{"title":"A comprehensive and conservative approach for the restoration of abrasion and erosion. Part I: concepts and clinical rationale for early intervention using adhesive techniques.","authors":"Didier Dietschi, Ana Argente","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Tooth wear represents a frequent pathology with multifactorial origins. Behavioral changes, unbalanced diet, various medical conditions and medications inducing acid regurgitation or influencing saliva composition and flow rate, trigger tooth erosion. Awake and sleep bruxism, which are widespread nowadays with functional disorders, induce attrition. It has become increasingly important to diagnose early signs of tooth wear so that proper preventive, and if needed, restorative measures are taken. Such disorders have biological, functional, and also esthetic consequences. Following a comprehensive clinical evaluation, treatment objectives, such as a proper occlusal and anatomical scheme as well as a pleasing smile line, are usually set on models with an anterior teeth full-mouth waxup, depending on the severity of tissue loss. Based on the new vertical dimension of occlusion (VDO), combinations of direct and indirect restorations can then help to reestablish anatomy and function. The use of adhesive techniques and resin composites has demonstrated its potential, in particular for the treatment of moderate tooth wear. Part I of this article reviews recent knowledge and clinical concepts dealing with the various forms of early restorative interventions and their potential to restrict ongoing tissue destruction.</p>","PeriodicalId":88322,"journal":{"name":"The European journal of esthetic dentistry : official journal of the European Academy of Esthetic Dentistry","volume":"6 1","pages":"20-33"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29740206","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":"Prefabricated composite veneers: historical perspectives, indications and clinical application.","authors":"Didier Dietschi, Alessandro Devigus","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Veneering anterior teeth is a well-established technique, which was brought to Dentistry by Dr Pincus as early as 1937. From the mid-1970s, boosted by the development of composites and adhesive techniques, various concepts emerged including direct composite restorations, prefabricated composite veneers and of course, individualized porcelain indirect veneers. The prefabricated composite veneer option was however soon abandoned due to former technological limitations. Recently, the creation of a new shade guide comprising enamel shells revitalized this \"old idea,\" and in combination with a high pressure and temperature molding process followed by a laser surface vitrification, a novel, improved composite prefabricated system (Venear, Edelweiss Dentistry) was born. This paper provides an overview of the potential indications and clinical protocol of this original veneering technique.</p>","PeriodicalId":88322,"journal":{"name":"The European journal of esthetic dentistry : official journal of the European Academy of Esthetic Dentistry","volume":"6 2","pages":"178-87"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30291305","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}
Giacomo Fabbri, Roberto Mancini, Valentina Marinelli, Giorgio Ban
{"title":"Anterior discolored teeth restored with procera all-ceramic restorations: a clinical evaluation of the esthetic outcome based on the thickness of the core selected.","authors":"Giacomo Fabbri, Roberto Mancini, Valentina Marinelli, Giorgio Ban","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Unlabelled: </strong>The most common esthetic challenge associated with endodontics is the discoloration of natural tooth structure. Also in fixed prosthesis, discolorations represent an esthetic limit, particularly in the case of all-ceramic restorations. In fact, the final esthetic result can be compromised by the grey radiated through the coping and soft tissue.</p><p><strong>Purpose: </strong>The aim of the study was to evaluate the masking ability of Procera alumina restorations.</p><p><strong>Materials and methods: </strong>Clinical evaluation was investigated by using tests of discolored teeth. Each abutment, classified with Natural Die Material (Ivoclar Vivadent), were manufactured three alumina copings with thickness of 0.4, 0.6, and 0.8 mm, respectively. Masking ability for each coping was evaluated in relation to the degree of discoloration. On the basis of the results obtained, seventeen discolored teeth, treated with Procera alumina restorations, were evaluated. Color match, porcelain surface, marginal discoloration, and marginal integrity were clinically examined following modified CDA/Ryge criteria.</p><p><strong>Conclusion: </strong>The Procera AllCeram alumina system seems to be a reliable and excellent technology for the prosthetic treatment of moderate and serious discolored anterior teeth with an exceptionally natural look.</p>","PeriodicalId":88322,"journal":{"name":"The European journal of esthetic dentistry : official journal of the European Academy of Esthetic Dentistry","volume":"6 1","pages":"76-86"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29740103","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":"Research in esthetic dentistry.","authors":"Alessandro Devigus","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":88322,"journal":{"name":"The European journal of esthetic dentistry : official journal of the European Academy of Esthetic Dentistry","volume":"6 4","pages":"375"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30380724","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}
