Stone models without faces--part II: an international interview. Laboratory perspectives. Interview by Douglas A. Terry.
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Biomedical subjects
Publications and source records attributed to P Adar.
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Just as "osseointegration" became synonymous with successful restoration of function in the fully edentulous patient during the 1980s, the term "implant site development" has become intricately associated in the 1990s with the techniques used to achieve esthetic results with implants in the partially edentulous patient. This article explores the roots of the concept of site development within the philosophy and principles of periodontal prosthesis. In addition, the myriad of techniques that are presently collectively referred to as site development are systematically classified into a sequential four-tiered approach that optimizes their efficient application as well as overall success.
Combining harmonious proportions of final restorations with periodontal health and stability surrounding these restorations is a basic fundamental in esthetic dentistry. However, when one can adversely affect the other, a clinical dilemma arises. This article describes a case with unfavorable proportions that may be worsened due to an existing unfavorable preparation design. A simple approach for diagnosis and treatment of such a situation is presented.
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Soft and hard tissue ridge deformities are prevalent in areas of tooth loss and trauma and can compromise esthetic outcomes. Only a full understanding of the severity of the dimensional defects, the reconstructive techniques available, and the functional and esthetic needs of the final implant restoration will allow the design of a treatment approach that will achieve the desired outcome. This article emphasizes the synergistic relation of the osseous, gingival, and restorative triad in treatment planning. In addition, a systematic approach to the enhancement of this triad, in the partially edentulous patient, is outlined as part of a revised protocol for achieving optimal esthetics in implant therapy.
The type of communication described makes up a kind of three-dimensional pretreatment communication that leads to greater patient satisfaction and helps to reduce the likelihood of lawsuits from patients who feel that they were promised results that were not met. The method of try-in veneers allows the patient be a part of the outcome in the pretreatment stages. This can lead to a happier, more satisfied patient, which is what all practitioners strive to obtain.
Porcelain laminate veneers have exhibited predictability and, as a result, experienced an incredibly rapid public acceptance with widespread utilization. The introduction of a stronger, leucite-reinforced ceramic system which could be accurately pressed (IPS Empress, Ivoclar Williams, Amherst, NY), presented new avenues for this remarkable treatment modality beyond aesthetic enhancement. Porcelain veneer restorations could be utilized to accurately alter and correct occlusal relationships, and the less abrasive surface of the material offered a distinct advantage in occlusal modifications, such as altering cuspal guidance or vertical dimension. This presentation reviews the history of porcelain veneer restoration and outlines the use of a luting cement (Variolink II, Ivoclar Vivadent, Amherst, NY) for its application.
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Enhanced aesthetic objectives can be achieved with precision and predictability due to recent advances in restorative materials and procedures. Although these developments have expanded the therapeutic options available to practitioners and their patients, anterior hard and soft tissue deformities in the aesthetic zone continue to represent a significant technical challenge to the reconstructive team. The objective of this article is to present diagnostic and prognostic criteria that emphasize the osseous-gingival relationship as a means to achieve predictable aesthetic results in the anterior segment with conventional or implant-supported restorations.