DIGITAL SMILE DESIGN

2020 ◽  
pp. 296-300
Author(s):  
L.K. ARYKHOVA ◽  
◽  
V.V. BORISOV ◽  
A.V. SEVBITOV

Nowadays, а lot of people require the reconstruction of teeth due to their loss. Before prosthetics or any other manipulations, the person wants to see the aesthetic appearance of his future teeth as soon as possible. So far, many dentists use the verbal explanation to the patient, how a smile will look like or after the treatment the frontal row of teeth, but the visual representation of the person stays away. But now this can be achieved with the help of «Digital smile design», which shows the person the final result of the dental row. This technology has a number of advantages. Some of them are the quick creation of a prototype model and high accuracy in making the work. Due to these, technologies have facilitated communication between a specialist and a patient. Digital smile design has simplified the doctor’s work process and reduced the patient’s data processing time. From now on, achieving aesthetic results in the reconstruction of teeth for the dentist is not a problem.

2018 ◽  
Vol 55 (6) ◽  
pp. 856-864 ◽  
Author(s):  
Andreas Kehrer ◽  
Tim H.J. Nijhuis ◽  
Pál Pesthy ◽  
Sten Willemsen ◽  
René Poublon ◽  
...  

Objective: Our aim was to analyze our technique of a modified rotational advancement in conjunction with buccal mucosal grafts (BMGs) in a subgroup of severe cleft cases. Design: A retrospective clinical and photographic evaluation was conducted. Columella angle (CA) and tip projection (TPR) served as instruments in a photometric analysis. Setting: Academic university hospital and specialized craniofacial cleft center. Patients: At the time of the secondary rhinoplasty, 61 cleft patients were included, all 17 years or older. Interventions: Rotational advancement with usage of BMGs was performed in selected cases by a single surgeon. Main Outcome Measures: Nasal symmetry and aesthetic appearance. Results: From 2003 to 2011, 29 unilateral severe cleft cases (group I) underwent a modified alar rotational advancement with BMGs. Group II, with 32 cases, represented patients without BMGs. Technique and management of BMGs were described in detail. The complication rate of donor and recipient site presented as very low. The CA was improved significantly in both groups. Also, TPR improved (not significantly) in group I. Using our technique, we considerably enhanced the aesthetic results and symmetry in secondary cleft rhinoplast. Conclusions: Rotating the vestibular skin makes it possible to eliminate the traction of this skin on the repositioned alar cartilage, therefore achieving a more pleasing and stable nasal symmetry in secondary cleft rhinoplasty. Versatile BMGs close this gap, thus making them a powerful tool in the arsenal of the reconstructive cleft surgeon.


2015 ◽  
Vol 9 (2) ◽  
pp. 0-0
Author(s):  
Васильева ◽  
T. Vasileva ◽  
Тихонов ◽  
V. Tikhonov ◽  
Митин ◽  
...  

In this literature review, the authors examine the actual problem in dentistry - the modern criteria for evaluation of aesthetic results of orthopedic treatment, they analyze the main objectives of treatment to improve the aesthetic parameters, such as: restore the functions of mastication and speech formation, normalization aesthetic appearance and eliminating the negative impact of a partial or complete absence of teeth, and defects and deformities of the jaws that affect the mental state of the patient. Often, the desire to eliminate blemishes, enhance facial contours encourages patients to visit a dental clinic. Thus, the functional defects bother them less. Evaluation of aesthetic results is a very important problem in dental treatment, as because of violations of the communicative and social functions associated with the aesthetic perception of their own persons, patients in many cases, feel the psychological tension and discomfort, especially teenagers, children, women suffer from this. Often these patients turn in on themselve, their social circle is shrinking and interest in life decreases. Aesthetic dental defects of the mouth constrain open smile, people tend to speak slightly opening the lips, many people think that others are carefully looking out for their defects. Based on this problem the authors describe the basic criteria for evaluation of aesthetic results of dental treatment.


