Esthetic Option Research Articles

Carboxytherapy in dermatology

Carboxytherapy is a medical technique during which a sterile gas—carbon dioxide—is injected into the subdermal tissue. The utility of carbon dioxide injections has enhanced the practical relevance of carboxytherapy as a method for the management of multiple disorders. We have evaluated its use in the treatment of dermatologic conditions by searching electronic databases (ie, MEDLINE and PubMed) for contributions in the English language through January 2021. Carboxytherapy provides an attractive aesthetic option in skin rejuvenation, atrophic scars, striae distensae (stretch marks), cellulite-fibrolipodystrophy adhesions after liposuction, and certain types of alopecia. We discuss the drawbacks of the procedure including inadvertent lipolysis, long-lasting emphysema, and suboptimal outcomes.

Artificial intelligence in orthodontics: Where are we now? A scoping review.

This scoping review aims to determine the applications of Artificial Intelligence (AI) that are extensively employed in the field of Orthodontics, to evaluate its benefits, and to discuss its potential implications in this speciality. Recent decades have witnessed enormous changes in our profession. The arrival of new and more aesthetic options in orthodontic treatment, the transition to a fully digital workflow, the emergence of temporary anchorage devices and new imaging methods all provide both patients and professionals with a new focus in orthodontic care. This review was performed following the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. The electronic literature search was performed through MEDLINE/PubMed, Scopus, Web of Science, Cochrane and IEEE Xplore databases with a 11-year time restriction: January 2010 till March 2021. No additional manual searches were performed. The electronic literature search initially returned 311 records, and 115 after removing duplicate references. Finally, the application of the inclusion criteria resulted in 17 eligible publications in the qualitative synthesis review. The analysed studies demonstrated that Convolution Neural Networks can be used for the automatic detection of anatomical reference points on radiological images. In the growth and development research area, the Cervical Vertebral Maturation stage can be determined using an Artificial Neural Network model and obtain the same results as expert human observers. AI technology can also improve the diagnostic accuracy for orthodontic treatments, thereby helping the orthodontist work more accurately and efficiently.

Management of decayed primary anterior teeth using Silver diamine fluoride and preformed zirconia crowns: a minimal intervention and aesthetic approach

Early childhood caries is the most common chronic dental disease in children worldwide. Maxillary anterior teeth being the first ones to get affected. It is disheartening to encounter young children with grossly carious maxillary anterior teeth that disturb their natural smile, and their entire facial appearance restricts masticatory function and causes delayed speech. Treatment objective for carious maxillary anterior teeth must consider structural, functional and aesthetic components comprehensively. Management of a young child with early childhood caries requires complete cooperation, which is a challenging task, and treatment under various forms of sedation has become popular. Nevertheless, sedation increases the risk of the patient and clinician. In such scenarios minimally invasive treatment approach can be an alternative. Silver diamine fluoride (SDF) is the best possible antibacterial & cost-effective remineralising agent available today. SDF application is non-technique sensitive hence acceptable by young children. Preformed zirconia crowns serve as the best aesthetic option with excellent strength and durability for primary maxillary anterior teeth. A combination of ideal remineralisation with an aesthetic restoration can provide long term benefit to the child and parents. Key words: Primary maxillary incisors, Paediatric zirconia crowns, SDF.

Nasal Reconstruction after Mohs Cancer Resection: Lessons Learned from 2553 Consecutive Cases.

Nasal defects following Mohs resection are a reconstructive challenge, demanding aesthetic and functional considerations. Many reconstructive modalities are available, each with varying utility and efficacy. The goal of this study was to provide an algorithmic approach to nasal reconstruction and illustrate lessons learned from decades of reconstructing Mohs defects. A retrospective review was conducted of consecutive patients who underwent nasal reconstruction after Mohs excision from 2003 to 2019 performed by the senior author (J.F.T.). Data were collected and analyzed regarding patient and clinical demographics, defect characteristics, reconstructive modality used, revisions, and complications. A total of 2553 cases were identified, among which 1550 (1375 patients) were analyzed. Defects most commonly affected the nasal ala (48.1 percent); 74.8 percent were skin-only. Full-thickness skin-grafts were the most common reconstructive method (36.2 percent); 24.4 percent of patients underwent forehead flaps and 17.0 percent underwent nasolabial flaps. The overall complication rate was 11.6 percent (n = 181), with poor wound healing being most common. Age older than 75 years, defects larger than 2 cm2, and active smoking were associated with increased complication rates. Nasal reconstruction can be divided based on anatomical location, and an algorithmic approach facilitates excellent results. Although local flaps may be suitable for some patients, they are not always the most aesthetic option. The versatility and low risk-to-benefit profile of the forehead flap make it a suitable option for elderly patients. Although reconstruction is still safe to be performed without discontinuation of anticoagulation, older age, smoking, and large defect size are predictors of complications. Therapeutic, IV.

