scholarly journals Contribution to the study of improving the aesthetics of the smile by repairing and reshaping the incisors with composite materials.

2021 ◽  
Vol 4 (1) ◽  
pp. 25-30
Author(s):  
Alexandra Mihaela Stoica ◽  
Oana Elena Stoica ◽  
Csinszka Kovacs-Ivacson ◽  
Monica Dana Monea

Abstract Introduction. Dental aesthetics, although it seems something relative and difficult to evaluate, it is governed by a series of laws and rules that connect the dental disciplines, creating a unitary whole. It is structured by rules, perfected by artistic sense and by the inclination towards beauty of all specialists in dento-facial cosmetics. The aim of the study is to highlight an overview of aesthetic factors to consider when restoring anterior teeth with direct composite materials. Material and methods. A total of 25 patients were included in the study where the anterior teeth were restored using Gradia Direct Anterior (from GC) and Filtek Z550 (from3M-ESPE) composite kits, in perfect isolation using rubber damn, with a separate appointment after 24 hours for the polishing step, for which Rainbow Kit Technic and polishing Platina Hi-Gloss (from Prevest) paste were used. While the replacement of the tooth defect, we ensured that the composite increment, which we used should not be more than 2mm in thickness, and light cured for 20 seconds as the producer recommends. In none of all tooth shape modification (elongation in incisal zone) we did not modify the occlusion, by eliminating all premature contacts. All patients included in the study have signed the informed consent and agreed to participate in this research. Results. From a total of 25 patients, we repaired 20 central incisors with the mesial (18 cases) or distal (2 cases) angles fractured, in different accidents, 5 cases with diastema by small shape of the crown or malposition of one of the central incisors. Conclusions. Restoring the incisal angle or the incisal edge and refining a natural and improved smile of the patient is e very frequent dental intervention, especially nowadays when aesthetics plays an important role in the social society.

Author(s):  
Steve Bruce

It is right that social researchers consider the ethical implications of their work, but discussion of research ethics has been distorted by the primacy of the ‘informed consent’ model for policing medical interventions. It is remarkably rare for the data collection phase of social research to be in any sense harmful, and in most cases seeking consent from, say, members of a church congregation would disrupt the naturally occurring phenomena we wish to study. More relevant is the way we report our research. It is in the disparity between how people would like to see themselves described and explained and how the social researcher describes and explains them that we find the greatest potential for ill-feeling, and even here it is slight.


2017 ◽  
Vol 74 (6) ◽  
pp. 520-525 ◽  
Author(s):  
Vlatka Lajnert ◽  
Daniela Kovacevic-Pavicic ◽  
Hrvoje Pezo ◽  
Aleksandra Stevanovic ◽  
Tatjana Jovic ◽  
...  

Background/Aim. Dental appearance plays an important role in practically all personal social interactions. The main factors that define the dental appearance are tooth colour, shape and position, quality of restoration, and the general position of the teeth in arch, especially in the anterior region. The aim of this study was to evaluate the impact of dental status (tooth shape, fracture, dental and prosthetic restorations and presence of plaque) on patient''s satisfaction with the dental appearance, controlling for the age and gender. Methods. A total of 700 Caucasian subjects (439 women) aged 18?86 (median 45 years) participated in the cross-sectional study. Study included clinical examination and self-administrated questionnaire based on selfperceived aesthetics and satisfaction with the appearance of their maxillary anterior teeth. Results. A regression analysis demonstrated that presence of dental plaque, tooth fracture, composite fillings and crowns had significant independent contribution and were negative predictors of satisfaction with teeth appearance. Participants with presence of plaque on upper teeth (p < 0.001), fractures (p = 0.005), composite fillings (p < 0.001) and crowns (p = 0.032) were less satisfied than those without it. Model explains 12% or variance of general satisfaction with the appearance of maxillary frontal teeth (p < 0.001) and the major contributors are composite fillings (5.3%) and plaque (3.2%). Tooth shape, age and gender were not significant predictors of satisfaction. Conclusion. Satisfaction with the teeth appearance is under the influence of many factors with significant negative influence of presence of dental plaque, fractures, composite restorations, and crowns.


