International Journal of Esthetic Dentistry最新文献

{"title":"The next era of dentistry. From mechanical replacement to biologic preservation.","authors":"Nitzan Bichacho","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"21 4","pages":"325-327"},"PeriodicalIF":1.1,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149196421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nonsurgical treatment of periimplantitis plus a free gingival graft. Case series validating a two-step procedure.","authors":"Rodrigo González-Terrats, Maria Bonnín Liñares, Antonio Liñares","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Periimplantitis is an inflammatory condition characterized by soft tissue inflammation and progressive bone loss. A lack of keratinized mucosa (KM) is associated with periimplant complications. The present case series evaluates a two-step approach combining nonsurgical treatment with KM augmentation.</p><p><strong>Materials and methods: </strong>Four nonconsecutive patients diagnosed with periimplantitis and a deficiency of periimplant KM were treated between January 2015 and December 2021 in a private practice setting in Barcelona, Spain. A standardized two-step protocol was performed: Initial nonsurgical debridement with antibiotics and chlorhexidine irrigation, followed by a free gingival graft (FGG) 8 weeks later to augment the KM. All procedures were performed by the same experienced periodontist. Follow-up periods ranged from 1 to 7 years.</p><p><strong>Results: </strong>All patients showed resolution of inflammation, absence of bleeding or suppuration on probing, and radiographic bone gain. Soft tissue stability and an increase in the KM band were observed across all cases. No complications or adverse events were reported.</p><p><strong>Conclusions: </strong>The combination of nonsurgical periimplantitis treatment followed by an FGG appears to enhance disease resolution and long-term soft tissue stability. Further clinical trials are needed to validate this protocol.</p>","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"21 4","pages":"398-409"},"PeriodicalIF":1.1,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Colorful dentistry.","authors":"Gloria Martinotti, Clarisse Bonnet","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"21 3","pages":"310"},"PeriodicalIF":1.1,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital evaluation of dental bleaching. A 5-year in vivo study.","authors":"Vincent Hampé-Kautz, Esteban Ledrich, Matthieu He, Olivier Etienne, Ali Salehi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Aim: </strong>The objective of the present study was to assess tooth color changes over a 5-year period after at-home bleaching protocols with 10% carbamide peroxide.</p><p><strong>Materials and methods: </strong>A 4-week overnight at-home bleaching protocol using whitening trays and 10% carbamide peroxide was performed on a total of 49 patients. Tooth color was analyzed in 49 patients using standardized photographs at the beginning of treatment, the end of treatment, after 4 months, after 2 years, and again after 5 years for the 19 still-remaining patients. The values for the color coordinates L*, a*, and b* were recorded and used to calculate the whiteness index (WID) as well as the color difference (ΔE 00), luminosity (L*), chroma (C*), and hue (h°) variation using the CIEDE2000 formula. Statistical analysis was conducted at a significance level of P 0.05, by means of paired Student's t tests.</p><p><strong>Results: </strong>The color difference and the whiteness index difference were greatest during the first week of treatment and decreased progressively in the subsequent weeks and months. The relapse in color observed 4 months after stabilization showed a noticeable difference compared with the color prior to stabilization. Luminosity showed a significant difference between the beginning and the end of treatment as well as a marked relapse. Similarly, chroma underwent substantial variation during treatment in the teeth of both arches, yet showed only minimal relapse. In contrast, hue displayed only minor changes throughout the treatment and stabilization periods.</p><p><strong>Conclusions: </strong>The present study confirms the long-term efficacy of at-home bleaching with 10% carbamide peroxide. The whitening effect remained clinically noticeable after 5 years, despite a gradual and expected relapse. Among the color parameters, chroma was the most stable, while luminosity showed an early relapse, and hue showed a minimal relapse. Standardized digital photography proved reliable for long-term color monitoring.</p>","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"21 3","pages":"270-292"},"PeriodicalIF":1.1,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148766221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combining clear aligners and laminate veneers for optimal esthetic outcomes.","authors":"Jose Villalobos Tinoco, Salwa Mekled, Francisco X Azpiazu-Flores, Silvia Rojas-Rueda, Nayely J Llanes-Urias, Kelvin I Afrashtehfar, Carlos A Jurado","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>This report presents a multidisciplinary approach combining orthodontic clear aligners and minimally invasive ceramic laminate veneers in the esthetic zone.</p><p><strong>Methods: </strong>The patient expressed dissatisfaction with her smile due to the overlap of the left central incisor over the right central incisor, mild incisal wear, and the shade of her teeth. The treatment plan involved the use of clear aligners to improve the alignment of the anterior teeth, followed by minimally invasive tooth preparations to accommodate ultrathin ceramic laminate veneers. Clear aligners have become a popular treatment option due to their discreet appearance compared to traditional orthodontic brackets, which are visible on the facial surfaces of teeth. Additionally, clear aligners offer greater comfort, as they can be placed and removed easily by the patient. Minimally invasive ceramic veneers further enhanced the esthetics by significantly improving the shade and shape of the anterior teeth. Using novel techniques and technologies, ultrathin restorations were fabricated to blend with the adjacent natural dentition.</p><p><strong>Results: </strong>The interdisciplinary approach, combining orthodontic treatment with clear aligners to improve the position of the teeth within the arch, followed by ultrathin laminate veneers bonded under total dental dam isolation, offered a minimally invasive approach with predictable results.</p><p><strong>Conclusions: </strong>The combination of clear aligners and ultrathin ceramic veneers successfully met the patient's esthetic and functional expectations.</p>","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"21 3","pages":"254-268"},"PeriodicalIF":1.1,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148761821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficient diastema closure. Part 2: The incisal first technique (IFT) for larger diastema closure.","authors":"Agnė Mališauskienė, Michaela Jarešová, Marcus B Blatz","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>This article presents the incisal first technique (IFT) as a systematic and conservative approach to restoring larger anterior diastemas using direct composite resin. It is the second part of a two-part series published in IJED; the first part being 'Efficient diastema closure, Part 1: The modified Mylar pull technique for small diastema closure.' The present article emphasizes precise incisal edge placement as the initial step in guiding tooth proportion, contact point positioning, and the emergence profile.