Eugenio Longo, Francesco de Giovanni, Francesco Napolitano, Roberto Rossi
{"title":"Double guide concept: A new digital paradigm for the treatment of altered passive eruption in patients with high esthetic expectations.","authors":"Eugenio Longo, Francesco de Giovanni, Francesco Napolitano, Roberto Rossi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Digital guides (also known as stents) have become commonly used in daily dental practice. CBCT, digital impressions, and stereolithographic models are considered extremely helpful to create guides for the planning and resolution of surgical cases. In recent years, in periodontal surgery and in particular for the treatment of altered passive eruption (APE), there has been an increasing use of digitally designed guides to improve esthetic outcomes and achieve more predictable results. Digital custom-made guides can be used to improve safety and precision in crown lengthening procedures in patients with APE who have high esthetic expectations. Although most approaches described in the literature show guides used for primary flap or gingivectomy design, the precision of bone recontouring and ostectomy plays a key role in soft tissue rebound and in the final esthetic outcome. The present article describes a new approach using two different guides for soft tissue design in patients with APE.</p>","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"17 3","pages":"254-265"},"PeriodicalIF":1.4,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40337061","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-guided direct composite restorations: the evolution of the technique.","authors":"Matteo Mattei, Lucio Daniele Mattei","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Digital technology enhances predictability and reli-a-bility in restorative dentistry procedures, especially in cases where precision is crucial in the transfer of information. In this article, several procedures are described for the implementation of a restorative workflow, especially in direct composite anterior and posterior restorations, representing an evolution of the direct stratification techniques described thus far in the dental literature. The clinician's digital skills are important for accurately managing the workflows to avoid errors and distortions, so that not only the operat-ive phases but the patients themselves become 'digital entities.' A comprehensive digital 3D project requires a very -precise diagnosis and treatment plan.</p>","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"17 3","pages":"266-279"},"PeriodicalIF":1.4,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40337062","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":"Predictability is the key.","authors":"David Norré, Cristina Lopez","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"17 3","pages":"356-357"},"PeriodicalIF":1.4,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40336952","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}
William Pacquet, Constance Delebarre, Stephane Browet, David Gerdolle
{"title":"Therapeutic strategy for cracked teeth.","authors":"William Pacquet, Constance Delebarre, Stephane Browet, David Gerdolle","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The management of cracked teeth represents a difficulty because their diagnosis is complex and there is no consensus concerning their treatment. The present article explains this pathology within enamel and dentin and also focuses on the clinical consequences of crack development in dental tissue. As cracks have both biologic and mechanical implications, a complete review of the literature on the subject has enabled the development of a comprehensive diagnostic approach to identify cracked teeth and optimize their management. The elements of diagnosis are the bite test, transillumination, the pulp sensitivity test, the periodontal test, radiologic examinations, removal of existing restorations, and the use of quantitative light-induced fluorescence. Finally, the management of biologic and mechanical imperatives relating to the treatment of cracked teeth has allowed the proposal of a reliable and reproducible therapeutic strategy based on two pillars: the arrest of bacterial infiltration using immediate dentin sealing, and the limitation of crack propagation using relative cuspal coverage. In this article, the proposed clinical protocol is explained through the use of a decision map and is illustrated by a clinical case example.</p>","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"17 3","pages":"340-355"},"PeriodicalIF":1.4,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40336951","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}
Amanda Alves de Oliveira, Giovanna Alexandre Vale, Laís da Mata Almeida, Rebeca Carniello Saltarelo, Crisnicaw Veríssimo
{"title":"Multidisciplinary approach for the closure of multiple diastemata with composite resin.","authors":"Amanda Alves de Oliveira, Giovanna Alexandre Vale, Laís da Mata Almeida, Rebeca Carniello Saltarelo, Crisnicaw Veríssimo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Morphologic anterior tooth alterations and diastemata between the anterior teeth are often considered a major esthetic problem. In most cases, the treatment of these conditions involves a multidisciplinary approach. Orthodontic treatment together with direct composite resin veneers are a viable option to close diastemata and alter tooth shape. The extent and etiology of the diastemata must be considered and properly evaluated for the treatment. The present article is a case report of a patient with multiple diastemata in the maxillary anterior teeth, dental crowding, and peg-shaped lateral incisors corrected with orthodontic treatment and direct composite resin veneers. Digital planning was the tool used to decide the tooth proportions before orthodontic treatment and to guide the diagnostic wax-up. An etch-and-rinse adhesive system was applied after etching. A polychromatic layering technique under rubber dam isolation was used for the composite resin veneer construction. Finishing and polishing procedures were achieved using polishing discs and abrasive materials. Direct composite resin is an alternative that allows predictability, esthetics, and the possibility of adjustments, resulting in patient satisfaction.</p>","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"17 3","pages":"308-322"},"PeriodicalIF":1.4,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40336949","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}
Dubravka Knezović Zlatarić, Robert Pongrac, Mirko Soldo
