Esthetic Management Research Articles

Challenge of Aesthetic Rehabilitation in Case of Fractured Anterior Teeth with Diastema and Gummy Smile

The success of a restorative treatment in anterior teeth for a patient who lost dental aesthetic depends on the esthetic integration between soft tissues and hard tissues with less invasive procedure. (1/2) The present available case report describes the esthetic management of gummy smile, fractured incisor teeth and midline diastema with a multidisciplinary approach of different specialties from diagnosis to treatment planning.Ceramic veneers and crowns yielded a good aesthetic and functional outcome.

The aesthetic management of diastema closure treatment with indirect veneer using lithium disilicate: A case report

Background: Diastema is a space between two or more adjacent teeth that can interfere with the patient's aesthetic appearance. Various aesthetic treatments can be performed for diastema closure on anterior teeth, one of which is through the installation of veneers. The lithium disilicate ceramic material produces the thinnest veneer and has better properties than other materials, and is able to cover the anterior diastema with a fairly large width. Purpose: To describe the aesthetic procedure for closing the diastema of anterior teeth using indirect lithium disilicate ceramic veneer. Case(s): A 29-years-old male patient came with a complaint of dissatisfaction with her smile because of a gap between teeth 12 and 13. The teeth are in vital condition with normal overjet and overbite, and there are no systemic health problems. Case Management: The management of diastema closure on teeth 12 and 13 was carried out with indirect lithium disilicate veneer treatment. Lithium disilicate veneer has promising aesthetic results due to its enamel-like nature, minimally invasive because it requires minimal tooth reduction, good strength, and did not cause gingival irritation. As a result, this treatment could increase self-confidence of the patient. Conclusion: Diastema closure treatment using indirect lithium disilicate veneer is an effective treatment, gives satisfactory results and can increase the patient's confidence.

Hizmet amaçlı işletilen ormanlarda optimal kuruluşların belirlenmesi

A regulated forest structure exists that will best fulfill the expected forest value for both protection and service purposes. For the forest functions designated or to be assigned for service production purposes, optimal formations have not been disclosed yet. For this purpose, the optimal forest structure in the aesthetic and recreation managed forest unit in Odayeri planning unit, reserved to the service production function is explained theoretically, and afterwards presented by numerically and graphically. The optimum rotation age obtained with the calculations for the aesthetic management unit was determined as 198 years, the diameter of the target 72 cm and the target volume 270 m3/ha. Since the aesthetic management unit consists of multi-layered and mixed stands, the continuous forest form has been adopted as the management method and the optimal structure has been determined using the French volume method. The recreation management unit consists of fir and beech mixed stands and was managed according to the age class method. In this study, an example of determining the optimal formation for a management unit consisting of mixed forests has been presented.

Aesthetic Restoration of Traumatized Deciduous Anterior Teeth Using Custom Fabricated Zirconia Crowns - A Case Report

Loss of anterior teeth in children can adversely affect the aesthetics, decrease masticatory efficiency, cause speech disturbance and result in the development of parafunctional habits and psychological problems. There are various complete crown coverage restorations like polycarbonate crowns, stainless steel crowns (SSC), open-faced SSC, commercially veneered SSC, Figaro crowns and Zirconia crowns. The superior aesthetics, inertness, and biocompatibility of ceramics have made them acceptable as a dental restorative material by clinicians. Zirconia ceramics have become a frequently employed biomaterial in dentistry due to their enhanced aesthetics and mechanical properties.
 The aesthetic management of decayed and traumatized deciduous anterior teeth using complete coverage restoration in children is strenuous owing to their limited size, proximity to the pulp, decreased surface area for bonding, teeth isolation difficulties and lack of cooperation. Structural loss of anterior teeth affects aesthetics, impairs mastication and phonetics, causes eruption disturbance of permanent teeth and leads to the development of non-nutritive habits. This may result in a psychosocial crisis in the patient including reduced self-esteem.
 Full coronal restorations like polycarbonate crowns, strip crowns, and modifications of stainless-steel crowns including the open-faced and pre-veneered crowns are being used by clinicians to restore discoloured incisors. However, they are often associated with technical, functional, or aesthetic limitations. Over the past decades, advancement in different technologies in the sphere of dentistry and the immense booming of dental materials have always resulted in a continuous re-assessment of different treatment principles so employed. Paediatric zirconia crowns were introduced in 2010 and have gained popularity for aesthetic considerations.[1] Zirconia crowns are clinically justifiable and with greater parental gratification when compared with other full coverage coronal restorations. Zirconia crowns express high strength, aesthetics, durability, biocompatibility, reduced wear of opposing teeth, and cause less gingival irritation.

