scholarly journals Multidisciplinary esthetic approach for multiple anterior diastema: 36-month clinical performance

2015 ◽  
Vol 18 (4) ◽  
pp. 111
Author(s):  
Karin Cristina da Silva Modena ◽  
Bella Luna Colombini-Ishikiriama ◽  
Sergio Kiyoshi Ishikiriama ◽  
Cassiana Koch Scotti ◽  
Flavia Pardo Salata Nahsan
Keyword(s):  
Treatment Planning ◽  
Multidisciplinary Approach ◽  
Clinical Performance ◽  
Gingival Tissue ◽  
Advanced Treatment ◽  
Tooth Color ◽  
Anterior Teeth ◽  
Appropriate Treatment ◽  
Minimum Wear

<p>The presence of diastema, between anterior teeth, distorts a pleasing smile by concentrating the observer’s attention on the spaces. The patient’s needs and expectations must be considered in the process of treatment planning to ensure satisfaction with the treatment outcomes. There are many forms of therapy that can be used for diastema closure. A carefully developed diagnosis, which includes a determination of the causal elements and advanced treatment planning, allows the most appropriate treatment to be selected for each case. The aim of this paper is present a multidisciplinary approach as a solution to multiple diastemas in the anterior region using gingival tissue recontouring and direct adhesive restorations, with minimum wear of the dental structure, after the orthodontic intervention discussing the minimal intervention to obtain imperceptive and aesthetic final restoration. Thirty-six months after the treatment was carried out, the final aesthetic was maintained with all dental element details and gingival tissue harmony, without recurrence of periodontal pockets and the preservation of the tooth color and shape. </p>

scholarly journals A comparison of anterior teeth color among Polish, Saudi and Taiwanese students of dentistry

2016 ◽  
Vol 126 (3) ◽  
pp. 134-137 ◽  
Author(s):  
Mosa Alrifai ◽  
Hassan Alharby ◽  
Joanna Zubrzycka-Wróbel ◽  
Renata Chałas
Keyword(s):  
Dental Students ◽  
Tooth Color ◽  
Saudi Students ◽  
Patients Satisfaction ◽  
Anterior Teeth ◽  
Medical University ◽  
Esthetic Dentistry ◽  
Shade Guide

Abstract Introduction. Color of teeth is undoubtedly one of the most important factors considering patients’ satisfaction with the quality of their restoration, especially in the anterior region of the mouth. Therefore, the determination of color is an integral part of esthetic dentistry and therefore it should be given the highest importance in dentistry in order to achieve the esthetic requirements of patients. Aim. The aim of this study was to evaluate tooth color in 3 different ethnic groups and its relationship with gender and type of tooth using a clinical spectrophotometer. Material and methods. A total of 90 dental students of the Medical University of Lublin was divided into three groups of 30 each according to participant’s ethnicity, which was as follows: Polish, Saudi Arabian and Taiwanese. Then, different divisions were made according to gender as well as the type of teeth. The tooth color was identified by spectrophotometer. The data was statistically analyzed. Results. For the Vita Classical shade guide, A3.5 shade was the most frequently chosen in Taiwanese and Saudi students’ teeth. However, the most common shade observed for the anterior teeth of Polish students was A3. The most common shade among males was A3.5 and in females A3 was the most frequent shade. In all 360 central incisors, overall, the most common shades noticed were A2, D3 and C1. In all 360 lateral incisors, D3, A3 and A2 were the most frequent shades for this group of teeth. In all 360 canines, A3.5 and A3 were the most common shade with almost half of the number of canines in this study was measured with A3.5. Conclusions. Based on the performed preliminary research, it was observed that Polish students tend to have brighter teeth than Saudis which in turn have even brighter teeth than Taiwanese students. It was also noted that men are more likely to have darker shade values than women. Central incisors have higher values of tooth color than lateral incisors and canines.

Surgical/orthodontic management of a large mandibular odontogenic keratocyst (OKC)

Dental Update ◽  
2019 ◽  
Vol 46 (5) ◽  
pp. 473-479
Author(s):  
Amarpreet Atwal ◽  
Hannah Cottom ◽  
Peter Doyle ◽  
Jonathan Sandler
Keyword(s):  
Case Report ◽  
Treatment Planning ◽  
Clinical Relevance ◽  
Multidisciplinary Approach ◽  
Odontogenic Keratocyst ◽  
Radiographic Examination ◽  
Optimal Care ◽  
The Third ◽  
Appropriate Treatment ◽  
General Dental Practitioner