1992 ◽  
Vol 19 (4) ◽  
pp. 311-317 ◽  
Author(s):  
F. J. T. Burke ◽  
W. C. Shaw

Alongside orthodontic treatment, tooth shape modification may he indicated Jar teeth associated with clefts of the lip and alveolus, and in non-carious teeth, minimal tooth preparation techniques appear to be most appropriate. Two methods of tooth shape modification are described. In one, hybrid composite materials, bonded to tooth enamel using the acid-etch technique, may be considered to provide a permanent, low cost, aesthetically satisfactory result, often without tooth preparation and with minimal operating time. Alternatively, indirect veneers may be appropriate for treatment of more severely malformed teeth.


2008 ◽  
Vol 89 (4) ◽  
pp. 571-577 ◽  
Author(s):  
Ruth Landau

This article reviews ethical issues and dilemmas that arise from the dual roles of the social work researcher: as scientist and as someone who cares for individuals and groups in distress while exercising social control. There is a fair amount of tension between the roles of social worker and social work researcher due to a lack of clear boundaries of the researcher's function. The ethical dilemmas may vary with the framework in which the research is conducted, the participants, and social work researchers themselves. The current article focuses on issues of informed consent, expectations, and anxieties of the research participants, and ethical dilemmas. It ends with suggestions for ethical social work research.


2021 ◽  
Vol 11 (4) ◽  
pp. 215-224
Author(s):  
Prakash Gondode ◽  
◽  
Amrusha Raipure ◽  
Bhuvaneswari Balasubramanian ◽  
Abhinav Lambe ◽  
...  

Background: We assessed knowledge, attitudes, practice, and perceptions about COVID-19 among a convenience sample of the general public in India anticipating the second wave of the pandemic. Methods: This questionnaire-based survey was conducted among the general population quarantined at various institutional quarantine facilities in the city of Nagpur, Maharashtra, India. Informed consent was obtained from each participant. The self-designed questionnaire comprised 25 questions regarding knowledge, eight for attitude, and ten for practice. Knowledge questions were responded to on a Yes/No basis with an additional ‘don’t know’ option. The true answer was given 1 point and false/I don’t know answers were given 0 point. Results: The majority of the participants were aware of COVID-19 (97.9%) and did not either wash or knew how to properly dispose of the used mask (88.02%). Only 10.96% of the participants agreed that they verify the social media posts shared over WhatsApp and Facebook on government authentic websites before sharing them with family and friends. Conclusion: Awareness about the virus, modes of spread, good practice, and an optimistic attitude is the prime requisite to curb the spread and to avoid the impending severity anticipating the second wave of the pandemic.


Author(s):  
Janett Powietzka ◽  
Christoph Stallmann ◽  
Enno Swart

ABSTRACT ObjectivesThe German GNC-Health Study (GNC) will have duration of at least ten years and will compile medical examinations, biomaterials and computer assisted interviews of intended 200.000 participants (funding code: 01ER1301A). For the first time, this data collection will be supplemented with a multitude of administrative and claims data such as data of statutory health insurance funds, statutory pension funds as well as the Federal Employment Agency. The GNC extends this field of research to private health insurance funds, epidemiologic and clinical cancer and mortality registers. This supplementary use of claims data is strictly regulated by legal requirements. The challenges and solutions for scientific use of such data in Germany will be described. ApproachThe Social Security Code and data protection rules govern the scientific use of administrative data. These rules include requirements for the wording of important documents such as informed consent, release from confidentiality, participants’ information, data protection concept etc. and often an authorization process by the supervisory authority of the data owner. These complex tasks, which are time consuming costly and labour intensive, are tied into the GNC-Competence Network for secondary and registry data (CNSRD). ResultsThe GNC-CNSRD has helped to formulate legal informed consent for each data source, which describes the use of the information provided by the participants, as well as the period and limitation of its retro- and prospective use. Furthermore, only the GNC-trust agency is allowed to save the social security number but not the local study center. The modular consent process and the IT- and data protection concept of the GNC is a prototype to enable the large scale use of administrative and claims data of future epidemiologic studies in Germany. ConclusionUnfortunately, one of the biggest obstacles for the scientific use of administrative and claims data still remains unsolved. The application for data use at the local supervisory authority of the data owner requires the description and limitation of the research question and the period of use of this data. This is in conflict with the modern longitudinal design of GNC because it wants to establish a research structure and data base in order to answer a variety of future and unspecified research questions. Hence, current legal requirements in Germany prevent the full utilization of the potential of administrative and claims data. Therefore, the German Federal Commissioner for Data Protection and Freedom of Information recommended an amendment to the social law.