Oligopleiodontia of the mandibular anterior segment

Esthetic management of supernumerary tooth is encountered routinely in our day to day practice. When such a case presents with underlying periodontal problems like gingival recession, its management requires a multidisciplinary approach for a long term successful outcome. This case report presents one such case where a connective tissue graft with an epithelial collar was placed using modified envelope flap technique for correction of gingival recession which preceded esthetic management of the ST in oligopleiodontia patient. Esthetic management was done by direct composite veneer. Direct placement of composite veneers has greater control, require a conservative removal of tooth structure and can be easily repaired and modified at any stage. 2 year follow up showed optimal root coverage and appreciable esthetics.

Esthetic and Cost Effective Management of Young Female with Moderate Fluorosis Using Microabrasion;

Primary concern of majority of young patients visiting dental OPD is compromised dental esthetics or dental pain. Discolorations have significant social and esthetic effects. Fluorosis is one of the most common cause. It is prevalent in different areas of Pakistan. Microabrasion was selected for treatment of discoloration in this case report. Microabrasion was performed using slurry made by combining 37% phosphoric acid and pumice. This slurry was applied on the labial tooth surface and mechanically rubbed with a prophylaxis brush in a slow hand piece for a minute, with gentle pressure. The cycle was performed thrice followed by fluoride application. The results of this conservative treatment were satisfactory and patient was satisfied with the esthetic outcome.

Aesthetic management of anterior cantilever bridge with ovate pontic: a case report

This article describes a 16-year-old male who was referred to the Prosthodontics Department due to avulsion of the right upper central incisor and fracture of the left central incisor; the avulsed tooth was lost at the accident site. The patient refused to have his teeth prepared except for broken teeth so a single cantilever retainer denture bridge was made with fiber post design and ovate pontic. Radiographic examination was performed to evaluate the apical condition of the fractured tooth followed by initial im-pression for diagnostic wax-up, treated endodontically to prevent pulp necrosis. Preparation was carried out on tooth 21 using gingival retraction floss and the patient using provisory for 4 weeks. The final impression of the double impression technique was carried out with polyvinylsiloxane. The bridge is cemented using dual-cure resin cement. It is concluded that this ovate pontic design is very suitable for the treatment of the anterior region to achieve the best esthetic result as the main requirement.

MANAGEMENT OF TURNER’S TOOTH

Management of Turner’s tooth using direct composite veneer. Enamel hypoplasia may be dened as an incomplete or deformative formation of the organic enamel matrix of the teeth. Turner’s dysplasia or Turner’s tooth is a type of enamel hypoplasia caused due to local infection or trauma; the incidence of this hypoplasia being 46.08% [1]. Hypoplasia results only if the injury occurs during the time the teeth are developing, formative stage of enamel development. There is no treatment except of cosmetic appearance. Different treatment modalities such as crowns or veneers can be attempted depending upon the degree of hypoplasia. The clinician needs a balanced treatment protocol to make a decision on a complete review of the case. In the following paper, we present a clinical case report of aesthetic management of Turner’s tooth.

The aesthetic management of a midline diastema with direct composite using digital smile design, putty index and button shade technique: A case report

Background: A diastema is the distance or space between two or more adjacent teeth. This abnormality can interfere with the aesthetics of a patient, and 97% of diastemas occur in the maxilla. Various treatments can be performed for diastema closure in patients, one of which is composite resin restoration. Purpose: To explain the aesthetic procedure for diastema closure. Case: A 20-year-old female patient presented with complaints of the distance between her anterior teeth (Class I Angle occlusion with normal overjet and overbite). The labial frenum associated with the diastema was normal in size and position. The patient was not amenable to invasive procedures. Case Management: Management of midline diastema closure using the direct composite technique with DSD, the putty index method and button shade technique. Conclusion: The closure of a midline diastema with direct composite using DSD, the putty index method and button shade technique provides aesthetic results with less cost and time due to the absence of laboratory procedures.

Newer Technique of Extra-Coronal Bleaching with Sodium Perborate on Non-Pitted Fluorosis Stains in Permanent Anterior Teeth.

To evaluate the esthetic improvement of non-pitted fluorosis stains using sodium perborate and compare with etch bleach seal, microabrasion and in-office bleaching with 30% H2O2 on visual assessment scale VAS (primary objective) and to assess any untoward effects including staining, sensitivity, gingival problems within the course of study (secondary objectives). A randomized control trial with 6 months follow up. Methodology- Twenty children aged 8 to 12 years with non-pitted fluorosis in upper anterior teeth were divided into 4 groups with 5 patients in each group. All of the techniques showed improvement in esthetics with VAS. However, microabrasion and bleaching using sodium perborate had significantly better results than other 2 techniques. Sodium perborate showed excellent results in extracoronal bleaching of fluorosed teeth. However a randomized study with large sample size is required to draw a definitive conclusion regarding superiority of one technique over others.

