scholarly journals Multidisciplinary Treatment after Orthodontics: Crown Lengthening and Dental Whitening in the Final Aesthetic Resolution of Smile

2020 ◽  
Vol 24 (4) ◽  
pp. 402-409
Author(s):  
Thais Akemi Sako ◽  
Geórgia Rondó Peres ◽  
Diego Oliveira Bavaresco ◽  
Danielle Gregorio ◽  
Larissa Sgarbosa de Araujo Matuda ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Correct Diagnosis ◽  
Multidisciplinary Treatment ◽  
Invasive Procedure ◽  
Tooth Bleaching ◽  
Tooth Whitening ◽  
The Aesthetic ◽  
Smile Aesthetics ◽  
Dental Whitening ◽  
The Relationship

Após a conclusão do tratamento ortodôntico, os pacientes começam a se preocupar com outros fatores estéticos para garantir um sorriso harmonioso, sendo mais exigentes com a aparência. Além de dentes alinhados e harmoniosos, os pacientes estão em busca de um sorriso mais branco, se tornando cada vez mais exigentes com a aparência, cabendo ao dentista atender a essas necessidades. Um outro fator que pode tornar o sorriso antiestético é a presença de dentes curtos, que resulta em exposição excessiva da gengiva e um sorriso com aspecto mais infantil, e que muitas vezes é percebido apenas a finalização do tratamento ortodôntico. O objetivo do presente estudo foi revisar o tratamento estético do sorriso após ortodontia, associando cirurgia periodontal para aumento de coroa clínica e clareamento dental. O sorriso gengival pode ser corrigido integrando várias especialidades odontológicas devido às suas inúmeras causas, podendo ser indicada a realização de procedimentos cirúrgicos, ortodônticos ou restauradores. Quanto ao amarelamento dos dentes, uma das técnicas utilizadas é o clareamento dental, que consiste num procedimento pouco invasivo, indicado na maioria dos casos de manchas extrínsecas. O clareamento pode ser caseiro ou de consultório, mas em ambos os casos, o cirurgião-dentista precisa dominar a técnica. Nesse contexto, cabe ao ortodontista identificar e diagnosticar essas necessidades do paciente e encaminhá-lo para outros especialistas. Em conclusão, para alcançar os resultados esperados pelo paciente são imprescindíveis uma boa anamnese, um correto diagnóstico e o planejamento multidisciplinar do caso. Portanto a inter-relação das especialidades é imprescindível a fim de obter resultados satisfatórios e agradáveis ao paciente.   Palavras-chave: Periodontia. Gengivectomia. Estética Dentária. Sorriso. Clareamento Dental.   Abstract After the end of orthodontic treatment, patients become more rigorous with their appearance and worry about other aesthetic factors to ensure a harmonious smile. In addition to aligned and harmonious teeth, patients are looking for a whiter smile, becoming more and more rigorous with their appearance, leaving the dentist to meet these needs. Another factor that can impair smile aesthetics is the presence of short teeth, which results in an overexposure of the gum and a smile with a more childlike aspect, and that it is often perceived only at the end of orthodontic treatment. The aim of the present study was to review the aesthetic treatment of the smile after orthodontics, associating periodontal surgery to increase the clinical crown and tooth whitening. Aesthetics is the relationship between several factors. The gummy smile can be corrected by integrating several dental specialties, due to its numerous causes, and surgical, orthodontic or restorative procedures may be indicated. For tooth whitening, one of the techniques most indicated is dental bleaching, which consists of a minimally invasive procedure, indicated in most cases of extrinsic stains. The whitening can be made at home or in office, but in both cases, the dentist needs to master the technique. In this context, it is up to the orthodontist to identify and diagnose these needs of the patient and refer him to other specialists. In conclusion, a good anamnesis, a correct diagnosis and multidisciplinary case planning are essential to achieve the results expected by the patient. Therefore, the interrelationship between specialties is important in order to obtain satisfactory and pleasant results for the patient.   Keywords: Periodontics, Gingivectomy, Esthetics, Smiling. Tooth Bleaching.

