Grillz: jewelry or Class D felony?
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In order to determine the optimal method of patient care, the patient's existing clinical condition must be accurately diagnosed and treatment objectives (eg, biocompatibility, aesthetics, long-term function) established accordingly. Once analysis of the condition is complete, the correct restorative procedure can be selected and the complications presented by the patient can be addressed. Comprehensive radiographic and clinical examinations are integral in determining the preoperative status of the patient and, consequently, in evaluating the possibility of actually achieving a successful rehabilitation.
UNLABELLED: The popular media's influence on social norms with respect to people's appearance is likely to have played a part in the recent growth of cosmetic dentistry. AIMS: This study was designed to investigate the manner in which the popular media have affected the perception and delivery of aesthetic dentistry in New Zealand. METHODS: A nationwide survey was posted to a random sample of 600 general dental practitioners (GDPs) requesting sociodemographic details and information on the types of aesthetic dental procedures provided and the demand for those. Information was also sought on GDPs' awareness of television programmes and reality "makeover" television shows (such as "Extreme Makeover") covering issues related to aesthetic dentistry, together with the impact of such programmes (and that of different print media) on their patients' perceptions of, and demand for, aesthetic dentistry. RESULTS: The response rate was 81.2 percent. A majority of participants perceived an increased demand for tooth whitening (77.8 percent) and veneers (54.8 percent) subsequent to the airing of those television programmes, with 85.2 percent reporting patients mentioning "Extreme Makeover" in relation to aesthetic dentistry. Some 56.8 percent believed that patients had higher aesthetic expectations subsequent to the airing of that programme. An increased demand for tooth whitening was reported by more female than male GDPs, and also by younger practitioners and those who were practising in larger centres. Similar patterns were observed with respect to GDPs recommending tooth whitening for patients. Women's magazines were ranked by GDPs as having the highest impact on patients' perceptions of aesthetic dentistry. CONCLUSION: The popular media (especially television) appear to have had an impact on the demand for various aesthetic dental procedures in New Zealand.
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Aesthetic enhancement of the maxillary dentition can be accomplished using a variety of direct and indirect methods. Composite resin procedures enable the clinician to follow a predictable, conservative, and reliable chairside protocol for improving patients' smiles. Combined with advances in adhesive materials themselves, these procedures can be used successfully in the daily practice of restorative aesthetic dentistry. This article will demonstrate the protocol used to enhance the appearance of a patient who presented with concern regarding short crown length.
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Porcelain veneers have become a popular treatment modality in recent years. A common problem associated with these restorations is the inability of the dentist to reproduce the polychromatic appearance of a natural tooth with a porcelain veneer. It is the purpose of this article to describe several methods that may be used to transform a monochromatic porcelain veneer into a polychromatic restoration that approaches the beauty of a natural tooth.
A case is described in which excision of excess gingival tissue by conventional gingivectomy and simple restorative treatment with porcelain veneers produced a dramatic improvement in the patient's appearance with minimal sacrifice of sound tooth tissue.
In the past decade there has been an increased desire by the profession and the public for an aesthetic restoration that will restore a posterior tooth to its original form and function. The currently available aesthetic posterior restoration materials and techniques are porcelain, cast ceramic, direct composite, direct-indirect composite, indirect composite, and CAD-CAM fabrications. The indications and contraindications of these restorative materials and proper diagnosis and case selection are described.
This article demonstrates a method for smile enhancement involving the familiar "gummy" smile as well as irregular incisor gingival emergence levels. In this case study, financial considerations limited a comprehensive restorative treatment plan, restricting changes to several anterior teeth. Despite the restrictions, a solution was found.
The consequences of disregarding the periodontal tissues through improper restoration design are illustrated. A geminated central incisor is aesthetically restored with a porcelain labial margin ceramometal crown and its normal counterpart with a porcelain laminate veneer to equalize proportions of the two teeth. Prior to restoration, the perio-prosthetic interdisciplinary approach is described in rehabilitation of the damaged periodontal tissues.
The clinical use of a flexible, removable gingival prosthesis that is constructed by the dental laboratory on a stone cast to reproduce interdental spaces resulting from gingival recession is described. The thin prosthesis replaces lost gingival tissue and is retained by extension into interproximal undercuts. It is readily removable for convenient home care.
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