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At least 127 records · Page 7Linked to original sources
PubMed2002

Classification of altered dental esthetics.

Clinical procedures designed to reestablish the idealized framework for the achievement of optimal esthetic restorative results have been frequently reported. Yet complex cases, where remarkable improvements of esthetic appearance are achievable in spite of preoperative conditions, are infrequently presented because the presentation standards appear to be set for idealized situations. If a classification system that reflects dental esthetic compromises and ideals existed, cases could be categorized accordingly, and realistic expectations could be applied to assess the effectiveness and results of a course of therapy. Considering that there is not currently a published classification system to this end, it is the purpose of this article to tender a classification of altered dental esthetics.

Classification↗
PubMedDate not supplied

An overview of esthetics with removable partial dentures.

A removable partial denture should restore function, phonetics, and esthetics. To assist the clinician in providing a restoration that is as esthetic as possible, despite the limitations of the conventional removable partial denture, this review collates the recommendations scattered among the literature. The review describes the steps involved in providing an esthetic restoration, including diagnosis and treatment planning; surveying; mouth preparation; framework and clasp alloys; clasps; rests; major connectors; minor connectors; prosthetic teeth; and denture base resin and flanges. The esthetic challenges of the Kennedy Class IV removable partial denture are also discussed.

Acrylic Resins↗
PubMed2003

Restoring soft and hard dental tissues using a removable implant prosthesis with digital imaging for optimum dental esthetics: a clinical report.

Currently, most dental implants are placed in the esthetic zone with a delayed surgical protocol. This delay can result in loss of both soft and hard oral tissues following the healing period, necessitating guided tissue regeneration, distraction osteogenesis, or bone expansion and grafting procedures either prior to or at the time of implant placement. If a delayed placement protocol is used, or if grafting procedures are ineffectual, the prosthetic phase of implant dentistry must restore the missing structures artistically and functionally to integrate with the patient's existing dentition. This article presents the option of using a removable implant prosthesis for an esthetic anterior restoration of soft and hard tissues. A computer-assisted camera was used to record speaking, smiling, and active facial positions, with digital imaging to achieve realism for tooth position during the prosthetic phase. The captured patient images with the esthetic setups were transmitted by e-mail for direct viewing by both dentist and dental technician prior to case completion. These images were viewed as reference files during laboratory construction of the prosthesis to achieve the desired esthetic and functional results.

Adult↗
PubMed2003

The use of periodontal plastic surgery procedures in aiding esthetic restorative results.

The creation of an esthetic dental restoration with gingival harmony can provide a reconstructive challenge. The use of periodontal plastic surgical procedures can aid in evening-out the gingival margins and in creating ovate pontics that improve not only the overall esthetic result but also the phonetic result for the patients. Working closely with an esthetic-driven periodontal office using evidence-based procedures can set the stage for a truly esthetic restoration.

Adult↗
PubMedDate not supplied

Esthetic designs of removable partial dentures.

The increased emphasis on physical appearance in contemporary society has increased the demand for esthetic dental restorations. Although the success of implant dentistry has expanded the scope of esthetic fixed prostheses, many patients demand a removable partial denture (RPD) for health, anatomic, psychological, or financial reasons. Fabricating an esthetically pleasing RPD while avoiding the unsightly display associated with conventional clasp assemblies often presents a challenge to dentists. This article examines using lingual clasps, proximal undercuts (also known as rotational path insertion), and acetal resin clasps as simple and effective means of improving RPD esthetics.

Adult↗
PubMed2003

[Morphological approach to facial esthetics: a Tunisian study].

Over the course of time, an esthetic standard, molded by a certain number of rules, recognized virtually universally, has gained widespread recognition. Orthodontics, like the rest of the world, accepts this rule. So, we all try in our treatment objectives to conform to a set of standardized "norms" of facial and cephalometric esthetics. Still, one question must be asked: can these norms be the same throughout the four corners of the globe? Having pondered this matter carefully, we attempted to find an answer by undertaking a study of 53 patients with "normal dentitions", all students of dental medicine. On profile cephalograms and profile photographs of these patients, we carried out a variety of esthetic analyses. We then compared the results obtained with orthodontic averages and found that they differed in many points. Should this finding impel us to adopt different esthetic criteria? However, this question may be answered, we retain our essential conviction that we should endeavor to preserve the goal of achieving facial harmony for our patients and that we should know what its criteria are.

