Esthetic Rehabilitation Of Anterior Teeth Research Articles

New Trends and Criteria in the Minimally Invasive Esthetic Rehabilitation of Anterior Teeth

New Trends and Criteria in the Minimally Invasive Esthetic Rehabilitation of Anterior Teeth

Biological post: An Avant-Garde approach

It is not uncommon to see fracture or loss of tooth structure due to caries of the anterior teeth, be it primary or permanent dentition. Successful functional, structural and esthetic rehabilitation of anterior teeth has always been a challenge in restorative dentistry. Though there are various accepted treatment modalities, there is always continuous hope of developing newer techniques, in order to overcome the drawback of existing treatments. This paper discusses the use of a simple, yet successful, cost-effective treatment option of restoring anterior teeth with the use of biological posts through two case reports.

Retrospective clinical evaluation of a no-prep porcelain veneer protocol

Statement of problemPorcelain laminate veneers without tooth preparation (no-prep veneers) might represent a convenient and conservative option for the esthetic rehabilitation of anterior teeth. However, controversy exists about their predictability. PurposeThe purpose of this clinical study was to retrospectively evaluate the performance of no-prep porcelain veneers placed as per the recently proposed “CH no-prep” protocol, which claimed to overcome many of the drawbacks of previous no-prep veneer solutions. Material and methodsOne hundred eight no-prep porcelain laminate veneers based on the CH no-prep protocol were placed in 21 patients between 2015 and 2017. All participants were contacted, and 15 received a recall examination: a total of 78 veneers were evaluated as per the Clinical-Photographic-Micromorphologic coding. Plaque and gingival indexes and any increase in gingival recession were recorded. Pulp vitality was verified. A survival rate based on the count of absolute failures and a success rate summarizing the effect of both absolute and relative failures were calculated. ResultsThe mean observation period was 43.1 months, with an observation interval of 36 to 60 months and a survival rate of 97.4%. From the 5 relative failures (3 minimal fractures or chips and 2 limited marginal discolorations) and the 2 absolute failures (unrepairable fractures), an overall success rate of 91.0% was recorded, with 71 restorations that were judged excellent in terms of clinical acceptance after the recall examination. From the Clinical-Photographic-Micromorphologic evaluation, 5 restorations (6.4%) showed minimal issues for marginal integrity, while a limited porcelain overhang was identified on 2 restorations (2.8%). Micromorphologic analyses confirmed the clinical evaluations. No periodontal recession was observed, and plaque and gingival indexes appeared stable. ConclusionsPorcelain laminate veneers placed as per the CH no-prep protocol demonstrated excellent performances after 36 to 60 months of clinical service. The achieved outcomes, in terms of color match and overall esthetic and anatomic integration, confirmed that a prepless approach may be safely adopted provided that strict rules for patient selection and finish line placement are adopted.

Esthetic rehabilitation of anterior teeth by fiber-reinforced composite: A case report

Patients refusing implant surgery for psychological reasons, where minimal reduction of tooth is preferred, a fiber-reinforced composite fixed partial denture can be a good alternative to conventional prosthetic techniques. In comparison to other restorative systems this is a conservative approach carries a minimum jeopardy of pulp exposure or sensitivity and periodontal inflammation, maintaining the health of supporting tissues. The aim of this case report is to describe the clinical procedure for fabricating an IFPD with a pre-impregnated glass fiber system and a hybrid composite. Fiber-reinforced composite, in combination with adhesive techniques, appears promising for an IFPD. Further clinical investigation will be required to provide additional information on this technique. Keywords: Adhesive dentistry, Fiber-reinforced composite, Glass fibers, Metal-free restorations.