scholarly journals The “Prosthetic Orthodontic Approach”: An Application of the Biologically Oriented Preparation Technique Protocol

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Luca Casula
Keyword(s):  
Orthodontic Treatment ◽  
Multidisciplinary Treatment ◽  
Preparation Technique ◽  
Functional Rehabilitation ◽  
Gingival Health ◽  
Wide Range ◽  
Occlusal Vertical Dimension ◽  
The Aesthetic ◽  
Orthodontic Extrusion ◽  
And Function

In this study, three cases involving patients who required multidisciplinary treatment for the aesthetic and functional rehabilitation of the maxillary or mandibular arch are described. In particular, an indication for preprosthetic orthodontic treatment, such as orthodontic extrusion, tooth realignment, correction of malocclusion, and diastemata closure, was present in all cases. Preprosthetic orthodontic treatment to resolve these issues before the restorative procedures was proposed; however, all patients refused preprosthetic orthodontic treatment. Thus, to restore aesthetics and function, solely a feather-edge prosthetic protocol has been used. The biologically oriented preparation technique was used to prepare the teeth that were moved in the established direction by preparing the abutment more on one side than the opposite. This so called “prosthetic orthodontic approach” allowed resolving clinical issues that would typically require preprosthetic orthodontic treatment, such as complete clinical crown loss, occlusal vertical dimension loss, tooth misalignment, malocclusion, tooth agenesis, and severe multiple diastemata. The degree of reciprocal movement of the prepared teeth achievable through this approach was minor and not comparable to a traditional wide-range orthodontic movement. Besides, the technique resulted in a modification of the gingival tissues and improvement of their thickness although it is unclear what effect this technique has on the gingival biotype. None of the patients had prosthetic or periodontal complications for at least 12 months following the procedure. Gingival health was excellent, and the prosthetic procedure did not affect the pulp survival of the vital teeth. The biologically oriented preparation technique used with a prosthetic orthodontic approach can effectively manage complicated cases without the need for preprosthetic orthodontics.

Aesthetic Crown Lengthening for Gummy Smile Treatment Related to Altered Passive Eruption: A Case Report

2020 ◽  
Vol 23 (2) ◽  
pp. 28-33
Author(s):  
Indira Apriantika ◽  
Agung Krismariono
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Patient Treatment ◽  
Treatment Results ◽  
Dental Hospital ◽  
Proper Diagnosis ◽  
The Aesthetic ◽  
Smile Aesthetics ◽  
Crown Lengthening ◽  
Gummy Smile

A healthy and beautiful smile can affect appearance and confidence. One of the aesthetic problems in dentistry that is often complained of by patients is excessive gingival display (gummy smile). The excessive gingival display can be caused by several factors, one of which is altered passive eruption (APE). One of the treatments to correct gummy smile related to APE is crown lengthening. Crown lengthening can be with bone reduction (gingivectomy with bone reduction) or without bone reduction (gingivectomy). Crown Lengthening with bone reduction is a surgical procedure that aims to maintain the dentogingival complex and to improve smile aesthetics. The purpose of this case report is to determine the crown lengthening with bone reduction (gingivectomy with bone reduction) procedure as a gummy smile treatment related to APE .A23-year-old female patient, came to Dental Hospital of Universitas Airlangga with complaints of her upper gum which not in the same length and the teeth looked short, she considered her smile was less aesthetic. After conducting analyses relating to aesthetics and periodontal tissue, crown lengthening with bone reduction was chosen for this patient treatment. The treatment results are quite good, visible gingival margins that matched the gingival zenith and improved patient's smile profile. APE as the etiology of patient's gummy smile can be corrected. There are no post-surgical complications such as excessive pain and infection. A proper diagnosis, treatment plan, and good techniques can produce a harmonious smile on the patient.