"Aesthetic Management in Direct Composite of a Patient with an Oligodontia"

"Aesthetic Management in Direct Composite of a Patient with an Oligodontia"

Esthetic Management of Dental Fluorosis: A Minimally Invasive Approach

Esthetic Management of Dental Fluorosis: A Minimally Invasive Approach

Efficacy of Socket-Shield Technique on Tissue Stability of Immediate Implant Placement: A Systematic Review with Meta-Analysis and Trial Sequential Analysis

Objective: To compare the socket-shield technique (SST) with the conventional method of immediate implant placement (IIP) regarding stabilization of buccal hard and soft tissue, and esthetic management. Method and Materials: Randomized controlled trials (RCT) investigating SST, published in English, were searched in MEDLINE/PubMed, Web of Science, Scopus, Cochrane, ProQuest, OpenGrey, and Embase until May May 2021, in June 2021. The quality assessment of included RCTs was conducted using the Cochrane Collaboration’s tools. A STATA version 16 was used to determine mean difference with 95% confidence intervals for buccal plate width (BPW), buccal plate height (BPH), pink esthetic score (PES), and implant stability quotient for 3, 6, and 12 months follow-up subgroups. Results: Out of 4617 records, 10 RCTs were finally included for the review and meta-analysis. Regarding BPW, significant differences were observed in favor of SST after 6 months. Also significant difference was detected in BPH and PES in favor of SST compared to the conventional method for all time points. However, no significant difference was found regarding implant stability between the two groups. Conclusion: SST yields better outcomes in dimensional changes of bone and soft tissue, and is found to be superior to conventional IIP regarding esthetic results and stability of hard and soft tissue around implants.

Management of an anomalous maxillary lateral incisor fused with a supernumerary tooth and a coronal dens invaginatus

An abnormal union of two or more tooth germs in the development process results in fusion of teeth. Such clinical situations present a diagnostic dilemma and a challenge in treatment planning. This article reports the endodontic and esthetic management of an atypical permanent maxillary lateral incisor fused with a supernumerary tooth and a coronal dens invaginatus. A 22-year-old female reported an abnormally large and discolored permanent maxillary left lateral incisor (#22). Cone-beam computed tomographic evaluation revealed a complex, labiolingually thin ribbon-shaped canal system in the central portion interconnected with two other canals along with a coronal dens invaginatus. A 2-year follow-up demonstrated satisfactory clinical and radiographic outcomes after the endodontic therapy and a veneer placement on the concerned tooth.

Affordable aesthetic management for a patient from low income strata to improve social well-being: A case report

Background:Aesthetic correction involves a holistic approach which considers the oral cavity as a whole by the norms of the treatment. Aesthetics enhance the facial profile and also the smile line of the patient which improves the quality of life of a patient enabling them to a better socioeconomic status. Smile correction of a patient paves the path for a systematic approach to the treatment and also imparts an improved level of confidence which leads to new opportunities both in the personal and professional field. AeEsthetic correction provides challenging aspects concerning patient satisfaction and functional demands. This is the most affordable treatment for patients’ who are not financially sound in developing countries like India. The other treatment modalities such as Veneers or All-ceramic crowns are aesthetically pleasing but are quite expensive for people in the lower income strata. Due to this, direct composite treatment is very economical and it also improves the patient’s overall confidence and it helps them to socialise well and carry out their daily routine activities without any hindrance and difficulty.Case Report:This case report deals with the esthetic correction of midline diastema and spacing in the maxillary and mandibular anterior region. Conclusion: Aesthetic correction involves meticulous treatment planning to revive the essence of lost beauty as well as improve the functional aspect for the patient.Conclusion:Aesthetic correction involves meticulous treatment planning to revive the essence of lost beauty as well as improve the functional aspect for the patient.

Conservative esthetic management with in-office bleaching of dental fluorosis

Tooth discoloration varies in etiology, appearance, localization, severity, and adherence to the tooth structure. It can be intrinsic, extrinsic, or a combination of both. Extrinsic stains are typically caused by tobacco use or by drinking coffee and tea, wine, and pigmented residue from food. This can be removed by regular dental cleaning and brushing the teeth with whitening toothpaste. Intrinsic teeth stains occur most commonly due to exposure of high levels of fluoride, tetracycline antibiotic administration and pulpitis, inherited developmental disorders, and trauma. This can be treated with professional bleaching or at-home chemical teeth-whitening products, porcelain, and composite veneering. Among these procedures, bleaching procedures are more conservative, simple to perform, and less expensive. This case report suggests that in-office bleaching is an effective and conservative method for esthetic correction of tooth discoloration in severe and mild dental fluorosis.

