A Multi-faceted Treatment Approach for Anterior Reconstructions Using Current Ceramics, Implants and Adhesive Systems
Of all developments in dental technology, fulfilling the esthetic and functional demands of a patient is still a challenge for both dentists and dental technicians. This becomes more difficult for patients with a previous treatment history that is not ideal. This case presentation demonstrates reconstruction of an anterior zirconia resin-bonded fixed dental prosthesis (RBFDP) for the mandible with a combined treatment approach utilizing veneers for harmonized space distribution on the abutment teeth and an implant-supported zirconia fixed dental prosthesis in the anterior segment of the maxilla. Adhesive cementation if the restorations is also presented in a step-by-step approach based on the current state of the art.
Vertical and Horizontal Dimensions of Implant Dentistry: Numbers Every Dentist Should Know
This article will review the most common vertical and horizontal measurements that the general dentist placing and restoring implants should know, and illustrate how using these parameters will provide more reliable outcomes.
A retrospective analysis of 102 zirconia single crowns with knife-edge margins
In this retrospective evaluation, feldspathic porcelain veneered-zirconia crowns with knife-edge margins provided clinical performance similar to that reported with other margin designs.
Interdisciplinary management of anterior dental esthetics
This article describes an interdisciplinary approach to the diagnosis and management of anterior dental esthetics.
CAD/CAM Anterior and Posterior Implant Restorations - Ceramics, Abutments and Design
The use of in-office CAD/CAM techniques will be highlighted to fabricate implant posterior and anterior implant crowns.
Long-Term Outcome of Cemented Versus Screw-Retained Implant-Supported Partial Restorations
The present study was designed to compare the long-term outcome and complications of cemented versus screw-retained implant restorations in partially edentulous patients. The long-term outcome of cemented implant-supported restorations was superior to that of screw-retained restorations, both clinically and biologically.
Consideraciones de los materiales disponibles en América Latina para la fabricación de coronas cerámicas libres de metal
El siguiente artículo es una revisión de la literatura odontológica el cual se ha redactado con la intención de llevar al clínico a través de una actualización de los materiales dentales cerámicos libres de metal disponibles en América Latina.
Splints Are Not Just for TMD Therapy
Properly made and well-adjusted occlusal splints can help control parafunctional stresses that are applied by the patient to their natural teeth and the restorations that dentists fabricate for them.
Predictable Cementation of All Ceramic Dental Restorations - The "Noah" Technique
Creation of an ideally prepared tooth and its detail being "captured" in a master impression are critical steps in the indirect dental restorative process.
Diagnostic Waxing Transfer From Diagnostic Casts to Soft Tissue Definitive Casts
Fabricating quality anterior esthetic restorations, such as porcelain veneers and crowns, requires the fabrication of a soft tissue definitive cast with removable dies and a hard stone gingiva. This cast is essential to the integration of the definitive restoration with the architecture of the gingiva.
Adhesive Dentistry - A Full Time Practitioner’s Perspective
Adhesive dentistry has provided techniques and materials for conservative and esthetic options in every restorative practice. The understanding of the process of etching to form microscopic undercuts and infiltrating these gaps with resin to create an adhesive interface between tooth and restorative material has demonstrated long-term durable and well-sealed interfaces, resulting in excellent clinical results.
Sectional Impressions and Simplified Folding Complete Denture for Severe Microstomia
A patient presenting with severe microstomia (PDI Class IV) was unable to insert a maxillary complete denture.
Minimally Invasive Reconstruction in Implant Therapy - The Prosthetic Gingival Restoration
This article presents a reliable and consistent alternative to prosthetically restore cases with an uncertain surgical outcome or for those patients who do not want to undergo regenerative surgical procedures.
Proximal Contact Areas of the Maxillary Anterior Dentition
The goal of this study was to quantify the apicoincisal extent of the proximal contact area (PCA) between the eight maxillary anterior teeth. PCAPs should be taken into consideration for clinical anterior restorations since they determine the papillary and incisal embrasures.
Creating Physiologic Contours Using a Modified Geller Cast Technique
This article will discuss how to control the gingival contours of the final restorations in the laboratory.
CAD/CAM Update - Technologies and Materials and Clinical Perspectives
Because of the growing confusion as to what these technologies are, what they will do, and, more importantly, what the clinical and laboratory guidelines for using these materials and techniques are, this article will address the important points of the CAD/CAM market and technology.
Communicating Digitally with the Laboratory: Design, Impressions, Shade, and the Digital Laboratory Slip
This article will review and explore some of the digital opportunities and rationales for digital communication of all forms of clinical information from the dentist to the laboratory.
A Systematic Approach to Full-Mouth Reconstruction of the Severely Worn Dentition
Jay Lerner demonstrates a procedure that allows the clinician to obtain the space required for the restoration of severely worn dentition.
Treatment of Excessive Gingival Display and Anterior Overeruption: Rehabilitation and Restoration
In order to develop a normal physiologic relationship
between the osseous crest and correct the incisal positioning of the gingival margin as related to the CEJ,
surgical correction of the patient’s excessive gingival display was required.
