, Vitremer 9.0, Photac-Fil Aplicap 12.1, Compoglass 5.0, Dyract 3.6, Concise 0.3, Heliomolar 0.2 (units = microgF/cm(2)/h). SIGNIFICANCE: Esthetic fillings vary significantly in their capacity to absorb and re-release fluoride. The glass ionomer-based materials displayed a far greater potential for fluoride recharge than the composites, in which the recharge was virtually negligible. Whilst it cannot be assumed that fluoride release is directly proportional to cariostatic potential, these results suggest that, where possible, glass ionomer-based materials should be used in patients who have a high caries rate.

Analysis of Variance↗
PubMed2001

Significance of the soft tissue profile on facial esthetics.

The soft tissue profile has been studied extensively in orthodontics, primarily from lateral cephalometric radiographs, under the assumption that the form of the soft tissue outline largely determines the esthetics of the whole face. The purpose of this study was to assess the relative contribution of the shape of the soft tissue profile outline on the attractiveness of the face, as seen from the profile view. Pretreatment color profile facial photographs of 20 female patients were used. The photographs were scanned, and the soft tissue outlines were digitized. The average outline of the 20 original photographs was then calculated and used as a template for modifying the photographs with computer warping methods. This resulted in 20 warped photographs, all with the same soft tissue outline. Three additional photographs were constructed with 1 face-the composite average of the 20 original photographs-and 3 hairstyles from 3 of the original pictures. The photographs were printed and presented to 10 laypersons and 10 orthodontists for scoring. Scoring was performed on 2 occasions separated by at least 1 week. On the first occasion, the original photographs of 10 of the patients and the warped photographs of the other 10 patients were shown. At the next session, the remaining 10 original and 10 warped photographs were shown. The 3 composite photographs were interspersed with the 20 pictures shown to the judges in each scoring session. Judges were asked to score facial attractiveness on a scale of 0 to 10. The judges were unaware of both the computer modification of the photographs and the purpose of the study. Good agreement was noted between the judges, although the orthodontists tended to be more influenced by the profile outline than did the laypersons. The 3 averaged composite photographs were consistently given the highest scores. The modified photographs were given higher scores than their original counterparts, showing that facial attractiveness is influenced by soft tissue outline form. However, the score improvement was not sufficient to reach the level of the composite images, especially for faces initially judged as being unattractive. This shows that factors other than profile outline shape may be more influential in facial esthetics.

Adolescent↗
PubMed2005

Successful treatment of granulomatous reactions secondary to injection of esthetic implants.

BACKGROUND: In recent years, various injectable materials have come into use to improve esthetic appearance. OBJECTIVE: We describe the clinical and histopathologic aspects of two patients who received intradermal injections of an unknown dermal filler and the different diagnostic tools used to identify the unknown injected material (reflexion electron microscopy, electron dispersing x-ray) and discuss the possibility of a metastatic granulomatous reaction in one patient. We also describe two treatments for this complication and evaluate the legal considerations of the use of materials that have been adulterated and/or whose composition is unknown to the patient. METHODS: We present two patients who developed a granulomatous foreign-body reaction after the subcutaneous injection of an esthetic implant. We treated patient 1 with isotretinoin and 2 months later with doxycycline. We administered isotretinoin to patient 2. RESULTS: We observed a partial improvement in patient 1 after isotretinoin treatment and a remarkable improvement after administration of doxycycline. In patient 2, we observed an excellent response to isotretinoin. CONCLUSION: Isotretinoin and doxycycline, when administered separately, seem to offer effective treatment for reactions resulting from silicone implants. However, further studies that include a larger number of patients and those with reactions secondary to other fillers are clearly needed before the effectiveness of this treatment can be confirmed.

Aged↗
PubMed2005

Esthetic noncarious Class V restorations: a case report.

UNLABELLED: When restoring anterior and posterior teeth affected by noncarious cervical lesions, many clinicians overlook the etiologic factors responsible for the lesions' development, resulting in frequent restorative failures. The treatment approach for noncarious cervical lesions must not be based only on restorative procedures since a variety of causative and aggravating factors are related to their formation. This article discusses a treatment protocol and techniques for the restoration of noncarious Class V lesions and presents a clinical case in which esthetic restorations are achieved. CLINICAL SIGNIFICANCE: Treatment options for noncarious Class V lesions can range from simply eliminating the causative factors of the lesions and regularly monitoring their progression to specific restorative procedures. Resin composites are the best materials for restoring cervical defects owing to their bonding ability, physical properties, and esthetic potential. A straightforward technique for the successful restoration of noncarious Class V lesions is presented.