Tradition and modernity on fundamentals and diversities of Mediterranean architecture

Firstly, this article focuses on the origins of modern architecture in addition to the simple binomial academism/modernism that sometimes gives little clarification about the aesthetic, formal or typological options of southern European countries. By widening the spectrum of cultural, mythical and ideological influences at the beginning of the 20th century, other insights are possible, not only with regard to the modern period, but also in the understanding of some paths of Mediterranean contemporary production. In short, this article aims to raise two main questions and how can they be related: 1) Does the identity of Mediterranean architecture come from common fundamentals or from a richness of contrasts and diversities? 2) Can these fundamentals and diversities become “operative” in architectural/urban design? And how do they respond to the globalization phenomena and the possibility of real sustainable achievements?

Applications of mini-implants in orthodontics

(Salman Dental Center, Hidd) Mini-implants obtain anchorage form bone and thus provide increased control of orthodontic tooth movement and help in reducing the side effects during the management of complex malocclusion. Since the introduction of mini-implants in orthodontics, is has undergone several modifications in design, composition, size and shape. In this article, a wide-ranging review of the current application of mini-implants, the success rates of mini-implants, factors affecting the success rates of mini-implants, complications with mini-implants has been described. The utility of mini-implants has increased in the recent years. With the high success rates found with palatal mini-implants, mini-screw assisted rapid palatal expansion is popular method in contemporary orthodontics. Additionally, mini-implants with aligners can also be used to provide an esthetic option to the patients for the correction of complex malocclusion.

Awareness about Vulvovaginal Aesthetics Procedures among Medical Students and Health Professionals in Saudi Arabia.

The present study aimed to explore the opinion and ethical consideration of vulvovaginal aesthetics procedures (VVAPs) among health professionals and medical students in Saudi Arabia. This is a cross-sectional study performed between January 2020 and April 2020. Data was collected through electronic media, WhatsApp, and emails. The results were analyzed by applying the Students t-test, and correlations were considered significant if they presented a p-value < 0.05. There is significant demand to educate doctors, health professionals, medical students, and gynecologists for the VVAPs to have a solid foundation, justified indications, and knowledge about various aesthetic options. Although female doctors, medical students, young doctors, and gynecologists have more knowledge about VVAPs, all health professionals ought to be aware of recent trends in vulvovaginal aesthetics (VVA). The present analysis determined that VVA should be under the domain of gynecologists, rather than under that of plastic surgeons, general surgeons, and cosmetologists. The majority of the participants considered that vaginal rejuvenation, "G-spot" augmentation, clitoral surgery, and hymenoplasty are not justifiable on medical grounds. The decision to opt for different techniques for vaginal tightening and revitalization should be taken very carefully, utilizing the shared decision-making approach. Ethical aspects and moral considerations are important key factors before embarking in the VVAPs purely for cosmetic reasons. Further research is required to determine the sexual, psychological, and body image outcomes for women who underwent elective VVAPs. Moreover, medical educators must consider VVAPs as part of the undergraduate and postgraduate medical curriculum.

Reharmonize: Aesthetic Modalities Founded on the Concepts of Restoring, Reshaping, and Resurfacing for the Comprehensive Treatment of Millennials

Background: Non-surgical minimally invasive procedures, typically in combination, are now becoming the norm. The integrated use of these modalities can be offered to millennial patients, who have unique demands and aesthetic goals. Objective: We aimed to demonstrate the effects of Definisse™ Fillers, Definisse™ Threads and Definisse™ Peel Program in combination to treat two millennials, one female and one male. Case description: The male subject had noticeable change in his facial proportions with correction of hollows over the malar and suborbital areas and a more prominent chin with the help of both Definisse™ Fillers and Definisse™ Threads (double needle and free floating). There was also noticeable improvement in the pigmentation with a more even and clearer skin tone after Definisse™ Lightening Peel application. The patient verbalized a high level of satisfaction with the effects of the treatment overall. The female subject had a noticeable correction of the prominence on her nasal bridge. There was a slightly pronounced lateral and upward lifting of the cheeks. Her uneven pigmentation was also seen to diminish following Definisse™ Peel Program. She was likewise very satisfied and happy with the result of her treatment. Conclusion: The prejuvenation effect of a combination of minimal invasive procedures provides an optimal aesthetic option for millennials. The results obtained confirm the importance of the reharmonize approach to male and female aesthetics. And this is accomplished by working from deep to superficial facial, with satisfactory and long-lasting aesthetic outcomes.

