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.
Clinical Performance of Porcelain Laminate Veneers: Outcomes of the Aesthetic Pre-evaluative Temporary (APT) Technique
The article evaluates the long-term clinical performance of porcelain laminate veneers bonded to teeth prepared with the use of an additive mock-up and aesthetic pre-evaluative temporary (APT) technique over a 12-year period. Sixty-six patients were restored with 580 porcelain lamintate veneers. Over 12 years, 42 laminate veneers failed, but when the preparations were limited to the enamel, the failure rate resulting from debonding and microleakage decreased to 0%. Porcelain laminate veneers presented a successful clinical performance in terms of marginal adaptation, discoloration, gingival recession, secondary caries, postoperative sensitivity, and satisfaction with restoration shade at the end of 12 years. The APT technique facilitated diagnosis, communication and preparation providing predictability for the restorative treatment. Limiting the preparation depth to the enamel surface significantly increases the performance of porcelain laminate veneers.
Single Visit Fabrication of a Porcelain Laminate Veneer with CAD/CAM Technology: A Clinical Report
Computer-assisted design and computer-assisted milling (CAD/CAM) technology has been shown to be an effective dental treatment adjunct. This article demonstrates its use in the fabrication of an in-office, one visit, porcelain laminate veneer.
Fiber-Reinforced Framework in Conjunction with Porcelain Veneers for the Esthetic Replacement of a Congenitally Missing Maxillary Lateral Incisor: A Case Study
This article presents a case of a congenitally missing right maxillary lateral incisor and the contralateral incisor with discolored composite resin restorations.
Tips and Tricks for the Adhesive Cementation of Ceramic Inlays, Onlays, and Veneers
This article will cover some clinical tips and tricks that will facilitate the adhesive luting process for inlays, onlays, and veneers.
Ethics and Economics of Composite Resin Restoration
When I began my dental career, the full crown was really the main option being taught for esthetic dentistry. With the development of composite resins, we could refrain from reducing valuable enamel.
Bringing Composite Resins to an Art Form in the Anterior Segment
Esthetic dentistry has evolved tremendously over the past twenty years and has gained unprecedented acceptance by both dentists and patients alike. Currently, the use of high-end technology and state-of-the-art materials enables specialists and general practitioners to perform esthetic procedures at the utmost level of scientific soundness while effecting like-life results.
A Polychromatic Composite Layering Approach for Solving a Complex Class IV/Direct Veneer-Diastema Combination
This article demonstrates an advanced clinical technique for enhancing the appearance of the anterior dentition as achieved via tooth whitening and a combination of a Class IV restoration and a direct resin veneer.
Prosthetic Gingival Reconstruction in Fixed Partial Restorations - Part 3: Laboratory Procedures and Maintenance
This third and final installment in the series focuses on the laboratory and clinical procedures involved in fabricating a prosthesis with artificial gingiva and provides information on proper maintenance of these restorations.
Orthodontic Caries Control and Bleaching
Oral hygiene during orthodontic treatment can be facilitated by applying bleaching materials
to elevate the pH of the mouth during the course of treatment. Fabrication of thermoplastic
bleaching trays directly in the mouth over the braces without impressions affords
a reasonable technique for the multiple trays required during the orthodontic changes.
Efficacy and Persistence of Tooth Bleaching Using a Diode Laser with Three Different Treatment Regimens
Bleaching is the most conservative esthetic treatment for discolored teeth when compared to resin-bonded composites, porcelain veneers, or crowns. The purpose of this study was to compare the efficacy of power bleaching using a laser assisted hydrogen peroxide system, and to determine the stability of the color change over a 6-month period.
Use of a Reflectance Spectrophotometer in Evaluating Shade Change Resulting from Tooth-Whitening Products
Historically, shade change assessment associated with vital bleaching treatment regimens has been visually evaluated through the use of shade guide tabs. Innovations in the industry of dentistry have brought forth new technologies capable of measuring such changes via the capture and analysis of reflected wavelengths of light.
The Status of Tooth Whitening Techniques 1999
Tooth whitening of vital teeth continues to have a major impact on the practice of dentistry. The growing public interest in having whiter, brighter teeth is clearly evident in the advertisements from toothpaste manufacturers on "whitening" formulations of their products and by the number of individuals seeking whitening procedures from their dentists. In addition, new over-the-counter whitening products continue to emerge in a marketplace that cannot seem to get teeth white enough, bright enough, fast enough.
Anterior Substructure Design Considerations for Lithium Disilicate Crowns
Considering anterior substructure designs for lithium disilicate crowns, a hybrid substructure design that supports a cusp to fossa anterior guidance relationships can increase the strength of the ceramic system without having to compromise the esthetic integrity of the crown. Refractive index values increase when the substructure thickens. Increasing the thickness of the substructure results in a crown of higher value.
Reconstruction of Tooth Form in Various Anatomical Tooth Combinations
The present article describes the variations in form of anterior teeth, which are important in achieving an aesthetic result. Each tooth is shaped according to the task it must perform and that will enable it to blend harmoniously into the oral cavity. The shape of the anterior teeth are very important from the aesthetic point of view, is dealt with from the standpoint of the dental technician. The numerous possibilities for anatomical tooth reproduction, in order to achieve the most suitable form for each particular case, are highlighted.
The Harmony of Pink and White
Advances in technology have created many options in dental therapy. Implant therapy is becoming widely used to improve patients' oral function and make them satisfied. Clinicians are discovering the anatomical relationship of implant and soft tissue with the limitations of implant therapy. On the other hand, patients are demanding more beautiful smiles. Therefore, it is necessary to consider the harmony of pink and white in esthetic and functional restorative therapy.
Dental color matching instruments and systems. Review of clinical and research aspects
Today’s shade-matching technologies have been developed in an effort to increase the success of color matching, communication, reproduction and verification in clinical dentistry, and, ultimately, to increase the efficiency of esthetic restorative work within any practice. The aim of this paper is to provide a comprehensive review of the current state of shade-matching technologies and instrumentation, and their clinical and research application.
Crowns and Bridges