Esthetic Option Research Articles

Evaluation of dimensional accuracy and surface roughness of lingual bracket slot –An in vitro study

The paradigm shift with the increasing number of adults and teens seeking aesthetic options for orthodontic treatment led to the increased demand for lingual orthodontics. When it comes to size and slot dimensions, lingual brackets are very different from labial brackets.With the rise of lingual orthodontics in our everyday practice, it's more critical than ever for practitioners to understand these potential bracket size variations. The resistance to sliding mechanics can occur if the contact angle between the archwire and bracket increases, this creates the need for precise bracket slot dimension. The amount of friction varies proportionally to the accuracy of the dimensions and the roughness of the bracket slot.To evaluate the precision of commercially available orthodontic lingual bracket slots in inch dimensions with manufacturers’ published dimensions using a stereomicroscope and to compare the surface roughness of commercially available orthodontic lingual bracket slots using an atomic force microscope.Lingual brackets from four different manufacturers were taken for evaluation of slot dimensions. Twenty brackets of each manufacturer were randomly selected. Trinocular Stemi 2000 Stereo Zoom Microscope with Digital Camera (Carl Zeiss, Germany) was used for measurement of bracket slot dimensions. An atomic Force Microscope (AFM) (Nanoscope® IV Di digital instrument, California, USA) was used to evaluate the surface roughness of lingual bracket slots. Comparison of dimensions between mesial processes and comparison of dimensions between distal processes showed that the difference was only marginal with no significant statistic value. Statistically significant results proved that slot dimensions were not precise as per the manufacturer’s standards for given lingual brackets and were oversized for all bracket systems. Statistically insignificant results showed that the bracket systems were similar concerning the surface roughness of the bracket.The analyzed series of lingual bracket systems exhibited significant differences with manufacturers’ standards in slot dimension, which will clinically result in torque play. Lack of standardization of slot dimensions during the manufacturing process may be clinically associated with undesirable tooth positioning and movement; inferring that the bracket systems were similar concerning the surface roughness of the bracket slot.

APLICAÇÕES ESTÉTICAS DE PORCELANA NA ODONTOLOGIA CONTEMPORÂNEA – REVISÃO SISTEMÁTICA

Since the early 1800s, porcelain and ceramic materials have been used in the production of aesthetic dental restorations. Advances in dental ceramic technology and adhesive systems have made porcelain veneers a highly sought after aesthetic option. Thus, this work aims to review the literature, with the aim of discussing the use of porcelain veneers in modern dentistry, emphasizing their advantages, disadvantages, indications and limitations. The databases used were PubMed, SciELO, Google Scholar where a total of 21 articles published in the last 10 years were selected. The findings revealed that this technique has several indications and advantages, among its benefits are the minimal compromise of tooth wear during the tooth preparation phase and the achievement of harmony in the patient's smile, in addition to longevity. Its contraindications and disadvantages include, in some cases, detachments and fractures, among others.

APLICAÇÕES ESTÉTICAS DE PORCELANA NA ODONTOLOGIA CONTEMPORÂNEA – REVISÃO SISTEMÁTICA

Since the early 1800s, porcelain and ceramic materials have been used in the production of aesthetic dental restorations. Advances in dental ceramic technology and adhesive systems have made porcelain veneers a highly sought after aesthetic option. Thus, this work aims to review the literature, with the aim of discussing the use of porcelain veneers in modern dentistry, emphasizing their advantages, disadvantages, indications and limitations. The databases used were PubMed, SciELO, Google Scholar where a total of 21 articles published in the last 10 years were selected. The findings revealed that this technique has several indications and advantages, among its benefits are the minimal compromise of tooth wear during the tooth preparation phase and the achievement of harmony in the patient's smile, in addition to longevity. Its contraindications and disadvantages include, in some cases, detachments and fractures, among others.

Aesthetic Potential and Safety Profile with Nanotextured Breast Implants With 1,000 Cases of Breast Augmentation as Evaluation of Single-Center Experience.