O teatro de rua e sua expressão política

A partir das reflexões sobre a artes brasileiras produzidas no período posterior à Ditadura Militar, este artigo apresenta questões sobre o processo de formação do Grupo Galpão, coletivo teatral formado em Belo Horizonte no início da década de 1980, responsável por reconhecidos espetáculos de rua e importantes encenações de textos clássicos da dramaturgia ocidental. Para tanto, nosso foco será no ambiente da década de 1980 procurando compreender a importância do teatro de rua naquele contexto, as opções estéticas realizadas pelos atores e, por fim, os debates temáticos oriundos das primeiras peças do grupo.

Prefabricated zirconia Post; an esthetic option as foundation restoration for ceramic crowns: an in vivo study

Background: The choice of restoring endodontically treated anterior teeth is guided by strength and esthetics. The ultimate shade of post and core definitely affects the translucent ceramic crown systems, which is a matter of concern. The colour of the underlying core influences the definitive esthetic result especially for a highly translucent ceramic crown with a thickness of less than 1.6 mm. In case of a thin gingival biotype the cast posts may also create root discoloration and a blue-gray effect. The gold posts, which is considered as gold standard, exhibit a dull bluish hue and give an unnatural appearance. The utilization of a dissimilar material for post and core buildup often results in failure due to separation between the post and core. When the core and the foundation restoration is of ceramic, post based on ceramic material would ensure better success. The prefabricated zirconia posts are one of the novel alternatives to gold post. Purpose: The mechanical advantage together with the aesthetic gain over the conventional materials has made zirconia the state of art option available for usage in the present day. Materials and Methods: There are only few relative studies, which have reported on aesthetic, clinical survival and patient reported events of endodontically treated teeth with zirconia post. Hence this clinical study is undertaken to evaluate the acceptability of prefabricated zirconia post used in endodontically treated teeth especially in the anterior region with the foundation restoration being all ceramic restorations. Results: Zirconia post is a more aesthetic alternative to fiber post especially in patients with gummy smile and thin biotype with all-ceramic crown to optimize the esthetic effect at the root and maintaining an adequate level of strength. Conclusion: In esthetic zone prefabricated zirconia post is a more simple and viable option to conventional post giving a monoblock (one piece) design. Keywords: Ceramic post, Esthetic post,

Endodontic Retreatment and Comprehensive Endo-Prosthetic of Premolars: A Case Report

Background: The failure of endodontic treatment caused by failure of the restoration and bacterial invation. Alongside proper chemical and mechanical preparation and hermetic obturation of the root canal system, another essential factor is ensuring a permanent and hermetically-sealed restoration following endodontic treatment. Endodontic retreatment encompasses the efforts to salvage a failing previously endodontically treated tooth. As a result of advances in endodontic materials and adhesive systems, restorations in the form of fiber post and adhesively cemented crown are becoming a choice in cases of teeth that have extensive damage. Case: A case is presented a 45-year-old female was referred to Prof. Soedomo Dental Hospital with a complaint of pain in mandibular second premolar which was earlier endodontically treated. Clinical and radiographic examinations showed damaged restorations, gutta percha filling that are not hermetic and radiolucent on periapical. A successful endodontic retreatment premolar using rotary retreatment file and preparation with crown down technique using rotary progressive multiple tapering file, with comprehensive endo-prosthetic treatment using prefabricated fiber post and porcelain fused to metal crown. Conclusion: Clinical and radiographic evaluation after 6 months showed complete healing and good adaptation of the restoration. The outcomes of this case showed that failure of endodontic retreatment respond favorably to endodontic retreatment, with proper indication, prefabricated fiber post and porcelain fused to metal crown can provide an effective conservative and esthetic option for reinforcing endodontically treated teeth.