Author(s):  
Marwan H Abboud ◽  
Ayush K Kapila ◽  
Svetlana Bogaert ◽  
Nicolas M Abboud

Abstract Background An increasing number of women wish breast implant removal whilst maintaining an acceptable projection and form were possible. Objectives The authors propose a technique to remodel the breast after implant removal utilizing internal suture loops to project the breast, recruit abdominal and axillary tissue cranially and medially, and provide a matrix for lipofilling. Methods A prospective analysis was performed of consecutive patients undergoing implant extraction followed by power-assisted liposuction loops and lipofilling. Patient characteristics were measured. The aesthetic results were evaluated by 2 independent raters. Patient-reported satisfaction was measured by standardized questionnaires. Results Implants in 52 patients with an average age of 55 and body mass index of 23.7 were extracted followed by breast remodeling. A total of 73% of patients had implants for aesthetic reasons, 41% were smokers, and 43% of the reconstruction cases received radiotherapy. A total of 28% had implant extraction for rupture, 58% for capsular contracture, and 14% due to pain and migration. The average volume of the implants removed was 292 cc, followed by an average lipofilling of 223 cc, yielding a ratio of 0.76 to 1. The average tissue recruited by loops was 82.5 cc. Independent raters measured 79% of results as good, 13% as acceptable, and 8% as requiring improvement; 80% of patients were satisfied to very satisfied. Conclusions The authors propose implant extraction followed by power-assisted liposuction loops and lipofilling can provide footprint definition, sustained projection, and high patient satisfaction. Moreover, the recruitment of a vascularized adipo-cutaneous flap by loops allows a reduced ratio of fat grafting to implant volume. Level of Evidence: 4


2001 ◽  
Vol 35 (4) ◽  
pp. 33-45 ◽  
Author(s):  
Peter Hogarth

Between 23rd and 25th July 2001 GeoSwath, a high specification shallow water wide swath bathymetry system, was used to survey the entire Portsmouth NH Harbor area. This paper deals with the results of this survey, illustrating the potential for significant reductions in the high costs, which have prevented widespread proliferation of Swath Bathymetry systems to date. Data, including a complete DTM gridded to 1 m resolution, will be presented and discussed in detail. These results show that the system is very easy to set up and use, requires greatly reduced boat and processing time, whilst offering high accuracy and very high coverage and resolution when used in a real-world survey of a dynamic harbor environment.


2000 ◽  
Vol 17 (1) ◽  
pp. 23-26 ◽  
Author(s):  
Eddy M. Van Der Velden ◽  
Brigitte H. I. M. Drost ◽  
Otto E. Ijsselmuiden ◽  
Abraham M. Baruchin

Introduction: Nipple and areola reconstruction have recently become in demand because more women are having breast surgery because of breast cancer diagnoses. Many methods for reconstructing the nipple and areola of the breast have been described and several treatment methods have been developed to improve the aesthetic results. The purpose of this paper is to describe one method, dermatography, a refined method of medical tattooing and the results obtained from this method. Materials and Methods: Over 10 years, 112 patients were treated with dermatography for nipple and areola reconstructions. Of these, 89 patients had received a unilateral reconstruction and 23 received a bilateral reconstruction. The first dermatographic treatment was given 8–12 months after the last intervention by the plastic surgeon. The average session lasted 45 minutes. Results were assessed by means of a short questionnaire. Results over time were evaluated by comparing pictures from previous sessions. Dermatography uses a modified tattooing called a dermainjector machine. Keloidectomy is the technique used to reduce keloid in postoperative scars. The needles of the dermainjector are positioned at an angle of 70–90 degrees to the scar surface. Small parts of the keloid are removed. At the same time pigmentation is performed. Results: Patients evaluated their results as satisfactory. Pigmentation over 5 years was judged to be stable with minor loss of pigment in only 6% of the patients, all of whom received radiation therapy for their cancer. Dermatography was well tolerated by the patients. None of the patients required local anesthesia. Discussion: Patients receiving total resection of their breasts are getting younger and perceiving the results as a severe deformation of their bodies. Results of reconstruction are judged very critically. We found that our patients considered the general visual aspect of the nipple and areola shape more important, and most of the patients did not consider reconstruction of the actual nipple mound to be necessary.