Nanotextured implants, an innovation in implant technology, are designed to enhance tissue interaction, reduce inflammation, and mitigate complications compared to traditional implants. The aim of the study was to evaluate the aesthetic potential and safety profile of nanotextured breast implants in breast augmentation from a single-surgeon experience. This prospective cohort study included 1,000 patients who underwent breast augmentation with nanotextured implants. Aesthetic outcomes were assessed using direct measurements and BCCT.core software, focusing on breast projection, symmetry, and upper pole fullness. Patient satisfaction was measured through BREAST-Q and overall satisfaction surveys. Safety profiles were evaluated based on the incidence of complications such as infection, hematoma, capsular contracture, and implant rupture. Statistical analyses were conducted to assess the outcomes. The study found significant improvements in aesthetic outcomes, with 92.8% of cases achieving substantial aesthetic enhancements. Patient satisfaction was high, with 96.4% reporting enhanced self-esteem and contentment. The safety profile was favorable, with a low incidence of complications (0.7% requiring revision surgery) and no major complications reported. Long-term follow-up data indicated sustained aesthetic outcomes and a stable safety profile. Insights into the synergistic relationship between nanotextured implants are defined by a significantly wider range of aesthetic options. The findings of this study underscore the positive impact of nanotextured breast implants on enhancing the aesthetic potential of breast augmentation. and contributing to a low incidence of complications.

Selection of Dental Implants and Restorations Among Dentists in the Kingdom of Saudi Arabia: A Cross-Sectional, Questionnaire-Based Survey.

Background Dental implants play a crucial role in modern dentistry, offering a durable and aesthetic option for tooth replacement. Understanding the preferences and practices of dentists regarding implant selection and restoration can provide critical insights into current trends and potential areas for improvement. As such, the objective of this study was to discover characteristics determining the selection criteria and preferences for dental implants and restorations among Saudi Arabian dentists. Methodology A cross-sectional, questionnaire-based survey was conducted among Saudi Arabian dentists to assess their practices and preferences for dental implant selection and restoration. The survey explored variables, including age, gender, educational status, regional practice distribution, implant-related experience, loading protocols, and implant system preferences. Results A total of 742 dental professionals responded to our questionnaire. The study revealed that a significant majority of Saudi Arabian dentists had placed (78.7%) and restored (72.9%) implants. Most dentists (78.6%) had participated in implant treatment planning. However, consistent usage of implant planning software was relatively low (29.8%). Loading protocol preferences varied, with early loading favored for anterior teeth and immediate loading for posterior teeth and edentulous patients. The main deterrents to immediate loading were patient type (27.0%), lack of training (19.9%), additional surgeries (19.9%), and administrative restrictions (17.8%). Straumann was the most preferred implant system, with aesthetic outcomes considered the most important factor in system selection. Conclusions The study provides a comprehensive overview of dental implant practices among Saudi Arabian dentists. It highlights a strong emphasis on aesthetic outcomes, a diverse approach to loading protocols, and room for increased usage of implant planning software. The findings suggest potential areas for further training and support, particularly in the use of immediate loading and implant planning software.

Comparative study of physical-chemical properties of bioactive glass ionomer cement.

This study analyzed the physical-chemical properties of bioactive ionomer materials. Cention N bioactive materials were evaluated chemically activated (CN) and light-cured (CN-LC), Equia Forte Fill (EQUI); conventional resin composite Filtek Z350 XT (Z350); resin glass ionomer cement Riva light Cure (RIVA) and flowable resin composite Filtek Bulk Fill Flow (BULK-F) were evaluated. Sixty specimens (n=10) were prepared for sorption (SR), solubility (SL), flexural strength (FS), shrinkage stress (SS), conversion degree (CD), microhardness (MI), and surface roughness (SR) tests. Non-cured and light-cured materials were assessed on FTIR. 30 human molar teeth were used in the bond strength test (BS). Data were subjected to ANOVA and post-hoc Tukey's test (5% of significance). EQUI showed more sorption in SR and no statistical difference from RIVA and CN-LC. CN group showed more solubility and EQUI presented less (p<0.05). BULK-F showed higher FS (MPa), without differences from CN and Z350, whereas EQUI presented the lowest FS not differing from RIVA. BULK-F and CN-LC showed more shrinkage stress differing from EQUI. CN-LC and CN showed higher CD differing from the other which showed no differences (p>0.05) between them. EQUI showed the highest hardness (p<0.05) in MI. There were no differences (p>0.05) in SR (µm). Z350 and BULK-F presented higher BS, whereas CN-LC showed the lowest, although not differing from EQUI and RIVA. Equia Forte's solubility and microhardness make it a good alternative as a restorative material. Cention N degree of conversion and flexural strength making it an esthetic option to amalgam.

