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Victorian era esthetic and restorative dentistry: an advertising trade card gallery.

A chief means of print advertising in the Victorian era was the "trade card." Innumerable products, companies, and services were highlighted on colorful chromolithographic trade cards, and these became desirable collectible objects which were pasted into scrapbooks and enjoyed by many families. Dentistry- and oral health-related subjects were often depicted on Victorian trade cards, and esthetic and restorative dentistry themes were featured. This review describes the history of advertising trade cards and offers a photographic gallery of dentistry-related cards of the era.

Advertising↗

Esthetic overdenture for a patient with possible Seckel syndrome.

This is a case report of a 21-year-old with possible Seckel syndrome (bird-headed dwarfism), micrognathia, microdontia, severe bony undercuts, and periodontal disease who sought treatment at a university dental clinic. Treatment included extractions, periodontal therapy, retention of premolars with sealants, and overdentures with resilient soft liners. A limited review of Seckel syndrome literature is included. The modification of existing dental materials and procedures required for successful functional and esthetic results are discussed.

Abnormalities, Multiple↗

Nail cosmetics and esthetics.

Healthy-looking nails are important to a well-groomed appearance. Four features are important to the appearance of an esthetic nail: nail length/shape, nail surface texture, nail color, and perionychial integrity.

Cosmetic Techniques↗

Labial pulpectomy access followed by esthetic composite resin restoration for nonvital maxillary deciduous incisors.

A 3-year-old girl had a darkened and symptomatic maxillary right deciduous central incisor. This report describes the rationale and technique for a labial pulpectomy access opening and subsequent composite resin restoration. This innovative approach for the pulpal treatment of these deciduous incosors not only improves the access for instruments and direct visualization for the operator but also greatly improves the appearance of the dark teeth without complete coverage. Two other clinical applications of this labial approach should also be mentioned. First, anterior stainless steel crowns can be made esthetically pleasing by placing labial resin facings in the crown. Second, access for pulpotomy procedures can be improved with use of a labioincisal approach after the incisal reduction step in the preparation of deciduous incisors for complete coverage.

Child, Preschool↗

Achieving an esthetic appearance with a fixed prosthesis by submucosal grafts.

A review of a new plastic surgical procedure using autogenous grafts of dense connective tissue placed submucosally in anterior areas of collapsed, deformed edentulous ridges has been presented. This technique allows augmentation of an anterior, deformed edentulous ridge to a proper form, color, and texture before placement of a fixed prosthesis. Previous solutions to this problem have resulted in an esthetic compromise at best. Long-term follow-up shows good dimensional stability offering an acceptable solution to a difficult prosthetic problem.

Alveolar Ridge Augmentation↗

Era of new biomaterials in esthetic dentistry.

Many exciting developments are occurring in esthetic, restorative materials. Today, materials are considered in terms of their biologic effects and tests to predict in vivo behavior are needed. Recently, more nondental manufacturers have begun to introduce products and the number of foreign products has also increased. Dentists and materials scientists are currently interested in: microleakage, bonding mechanisms, dentin-bonding agents, polyacrylic acid systems, and composite resins.

Acrylic Resins↗

Periodontal dictates for esthetic ceramometal crowns.

Periodontal health must be the crucial consideration in any restorative treatment plan. The interaction between the crown and the investing tissue contributes to the health of the gingiva. The dentist must consider the tooth's position, shape, function, and physical state as well as the means by which it is restored, when yielding to the demands of the patient for an improved esthetic appearance.

Cementation↗

Composite resin restoration in esthetic dentistry.

The revolution in esthetic dentistry is attributable to improvement in materials, such as composite resins. The varied types of resins can be used in many restorative situations, using an acid-etch technique for these restorations, whether Class V, labial veneer, or posterior composite restoration. Dentists who take advantage of continuing education (especially hands-on courses), learn from experience, stay informed about current materials, and exercise imagination and commitment will meet the needs of the 20th century.

Acid Etching, Dental↗

The future of esthetic dentistry.

The materials and techniques of esthetic dentistry are provoking reconsideration of the basic principles of operative dentistry. Cavity preparations can be minimized, demands on retention are altered, and prevention can be practiced. Problems remain, particularly in bonding and sealing to dentin. The newer materials have yet to prove themselves in terms of durability, especially in regard to fracture and wear.

Dentistry, Operative↗

Immediate esthetic treatment for anterior teeth: report of cases.

Prompt restoration of function and esthetic appearance of dentition can avoid psychological stress and functional problems. Surgical procedures that require long-term bone deposition and soft-tissue healing can accompany periodontal and orthodontic reinforcement, but other less invasive, immediate, intermediate, and final treatment plans can be initiated with good results.

Adult↗

Edentulous area tissue graft correction of an esthetic defect. A case report.

