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Esthetic reconstruction of teeth in patient with dentinogenesis imperfecta--a case report.

Dentinogenesis imperfecta (DI) is the result of a dominant genetic defect and affects both the deciduous and permanent dentitions. It is characterized by opalescent teeth composed of irregularly formed and undemineralized dentin which obliterates pulp chamber and root canal. DI can appear as a separate disorder or with osteogenesis imperfecta (OI). The teeth with DI show a grayish-blue to brown hue with dislodged enamel, dysplastic dentine with irregular dentinal tubules and interglobular dentine, short roots and pulpal obliteration, which all may lead to rapid and extensive attrition which require adequate crown reconstruction. The aim of this study was to show a reconstruction of frontal teeth in upper jaw with direct composite veneers in young adult patient with DI.

Adult↗

[Comparison of the perception of esthetic and orthodontic treatment need between an African and a Caucasian population].

INTRODUCTION: Improvement of dentofacial appearance is often the main motives of patient seeking orthodontic treatment. However perception of aesthetic and orthodontic treatment need may be different among populations of different cultural background. The aim of the present study was to compare the perception of aesthetic and orthodontic treatment need between Caucasian (French) and African (Senegalese) MATERIALS AND METHOD: In the present study the perception of the attractiveness of 98 colours photographs of dentitions were assessed by 34 Caucasian and 31 African lay judges by mean of a Power Point presentation. Each slide were displayed for evaluation during 20 seconds RESULTS: The two populations share the same perception of orthodontic aesthetic with respect to some occlusal traits. However they diverge in their appreciation of 70% of the dentitions with midline diastemas. There were also significant differences in the perception of orthodontic treatment need with the Caucasian judges suggesting treatment more often than Africans. CONCLUSION: The results are discussed in term of accessibility in orthodontic treatment in association with socioeconomic status.

Adult↗

[Advertising and medical responsibility in esthetic surgery].

Even in cosmetic surgery, medical law does not define any obligation in terms of results, but an obligation in terms of methods and information. As cosmetic surgery is an elective procedure, if it is induced as a result of publicity considered to be abusive, this obligation of methods could become an obligation of results. A rigorous approach to information is the only way to ensure that it is not confused with publicity.

Advertising↗

[En bloc abdominoplasty: a new, safer and more esthetic technique].

Suction abdominoplasties are associated with a number of surgical complications, mainly in obese people and diabetic patients. The aesthetic results is often spoiled by a poor equilibrium due to an incorrect distance between the "guide points" of an harmonious abdomen (e.g. min 10 cm between the pubic scar and the umbilicus). The author thinks that almost all surgical complications are induced by the extensive undermining and can be avoided by a "en bloc" resection without any undermining (the suction lipectomy of the upper flap creates a "Mesh Undermining" which is almost as efficient). A new neoumbilicoplasty described by the author can be situated in the "right position" with a good aesthetic result.

Abdominal Muscles↗

[Graphology in the psychological approach of candidates for esthetic surgery. Report of 45 cases].

45 patients considering cosmetic surgery underwent two graphological tests; the first prior to their operation, the second approximately six months afterwards. The results of these tests show that the patients have a number of elements in common depending on the type of operation performed and reveal several psychological aspects specific to subjects likely to envisage cosmetic surgery. However, the second graphological analysis showed no significant changes in any of the patients. The tests are simple and easily accepted by prospective subjects and enable a better psychological approach between patient and practicians.

Adult↗

[Esthetic rhinoplasty in the elderly].

The classical refusal to perform rhinoplasty in elderly subjects needs to be revised. In fact, this operation gives satisfactory results provided the patients are well selected on the basis of psychological and anatomical criteria. Apart from the repair of accidental or surgical skin defects, the delayed request from rhinoplasty candidates should be carefully assessed and, when in doubt, the patient may require psychiatric consultation. The major technical problem is that of the lack of elasticity of the skin requiring very moderate modifications of the osteocartilaginous skeleton in every case and occasionally skin resections to allow skin cover of the revised structures. Various techniques for the root of the nose have been proposed. The classical difficulty for elderly people to assume their new body image is more theoretical than real provided "minimal" rhinoplasties are performed. This operation warrants a place in the surgery of ageing.

Aged↗