Adult↗
PubMed2004

Implant designs for the spectrum of esthetic and functional requirements.

In recent years, attention has shifted from merely achieving successful osseointegration of dental implants to achieving proper esthetics that mimic natural dentition. Original implant designs were primarily developed for the treatment of fully edentulous patients where esthetics was not a major objective of the therapeutic outcome. During the initial years of the development of osseointegrated implants, greater emphasis was placed on achieving successful osseointegration. As the number of patients undergoing implant therapy, as well as the number of clinical indications for dental implants, is rapidly expanding, the therapeutic armamentarium also has to expand. The most important requirement for achieving predictable esthetic results is careful consideration of the biology of the interaction between the implant-prosthesis complex with the implant site. Only those implant-supported restorations that achieve harmony with the surrounding hard and soft tissues can be expected to have an optimal esthetic outcome will endure.

Dental Implantation, Endosseous↗
PubMed2005

Esthetic considerations in implant dentistry.

The use of dental implants continues to increase world wide, and single tooth replacement has evolved into a predictable procedure which is rapidly becoming the preferred method of tooth replacement. Clearly, there is increased awareness of and demand for esthetics in traditional restorative dentistry as well as implant-related care. Predictable delivery of highly esthetic, naturally appearing implant restorations is dependent on a host of factors, some of which are hardware-based and some of which are related to the morphology and tissue quality of the proposed implant site. An organized approach to patient evaluation and treatment planning by the implant treatment team will improve recognition of these factors of esthetic significance and will facilitate the development of strategies to achieve esthetic excellence on a more predictable basis.

Dental Implantation, Endosseous↗
PubMedDate not supplied

[Gingival and dental parameters in evaluation of esthetic characteristics of fixed restoratons].

This paper argues on importance of gingival and dental parameters in evaluation of esthetic characteristics of fixed restorations. Human beauty is a specific category which is not easy to define by means of any known criteria or with mathematic formula. But, it is also important for practitioners to take into consideration some objective rules determining what is really nice and appealing. In reconstructing the personal identity, it is essential to harmonize the esthetic features. In dental practice, this approach means to establish a close correlation among the facial, dental, gingival and physical components of orofacial system. For the purpose of this study, the authors have divided the overview of esthetic principles into two parts. The first one deals with some objective parameters such as: gingival health, the zenith of gingival contour, the balance of gingival levels, relative tooth dimensions, the golden proportion of the teeth, the design of dental arch, interdental contact areas, interdental closure, the contour of incisal edge and the shape of interincisal angles. The esthetic integration of these parameters into a frame of smile and the whole face, as well as some subjective criteria are discussed in the second part of the paper.

Dental Restoration, Permanent↗
PubMedDate not supplied

Use of interdisciplinary team approach in establishing esthetic restorative dentistry.

Managing crown lengthening in cases of attrition (wear or loss of tooth substance) and achieving desired esthetic outcomes, especially in the esthetic zone, is challenging. This case report presents an interdisciplinary approach to case management. Concomitant use of digital imaging, along with model wax-ups and surgical guide, were used to enhance patient acceptance during treatment planning and to facilitate communication and treatment implementation among dental professionals and laboratory technicians. Resulting surgical template was used for crown lengthening to apically position the gingival zenith (margin) to a predetermined level, crown preps and final restorations, respectively, ultimately improving esthetics and patient satisfaction. Supplementing esthetic treatment planning with digital imaging, model wax-ups and a surgical template allows a dentist to carry information into the mouth and incorporate it into the surgical procedure, crown preps, temps and, ultimately, the final restoration.