The odontogenic keratocyst (OKC) is the third most common cyst of the jaw. OKCs are benign developmental cysts that are often locally destructive and large at presentation. They are usually identified during radiographic examination and require appropriate treatment planning to ensure optimal care. We present a very challenging case of a 12-year-old boy with a large mandibular OKC. The roots of several teeth were displaced, with both LR3 and LR5 unerupted and severely malpositioned. A multidisciplinary approach was therefore essential in view of the complexity, with joint planning and close liaison of treatment between the surgeon, orthodontist and general dental practitioner (GDP). This was fundamental to ensure the best possible outcome was achieved for the patient. CPD/Clinical Relevance: This case report aims to increase awareness of OKCs to GDPs and outlines the surgical, orthodontic and restorative challenges faced in the management of such cases.

scholarly journals Aesthetic Rehabilitation in Teeth with Wear from Bruxism and Acid Erosion

2018 ◽  
Vol 12 (1) ◽  
pp. 486-493
Author(s):  
Pamella Tomazi Godoy de Oliveira ◽  
Deise Caren Somacal ◽  
Luiz Henrique Burnett Júnior ◽  
Ana Maria Spohr
Keyword(s):  
Joint Pain ◽  
Multidisciplinary Approach ◽  
Treatment Plan ◽  
Dental Erosion ◽  
Gingival Tissue ◽  
Clinical Report ◽  
Functional Disorder ◽  
Time Intervals ◽  
Anterior Teeth ◽  
Ceramic Restorations

Background:Bruxism is defined as a repetitive activity of grinding the teeth through lateral or protrusive movements of the mandible, and it is considered the most complex and destructive functional disorder. In addition, erosion caused by diet or reflux can damage the remaining teeth.Objective:In this report, a patient with bruxism and dental erosion was treated with a multidisciplinary approach to restore the function and aesthetic.Methods:This clinical report describes the management of an adult woman, 33 years old, who was dissatisfied with the aesthetics of her smile and complained of joint pain and headaches. As result of her condition, the patient’s dentition exhibited generalized wear on the vestibular and incisal surface of the upper incisors incompatible with her age, moderate darkening of the teeth and excess gingival tissue in the upper incisors. After a detailed anamnesis and clinical examination, a diagnosis of bruxism and acid erosion caused by a diet rich in citrus foods and beverages was obtained. Forthwith, a treatment plan was established, and the patient underwent home bleaching, gingivoplasty and ceramic laminates of lithium disilicate on the anterior teeth. After the rehabilitation was completed, a night guard was made to reduce the symptoms of bruxism and avoid fracture of the ceramic restorations. The patient was followed at different time intervals.Conclusion:The improvement in the aesthetics of the teeth was significant and remained stable after periodic controls in which no adverse effects were observed.

scholarly journals Periodontal approach of impacted and retained maxillary anterior teeth

2018 ◽  
Vol 21 (2) ◽  
pp. 204
Author(s):  
N. Henner ◽  
M. Pignoly ◽  
A. Antezack ◽  
V. Monnet-Corti
Keyword(s):  
Multidisciplinary Approach ◽  
Surgical Techniques ◽  
Radiographic Examination ◽  
Orthodontic Anchorage ◽  
Periodontal Health ◽  
Anterior Teeth ◽  
Appropriate Treatment ◽  
Close Cooperation ◽  
Periodontal Plastic Surgery

Treatment of the impacted and retained teeth is a multidisciplinary approach involving close cooperation between periodontist and orthodontist. Clinical and radiographic examination leading subsequently to diagnosis, remain the most important prerequisites permitting appropriate treatment. Several surgical techniques are available to uncover impacted/retained tooth according to their position within the osseous and dental environment. Moreover, to access to the tooth and to bond an orthodontic anchorage, the surgical techniques used during the surgical exposure must preserve the periodontium integrity. These surgical techniques are based on tissue manipulations derived from periodontal plastic surgery, permitting to establish and maintain long-term periodontal health.

scholarly journals Restoration of Anterior Esthetics and Function through Interdisciplinary Approach

2012 ◽  
Vol 2 (2) ◽  
pp. 43-46
Author(s):  
Mridula Nilesh Joshi ◽  
Vrushali Pavan Abhyankar ◽  
Nilesh Vaman Joshi
Keyword(s):  
Treatment Planning ◽  
Interdisciplinary Approach ◽  
Gingival Tissue ◽  
Restorative Treatment ◽  
Anterior Teeth ◽  
Natural Teeth ◽  
Long Term Prognosis ◽  
And Function ◽  
Interdisciplinary Intervention

ABSTRACT Smile is an integral part of dentistry. Patients come with the prime aim of achieving esthetics. The dentist may preserve or alter the relationships of the visible components of the oral region to give the desired esthetic result. But, it is our responsibility to attain this result through a scientifically based and thoroughly planned treatment. The appearance of gingival tissue surrounding the teeth plays an important role in the esthetics of anterior region. Abnormities in symmetry and contour can significantly affect the harmonious appearance of natural or prosthetic dentition. There are a variety of cases of teeth wear, wherein interdisciplinary intervention is essential. Also the factor causing severe wear of natural teeth must be identified and eliminated, or reduced before attempting restorative treatment to improve long-term prognosis of restorative treatment. This article deals with a case of anterior teeth wear, stressing upon diagnosis, treatment planning and progression of treatment with regards to perio-prostho esthetics. How to cite this article Joshi MN, Abhyankar VP, Joshi NV. Restoration of Anterior Esthetics and Function through Interdisciplinary Approach. J Contemp Dent 2012;2(2):43-46.