What German dentists choose for their teeth: A Web-based survey of molar restorations and their longevity

Statement of problemWhich restorative material is best suited for treating the posterior molar region is unclear. As dentists presumably choose the most appropriate restoration, German dentists were asked how their own molars were treated. PurposeThe purpose of this survey study was to examine molar restorations and their durability in German dentists. Material and methodsIn the official journal of the Federal Dental Association, German dentists were asked to participate in an online survey that gathered demographic data and information on the type and durability of their molar restorations. To reduce selection bias, the data were weighted for region, sex, and age of the dentist. ResultsThe data set consisted of 1719 molars from 288 dentists. Restorations included gold inlays (25%), composite resin (24.3%), amalgam (11.8%), ceramic inlays (5.4%), glass ionomer cement or compomer (0.8%), gold crowns (21.8%), ceramic crowns (6.6%), and metal-ceramic crowns (4.3%). Notable differences were identified based on the sex, age, and region of the dentist. Women selected increased esthetic options, as did young dentists. Restorations made of gold, amalgam, and base metal had the highest longevity, at more than 20 years ConclusionsAmong German dentists, restorations with metallic materials dominated in molars, with gold accounting for the largest share. In recent years, the proportion of tooth-colored restorations has increased, and in particular, young dentists use composite resin and ceramics.

773 Do Physician Apparel, Posture and Familiarity Impact Adolescent Girls’ Engagement in Post-burn Medical Care?

Abstract Introduction Pediatric burns require ongoing developmental adjustment to lifelong medical care. One well documented phenomenon, “white coat syndrome”, highlights the influence of physician status and medical settings on physiology, while data assessing patient perception of physician care highlights the importance of disarming power attributions by sitting at patient eye-level. The current qualitative report aimed to understand how adolescent patients engage with doctors and whether physician’s clothing, posture and white-coat influence willingness to engage. Methods As part of a 6-day therapeutic residential retreat for girls with burns, girls participated in three question-and-answer sessions with the retreat Medical Director, a burn reconstructive surgeon. In the first two sessions, the surgeon wore casual clothing and sat down in a circle with the girls. Session three, the surgeon wore a white coat and stood amongst the seated girls. Engagement with care was assessed via girls’ willingness to ask the surgeon medical care questions. Clinical quality assurance measures assessing nervousness and comfort with doctors were administered at baseline (T0) and post-second (T1) and third sessions (T2). Univariate t-tests were used to assess for mean differences across timepoints. Results Fifteen girls (range = 12–20 years old) attended and completed quality assurance questionnaires. Girls reported a significant reduction in nervousness from T1 (M = 2.70) to T2 (M = 1.60), t (9) = 2.54, p = .03, but no change from T0 to T1. Topics discussed included women’s health, scar revision for function vs aesthetic options and communication skills for conversing with medical professionals. Girls exhibited behavior consistent with increased comfort with the surgeon during the final session, as evidenced by spontaneous questions and candid discussion as the girls leapt from their chairs rolling up sleeves, pulling up pant legs and shifting their hair covering scars for a hands-on assessment. Conclusions Subtle shifts in physician apparel, posture and interaction may impact adolescent patient’s willingness to engage in their care via asking questions. Future research applying “white coat syndrome” theory to behavioral presentations and engagement with care may be warranted. Applicability of Research to Practice Future prospective quantitative research with a larger sample size may be warranted. Physicians treating adolescents who were burned as children may want to consider the formality of their clothes, white coat, stance and posture during initial encounters with patients in an attempt to increase patient comfort and engagement with care.

Give them an aesthetic option

Give them an aesthetic option

Minimize Preparations for Maximum Results

Public awareness has resulted in patients requesting more minimally invasive cosmetic options. The old adage of extension for prevention has been replaced with minimal to no-prep dentistry, risk assessment and conservative treatment. This article focuses on prepless veneers as an excellent, yet conservative aesthetic option that can yield outstanding results.

Más allá de la protesta. Música militante en Bogotá en los años setenta y la transformación de la “música colombiana”

Este trabajo presenta un panorama de la música vinculada a la militancia de izquierda en Bogotá en la década de 1970 y explora las relaciones entre las prácticas musicales, las opciones estéticas y los marcos ideológicos partidistas. Argumenta que la transformación de la denominada “música colombiana” a finales de los sesenta fue impulsada en buena parte por la influencia ideológica del “campo maoísta”. Toma como fuentes registros sonoros realizados por el autor, prensa, discografía y entrevistas.

