Restoring the Pink and White Esthetics. Clinical Case Presentation
Every esthetic case is a challenge. As clinicians we need to understand and combine different treatment modalities and materials to achieve outstanding esthetic and functional results. This clinical case will demonstrate the importance of the little details, and how they influence the final result. We’ll go step by step thought the analyze, planning surgical and prosthetic procedures with focus on the key points that I find to be crucial.
Predictable Implant Aesthetics Utilizing A Custom Fabricated Provisional Abutment & Impression Coping
Mastering the art of predictable implant aesthetics can be challenging. One of the most stressful areas for most dentists is the process of creating a beautiful provisional that will guide tissue and predictably communicate the aesthetic outcome for the final restoration in the aesthetic zone. Combining the use of a custom fabricated provisional abutment, provisional restoration and a custom fabricated impression coping many of the aesthetics challenges can be addressed. This information can then be communicated to the laboratory to ensure the most predictable aesthetic outcome possible. This program is designed to simplify and streamline the entire process of implant provisionalization and impression. This program will provide a systematic, step by step approach to tissue management, provisionalization and impression of implant cases.
Modern Crown Lengthening: Classification and Clinical Application
Crown lengthening procedures are indicated to provide adequate tooth structure in case of subgingival tooth fracture or caries, uneven gingival level, un-esthetic short crowns due to the tooth wear, inadequate axial height, altered passive eruption ,forced eruption of a single or multiple teeth and finally in case of gingival smile.
The treatment modality for esthetic crown lengthening procedure should be based on detail diagnosis in each case because of the multifactorial etiology and because of the type of therapy selected by the clinician, will have a direct implication for the esthetic result.
Interdisciplinary Team Dentistry for Total Dentofacial Esthetics - Part 2
Orthodontics sets up the foundation for future prosthetics in cases with periodontal, surgical and restorative dentistry requirements. Adult orthodontics simplifies complex clinical situations. Making it easier for restorative dentist to achieve better esthetic & functional results. Orthognatic surgery combined with orthodontics corrects skeletal discrepancies in order to have the patient ready for prosthodontic replacement of multiple missing teeth. Cases combined with implants to restore form & function will further illustrate the importance of multidisciplinary dentistry. Today´s practice requires a team approach that will be presented. In order to meet the patient´s demands for better esthetics and to obtain long term occlusal stability of our results.
Surgical Veneer Grafting - Compensation for Natural Labial Plate Remodeling After Immediate Implant Placement
Contemporary implant therapy aims to provide highly
esthetic and predictable treatment outcomes while decreasing
treatment duration and complexity. The clinician
must therefore be cognizant of circumstances with a predisposition
toward esthetic outcomes and treatment plan
accordingly. Preservation of the surrounding hard and
soft tissues associated with an immediate postextraction
socket implant to replace a nonrestorable tooth in the
esthetic zone is one of the greatest challenges facing the
dental team. A case report of a hopeless maxillary left central incisor in a patient with a thin periodontal phenotype illustrates this new surgical and prosthetic approach. Clinical, radiological,
and esthetic parameters were recorded to evaluate primary
CAD/CAM Solutions for Minimally Invasive All-Ceramic Rehabilitation of Extended Erosive Lesions
Dental erosion is a global health problem that can lead to significant functional and esthetic impairments of the affected patients. Treatment of sever cases with augmented loss of the vertical dimension of occlusion (VDO) represents a challenge for both the dental team and the patient. CAD/CAM technology was used in the presented case to analyze the inter-occlusal space. The case report documents a practical, digital approach and discusses the advantages related to treatment time, ease of treatment, and predictability.
Updating Classifications of Ceramic Dental Materials
The indications for and composition of today’s dental ceramic materials serve as the basis
for determining the appropriate class of ceramics to use for a given case. By understanding
the classifications, composition, and characteristics of the latest all-ceramic materials,
which are presented in this article in order of most to least conservative, dentists and
laboratory technicians can best determine the ideal material for a given treatment.
Retrospective Analysis of 26 Complete-Arch Implant-Supported Monolithic Zirconia Prostheses with Feldspathic Porcelain Veneering Limited to the Facial Surface
The purpose of this retrospective study was to evaluate the clinical performances of 26 implant-supported, complete-arch, monolithic zirconia restorations with facial feldspathic porcelain veneers for the rehabilitation of completely edentulous patients.
Eighteen patients were treated with a total of 26 complete-arch fixed prostheses. The mean follow-up time was 20.9 months. In total, 154 implants were placed supporting 309 retainers and pontics.
The results of this retrospective evaluation showed that monolithic zirconia restorations
with facial porcelain veneer provided satisfactory clinical performance and suggest that these
rehabilitations are a viable treatment option for completely edentulous patients.
The Role of Digital Technologies & Materials for Full-Arch Implant Reconstruction
In prosthetic rehabilitations, we used for many years codified and widely described protocols in literature, with results that met our expectations and well above those of our patients. It is true that the advent of new technologies has enabled the dental team to use new material and new equipment that facilitated the production of an adaptation and an accuracy of the prosthetic rehabilitation that has, up to now, been difficult to obtain.
In this presentation, we will analyze different cases, highlighting the operational differences that they have developed over time, with the increasing knowledge of the new materials and the daily developing of the new software's. It is also described how traditional materials and techniques have been replaced with other innovative new technologies, and how the results obtained with these are systematic and significantly better in updated generations prior.
Achieving Stable Esthetic Results with Implant Supported Restorations
We will discuss basic concept regarding immediate implant placement and guided bone regeneration procedure related to the esthetic zone before focusing on the soft tissue management. We will describe the prosthetic procedures which are performed before, during and after the surgical procedures. Provisional restorations, impression techniques, prosthetic profiles and restorative materials will be presented. The purpose of the presentation is to provide a check list that will guide the clinician developing a proper analysis and diagnosis for the successful esthetic result with implant supported restoration.
Crowns and Bridges