</p><p><strong>Clinical considerations: </strong>Conventional techniques for larger diastema closure may rely on wax-ups, mock-ups, or full-surface composite veneering, which can complicate workflow and compromise natural esthetics. The IFT simplifies the process by establishing the incisal edge and final tooth width from the outset, using this reference to guide proportion, contact point positioning, and the emergence profile. The technique builds composite sequentially-starting from the incisal edge and progressing palatally and buccally-while preserving gingival health and tooth anatomy. The modified Mylar pull technique (MMPT) is performed from both palatal and buccal directions to achieve seamless, void-free proximal contact and controlled line angle placement. The IFT allows clinicians to restore complex spaces conservatively, without altering the buccal surface too much or requiring additional preparatory and finishing steps.</p><p><strong>Conclusions: </strong>The IFT offers a conservative and predictable method that focuses on incisal edge positioning and maintaining biologic and optical parameters. It simplifies tooth proportion control and contact formation and enhances workflow efficiency while maintaining esthetic and biologic integrity. Anatomically correct, void-free larger diastema closure with highly predictable esthetic outcomes can be achieved with a simplified clinical execution while preserving tissue health and structural integrity.</p>","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"21 3","pages":"220-240"},"PeriodicalIF":1.1,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Orthodontic-prosthodontic synergy. Esthetic outcomes with minimal invasiveness.","authors":"Miha Pirc, Raphael Laue, Ronald E Jung, Alexis Ioannidis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Facial esthetics significantly impact self-confidence and quality of life, motivating patients to seek prosthetic rehabilitation of the anterior maxilla. Treatment options typically include restorative-only or combined orthodontic-restorative therapies, influenced by patient expectations, invasiveness, duration, and clinical recommendations. Historically, orthodontic pretreatment faced resistance due to prolonged treatment time and social stigma. However, advancements such as clear aligners and minimally invasive techniques have overcome many barriers, optimizing tooth alignment and enabling conservative preparations. This article presents a case involving interdisciplinary orthodontic and minimally invasive prosthetic therapy. A 33-year-old patient dissatisfied with previous veneers underwent clear aligner therapy, minimally invasive veneer preparations guided by digital wax-ups, and definitive lithium disilicate restorations. Advanced digital tools facilitated precise interdisciplinary planning and enhanced patient communication. Material selection prioritized esthetics and durability, complemented by comprehensive maintenance to ensure long-term success. This approach highlights the advantages of interdisciplinary collaboration in achieving superior esthetic outcomes while preserving natural tooth structure.</p>","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"21 3","pages":"242-253"},"PeriodicalIF":1.1,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Immediate implant placement and loading using a prefabricated final reconstruction. A proof-of-concept study.","authors":"Mohit Kheur, Tabrez Lakha, Supriya Kheur, Daniel Thoma, Ronald E Jung","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate patient-reported outcome measures (PROMs) and prosthetic outcomes in patients receiving a definitive restoration after extraction and immediate implant placement in the esthetic zone.</p><p><strong>Materials and methods: </strong>Twelve patients in need of tooth extraction and immediate implant placement and provisionalization in the esthetic zone were consecutively recruited. Restoration-based treatment planning was performed applying a fully digital workflow including the fabrication of a prefabricated definitive monolithic zirconia crown prior to the surgery. Tooth extraction and guided surgery was performed in all patients and immediate placement and loading was carried out with the prefabricated definitive restoration on the day of surgery. The restoration was evaluated by the patients and by two experienced and calibrated clinicians using modified USPHS (United States Public Health Service) criteria to evaluate the treatment outcome.</p><p><strong>Clinical considerations: </strong>In 9 out of 12 patients, the crowns were inserted at the same visit without any adjustments. Two crowns required minor adjustment-one at the incisal edge position and another at the distal contact area. These were delivered at the same clinical visit after the necessary adjustments had been made. One crown showed a misfit and was in need of a new scan and an adjustment in the laboratory prior to insertion at the next visit on the following day. Patient satisfaction was 9.41 ± 0.49 at baseline and 9.6 ± 0.47 at the 6-month follow-up. Clinical outcomes in terms of periimplant soft tissue health, interdental papillae levels, and midfacial mucosal levels were assessed at the time of implant placement (baseline) and 6 months postoperatively. All patients reported highly satisfactory results for all the parameters assessed.</p><p><strong>Conclusions: </strong>Digitally driven immediate implant placement and loading with prefabricated definitive restorations in the esthetic zone may serve as a valid clinical protocol. However, further randomized controlled clinical trials are needed to prove the efficacy of this protocol.</p><p><strong>Clinical significance: </strong>Immediate definitive restorations were inserted on the day of immediate implant placement following digital protocols. However, clinicians should be cautious when applying the immediate implant protocol in the esthetic zone as the prosthesis may need minor adjustments.</p>","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"21 3","pages":"294-309"},"PeriodicalIF":1.1,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148765022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"3D-printed splint for resin-bonded bridge.","authors":"Alexis Ioannidis, Kevser Pala, Andrea Patrizi, Aspasia Pachiou","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"21 3","pages":"218-219"},"PeriodicalIF":1.1,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148760799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Juggling life with grace. Building a career in a man's world.","authors":"Isabella Rocchietta","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"21 3","pages":"215-217"},"PeriodicalIF":1.1,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}