A patient was left with a severe defect following the extraction of the right maxillary lateral and central incisors. A graft of epithelial and connective tissue was taken from the maxillary tuberosity and placed into the defect. This resulted in the filling of the defect and the correction of the esthetic problem.

Adult↗

Esthetic management of multiple recession defects in a patient with cicatricial pemphigoid.

Cicatricial pemphigoid is one of a number of mucocutaneous disorders that can present in the oral cavity with desquamation, pain, and bleeding of the gingiva and oral mucosa. This case report describes the management of cicatricial pemphigoid in a patient with multiple sites of gingival recession using connective tissue grafting to alleviate root surface sensitivity and improve esthetics. The treatment rationale is presented and discussed in terms of timing of therapy and implications for wound healing in patients who present with desquamative gingivitis.

Adult↗

Esthetic and dimensional evaluation of free connective tissue grafts in prosthetically treated patients: a 1-year clinical study.

BACKGROUND: The aim of this study was to evaluate the predictability of the free connective tissue graft in prosthetically treated patients needing gingival augmentation. The following outcome variables were studied 1) dimensional changes of free connective gingival grafts; 2) color blending with adjacent tissues; and 3) periodontal and marginal health status, when compared to a non-surgical control group. METHODS: Two groups of patients without periodontitis were investigated. The test group (group A) consisted of 16 patients. The inclusion criteria for surgical correction were: 1) at least 1 site lacking (<1 mm) keratinized tissue and/or lacking vestibular depth; 2) insufficient plaque control; and 3) the selected site was scheduled to undergo or had already received a fixed prosthetic restoration. The control group (group B) included 14 patients with the same inclusion criteria, but declining to undergo surgery. Group A patients were treated with a free connective tissue graft to augment the keratinized tissue at the selected sites. The size of the graft was recorded at baseline (surgical intervention) and the width of keratinized tissue was measured at 1, 4, 26, and 52 weeks. Gingival inflammation and plaque accumulation were assessed at baseline and 52 weeks in both groups. Probing depth and clinical attachment levels were recorded at baseline and 26 and 52 weeks in both groups. Evaluation of the esthetic results was carried out at the end of the study. All patients in both groups received oral hygiene instructions and supragingival plaque and calculus removal before and at the end of the investigation. RESULTS: In group A, the results showed a mean amount of keratinized tissue of 5.81 +/- 1.42 mm at 26 weeks and 5.25 +/- 1.34 mm at 52 weeks. Mean shrinkage of the graft was 10.2% (P = 0.001) at 1 week, 28.4% (P = 0.0004) at 4 weeks, 37.2% (P = 0.0004) at 26 weeks, and 43.25% (P = 0.0004) at 52 weeks. All the dimensional changes were statistically significant, when compared to baseline. Evaluation of color blending with the surrounding gingiva demonstrated an "excellent result" at 52 weeks with an 87.5% agreement among the three masked examiners. In the test group, the periodontal indices improved or remained stable; in the control group, there was a minor improvement of the indices, with three patients showing a worse gingival inflammation score and two a worse plaque score. CONCLUSION: Although these results are not conclusive, mostly due to a lack of a large enough sample population, the statistically significant results shown in this investigation tend to support the use of gingival augmentation procedures in prosthetic patients with insufficient keratinized gingiva and/or shallow or absent vestibules, when they cannot demonstrate adequate plaque control.

Adult↗

Esthetic perception and psychosocial impact of developmental enamel defects among Malaysian adolescents.

The aim of this study was to investigate the prevalence and psychosocial impact of enamel defects among 16-year-old school children on the island of Penang. The data were collected through a self-administered questionnaire survey and an oral examination, using the Modified Developmental Defects of Enamel Index (FDI, 1992). In all, 1024 subjects were selected using a multistage random sampling technique. About two-thirds of the sample (67.1%) had at least one tooth affected by enamel defects. Enamel opacities accounted for 85.6% of the total condition. Diffuse-type opacity predominated (63.5%). Among subjects who expressed dissatisfaction, 18.8% reported covering their mouths when smiling, 8.7% avoided going out with friends and 39.1% had consulted their dentists. About 17% of the subjects reported that their parents had complained about the color of their front teeth but only 5.7% had experienced being teased by their friends about the problem. Two-thirds of the subjects were affected by enamel defects involving at least one tooth; however, the esthetic perception and psychosocial impact of those affected were minor.

Adolescent↗

Paradoxical complementarity in the esthetic preferences of the cerebral hemispheres: an exploratory study.

Significant differences in the consistency of intrahemispheric and interhemispheric preferences indicate reliable differences in the esthetic choices associated with each hemisphere. Given an initial like or dislike of stimuli by the hemisphere first activated, the other hemisphere will exhibit preferences in the opposite direction. This suggests a process of paradoxical complementarity between the hemispheres in which the preferences of the hemispheres are antithetical but not fixed.

Adult↗