CONSERVATIVE ESTHETIC APPROACH WITH ALL CERAMIC CROWN AND PINK PORCELAIN- A CASE REPORT

Dental traumatic injuries are uncertain and consequences following unesthetic appearance of teeth is of major concern. Esthetics, a subjective factor is necessary to formulate a treatment plan according to the patient’s needs. The condition requires minor modification of clinical protocols and achieve optimal esthetics and adhering to principles of minimal intervention. Here in this case report, we will discuss the esthetic management of a malpositioned tooth with gingival recession post trauma with an esthetic all ceramic crown with gingival porcelain. KEYWORDS: Esthetics, cosmetic recontouring, ceramic crown, pink porcelain

An Exploratory Assessment of University Staff Housing Facilities Management and Maintenance Culture

Maintenance is a vital aspect for facilities, especially those handled by man as they are mostly affected by diverse factors. Staff housing and its attendant facilities are essential aspects that define tertiary institutions of learning's quality and aesthetics. Its qualitative maintenance enhances the productivity of the users, thereby contributing to quality research and learning. This study examines facilities maintenance culture in the Federal University of Technology, Akure staff housing. The study adopted a survey research design. Data for the analysis were sourced from the staff housing occupants and the institution's facilities maintenance department. The data collected were analysed with descriptive statistics. Findings revealed that the maintenance culture adopted for the ICT services, aesthetics management, and waste disposal are shambles and moribund. It was also observed that the factor impeding the quality maintenance of these facilities include lackadaisical attitude to facilities management, improper use of facilities by end-users, inadequate funding, use of inferior materials when replacing damages and unconcern attitude of the users. It can be concluded that the University adopts a breakdown facility maintenance culture than a preventive approach, thereby making these facilities to be in a deplorable state. The study recommends that proper budgetary for maintenance, maintenance manual maintenance, and more maintenance equipment/services should be adopted to improve the facility's upkeep.

CLOSURE OF MIDLINE DIASTEMA BY DIRECT COMPOSITE RESIN BUILD-UP USING PUTTY INDEX- A CASEREPORT

A common aesthetic concern among patient is maxillary anterior space or diastema. Labial frenulum, microdontia, mesiodens, peg-shaped lateral incisors, agenesis, cysts, habits such as finger sucking, tongue thrusting, or lip sucking, dental malformations, genetics, proclinations, dental-skeletal discrepancies, and imperfect coalescence of the interdental septum are some of the causes of midline diastema. For diastema closure there are a variety of therapy options. Many novel therapies have been applied, ranging from restorative procedures to surgery (frenectomies) and orthodontics for closure of diastema or a combination of procedures to meet the aesthetic and functional needs of patient’saesthetic. Recent advancement in direct dental composite resin allows dentists to do minimally invasive cosmetic dentistry that is both conservative and time-consuming. In diastema cases, direct composite resins give the dentist and patient entire control over the restriction and the construction of a natural smile. The purpose of this study is to present a case report of aesthetic management using putty index of maxillary anterior space, which includes the midline.

The Effect of Regional Body Satisfaction on Appearance Interest of Female University Students in Vietnam

The recent economic affluence in Vietnam is leading to a growing interest in beauty. Especially, beauty-related industries, including cosmetic brands, beauty shops and spas are developing, beauty products are becoming more diversified and the interest in appearance is growing. Therefore, this study aims to examine Vietnamese female university students’ interest in physical appearance and the real state of their appearance management behaviors. As for the conclusion of the effect of regional body satisfaction on appearance interest, it can be seen that the higher the satisfaction with the face, the higher the interest in appearance in the northern region. In the central region, higher satisfaction with skin and face means higher interest in appearance. In the southern region, the higher the satisfaction with height, abdomen, weight, and upper body, the higher the interest in appearance. These results can serve as basic data for understanding of the consumer market and analysis of the consumer class in the beauty industry by showing aesthetic consciousness and appearance management behaviors of Vietnamese female university students, who are central consumers of the beauty industry. It is considered there is a need to analyze consumption behaviors, including consumption patterns of Vietnamese female university students in more detail, and further studies on aesthetic consciousness and appearance management behavior patterns among more various types of subjects should be carried out for application to the present beauty industry.