Bruxism↗
PubMed2007

Treatment of gingival hyperpigmentation by erbium-doped:yttrium, aluminum, and garnet laser for esthetic purposes.

BACKGROUND: The normal color of gingiva is pink. Gingival hyperpigmentation is mostly caused by the physiologic deposition of melanin by melanocytes. In "gummy smile" patients, melanin gingival hyperpigmentation causes an esthetic problem and may cause physiologic disturbances. Methods to remove gingival hyperpigmentation vary, but it seems that the most reliable and satisfactory procedure is laser ablation. METHODS: Six white patients (five females and one male), who complain of having dark-brown to black gingival hyperpigmentation were included in the study. Three of them were smokers. Laser ablation was performed by an erbium-doped:yttrium, aluminum, and garnet (Er:YAG) laser (settings: 250 mJ, 15 Hz, with water and air and using the defocused mode) without using topical or local anesthesia. Each patient required about 20 to 25 minutes for completion of the procedure. After 4 days, another laser ablation (with the same previous settings) was performed to ensure good results. Patients were evaluated a month after completion of treatment and on a semiannual basis. The follow-up period ranged between 6 and 18 months. RESULTS: In all patients, no discomfort, pain, or bleeding complications were found intraoperatively or 4 days postoperatively. Ablated wounds healed almost completely within 4 days. No recurrence of gingival hyperpigmentation was found during the follow-up periods. Achieved results were satisfactory for patients and the operator. CONCLUSIONS: Taking into account the advantages of using lasers, it seems to be that the depigmentation of melanin hyperpigmented gingiva by the Er:YAG laser is a reliable and satisfactory procedure. Esthetic results were satisfactory for patients and the operator, and no repigmentation was found during the follow-up period.

Adult↗
PubMed2000

Soft tissue management around implants in the esthetic zone.

The concept of overbuilding the implant site in the esthetic zone is paramount in creating the inconspicuous implant restoration. If teeth are congenitally missing, the site may be underdeveloped. Tooth extraction and trauma may lead to ridge deformities. The goal is to create an enhanced site for the restorative clinician. This site can then be molded to an ideal gingival framework. Cases are used to illustrate surgical and orthodontic techniques for preserving and overbuilding the implant site in the esthetic zone.

Adult↗
PubMed2002

The functional and esthetic deficit replaced with an acrylic resin gingival veneer.

Periodontal attachment loss in the maxillary anterior region can often lead to esthetic and functional clinical problems including disproportional and elongated clinical crowns, visible interdental embrasures, and altered linguoalveolar-labiodental consonant production. Assuming fixed prosthetic reconstructions will be chosen to treat these areas, it becomes a hygienic compromise to fill these areas in with porcelain. In the presence of these problems, an acrylic resin gingival veneer is an easily constructed, inexpensive, and practical device to optimize the esthetic and functional outcome in these special situations while permitting cleansibility of the prosthesis and supporting tissues. This article presents a step-by-step technique for the fabrication of a gingival veneer.

Acrylic Resins↗
PubMed2002

Restoring function and esthetics in a patient with amelogenesis imperfecta: a case report.

Amelogenesis imperfecta is a hereditary disorder that affects enamel on primary and permanent teeth. It is a rare dental disease but represents a major restorative challenge for the dentist. A 14-year-old boy presented with sensitive, discolored, and mutilated teeth and a decreased vertical dimension of occlusion. The aim of treatment was to reduce dental sensitivity, to restore esthetics, and to correct the vertical dimension of occlusion. To modify the occlusion, and to protect the dentin from chemical and thermal attacks, nickel-chrome onlays were placed on the molars. To improve the esthetics of the incisors and premolars, resin composite restorations were applied. The patient was regularly recalled during the postoperative period. Radiographic and clinical examinations 10 months posttreatment revealed no evidence of disorders associated with the restored teeth or their supporting structures.