scholarly journals Functional and Esthetic Rehabilitation with In-Ceram Alumina and Zirconia System: A Multidisciplinary Approach

2011 ◽  
Vol 12 (1) ◽  
pp. 68-72 ◽  
Author(s):  
Adriana Cristina Zavanelli ◽  
José Vitor Quinelli Mazaro ◽  
Sandra Rahal Mestrener ◽  
Recardo Alexandre Zavanelli
Keyword(s):  
Multidisciplinary Approach ◽  
Color Change ◽  
Gingival Tissue ◽  
System A ◽  
Dental Esthetics ◽  
Anterior Teeth ◽  
All Ceramic ◽  
Natural Dentition ◽  
Periodontal Plastic Surgery ◽  
Single Crowns

ABSTRACT The development of all-ceramic systems following metalceramics restorations allowed simulation of natural dentition due to favorable esthetics and resistance. In-Ceram is an alternative when esthetics is primordial as well as resistance required in rehabilitation. However, an ideal smile is associated to not only shape, color, texture and translucency but also harmony with gingival tissue. So, the aim of this study is to report a clinical case based on periodontal and fixed partial dentures principles to perform periodontal plastic surgery followed by esthetic rehabilitation. A female patient, 40-year-old, presented complaint about dental esthetics. After clinical and radiographic exams, metal-ceramics crowns (teeth 11, 12, 13, 21, 22 and 23) were considered unsatisfactory due to marginal leakage, color change in gingival tissue associated to metallic margin, and gummy smile. So, a crown lengthening surgery of anterior teeth was performed followed by rehabilitation of superior teeth with In- Ceram single crowns. Clinical significance The interaction between periodontics and fixed prosthodontic area is the key of an adequated treatment planning which involves gingival smile to provide function and an esthetic condition in association with an esthetic, resistant and predictable material. How to cite this article Zavanelli AC, Mazaro JVQ, Mestrener SR, Zavanelli RA. Functional and Esthetic Rehabilitation with In-Ceram Alumina and Zirconia System: A Multidisciplinary Approach. J Contemp Dent Pract 2011;12(1):68-72.

Parâmetros para determinar o comprimento dos dentes anteriores superiores em pacientes edêntulos

2020 ◽  
Vol 9 (35) ◽  
pp. 8-13
Author(s):  
Franciele Floriani ◽  
Gabriela Panca Sabatini ◽  
Tarla Oliveira ◽  
Mauricio Badaró ◽  
Analucia Gebler Philippi ◽  
...  
Keyword(s):  
Anterior Teeth ◽  
Para Determinar

This article describes the main aspects that must be observed during the determination of the length of the upper anterior teeth.

scholarly journals Descriptive Study of the Different Tools Used to Evaluate the Adherence to a Gluten-Free Diet in Celiac Disease Patients

Nutrients ◽  
2018 ◽  
Vol 10 (11) ◽  
pp. 1777 ◽  
Author(s):  
Luis Rodrigo ◽  
Isabel Pérez-Martinez ◽  
Eugenia Lauret-Braña ◽  
Adolfo Suárez-González
Keyword(s):  
Celiac Disease ◽  
Multidisciplinary Approach ◽  
Descriptive Study ◽  
Duodenal Mucosa ◽  
Gluten Free Diet ◽  
Gluten Free ◽  
Autoimmune Process ◽  
Duodenal Biopsies

Celiac disease (CD) is a genetically conditioned autoimmune process that appears in susceptible people. It can affect people of any age, and slightly predominates in females. It has a fairly homogenous global distribution, with an average prevalence of 1–2%, the frequency having increased in recent decades. The only effective treatment is a strict and permanent gluten-free diet (GFD), although the level of compliance is poor, at about 50% of cases. To monitor the effectiveness of the GFD, several procedures involving various approaches are employed: (a) Periodic visits by expert Nutritionists; (b) Clinical follow-up; (c) Serological time controls of specific antibodies; (d) Serial endoscopies with collection of duodenal biopsies; (e) Use of structured questionnaires; and (f) Determination of gluten peptides derived from gluten in faeces and/or urine. All of these procedures are useful when applied, alone or in combination, depending on the cases. Some patients will only need to consult to their doctors, while others will require a multidisciplinary approach to assess their compliance with the GFD. In children, normalization of duodenal mucosa was achieved in 95% of cases within two years, while it is more delayed in adults, whose mucosa take longer time (3–5 years) to heal completely.

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