Prosthetic Gingival Reconstruction in a Fixed Partial Restoration - Part 1: Introduction to Artificial Gingiva as an Alternative Therapy
Prosthetic gingival restoration of a Class III defect environment.
Prosthetic Gingival Reconstruction in the Fixed Partial Restorations
“Originally published in Inside Dentistry, 2008. Copyright 2008. AEGIS Communications. Reprinted with permission.”
Aesthetic Enhancement of Pontic Sites for Fixed Partial Dentures
An adequate alveolar bone base is the prerequisite for functional and aesthetically optimal reconstruction of the soft tissue architecture for a fixed partial denture pontic site or dental implant site. If the horizontal and vertical dimensions of the ridge deficiency are within 3 mm of their original contour, acceptable results can he achieved by soft tissue augmentation procedure only, ie, connective tissue grafts, onlay grafts, or an inlay rolled graft. These procedures are usually performed…
A Biometric Approach To Aesthetic Crown Lengthening: Part 1 - Midfacial Considerations
Although human dental anatomy is taught in university curricula, clinicians often witness restorations that are not proportional to one another. Dental restorations should also be proportional to periodontal supporting tissues as an essential aspect of dental anatomy. Measurements can be performed directly on a patient’s teeth with aesthetic gauges used to confirm the correct position of the supporting osseous topography. This article demonstrates a technique using these gauges to objectively determine the correct position of the underlying hard tissues and render predictable, aesthetic treatment.
Restorative Space Management: Treatment Planning & Clinical Considerations for Insufficient Space
In attempting to provide a restorative solution for cases that have been compromised by spatial considerations, clinicians have traditionally opted for an orthodontic approach that did not provide optimal aesthetics due to changes in tooth morphology, specifically tooth size and shape as a result of dental deterioration. With the advent of contemporary aesthetic materials and preparation techniques, clinicians and technicians are now empowered to deliver a penultimate result with minimal compromise to the surrounding dentition. This article presents the clinical and laboratory considerations that must be addressed when providing a prosthetic restoration for crowded teeth.
An Esthetic Alternative in Full-Coverage Restorations
All too often, restorative dentists are faced with the dilemma of not being able to provide the ceramist the optimal space for maximum esthetics. The reasons are numerous, yet the problem still remains. The dental industry, along with the dental laboratory industry, has developed numerous full-coverage restorative options to obtain maximum esthetics. These include, but are not limited to, feldsphatic porcelain crowns or porcelain jacket crowns, In-Ceram (Vita Zahnfabrik; Distributor, Vident) and…
A Multidisciplinary Approach to Single-Tooth Replacement
Over the last several decades, dentistry has focused on more conservative treatment modalities and preventive techniques. This has been possible not only because of improved techniques and materials, but also because of the understanding that tooth preparation, regardless of how conservative it may be, is an irreversible procedure
Biologic Width Demystified
Information from John Kois’s research predicts the final positions of esthetic gingival margins
Quest for the All Ceramic Restoration
The all-ceramic, full-coverage restoration has long been the center of the profession's ardent quest for the consummate esthetic restoration. Over the years, we have come to acknowledge the optimal esthetics of the all-porcelain crown, but its tendency to fracture over time rendered it an "alternative" restoration for specifically selected cases when compared to the "workhorse" of porcelain-fused-to-metal restorations. The initial dental feldspathic porcelains exhibited low shear strength with a…
Controlled Restorative Treatment of Compromised Anterior Dentition
The aesthetic appearance of the maxillary anterior dentition is determined by the relationship between the shape, contour, color, position, and arrangement of the teeth to the healthy labial gingiva and the interdental papillae. When restoring the anterior dentition, the objective of a harmonious natural appearance of the teeth, surrounded by healthy soft tissue, should be achieved through a controlled predictable treatment protocol. In periodontally compromised teeth, the prognosis of each tooth…
A Biometric Approach to Predictable Treatment of Clinical Crown Discrepancies
Dental professionals have long been guided by mathematical principles when interpreting aesthetic and tooth proportions for their patients. While many acknowledge that such principles are merely launch points for a smile design or reconstructive procedure, their existence appears to indicate practitioners’ desire for predictable, objective, and reproducible means of achieving success in aesthetic dentistry. This article introduces innovative aesthetic measurement gauges as a means of objectively quantifying tooth size discrepancies and enabling the clinician to perform aesthetic restorative dentistry with success and predictability.
Recommended Shade Matching Protocol
Following much research and clinical evaluation, this chapter outlines the authors’ recommendations for an ideal approach to shade matching: a combination of conventional techniques with new technologies.
Tissue Management for Aesthitc Success with Posterior Restorations
Due in part to the positive tissue response to metal-ceramic crowns fabricated with Captek™ substructures, clinicians can now provide an aesthetic restoration with healthy supporting periodontium for their patients. All indirect restorations, however, depend on an accurate impression of the preparation and proper tissue management throughout provisionalization. Even after careful tooth preparation, the restorative site often fills with blood, intracrevicular and intraoral fluids, and the delicate…
Crowns and Bridges