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Advances in restorative materials.

This article has presented basic up-to-date information concerning the selection, properties, and clinical uses of current restoratives that are tooth colored and adhesive. This area in dentistry is advancing at an exponential rate, and it is essential that all practitioners pay constant attention to the information about all materials as they appear on the market. Coupled with a thorough knowledge of treatment planning and case design, results such as seen in Figure 4 make restorative practice a rewarding endeavor for clinicians and patients. Interest in the scientific background, development, and performance of restorative materials must be at a high level to avoid being snared by advertising promises.

Adhesives↗

Creating tight, anatomically correct interproximal contacts.

Achievement of an excellent contact, one that provides a natural look and feel, reproducing the natural tooth contact or sometimes improving it, can be achieved in many ways. Understanding the separate issues of tightness and anatomy is crucial to achieving the desired result. In most cases, use of a contoured sectional matrix and McKean-style ring is the surest way to achieve the desired result. Unusual circumstances, such as wide preparations and malpositioned teeth, call for innovative techniques, some of which are illustrated in this article.

Dental Cavity Preparation↗

Determination and communication of color using the five color dimensions of teeth.

The determination and communication of color in dentistry is based on dated concepts that cause difficulty for clinicians and technicians who use their personal experiences to interpret this parameter, which is so important in aesthetic care. In this article, the author proposes a concept of color that has evolved from the observation and study of extracted and in vivo natural dentition. This research has been performed with the aim of providing the clinician with a predictable method of determining color from clinical evidence.

Color↗

Smile analysis and face-bow transfer: enhancing aesthetic restorative treatment.

The objective of current aesthetic dental treatments are to enhance the patient's smile by improving the overall dental appearance. A detailed analysis of the patient's face as it relates to the three-dimensional position, shape, and color of the teeth is required to improve this appearance. A full frontal and lateral evaluation of the patient's facial form is required to successfully complete on aesthetic smile evaluation. Additional considerations include cephalometry and a thorough dental analysis. This article demonstrates a comprehensive smile analysis technique and its communication to the dental technician.

Adult↗

Comprehensive treatment of traumatic fracture and luxation injuries in the anterior permanent dentition.

The increased incidence of traumatic injuries in anterior teeth is a consequence of modern leisure activities. The key factors to successful functional and aesthetic rehabilitation of such injuries are proper diagnosis and adequate primary and subsequent treatment. In severe cases, sequential multidisciplinary treatment is required. All-ceramic crown and post-and-core systems allow for superior aesthetics without compromising function. This article addresses fractures and luxation injuries in the anterior permanent dentition and discusses updated treatment options. The multidisciplinary rehabilitation of a clinical case for optimal function and aesthetics is presented.

Adult↗

Prosthetic procedures for optimal aesthetics in single-tooth implant restorations: a case report.

Restoration of a single-tooth implant in the anterior maxilla requires a multidisciplinary approach throughout the treatment and proper communication between the clinician and laboratory technician. Although surgical procedures have an important role in the manipulation of the soft tissues, it is often necessary to perform final contouring of the soft tissue through the provisionalization stage. Unless the soft tissue contour supports the definitive restoration, the treatment is considered a failure. This article reviews various prosthetic procedures that influence the soft tissue contour and establish aesthetics for implant-supported restorations.

Adult↗

Utilization of a small-particle composite resin for anterior and posterior restorations.

The ability to acid etch enamel has resulted in the proliferation of adhesive dental techniques that enable conservation of sound tooth structure during the preparation and restorative phases. Recent research has focused on the clinical procedures that use composite resins as well as the material formulations involved in adhesive treatment. This article discusses the physical and optical properties of a composite resin with a smaller filler particle and demonstrates its utilization in anterior and posterior applications as a means of providing functional aesthetic dental care.

Acid Etching, Dental↗

Sequential tooth preparation for aesthetic porcelain full-coverage crown restorations.

The fabrication and delivery of functional, biocompatible restorations with a natural appearance have become the definitive goals of restorative dentistry. Although contemporary ceramic materials allow light to be manipulated in restorations to replicate the natural dentition, this objective can be difficult to achieve when tooth preparation is not performed properly. This article presents a sequential approach that can be used to render the proper shape and margin design critical to the fabrication of full-coverage crown restorations that are indistinguishable from the adjacent natural teeth.

Biocompatible Materials↗

Achieving aesthetic excellence through an outcome-based restorative treatment rationale.

The conceptual basis of restorative-driven implant dentistry is well established among clinicians. Its implementation includes the development of a prosthetic blue-print that will serve as a guide throughout therapy. While these concepts may be applied to prosthetic dentistry in general, their benefits are most compelling in the treatment of the aesthetic zone. This article demonstrates a systematic multidimensional approach for the establishment and incorporation of definitive aesthetic objectives throughout the diagnostic, adjunctive, and restorative treatment phases.

Color↗

Connective tissue grafting for root coverage in multiple Class III gingival recessions with enamel matrix derivative: a case report.

This case presentation demonstrates an innovative approach to root coverage that uses an enamel matrix derivative in conjunction with periosteal connective tissue grafting in a patient with multiple gingival facial recessions. A 22-year-old female patient presented for the resolution of aesthetic concerns associated with multiple gingival recessions for teeth #23(32) through #25(41). This technique achieved soft tissue coverage of the root surfaces and effectively improved the patient's aesthetic appearance. These satisfactory clinical results have been maintained for 12 months.

Acid Etching, Dental↗

Flapless anterior implant surgery: a surgical and prosthodontic rationale.

Full-thickness periosteal flap surgery is often accompanied by potential marginal bone loss and/or soft tissue recession. This is critical, particularly for the single-unit implant-supported restoration in the anterior maxilla, where the harmony of the soft and hard tissue architecture is of paramount importance to the development of natural aesthetics and function. This article demonstrates a flapless implant surgery technique in the anterior maxilla for optimal aesthetic results. The indications and limitations of this procedure are also discussed.

Alveolar Process↗

Facial analysis: a comprehensive approach to treatment planning in aesthetic dentistry.

Patient aesthetic expectations and smile enhancement can be achieved through the use of facial analysis. This process allows each member of the restorative team (i.e., clinician, specialist, dental technician) to diagnose the patient and develop a comprehensive treatment plan for his or her specific needs. Treatment planning according to facial architecture and dental configuration allows function and harmonious aesthetics to be improved. This article demonstrates a predictable means to evaluate the components of an attractive face for use as a guide during aesthetic dental treatment.

Adult↗

Aesthetic posts and cores for metal-free restoration of endodontically treated teeth.

Utilization of contemporary post and core systems has facilitated the aesthetic restoration of endodontically treated teeth. Light transmission and biocompatibility have been enhanced by the introduction of metal-free post systems. The periodontal and endodontic status, root length, and histological structure of the devitalized teeth must be considered in order to achieve successful restoration following endodontic treatment. This article presents various restorative criteria for the aesthetic placement and buildup of post and core materials, as well as the preservation of maximum coronal and root structure.

Biocompatible Materials↗