Adult↗
PubMed2005

Esthetic therapy with standard and scalloped implant designs: the five biologic elements for success.

The field of implant dentistry has grown significantly in recent years. Balancing natural-looking esthetics with long-term function, however, remains a challenging task. The main focus of implant dentistry is on improving the survival rate, simplifying the treatment, improving the esthetic outcome, and reducing the treatment time. Developing a natural contour and anatomically dimensioned soft-tissue margin is critical to attaining an esthetic implant restoration. This article discusses the five elements to achieve natural implant esthetics: bone foundation, implant design and placement, soft-tissue profile, prosthetic tissue support, and ceramic art design.

Alveolar Ridge Augmentation↗
PubMed2005

Laypersons' perceptions of the esthetics of visible anterior occlusion.

OBJECTIVE: To analyze 6 different types of visible anterior occlusion, exclusive of extraoral facial features, in terms of their esthetic appeal, as perceived by 91 randomly selected adult laypersons with different levels of education in Lima, Peru. METHODS: Photographic images of 3 examples of each occlusion type (open bite [OB], deep bite [DB], crossbite [CB], end-to-end bite [EE], crowded bite [CwB] and ideal bite [IB]) were prepared. Evaluators used a visual analogue scale (VAS) to rate their perceptions of the esthetic appeal of each view. Analysis of variance (ANOVA) was used to test differences in mean scores among occlusion types and to test the effect of evaluator characteristics on perceived attractiveness. RESULTS: The mean score was highest for IB, followed by EE, DB, CB, CwB and OB. Oneway ANOVA with Bonferroni post hoc test showed no difference between the highestscoring occlusion types (IB and EE, p > 0.99); each of the remaining groups was significantly different from both IB and EE (p < 0.001). The scores for DB, CB, CwB and OB were progressively lower, although not significantly different from one another (p > 0.05). Univariate ANOVA to determine the effects of evaluator characteristics (age, level of education, gender and interaction between level of education and gender) showed that gender was a significant factor (p < 0.034) for all bite groups except OB. Level of education was significant only for OB (p = 0.020) and age only for EE (p = 0.011). The interaction between level of education and gender was significant for all bite types (p < 0.046). CONCLUSIONS: Lay evaluators identified ideal and EE bite occlusal relationships as esthetically most pleasing. They judged DB, CB, CwB and OB bite relationships as less esthetically pleasing but did not differentiate between these types of malocclusions.

Adolescent↗
PubMed1990

[The method of esthetic crown restoration with composite resin jacket crown in primary molars].

The term "esthetics" has recently been also used in the dental field, and a field called esthetic dentistry is increasingly being noted. The number of not only adult but also pediatric patients who visit for treatment aiming at esthetic recovery is being increased. Inpedodontics, composite resin of the coronal color is generally used in the restoration of deciduous incisors. However, the method using metal crowns for the deciduous teeth is used for the deciduous molars at present. We applied a composite resin jacket crown to the deciduous molar in a way similar to that of esthetic crown restoration for the anterior teeth. The surgical procedure before crown preparation varied slightly according to the presence or absence of pulpal treatment of vital teeth and with non-vital teeth, but the application was performed as follows: 1) Desensitization of pulp, pulpal treatment and core construction. 2) Preparation of crown. 3) Selection, trial set and occlusal equilibration of a metal crown for the deciduous tooth. 4) Precision impression with a silicone impression material. 5) Removal of the metal crown for the deciduous tooth from the impression material. 6) Making of an under-cut to the abutment tooth on the buccal lingual side. 7) Filling of the impression with chemical polymerization resin. 8) Application of pressure in the oral cavity. 9) Adjustment of edge and crown forms. Thus, the preparation method for the composite resin jacket crown was relatively simple. Since this surgery, the patient has been followed up for 1 year and 6 months, and no specifically troublesome points have been observed clinically. The patient and her parents are satisfied with the results.(ABSTRACT TRUNCATED AT 250 WORDS)

Child↗
PubMed1989

Complete denture esthetics.