3D printed material application in orthodontics

The 3D printing has opened new Vistas for dentistry. The 3D printing along with software modelling and thermoforming can help in the design and manufacture of Clear aligners for orthodontic treatment, which is both a contemporary and an esthetic option. Various thermoplastic materials are being currently used worldwide for the manufacture of clear aligners including- polyester, polyurethane, polypropylene, polycarbonates and polyethylene polymers. A pilot investigation of 10 adult patients requiring orthodontic treatment having a mild arch length tooth material discrepancy in either the anterior maxilla or mandible was planned so as to treat patients with aligners. A complete set of orthodontic records including intra and extraoral photographs, lateral cephalogram and OPG, study models were taken. The clear aligners were designed after acquiring an intraoral scan and completing the treatment setup using the virtual software. The virtual stages were developed by Orthoanalyzer software and were 3D printed using two different materials- VeroWhite and VeroClear on a polyjet printer. The clear aligners were manufactured using the standard PET-G material from the stages obtained through 3D printing. The indigenously fabricated clear aligners were found to be an effective orthodontic treatment modality, however there is a learning curve involved in its virtual staging and fabrication. There seems to be a gap between developed virtual stage and actual treatment result obtained.

“Pensar com as mãos”: o radical processo de intertextualidade godardiana em Imagem e Palavra

The starting point of this article is the feature film The Image Book (2018), by Jean--Luc Godard, anchored in the idea of “thinking with your hands”. A conspicuous characteristic of the filmmaker’s work, the manipulation of sounds and images, is taken to the limit in this film-book. The aesthetic options and editing procedures presented provide an extreme sensorial experience. This thought-provoking language, free of a télos, merges with life itself. Based on the artistic and political tapestry woven by Godard, the article invites theorists and artists who, escaping from normality, made the challenging journey of thinking stories that can resist time(s)

A clinically based review of patient and treatment characteristics in West Australian private orthodontic practices

Abstract Objective To describe patient and treatment characteristics in West Australian private orthodontic practices. Methods A quantitative retrospective cross-sectional study of patient records from private practices in Western Australia was conducted. Permission was sought to access clinical records of 100 most recently-treated patients at each participating practice. A sample of 3,200 patients (response rate 84%) was collected, representing approximately one-third of practices in Western Australia, and simple descriptive statistics were applied to assess patient and treatment characteristics. Results The majority of patients were female (58.5%), adolescent and had private health insurance (75.6%). The most common patient complaint was crowding (37.6%) and aesthetics (21.3%). Data analysis indicated that 31% of patients were self-referred and a similar proportion did not have a specific complaint. Adult females had a higher interest in aesthetic options. Over half of the patients (56%) received first phase treatment, and non-extraction orthodontics accounted for 61.6% of cases. Full fixed appliances were the most commonly prescribed device (94%). The acceptance rate of orthognathic surgery, when offered, was approximately 30%. Conclusion Clinical data relating to actual patient presentations provide an invaluable insight into the realities of private practice. The eventual course of treatment is often determined by the patient’s tolerances and expectations as much as a clinical recommendation.

Nasal Reconstruction With Two Stages Versus Three Stages Forehead Fap: What is Better for Patients With High Vascular Risk?

In nasal reconstruction, it is necessary to replace all anatomic layers in order to reinstate correct aesthetics. The most apt donor site to use in order to cover the nose has been recognized as forehead skin. Traditionally 2 phases are required to reconstruct the forehead flap; however, an intermediate third phase was described by Millard which is between transfer of the flap and division of the pedicle. These methods will be compared in this study with regard to both complication rates and aesthetic results in high vascular risk patients.46 patients were enrolled in the study, all of whom were undergoing either total or subtotal nasal reconstruction from January 2001 to March 2018. The 2-step technique (2S Group) was performed on 30 patients and the 3-step technique (3S Group) was performed on 16. Evaluation questionnaires were completed by patients and a plastic surgeon who was extraneous to the study to evaluate aesthetic satisfaction. Complications other than flap necrosis such as infection, wound dehiscence and hematoma were recorded. VAS and Likert mean values, used to evaluate aesthetic satisfaction, were examined with a Student t test and were discovered to be relevant. Complication rates studied with Fisher exact test showed no statistically significant difference between the 2 groups. The 3-phase method for nose reconstruction using a forehead flap represents a better functional and aesthetic option for patients at high vascular risk.