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Anterior aesthetic considerations for the placement and restoration of nonsubmerged endosseous implants.

Nonsubmerged endosseous dental implants should be considered when planning optimal anterior implant rehabilitation. Detailed diagnostic records are a necessity, along with preoperative and preprosthetic treatment plans that are designed to address the unique challenges of anterior restorations. This paper discusses these concerns and presents two case reports which utilize some of the techniques that can be incorporated into achieving predictable anterior aesthetic rehabilitation using a single-stage implant. The learning objective of this article is to familiarize the reader with those challenges and techniques.

Adolescent↗

Freehand composite veneering-the direct option.

Freehand bonding of direct composite resin veneers is one of the new techniques developed during the past decade. This article discusses the clinical procedure of this technique, with indications and contraindications, and a new composite resin material used in this technique.

Composite Resins↗

The longitudinal clinical effectiveness of osseointegrated dental implants for single-tooth replacement.

A series of studies was begun in the mid-1980s in an effort to test the versatility of the osseointegration technique. One of these studies specifically tests the efficacy of single-implant support for crowns to replace missing single teeth. Thirty-two patients with 40 single-tooth spaces were treated with 40 implants, placed between 8 August 1985 and 21 June 1990. Twenty-eight were placed in the maxillae (27 in the anterior and 1 in the posterior zone). Twelve implants were placed in the mandible (all in the posterior zone). After loaded service periods ranging from 1.4 to 6.6 years (mean 2.9 years), all implants remain in function and have ensured successful prosthodontic treatment. These results suggest that the osseointegration technique can be adapted for use in patients with a missing single tooth with predictable good success.

Adolescent↗

Direct composite or bonded porcelain: a clinical choice for anterior aesthetics.

Choosing between direct composite resins and bonded porcelain veneers to restore permanent anterior teeth requires the dentist to evaluate both the aesthetic potential and the functional reliability of available bonding procedures. Direct composites are aesthetic, conservative and reliable, but demand technical and artistic skills, and have limited longevity. Bonded porcelain veneers can have excellent aesthetics, but require additional tooth preparation, exacting technique and laboratory support, and have an unknown life expectancy.

Age Factors↗

Over a decade of success with Heliomolar.

In developing improved dental materials and application techniques, high standards and goals are set by the clinicians and the manufacturers. This article summarizes the prerequisites and desirable qualities required of composite resins for long-term success. A particular composite has demonstrated predictable and consistent long-term results and has established its place in quality dentistry. The applications for this composite resin are outlined in a clinical procedure. Its anterior/posterior universality is recognized. Several pre- and postoperative examples, in function for up to 12 years, are used to illustrate the results.

Acrylic Resins↗

Adjunctive orthodontic treatment for adult patients.

An increasing number of adult patients are becoming more aware of their orthodontic needs, and more willing to pursue treatment. This article identifies some of the major differences in the orthodontic treatment of children and adults, and summarizes important aspects of adjunctive orthodontic treatment for adults that may facilitate other dental treatment. In addition, a number of clinical scenarios in which adjunctive orthodontics may enhance the provision of restorative treatment in adult patients are identified.

Adult↗

Bonding to five surfaces using porcelain veneers and porcelain jacket crowns: two case studies.

Until recently, bonding to different surfaces was beyond the reach of dentistry. Proven advances now make bonding to dentin, enamel, metal, composite and porcelain a reality. Porcelain veneers can now be bonded to all surfaces of the hard dentition, and veneers in combination with porcelain jacket crowns are an excellent aesthetic and functional option. These cases illustrate the results that are now possible and within the capabilities of the general practitioner.

Aged↗