Karl Martin Lehmann, Alessandro Devigus, Christopher Igiel, Stefan Wentaschek, Mehdi Sattari Azar, Herbert Scheller
{"title":"Repeatability of color-measuring devices.","authors":"Karl Martin Lehmann, Alessandro Devigus, Christopher Igiel, Stefan Wentaschek, Mehdi Sattari Azar, Herbert Scheller","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>The objective of this study was to evaluate the intra- and interdevice repeatability in different tooth regions using three color-measuring devices under clinical conditions.</p><p><strong>Materials and methods: </strong>Fifteen shade measurements (cervical, body, incisal) were recorded on 15 patients by one investigator using three color-measuring devices (VITA Easyshade compact, DeguDent Shadepilot, X-Rite ShadeVision). CIE Lab values were determined for all maxillary anterior teeth. Intraclass correlation coefficients (ICCs) were used to statistically analyze intra-and inter-device repeatability for different tooth regions. Color differences (ΔE) between measurements were also computed to evaluate the clinical acceptability of repeatability values. The data were evaluated using analysis of variance and Bonferroni's adjustment to control for multiple testing. Differences were deemed significant when P < 0.016.</p><p><strong>Results: </strong>The three color-measuring devices generally exhibited high repeatability of color coordinates for all tooth regions (ICC > 0.516-0.986, ΔE < 3.03). In contrast, inter-device repeatability was lower for all tooth regions (ICC = 0.010-0.922, ΔE = 4.06-16.04).</p><p><strong>Conclusions: </strong>High intra-device repeatability of color coordinates could be achieved for all tooth regions when the same color-measuring device was used. However, because of low inter-device repeatability, results using different color-measuring devices are not comparable.</p>","PeriodicalId":88322,"journal":{"name":"The European journal of esthetic dentistry : official journal of the European Academy of Esthetic Dentistry","volume":"6 4","pages":"428-35"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30380728","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":"Biologic Interfaces in esthetic dentistry. Part II: the peri-implant/restorative interface.","authors":"Arndt Happe, Gerd Körner","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":88322,"journal":{"name":"The European journal of esthetic dentistry : official journal of the European Academy of Esthetic Dentistry","volume":"6 2","pages":"226-51"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30293425","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}
Michael Knösel, Monika Reus, Albert Rosenberger, Thomas Attin, Dirk Ziebolz
{"title":"Durability of bleaching results achieved with 15% carbamide peroxide and 38% hydrogen peroxide in vitro.","authors":"Michael Knösel, Monika Reus, Albert Rosenberger, Thomas Attin, Dirk Ziebolz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of this study was to assess the durability of bleaching results achieved with (1) 15% carbamide peroxide home bleaching and (2) 38% hydrogen peroxide in-office bleaching. A total of 231 extracted anterior teeth were randomly divided into three groups (n = 77 in each group) with comparable mean baseline L*-values (68.24 ± 0.8): a non-bleached control group A, a 15% carbamide peroxide group B (5 bleaching intervals of 8 hours), and a 38% hydrogen peroxide group C (3 intervals of 15 minutes). Durability of bleaching was assessed by comparing CIE-L*a*b* data after intervals of 2, 4, 12, and 26 weeks from baseline. Both bleaching regimes initially produced a highly significant increase in lightness parameter L*, with no significant difference between the respective bleaching regimes (B: 68.23 / 72.48; C: 68.32 / 73.25). Six months after starting the trial, L*-values for group B yielded no significant differences compared to baseline (69.55), whereas L*-values for group C were still significantly raised (69.91), despite a highly significant decrease when compared to initial bleaching results. In both treatment groups, there was a lasting response to bleaching in terms of CIE-a* and -b* value decreases. Results for both home- and in-practice regimes were found to be similar for about 12 weeks. However, in-office results were longer lasting, despite the shorter treatment intervals. Summarized bleaching effects, in terms of delta E values, revealed no significant differences between treatment groups and the control group after 6 months, indicating an abatement of the bleaching results achieved.</p>","PeriodicalId":88322,"journal":{"name":"The European journal of esthetic dentistry : official journal of the European Academy of Esthetic Dentistry","volume":"6 3","pages":"342-56"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30107690","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}
Stefan Schunke, Armin Enssle, Alexandra Kreisl, Markus Schlee