Reabilitação estética de incisivo central superior severamente escurecido

2020 ◽  
Vol 12 (45) ◽  
pp. 91-96
Author(s):  
Washington José Batista das Neves ◽  
João Paulo Alves da Silva Aguiar ◽  
Jamile Menezes de Souza ◽  
Evandro Augusto Feitosa de Lima Amorim ◽  
Marlus da Silva Pedrosa ◽  
...  
Keyword(s):  
Clinical Case ◽  
Tooth Whitening ◽  
Human Eye ◽  
Self Confidence ◽  
The Face ◽  
Natural Dentition ◽  
Dental Whitening

Dental unit darkening is the cause of aesthetic complaint by the patient, mainly because it is easily noticed by the human eye. Tooth whitening and ceramic veneers allow aesthetic rehabilitation in a pattern of visual equality to the natural dentition, by restoring teeth color and shape symmetry, bringing to the face a harmonious impact that is reflected in the entire set that composes it. By recovering teeth healthy appearance, this association of procedures restores people’s self-confidence. This study reports a clinical case of an esthetic management for darkened tooth 21, describing the sequence of techniques association of dental whitening and ceramic veneer to achieve aesthetics balance, showing the advantages and limitations of these procedures.

MAKOTO AS THE INITIAL PRINCIPLE OF THE ETHICAL AND AESTHETIC BELIEFS OF THE JAPANESE

2020 ◽  
pp. 126-138
Author(s):  
M. P. Gerasimova ◽  
Keyword(s):  
Moral Obligation ◽  
Driving Factors ◽  
Chinese Characters ◽  
Spiritual Values ◽  
Conceptual Apparatus ◽  
Hieroglyphic Writing ◽  
The Aesthetic ◽  
The Relationship ◽  
Aesthetic Ideal

Makoto (まこと, lit.: truth, genuineness, reality, “realness”) is an element of the conceptual apparatus of the traditional worldview of the Japanese. In Japan, it is generally accepted that makoto is a philosophical and aesthetic concept that underlies Japanese spirituality, involving among other principles understanding of the order and laws of the truly existing Universum (shinrabansho̅; 森羅万象) and the universal interconnectedness of things (bambutsu ittai; 万物一体), the desire to understand the true essence of everything that person meets in life, and, unlike other spiritual values, is purely Shinto in origin. After getting acquainted with the Chinese hieroglyphic writing three Chinese characters were borrowed for the word makoto. Each of these characters means truthfulness, genuineness, but has its own distinctive nuances: 真 means truth, authenticity, truthfulness, 実 signifies truth, reality, essence, content, and 誠 again means truthfulness, sincerity, and truth. Makoto (“true words”) and makoto (“true deeds”) imply the highest degree of sincerity of words and honesty, correctness of thoughts, actions, and deeds. The relationship “true words — true deeds” can be seen as one of the driving factors of moral obligation, prompting everyone in their field, as well as in relations between people, to strive to be real. This desire contributed to the formation of a heightened sense of duty and responsibility among the Japanese, which became a hallmark of their character. However, makoto has not only ethical connotation, but aesthetic one as well, and can be considered as the basis on which were formed the concept of mono no aware (もののあ われ、 物の哀れ) and the aesthetic ideal of the same name, that became the first link in the chain of japanese perceptions of beauty. Each link in this chain is an expression of a new facet of makoto, which was revealed as a result of certain elements of the worldview that came to the fore in the historical era.

Vital Tooth Whitening Techniques. A literature Review

2020 ◽  
Vol 02 ◽  
Author(s):  
Pia Chatterjee Kirk
Keyword(s):  
Soft Tissues ◽  
Treatment Time ◽  
Tooth Bleaching ◽  
Tooth Whitening ◽  
Easy Method ◽  
Tooth Structure ◽  
Dental Esthetics ◽  
Total Treatment Time ◽  
Restorative Materials ◽  
Total Treatment