Aesthetic Solutions in The Treatment of Open Bite

Open chew is a frequent malocclusion that can have terrible consequences on each characteristic and aesthetics. Patients with open chunk regularly trip difficulties in biting, chewing, and speech, main to a sizable have an impact on on their fine of life. Fortunately, advances in orthodontics have furnished quite a number aesthetic options to right open chunk and enhance oral function. This article will discover the distinct therapy picks reachable and spotlight the significance of aesthetics in accomplishing profitable outcomes.

Latissimus dorsi flap in breast reconstruction following radical mastectomy and prophylactic subcutaneous mastectomy in the same patient: Case report

One of the most common surgical treatment options for breast cancer is radical mastectomy, which affects the quality of life of patients in remission and their psychological state. One of the solutions to this problem is the use of skin and muscle flaps from other anatomical areas, in particular the back, for plastic reconstruction of the breast after radical mastectomy. The study aimed to present the practical implementation of reconstruction of both breasts in the remote period of radical mastectomy in a patient in remission of breast cancer using a skin and muscle flap of the broadest back muscle in combination with an implant. The patient, who met the criteria for participation in the study, had previously undergone a radical mastectomy of the right breast for direct indications along with radiotherapy. Delayed breast reconstruction within the study was performed 6 years after the planned right-sided mastectomy. The first surgical intervention included marking the back and breast area, excision and harvesting of the flap, preparation of the implantation site and its placement with the implant. Three months after the operation, she underwent a prophylactic mastectomy of the left breast based on molecular genetic testing with immediate reconstruction using the second flap of the broadest back muscle. The surgery was performed using a perimammary approach. Due to the available dissection, various anatomical configurations of the flap, and low-variability vascular anatomy, the latissimus dorsi flap is an adequate choice of material for the reconstruction of radical postmastectomy interventions. The final result of bilateral use of the flap for breast reconstruction after mastectomy is in favour of restoration of the anatomical tissue defect and a satisfactory aesthetic option, without complications in the form of seromas, haematomas, or pain. The result has a positive impact on the quality of life of a patient in remission of breast cancer

Is the Ethnic Rhinoplasty the Most Aesthetic Option available for the Ethnic patient? A Survey Study

Is the Ethnic Rhinoplasty the Most Aesthetic Option available for the Ethnic patient? A Survey Study

Aesthetic Possibilities of Building Thermal Control through Colored Envelopes

The possibilities of obtaining efficient building thermal control by means of colored envelopes while maintaining broad aesthetic options have been evaluated. The use of colored bilayers, where the inner layer presents strong solar absorbent or reflectance properties, while the outer layer provides visible coloration, represents a feasible way. A representative set of twenty bilayers spanning a broad color palette has been studied in two configurations, static and dynamic. The dynamic configuration allows for the switching of the inner layer between absorptive and reflective states. Simulations have been carried out in a total of nineteen locations around the world, representing the main habitable climates according to Köppen–Geiger climate classification. Comparative results between climate zones where this approach may have a significant impact have been obtained, and identification of feasible climate zones has been carried out. The use of the simpler static configuration is recommended for tropical climates, whereas the dynamic configuration could be effective in moderate climate locations (within arid or temperate climate classification). Possible savings for cold climates are negligible.

Prosthetic Rehabilitation Options in Post-Ablative Maxillomandibular Microvascular Reconstructions.

Surgery remains the mainstay for managing most neoplasms arising in the head and neck area. Removable or fixed prostheses are commonly used for prosthetic rehabilitation of head and neck defects following surgical resection. Some major challenges in prosthetic rehabilitation after maxillomandibular microvascular reconstruction include excessive prosthetic space, soft tissue bulk, and occlusal disharmony in the remaining dentition. This review focuses on the challenges we have experienced in the real clinical scenario while rehabilitating reconstructed maxillomandibular defects and the effective prosthetic treatment options that could be considered in each situation. Digital revolution has changed all arenas of life, and it has created a significant impact on cancer treatment planning and the delivery of quality treatment to the needy. Creating adequate retention while ensuring stability and support for the prosthesis can be challenging with temporary acrylic and cast partial removable dentures. Endosseous dental implants are considered a stable, reliable, and esthetic option for reconstruction with advantages such as increased chewing efficiency, preservation of the remaining bone height and width, and improved quality of life. The FP3 to RP5 (Misch's classification) are some commonly followed prosthetic rehabilitation options after microvascular reconstruction. The prosthetic design should permit the usage of interdental aids that ensure the longevity of prostheses. Occlusion-driven/prosthetic-driven implant-assisted prostheses are considered a reliable option that ensures stable and functional oral rehabilitation among patients with free fibula flap reconstruction. Multidisciplinary teamwork is mandatory for an optimal outcome that improves patients' quality of life.