Adolescent↗
PubMed1992

Esthetic alternatives for posterior teeth: porcelain and laboratory-processed composite resins.

Porcelain and laboratory-processed composite inlays and onlays are enjoying increasing popularity as a result of heightened patient concern over the esthetics and biocompatibility of restorative materials. This paper reviews current clinical concerns about porcelain and indirect composite restorations, focusing on indirect procedures, microleakage, technique sensitivity, long-term serviceability, finish and polish, abrasion, and wear resistance. The available data indicate that there are still significant limitations to the routine use of these esthetic alternatives for posterior restorations.

Bicuspid↗
PubMed2003

[Study of esthetic characteristic changes of soft tissue profile of patients with Angle Class division 1 malocclusion treated by functional regulator].

OBJECTIVE: Five esthetic indexes were used to evaluate the soft tissue profile changes of patients with Angle Class division 1 malocclusion treated by Functional Regulator. METHODS: 21 patients with Angle Class division 1 malocclusion were treated by functional regulator. Pretreatment and posttreatment cephalograms of every patient were traced to analyze the esthetic characteristic of soft tissue profile. RESULTS: Most of the indexes tended to normal after treatment. CONCLUSION: Soft tissue profile of most patients with Angle Class division 1 malocclusion was improved after functional orthopedics while changes were different individually. Second stage treatment was still required for some patients.

Beauty↗
PubMed2004

[Esthetic surgery, a luxury...but at which price?].

Esthetic surgery became very popular during the last years. It helps many patients psychologically. However, the operations have to correspond to the wishes of the patients. Therefore, the patients have not to be only informed of the possible results but also of the risk of complications, the presence of scars, of swellings, etc. At this condition only will the patients be satisfied of their esthetic operation.

Face↗
PubMed2004

Esthetic restoration of infra-occluded retained primary mandibular incisors with all-ceramic crowns in adult dentition.

The prevalence of hypodontia is reported to be between 1.5% to 10% in the permanent dentition. In the anterior teeth, maxillary lateral incisors and mandibular central incisors are the most frequently involved teeth. This causes esthetic problems for the patient. Several reports have focused on restoration of retained maxillary primary anterior teeth, but none have described restoration of retained mandibular primary incisors. This clinical report describes the restoration of infra-occluded retained primary mandibular central incisors of a 17 year-old girl diagnosed with hypodontia. All-ceramic crowns made with computer-aided design/ computer-aided manufacturing technology were used to restore the teeth incisally and interproximally. Due to a relatively short root length and inadequate crown-root ratio, the primary mandibular central incisors were splinted and adjusted to distribute the protrusive force evenly across the maxillary and mandibular incisors. Functional and esthetic results were achieved.

Adolescent↗
PubMedDate not supplied

Immediate esthetic management of a catastrophically fractured anterior.

A quick, failsafe method for the esthetic replacement of a catastrophically fractured anterior tooth was presented. This method required minimal armamentarium and no anesthesia. In addition, it employed a technique that is not technique sensitive. The patient and the dental team both benefit by resolving the esthetic crisis using simple methods and excellent time resource management.

Crowns↗
PubMed2006

Fusiform elliptical Burow's graft: a simple and practical esthetic approach for nasal tip reconstruction.

BACKGROUND: Reconstruction of cutaneous nasal tip and supratip defects presents a common challenge in which esthetic outcomes are dependent on appropriate flap or graft selection and execution. OBSERVATION: We describe the fusiform elliptical Burow's graft, a modified full-thickness skin graft, for repair of moderately sized nasal tip and supratip defects. It has the advantage of being a one-stage procedure with incisions and undermining similar to a primary closure. This technique allows the defect to become smaller in size and shallower in depth while taking the shape of a fusiform ellipse confined to a single cosmetic subunit. The color and texture match of the adjacent Burow's skin graft combined with its fusiform elliptical shape allow it to blend in more naturally with the nasal tip contour compared with the traditional circular-shaped Burow's graft, which is typically used on the nose. CONCLUSION: The fusiform elliptical Burow's graft is a simple, reliable, easily reproducible, and esthetically pleasing technique for repair of defects on the nasal tip and supratip.

Humans↗