Background: Vital tooth whitening has become an integral part of esthetic dentistry and remains one of the safest and most economic options today to improve dental esthetics without removing tooth structure. The tooth whitening materials have evolved into three categories: dentist-prescribed/dispensed (in office and patient home-use), and over-thecounter purchased and applied by patients. Objective: This review outlines the latest advances in dentist prescribed vital teeth whitening techniques, effects on tooth structure, soft tissues, and dental restoratives. Areas requiring additional research are also discussed. Methods: Electronic and manual literature search was conducted for key words such as tooth bleaching, and dental bleaching techniques using PubMed/MEDLINE, followed by manual selection of the studies that included whitening procedures in vital teeth. Results: The two main whitening agents are carbamide peroxide (CP) and hydrogen peroxide (HP or H2O2) whose concentration, duration of contact, and total treatment time can alter results. In addition, factors including the type of stain, and age of patient can affect results. Although whitening agents can affect tooth structure, restorative materials, and gingival tissues, the changes are temporary or can be treated using minimally invasive techniques. Conclusion: Areas requiring further research include the actual mechanism of whitening, its effect on tooth structure and restorative materials, and the development of an easy method to quantitate the degree of whitening in the dental office.

Idleness and Freedom in Michel de Montaigne’s “Essays”

2019 ◽  
Vol 29 (1) ◽  
pp. 189-202
Keyword(s):  
Intellectual History ◽  
Ancient Rome ◽  
Spiritual Quest ◽  
Guiding Principle ◽  
Sextus Empiricus ◽  
History Of ◽  
Self Knowledge ◽  
The Aesthetic ◽  
The Relationship

The article advances a hypothesis about the composition of Michel de Montaigne’s Essays. Specialists in the intellectual history of the Renaissance have long considered the relationship among Montaigne’s thematically heterogeneous thoughts, which unfold unpredictably and often seen to contradict each other. The waywardness of those reflections over the years was a way for Montaigne to construct a self-portrait. Spontaneity of thought is the essence of the person depicted and an experimental literary technique that was unprecedented in its time and has still not been surpassed. Montaigne often writes about freedom of reflection and regards it as an extremely important topic. There have been many attempts to interpret the haphazardness of the Essays as the guiding principle in their composition. According to one such interpretation, the spontaneous digressions and readiness to take up very different philosophical notions is a form of of varietas and distinguo, which Montaigne understood in the context of Renaissance philosophy. Another interpretation argues that the Essays employ the rhetorical techniques of Renaissance legal commentary. A third opinion regards the Essays as an example of sprezzatura, a calculated negligence that calls attention to the aesthetic character of Montaigne’s writing. The author of the article argues for a different interpretation that is based on the concept of idleness to which Montaigne assigned great significance. He had a keen appreciation of the role of otium in the culture of ancient Rome and regarded leisure as an inner spiritual quest for self-knowledge. According to Montaigne, idleness permits self-directedness, and it is an ideal form in which to practice the freedom of thought that brings about consistency in writing, living and reality, in all of which Montaigne finds one general property - complete inconstancy. Socratic self-knowledge, a skepticism derived from Pyrrho of Elis and Sextus Empiricus, and a rejection of the conventions of traditional rhetoric that was similar to Seneca’s critique of it were all brought to bear on the concept of idleness and made Montaigne’s intellectual and literary experimentation in the Essays possible.

Textual Events

2018 ◽  
Keyword(s):  
Cultural Norms ◽  
Homeric Hymns ◽  
The World ◽  
Real Performance ◽  
Textual Traditions ◽  
The Aesthetic ◽  
The Relationship ◽  
Ritual Practices ◽  
Formal Features