2012 ◽  
Vol 38 (4) ◽  
pp. 123-129 ◽  
Author(s):  
Māris Abele ◽  
Jānis Balodis ◽  
Inese Janpaule ◽  
Ieva Lasmane ◽  
Augusts Rubans ◽  
...  

Recent accomplishments in advancement of accurate astrometric reference star catalogues, development of digital imaging technology, high accuracy tiltmeter technology, and geocentric coordinate availability provided by GNSS, have made possible accurate, fast and automated determination of vertical deflections using astrometric methods. Zenith cameras for this kind of measurements have been developed or are being developed by several research groups. The paper describes a research project by Institute of Geodesy and Geoinformation, intended to design a portable digital zenith camera for vertical deflection determination with 0.1” expected accuracy. Camera components are described, proposed data processing algorithm and preliminary results, obtained with prototype instrument, are presented.


2007 ◽  
Vol 137 (2) ◽  
pp. 224-227 ◽  
Author(s):  
Marzia Salgarello ◽  
Carlo Gasperoni ◽  
Antonella Montagnese ◽  
Eugenio Farallo

OBJECTIVE: We present our experience with an otoplasty technique that combines “closed” anterior scoring using the Stenström otoabrader with mattress sutures to the posterior cartilage. STUDY DESIGN AND SETTING: In a retrospective study, we report our experience with 135 patients operated on in the last 12 years. Some surgical principles make our procedure different from previous combination techniques: the posterior access incision is linear without skin excision; anterior scoring is performed along the entire antihelix and scapha, with care to score toward the concha at the tail of the antihelix to bring the ear lobe nearer to the mastoid; Mustarde's mattress sutures are used to stabilize the result. RESULTS: There were no major complications and few minor complications. The aesthetic results were graded as very good or good in 95% of the cases; the rest were graded as satisfactory. CONCLUSIONS: Our technique is versatile, gives pleasant, natural-looking results, and has a low complication rate. It is a simple, reliable, reproducible, and easily mastered method.


Author(s):  
Giovanni Botti ◽  
Chiara Botti ◽  
Francesco Ciancio

Abstract Background This retrospective study reports on the early experience of a private surgical center with Motiva Ergonomix SilkSurface SikSurface breast implants. Objectives to examine the incidence of complications and satisfaction levels in women who received primary and revision breast augmentation or augmentation-mastopexy with this device. Methods 356 consecutive patients received Motiva Ergonomix breast implants from April 2014 to October 2018 by 3 different surgeons and were followed-up for a minimum of 12 months. Complications were assessed by measuring the rate of rupture, capsular contracture, malposition, late seroma, double capsule, reoperation, symmastia, ptosis, extrusion, and infection. Satisfaction with aesthetic results was assessed by both surgeon and patient, using the Likert scale. Results Only six major complications were observed in these 356 patients (712 implants). One unilateral implant ptosis (“bottoming out”) at 12 months (0.14 %) and 2 capsular contractures (0.28 %), one at 14 months and the other at 2 years. At all time-points, 98% of the patients were “extremely satisfied or very satisfied” with the aesthetic results and surgeons categorized the outcomes as “very important or important improvement” in 96% of the cases. Conclusions Motiva Ergonomix SilkSurface devices provided high patient satisfaction up to more than 5 years postoperatively with very few complications. These data are consistent with other reports in the literature. The observed favorable outcomes might be attributed, at least in part, to Motiva Ergonomix’s bio-engineered “cell-friendly” surface.


2010 ◽  
pp. 52-72
Author(s):  
Serena Zacchigna ◽  
Mauro Giacca

Since the early days of gene therapy, both the scientific community and the public have perceived the ethical challenges intrinsic to this discipline. First, the technology exploited by gene therapy is still experimental and burdened by important safety issues. Second, in several instances gene therapy aims at stably modifying the genetic characteristics of individuals. Third, the same modifications could in principle be applied also to embryos, foetuses or germ cells. Finally, while gene therapy applications are generally accepted for therapeutic purposes, the same gene transfer technologies could also be exploited to improve the aesthetic appearance, or the physical and intellectual performance of people. The definition of suitable guidelines for a controlled, ethically accepted translation of gene therapy to the clinics remains a major challenge for the near future.


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