Complete denture esthetics can no longer be considered solely a function of tooth selection and arrangement or the colors and contours of the denture bases. Denture esthetics must also include the entire face in which the expressions of inner feelings, personality, comfort, image, well-being, and perceptions of past dental experiences are all very evident. These hard and soft components all contribute to the complete denture esthetic result; they are inseparable and should be given every consideration when developing a successful complete denture esthetic restoration. Both the patient and the dentist must understand this interrelationship for optimal success.

Denture Design↗
PubMed1994

Dental implant esthetics.

As dental implants have become an increasingly popular restorative therapy and their stability and functional benefits have become widely acknowledged, newly applied surgical and prosthetic techniques are enabling dentists to approach patients' esthetic expectations. Esthetic results of implant-supported fixed bridges, retrievable bridges, and overdentures are influenced by the amount of soft and bone tissue as well as by the placement of the implants themselves. Tissue augmentation procedures that restore normal tissue contour and allow more ideal implant placement help minimize esthetic compromises. The use of modified abutments that are angulated and placed directly in the implant can offset weak implant placement. Finally, overdentures should be constructed if these techniques cannot be used or if their use still results in compromised esthetic results.

Dental Implants↗
PubMed1993

Esthetic applications of restorative materials and techniques in the anterior dentition.

The esthetic expectations of our patients can be met by doing a thorough initial examination with emphasis on periodontal health, caries incidence, occlusion, possible orthodontic corrections, esthetic needs, and economic concerns. Through proper communication with the patient, a written treatment plan can be developed that uses the various techniques of bleaching, cosmetic recontouring, direct resin bonding, porcelain veneering, or crowning to meet the patient's restorative needs. The most conservative noninvasive techniques should be evaluated first. Often, bleaching and partial direct bonding are all that is needed. If the dentition is badly worn or discolored, then more extensive treatment is indicated. Patients frequently have concerns about longevity of restorations or require very high levels of esthetic correction, which can only be accomplished with more invasive techniques. When patients understand what can be accomplished and are involved in the treatment decision, then successful results are assured. Esthetic restorative dentistry is probably the most rewarding aspect of practice today, but it is also the most challenging. New materials appear and techniques change so rapidly that it is sometimes difficult to keep up. Practitioners should acquire a thorough knowledge of available methods and materials, learn the limitations of these materials and techniques, and master skills through continuing education (courses, journals, and newsletters) as well as chairside repetition as new procedures become available.

Crowns↗
PubMed1995

Cosmetics and the esthetic patient and laboratory communication.

With increasing consumer awareness of the innovative procedures available for cosmetic dentistry, this area of practice is growing rapidly and has become an excellent source for patient referrals. Unfortunately, it can also be a large source of stress for the practitioner. Esthetics has been described by The Pocket Oxford Dictionary as "the philosophy of beautiful"; its perception varies from individual to individual. In the field of dentistry, there are criteria which define one tooth as being more esthetic than another and one individual's smile as more pleasing than another. However, that which is esthetically pleasing to the clinician may not be esthetically pleasing to the patient.

Adult↗
PubMed1996

Cephalometric analysis of profile nasal esthetics. Part III. Postoperative changes after isolated superior repositioning.

In part I of this study, a method for the objective evaluation of profile nasal esthetics was presented and applied to establish normative values for young adult white males and females. Male and female nasal profile esthetics were found to be virtually identical. In part II, the data from the preoperative lateral cephalograms of 13 young adult white female patients with vertical maxillary excess (VME) were compared to the normative data established for females in part I. Results showed a distinct nasal profile in patients with VME. In this part of the study, the postoperative lateral cephalograms of the 13 female patients from part II were analyzed after surgical correction of their vertical maxillary dysplasia to determine if returning the maxilla to a more normal position effected similar changes in nasal profile esthetics. All patients had superior repositioning of the maxilla for which the magnitude of movement was greatest in the superior direction, with the mean movement being 2.3 mm superiorly. The results revealed that surgical correction of VME effected normalization of most of the nasal profile esthetic characteristics.

Adolescent↗