Recent decades have seen a major expansion in our understanding of how early Greek lyric functioned in its social, political, and ritual contexts. The fundamental role song played in the day-to-day lives of communities, groups, and individuals has been the object of intense study. This volume places its focus elsewhere, and attempts to illuminate poetic effects that cannot be captured in functional terms. Employing a range of interpretative methods, it explores the idea of lyric performances as textual events. Several chapters investigate the pragmatic relationship between real performance contexts and imaginative settings. Others consider how lyric poems position themselves in relation to earlier texts and textual traditions, or discuss the distinctive encounters lyric poems create between listeners, authors, and performers. In addition to studies that analyse individual lyric texts and lyric authors (Sappho, Alcaeus, Pindar), the volume includes treatments of the relationship between lyric and the Homeric Hymns. Building on the renewed concern with the aesthetic in the study of Greek lyric and beyond, Textual Events re-examines the relationship between the poems’ formal features and their historical contexts. Lyric poems are a type of sociopolitical discourse, but they are also objects of attention in themselves. They enable reflection on social and ritual practices as much as they are embedded within them. As well as enacting cultural norms, lyric challenges listeners to think about and experience the world afresh.

Affective labour and class distinction in the night-time economy

2021 ◽  
pp. 003802612110063
Author(s):  
Steven Threadgold ◽  
David Farrugia ◽  
Julia Coffey
Keyword(s):  
Symbolic Dynamics ◽  
Urban Areas ◽  
Service Work ◽  
Night Time ◽  
Feminist Analysis ◽  
Consumption Experience ◽  
Gendered Politics ◽  
The Aesthetic ◽  
The Relationship ◽  
Class Distinction

This article contributes to recent debates about the relationship between affective labour and class by exploring the classed distinctions enacted through affective labour in the urban night-time economy. Bringing theories of affective labour into a dialogue with Bourdieusian feminist analysis, the article explores the affective and symbolic dynamics of hospitality labour in a gentrified inner-urban neighbourhood of Melbourne, Australia. It shows how the practice of hospitality labour enacts classed distinctions and tensions emerging from the gentrification of inner-urban areas, and how the aesthetic and symbolic dimensions of class contribute to the valorisation of affect in hospitality venues. The valorisation of affect are processes in which the value attributed to an atmosphere or consumption experience is based on the forms of distinction practised within the venue, enacted in aesthetics, tastes and modes of embodiment. The article also shows how practices of class distinction – both ‘punching up’ and ‘managing down’ – are connected to the gendered politics of service work in the way that workers manage the threat of violence or sexual harassment in venues. In general, the article shows how the classed dynamics of gentrification are enacted in affective economies, and therefore how Bourdieusian analysis of class can be usefully deployed in theoretical debates about affective labour.

scholarly journals Portrait of the artist as a philosopher

2021 ◽  
pp. 105971232199468
Author(s):  
Jeannette Pols
Keyword(s):  
Know How ◽  
The Past ◽  
Aesthetic Practice ◽  
The Creation ◽  
The Aesthetic ◽  
The Relationship

The response asks about the relationship between artist and audience in the RAAAF artworks. Is the artist an Autonomous Innovator who breaches the ties with the past and the environment? Or is the aesthetic practice located in the creation of relationships around these objects, hence expanding the artwork by using know-how, experiences and enthusiasm of the audience/users?

Exploring Tourist Behavior in a Reused Heritage Site

2021 ◽  
pp. 109634802110200
Author(s):  
Yi-Ju Lee ◽  
I-Ying Tsai ◽  
Te-Yi Chang
Keyword(s):  
Behavioral Intention ◽  
Structural Equation ◽  
Aesthetic Experience ◽  
Equation Modeling ◽  
Tourist Behavior ◽  
Heritage Site ◽  
Modeling Analysis ◽  
Heritage Buildings ◽  
The Aesthetic ◽  
The Relationship

This study investigated the relationship among tourists’ perceived sustainability, aesthetic experience, and behavioral intention toward reused heritage buildings by employing stimulus–organism–response theory. There were 354 valid questionnaires collected from the Sputnik Lab in Tainan, Taiwan. A positive correlation was found between tourists’ perception of sustainability and aesthetic experience. When tourists perceived higher aesthetic experience, they also had stronger behavioral intention. Structural equation modeling analysis verified that the aesthetic experience of tourists had mediating effects between perceived sustainability and behavioral intention in the reused heritage space. The reuse of space should be attached significantly to the aesthetic display of space and service so as to promote such scenic spots and increase tourists’ intention to revisit through word of mouth.

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