The Uses of Mourning

The Uses of Mourning

Influence of age, sex and occupation on the aesthetic perception of the facial profile

Objective: To study the influence of age, sex, and occupation in determining the aesthetic perception of the facial profile in the Chilean population through the analysis of silhouettes. Methods: From a profile photograph, a digital silhouette was designed, which was modified with 2mm movements from the original position of the chin, simulating mandibular protrusion and retrusion. The use of silhouettes allows for eliminating various distractions, prejudices, and predispositions when making an aesthetic judgment. All participants accepted informed consent. Results: 112 participants with a mean age of 33.99 ± 8.28 years were surveyed. When analyzing the most aesthetic option was a straight profile, followed by a slight retrusion of -2mm and a protrusion of +2mm. The least esthetic option was a severe protrusion of +12mm. Both results were repeated in all the groups analyzed. Conclusions: The results present similarities with the literature, however, the low concordance in this study may be due to possible indirect influences due to the contrast of the images that made up each set and the limited size of the studied sample. The present study was the first of these characteristics in a Chilean population.

What’s new for the clinician– summaries of recently published papers

More than 90% of the world’s population suffer from one or more oral conditions that affects their oral health related quality of life. Edentulism (partial or full) is a major public health problem especially in poorer settings where people have limited options to manage tooth pain, tooth decay or periodontal disease. Often the only treatment option available is tooth extraction resulting in early tooth loss. In other settings, for example, the Western Cape, cultural and traditional norms practiced over generations has resulted in some of the highest edentulism rates in the world.&#x0D; Placement of a stainless steel crown (SSC) is the most commonly recommended restoration following endodontic treatment of primary molars,1 as it provides a good coronal seal, preventing microbial infiltration or restoration failure over time. However, dental aesthetics are compromised due to colour characteristics of the SSCs, which may influence child's and parent's acceptance, especially when compared to more aesthetic options such as composite resins (CRs).

Partial Laminate Veneers for a Maxillary Midline Diastema Closure: A Case Report

Background: A variety of approaches can be employed to close diastemas using conservative and non-conservative restorative techniques such as composite restorations, laminate veneers, and crowning if there is no indication for orthodontic treatment. Objectives: This paper aimed to discuss the mechanical properties of sectional laminate veneers, the preparation, and the ceramic material used for their manufacturing. Material and methods: A case of a maxillary midline diastema closure using feldspathic partial laminate veneers with an ultra-conservative preparation is described. Results: Feldspathic sectional laminate veneers achieve an esthetically pleasant diastema closure. The ultra-conservative preparation and adequate polishing technique preserve dental and gingival tissues. Conclusion: It can be concluded that sectional partial veneers are an esthetic option with low mechanical properties that must be carefully indicated.

Single-stage buried autologous breast reconstruction (BABR)

Breast reconstructive standards are increasingly high oncologically, aesthetically, and practically. Autologous breast reconstruction remains the gold standard which, buried, after nipple-sparing mastectomy (where oncologically safe) or wise pattern reduction for large or ptotic patients, with contralateral symmetrisation where required, enables single-stage reconstruction. However, previous series report prohibitively high revision rates. This series prospectively compares a series of buried and non-buried free flaps for breast reconstruction. All breast reconstructions with free autologous tissue transfer, buried or with a cutaneous paddle, conducted over 8 years by a single surgeon were included. Demographic, oncologic and reconstructive details, immediate complications and revision surgeries were recorded and compared between the two groups. A total of 182 free flaps were performed on 156 patients, 69 buried and 113 with cutaneous paddles. There were no significant demographic or complication differences between the two groups. Of the buried group, 51% did not require further surgery compared to 29% of the paddle group. Buried autologous breast reconstruction is a safe and aesthetic option for breast reconstruction, and potentially single stage. This is particularly true where it is combined with nipple-sparing mastectomy (where oncologically safe) or breast reduction mastectomy, and contralateral symmetrisation, where required. Further research could include patient reported outcome measures and cost analysis.

