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Objective and subjective need for cosmetic dentistry in the Dutch adult population.

In order to assess the objective and subjective need for cosmetic dentistry in the Dutch adult population in 1986 a stratified sample of 2784 dentate persons, aged 15-74 yr, participated in the study. The aesthetics of anterior teeth and first premolars in the maxillary mandibular arch were determined by dental examiners as well as by the examinees. According to the dental examiners 16-63% of the people in the age range from 15 to 74 yr were in need of cosmetic dental care. Based on the patient's opinion (subjective need) these percentages varied between 18 and 40% in the different age groups. The discrepancy between the objective and subjective assessment in the percentage of people in need of cosmetic dental care increased with age.

Adolescent↗

Unmet orthodontic treatment need in rural Nigerian adolescents.

A survey of orthodontic treatment need was carried out among randomly selected rural Nigerian adolescents using the index of orthodontic treatment need. Altogether, 704 subjects (381 boys and 323 girls) aged 12-18 years (mean 14.8, SD 1.79) were recruited in the study. The results indicated that 12.6% of the population were in objective need of orthodontic treatment. Whilst there was a discrepancy in the proportions of Nigerian adolescents needing orthodontic treatment on aesthetic and dental health grounds, girls were found to have a more attractive dental appearance and less orthodontic treatment need than boys. However, the differences were not statistically significant (P>0.05). The correlation between the orthodontist's and the subject's rating of dental appearance was found to be low (r=0.35). The study also provided reliable baseline data for planning orthodontic services in Nigeria especially in areas where there are no dental services.

Adolescent↗

Enamel microabrasion to improve enamel surface texture.

Enamel microabrasion is effective in removing superficial enamel coloration defects. The technique has now also been shown to improve the appearance of enamel with surface texture irregularities. The method of microabrading teeth with surface texture defects is described, and several cases are documented.

Dental Enamel↗

Creating the appearance of white enamel dysmineralization with bonded resins.

In special cases, white enamel discoloration can be stimulated using bonded resin materials. This paper describes a method of using bright white visible light-polymerized resin sealant material as an enamel bonding agent, which is overlayed with composite resin to enhance wear resistance of the restoration.

Child↗

Smooth surface glass ionomer restoration for primary teeth.

Glass ionomer restorative cement offers the clinician an alternative to bonded composite resin for restoration of certain lesions in primary teeth. This article details a step-by-step procedure for restoration of a smooth surface carious lesion in a primary incisor using an encapsulated glass ionomer restorative material and reviews advantages and limitations of the cement. A light-hardened glass ionomer liner/base that has proven useful as an enamel and dentin restorative is also described.

Child, Preschool↗

Full coverage cosmetic dentistry and gingival health.

Beautiful, healthy gingival tissue is achievable with full coverage restorations that are biologically compatible. The restorations must meet the following requirements: (1) respect for the marginal gingiva by proper preparation of the tooth and the use of a soft tissue model; (2) careful subgingival depth placement; (3) proper subgingival and supragingival contours of the temporary and final restorations; (4) healthy gingiva prior to placement of final restorations; (5) marginal integrity; and (6) polished bonding interface.

Adult↗