{"title":"Teeth and posture.","authors":"Stefan Schunke, Armin Enssle, Alexandra Kreisl, Markus Schlee","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Esthetics is a topic that has become much discussed both in medicine and in dentistry. However, it should be questioned how reliable and reproducible the guidelines and protocols for esthetic procedures really are. This article will describe in detail the interactions between the musculoskeletal and masticatory systems. Dentists are frequently misled by their false interpretation of existing reference lines, without recognizing the true problem. The close relationship between skeletal and dental problems and their impact on the masticatory and musculoskeletal systems will be explained in this paper. Esthetics and function - not only of the teeth - form an entity that needs to be viewed and treated as a whole. Many of these interactions are thought of as \"alternative medicine\" and are therefore hardly considered at all in conventional mainstream medicine. This holistic approach will be further explained and discussed with a patient case.</p>","PeriodicalId":88322,"journal":{"name":"The European journal of esthetic dentistry : official journal of the European Academy of Esthetic Dentistry","volume":"6 4","pages":"406-27"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30380727","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}
Débora Alves Nunes Leite Lima, Flávio Henrique Baggio Aguiar, Priscila C Suzy Liporoni, Egberto Munin, Gláucia Maria Bovi Ambrosano, José Roberto Lovadino
{"title":"Influence of chemical or physical catalysts on high concentration bleaching agents.","authors":"Débora Alves Nunes Leite Lima, Flávio Henrique Baggio Aguiar, Priscila C Suzy Liporoni, Egberto Munin, Gláucia Maria Bovi Ambrosano, José Roberto Lovadino","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this in vitro study was to evaluate the bleaching efficacy of high concentration bleaching agents activated by chemical or physical catalysts.</p><p><strong>Materials and methods: </strong>This study was divided into two parts. Part 1 evaluated the efficacy of tooth whitening after treatment with 35% hydrogen peroxide (Whiteness HP Maxx) that was activated by different light-curing units: halogen lamp (conventional and bleach mode) (Optilux 501C, Demetron/Kerr), LED first generation (Ultrablue IV, DMC), LED/diode laser (Ultrablue IV, DMC), LED second generation (Bluephase 16i, Ivoclar Vivadent), and no light source (control group). Part 2 provided an analysis of the effect of chemical and physical catalysts on high concentration bleaching agents: 35% hydrogen peroxide (Whiteness HP Maxx) + 20% sodium hydroxide; 35% hydrogen peroxide + 7% sodium bicarbonate; 38% hydrogen peroxide (Opalescence Xtra Boost); 35% hydrogen peroxide + halogen lamp; 35% hydrogen peroxide + 20% sodium hydroxide + halogen lamp; 35% hydrogen peroxide + 7% sodium bicarbonate + halogen lamp; 38% hydrogen peroxide + halogen lamp; and 35% hydrogen peroxide. Blocks obtained from human molars were randomly divided into groups (n = 5) in accordance with bleaching treatments. The efficacy of bleaching was measured using a spectrophotometer. Three bleaching sessions were performed. The results were submitted to ANOVA followed by the Tukey test (5%).</p><p><strong>Results: </strong>For both parts of the study, activated vs. non-activated bleaching did not differ significantly for all sessions tested.</p><p><strong>Conclusion: </strong>Activating systems did not improve the whitening effectiveness of high concentration bleaching agents.</p>","PeriodicalId":88322,"journal":{"name":"The European journal of esthetic dentistry : official journal of the European Academy of Esthetic Dentistry","volume":"6 4","pages":"454-66"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30380731","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":"A survey on variability in shade selection by practicing dentists.","authors":"Aquaviva Fernandes, Dron Lakhani, Manisha Herekar","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the variability in shade selection for general practitioners (GPs) and postgraduate (MDS) practitioners and to assess if a shade selection bias exists.</p><p><strong>Materials and methods: </strong>2070 samples of the chosen shade(s) by 31 GPs and 18 MDS practitioners in the form of work authorization forms and slips were collected from dental laboratories. The mouth was divided into four quadrants: maxillary anteriors and posteriors, and mandibular anteriors and posteriors. The data was grouped and analyzed.</p><p><strong>Results: </strong>The same shade or combination was repeated by the GPs and the MDS practitioners 38% and 35% of the time, respectively. The GP group prescribed a single shade in 84% of cases and a combination of two shades per tooth in 14% of cases, in contrast to the MDS practitioners, who prescribed a single shade in 51% of cases and two shades in 47% of cases.</p><p><strong>Conclusion: </strong>A shade selection bias exists among both general and MDS practitioners, as a particular shade or combination was repeated a significant number of times. However, MDS practitioners use a combination of two shades more frequently than general practitioners, who rely mostly on a single shade for a tooth.</p>","PeriodicalId":88322,"journal":{"name":"The European journal of esthetic dentistry : official journal of the European Academy of Esthetic Dentistry","volume":"6 2","pages":"198-204"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30293423","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}