All-Ceramic Inlay-Retained Fixed Dental Prosthesis: A Case Report

Different restoration options are available for replacing a single missing tooth on the posterior region; full coverage fixed dental prostheses, implant-supported crown and inlay-retained fixed dental prostheses (IRFDPs). In fact, this last achieve an esthetically and functionally good result, and present almost reversible treatment given that, the preparation is conservative preserving dental and gingival tissues. Thus, it can be concluded that all-ceramic inlay retained fixed dental prostheses are an esthetic option that can be recommended as viable short- or middle-term minimally invasive restoration. Case selection, material choice, preparation design and luting procedures are determinant factors of success. This paper aimed to discuss through a case report, the material and the preparation design of all-ceramic inlay-retained fixed dental prostheses.

Gamut of tooth coloured opportunities to reinstate the paediatric smile: A review

Early Childhood Caries has been acknowledged as a root of severe decay in children at a global level. Most frequently we see involvement of upper incisors followed by the molars. This disturbs the phonetics and most importantly the aesthetics of the child. Over the years, there have been plenteous studies concerning the restoration of primary teeth. As the technology advanced, the level of parental satisfaction with the conventional stainless-steel crowns lowered, this made the Paediatric dentists to search for an aesthetic restoration for the decayed primary tooth. Treatment of decayed anterior teeth can be done by a variety of techniques which includes Strip crowns, Polycarbonate crowns, Cheng crowns, acrylic crowns, Zirconia crowns and the most recent is Figaro crowns. The advent of such advanced techniques and materials helps in creating beautiful restorations which help children to improve their self-image as the child aesthetics is the guide to the adult aesthetics. This article gives an overview of few of the aesthetic options for rehabilitation of ECC cases.

Full Digital Surgery-First, Skeletal Anchorage and Aligners Approach to Correct a Gummy Smile and Class II Malocclusion with Mandibular Retrusion and Deviation

Background: The demand for interdisciplinary orthodontic treatment has increased significantly in the past few years, especially in adult patients. This kind of treatment requires careful clinical management, as consequence of the possible complications and limits related to adult age. However, the use of skeletal anchorage and three-dimensional (3D) digital technology has deeply revolutionised diagnostic planning and treatment strategies. Methods: A fully digital approach to the treatment of a Class II patient with a gummy smile and mandibular deficiency and deviation, consisting of initial surgery followed by the use of aligners and skeletal anchorage, is described. Results: The 3D, fully digital pre-evaluation enabled clinicians to accurately and reliably plan the surgical procedure and subsequent orthodontics, including the individualised positioning of stabilisation plates and a splint for maxillary and chin surgical movements. This allowed for the improvement of the patient’s facial aesthetics and dental occlusion without the use of visible orthodontic appliances or the occurrence of pre-surgical aesthetic worsening. Conclusions: This approach could be very effective for adult patients seeking aesthetic treatment options for facial and dental aesthetic improvement.

“O Crime do Padre Amaro”: o drama que se descobre nas narrativas de Eça de Queiroz (1875), Carlos Coelho da Silva (2005) e Paula Rego (1997-1999)

O Crime do Padre Amaro (1874) was written by Eça de Queiroz in 1871 and given to read to some of his friends in 1872. According to Eça de Queiroz, this work was published for the first time only in 1875. As some issues of the Western Magazine, it was made without changes or corrections, and preserving all its sketchy features and improvisation (preface of the 2nd Edition). However, Eça de Queiroz decides to reconstruct it. So, he rewrites line by line all the text and, by adding new chapters to the story and modifying the action, he also changes the entire structure of the work making it the one we know today. Nowadays, this work brought up, given the plot that covers it, themes that are current and expounded in various works of cinema, literature, and visual arts. In this sense, we want to enlighten how these authors reveal the problems of ancient and contemporary society, in their visual and sound discourses. Color, sound, discursive options, and distinct interpretations will be the pillar of our investigation regarding the elucidation made by Eça de Queiroz and the technical and aesthetic options of Silva and Rego.