2015 ◽  
Vol 5 (2) ◽  
pp. 70-72
Author(s):  
Nitin Agarwal ◽  
Debanti Giri ◽  
Saurabh Mathur ◽  
Kirti Agarwal

Dental fusion also called ‘synodontia’ is a rare dental developmental anomaly in which the union of two independently developing primary or permanent tooth buds occurs. Tooth fusion is defined as union between the dentin and / or enamel of two or more separate developing teeth. The fusion may be partial or total depending upon the stage of tooth development at the time of union. The etiology of fusion is still unclear. The overall prevalence of the tooth fusion is approximately 0.5%. Fusion may be unilateral or bilateral and most often occurs in primary teeth with more predilections for anterior teeth. Clinically fused anterior teeth frequently have a groove or notch on the incisal edge that goes in buccolingual direction and radiographically, the dentin of fused teeth always appears to be joined in some region with separate pulp chambers and canals. Hence the cases of fusion of permanent teeth in different ages are presented.Bangladesh Journal of Dental Research and Education Vol.5(2) 2015: 70-72


2018 ◽  
Vol 6 (2) ◽  
pp. 127-134
Author(s):  
Redha Fauzana ◽  
Emriadi Emriadi ◽  
Eni Rahmi

Smile is one of the facial expression that are essential in expressing friendliness, agreement, and appreciation. Most patients that come to dentist to have treatment for an attractive smile. One of the component to make an attractive smile is smile arch. Smile arch have been the interest of the orthodontist in recent years. Smile arch is the relationship between a hypothetical curve drawn along the edges of the maxillary anterior teeth and the inner contour of the lower lip in smile. This study was to differ male and female’s smile type base on smile arch. This study was to evaluate of smile type based on smile arch with gender. A total of 31 females and 31 males were selected among criteria inclusion. Photographs taken with digital camera showing the subjects with a posed smile were used for this study and Adobe photoshop used to determine the smile arch. Student Mann Whitney test were used for statistical analysis. The resulting data showed that significantly difference (p<0,05) between smile arch and gender. The most common female’s smile are parallel smile (64.5) and male’s smile are straight smile (51.6%). In this study concluded that the curvature of the incisal edge anterior maxilla appears to be more pronounced or parallel for woman than for a men.


2021 ◽  
pp. 146531252110348
Author(s):  
Eman Ajrash ◽  
Andrew T DiBiase ◽  
Nikolaos Pandis ◽  
Martyn T Cobourne ◽  
Jadbinder Seehra

Objective: To assess orthodontic clinicians’ knowledge and attitudes towards dentogingival aesthetics and to explore characteristics that predict the knowledge of dentogingival aesthetics. Design: Cross-sectional questionnaire Setting: On-line survey of members of the British Orthdontic Society. Materials and Methods: An 11-item online questionnaire was sent to orthodontic practitioners for completion. The questionnaire covered respondent demographics and questions relating to both knowledge and attitudes towards dentogingival aesthetics (six parameters). Descriptive statistics were calculated for study characteristics and summary values for the survey items. Responses to the eight knowledge-based questions were converted to a binary outcome (correct and incorrect answer). The maximum score that could be achieved was eight. Multivariable modelling was used in order to examine associations between the study characteristics and the aggregate score. Results: A total of 252 responses were obtained resulting in a response rate of 17%. Within this cohort, the respondents were primarily women (52.8%) and aged 30–40 years (35.7%). The mean score for the eight knowledge-based questions was 3.8 ± 1.8 (range = 0−8). Knowledge of the ideal gingival margin position of the anterior teeth was high (92.4%). Knowledge of the other five dentogingival aesthetic parameters was variable. In the multivariable analysis, lower knowledge scores were predicated by respondents who did not have a special interest in dental aesthetics (−0.54; 95% confidence interval [CI] = −1.01 to −0.07; P = 0.02), who could not recall attending courses, lectures or seminars on dental aesthetics in the past five years (−0.80; 95% CI = −1.43 to −0.17; P = 0.01) and with increasing age (−0.43; 95% CI = −0.62 to −0.23; P < 0.001). Conclusion: Knowledge of ideal dentogingival parameters is generally suboptimal among orthodontists in the UK. The reported lack of knowledge of the ideal dentogingival parameters may also influence respondents’ attitudes towards the importance of dentogingival aesthetics. Further teaching or courses related to dentogingival aesthetics is desired by orthodontic clinicians.


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