{"title":"Shade management using a new zirconia-reinforced lithium disilicate press ceramic system and leucite-reinforced glass-ceramic veneering system.","authors":"Dubravka Knezović Zlatarić, Robert Pongrac, Mirko Soldo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The adhesive bonding technique together with tooth-colored ceramic material in fabricating veneers is considered one of the greatest achievements in modern prosthodontics. There is a wide range of indications for veneers, but they are most commonly used to establish adequate function and mask tooth discolorations and inappropriate tooth shape, size or position. A large variety of all-ceramic materials with excellent properties is available on the market today. It is challenging to select the material that will provide the best esthetics and function. The present article explains the principles of a modern, individual treatment approach for a young adult patient with multiple diastemata and shade disharmonies in the maxillary anterior teeth. The treatment plan was based on the selection of the appropriate ceramic material and technical procedures to achieve the best esthetic results using veneers. This included analyzing the specific case; defining the treatment goal; determining the precise shade; and selecting the most suitable and appropriate ceramic material, preparation design, fabrication technique, and adhesive concept. It was decided to use the new VITA zirconia-reinforced lithium disilicate press ceramic system and leucite-reinforced glass-ceramic veneering system to fabricate indirect ceramic veneers for all the maxillary anterior teeth. The size, shape, position, and shade of the natural teeth were changed and the diastemata were closed to achieve a more proportional dental relationship. The esthetic and functional goals were achieved and the patient was extremely satisfied with the final outcome.</p>","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"17 3","pages":"324-338"},"PeriodicalIF":1.4,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40336950","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":"The importance of esthetic integration through laboratory adaptation profiles in the biologically oriented preparation technique.","authors":"Antonello Di Felice, Cristian Abad-Coronel, Vincenzo Giovane, Ignazio Loi, Guillermo Pradíes","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The biologically oriented preparation technique (BOPT) has revolutionized the execution of fixed prosthetic treatments, ensuring tissue stability and the integration of the gingival tissue with the prosthetic restorations. BOPT follows both a clinical and laboratory sequence; the two must be perfectly integrated and synchronized, with the phase of preparation and temporary restorations in the clinic correlating with a well-founded and protocolized execution of the laboratory steps. In turn, prosthetic work returned to the clinic must show perfect integration between the prosthesis, the preparation, and the periodontal tissue, with a balance between pink and white esthetics. The clinical case in the present article illustrates the close relationship between the clinical and laboratory steps, including the technical laboratory procedures, that make it possible to achieve these objectives. The aim of the article is to introduce the concept of the prosthetic adaptation profile of new restorations, establishing the definition, importance, and direct relationship of this profile with the success of the rehabilitation treatment.</p>","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"17 1","pages":"76-87"},"PeriodicalIF":1.4,"publicationDate":"2022-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39931626","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":"The influence of education and gender on the esthetic perception of facial profile.","authors":"Damla Torul, Mehmet Melih Omezli","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of the present study was to evaluate the facial esthetic perception of dental students, non-dental students, and laypersons with respect to digitally altered profile photographs in the vertical and sagittal dimensions.</p><p><strong>Materials and methods: </strong>Colored profile photographs of a male subject and a female subject were digitally altered in the sagittal and vertical dimensions. Preclinical and clinical dental students, clinical medical students, senior art and engineering students, and laypersons with various occupations were invited to rate the profile photographs and their treatment need by means of a questionnaire created on Google Forms.</p><p><strong>Results: </strong>The study involved 574 participants (378 females, 196 males). Male and female straight normal profiles were found to be the most attractive facial profiles by all groups, followed by convex profiles. Concave profiles were rated as the least attractive and in need of more treatment. No significant difference was observed between the ratings of the preclinical and clinical dental students. The ratings of dental students showed significant differences in terms of esthetic perception compared with the engineering students and laypersons. Regarding the gender of the participants, there were significant differences between males and females.</p><p><strong>Conclusion: </strong>The perception of facial esthetics was influenced by education, and students whose study curriculum was esthetic in nature or clinically based were more critical in their judgment. The gender of the participants significantly influenced their esthetic judgment.</p>","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"17 1","pages":"88-99"},"PeriodicalIF":1.4,"publicationDate":"2022-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39931627","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":"Long-term alveolar ossification of connective tissue graft placed around natural teeth: a report of five cases.","authors":"Akiyoshi Funato, Hidetada Moroi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Connective tissue graft (CTG) surgery has been performed since the 1980s with the principal aim of root coverage. Various types of CTG surgery have been reported, not only for root coverage but also as a preprosthetic treatment for the prevention of gingival recession and to alleviate gingival discoloration. Although there have been numerous reports on the prognosis of such treatment, few observational case reports of 10 years or more have been published. The present article reports on five patients who were monitored from between 13 to 23 years after CTG surgery through the use of intraoral findings, CBCT, and histologic evaluation. The hypothesis of the present authors is that growth factors are released gradually from connective tissue placed either above or below the periosteum. Furthermore, stimulated by the optimal occlusion of the natural teeth, osteoblasts present on the periosteum and/or alveolar bone surrounding the teeth are stimulated. Similarly, the connective tissue itself ensures that the soft tissue has a certain biologic width. At the same time, it acts as a scaffold, resulting in the tissue being replaced by bone.</p>","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"17 1","pages":"28-40"},"PeriodicalIF":1.4,"publicationDate":"2022-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39931257","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}