Esthetic rehabilitation of anterior teeth with different thicknesses of porcelain laminate veneers: An 8-year follow-up clinical evaluation

This clinical report describes an 8-year follow-up evaluation using different thicknesses of porcelain laminate veneers of diastema and malformed anterior teeth. Minimally invasive treatment with no preparation or minimal reduction options could be considered and chosen based on the characteristics of each case. Laminate veneers with or without reduction can offer an excellent result regarding esthetics and function. Despite its failure without reduction, this treatment is indicated because it can be applied regardless of the structure of the teeth. At first, no tooth preparation with rotatory instruments was performed, and porcelain laminates of minimum thickness were made for the four maxillary anterior teeth. After 6 years, the adhesive interfaces were stained, and the patient was unsatisfied with the esthetics of her smile. Therefore, at that time, the professional decided to prepare the anterior teeth for porcelain laminate veneers. Diastema closure and/or correction of malformed anterior teeth using porcelain laminate veneers is a viable option for the clinician because it restores esthetic harmony. The patient was very pleased with the new laminate veneers.

Key points for esthetic rehabilitation of anterior teeth using chair-side computer aided design and computer aided manufacture technique

With the rapid development of the chair-side computer aided design and computer aided manufacture (CAD/CAM) technology, its accuracy and operability of have been greatly improved in recent years. Chair-side CAD/CAM system may produce all kinds of indirect restorations, and has the advantages of rapid, accurate and stable production. It has become the future development direction of Stomatology. This paper describes the clinical application of the chair-side CAD/CAM technology for anterior aesthetic restorations from the aspects of shade and shape.

Esthetic rehabilitation of anterior teeth with porcelain veneers - A case series

Esthetic rehabilitation of anterior teeth with porcelain veneers - A case series

Esthetic rehabilitation of anterior teeth through gingival recontouring and ceramic veneers: a case report

Esthetic rehabilitations require a broad and thorough evaluation of all the elements that make up the smile such as lips, dental, and periodontal structures to plan the treatment to provide harmony to the whole set. Objective: To demonstrate through a case the association of Periodontics and Restorative Dentistry in the esthetic rehabilitation of anterior teeth replacing resin restorations by modifying the gingival architecture conservatively and harmonically. Case report: It is essential for a multidisciplinary approach to succeed in treatment. The replacement of previous restorations is an increasing demand in currently clinical practice, for many reasons, mainly due to dissatisfaction with the esthetics. It is observed that many of these patients involve not only dissatisfaction with the dental structure but also with the periodontal health, for this reason, it is necessary a previous adaptation of the gingival tissues for proper restorative rehabilitation. Conclusion: Ceramic laminates have proved to be a great choice for anterior teeth restorations, but they must be indicated in specific situations, to obtain excellent results as most conservative as possible.

Esthetic rehabilitation of anterior teeth through gingival recontouring and ceramic veneers: a case report

Esthetic rehabilitations require a broad and thorough evaluation of all the elements that make up the smile such as lips, dental, and periodontal structures to plan the treatment to provide harmony to the whole set. Objective: To demonstrate through a case the association of Periodontics and Restorative Dentistry in the esthetic rehabilitation of anterior teeth replacing resin restorations by modifying the gingival architecture conservatively and harmonically. Case report: It is essential for a multidisciplinary approach to succeed in treatment. The replacement of previous restorations is an increasing demand in currently clinical practice, for many reasons, mainly due to dissatisfaction with the esthetics. It is observed that many of these patients involve not only dissatisfaction with the dental structure but also with the periodontal health, for this reason, it is necessary a previous adaptation of the gingival tissues for proper restorative rehabilitation. Conclusion: Ceramic laminates have proved to be a great choice for anterior teeth restorations, but they must be indicated in specific situations, to obtain excellent results as most conservative as possible.

Crowns for primary anterior teeth

Esthetic rehabilitation of anterior teeth in young children is a common sight in a dental clinic. Most of these young children report with rampant caries, nursing bottle caries, and fractured tooth due to trauma in the anterior region or even cases of dental caries. A major component while restoring anterior teeth is esthetics, being an important factor, especially in children as it affects their self-esteem and confidence. Also, in children, it can be challenging due to the smaller size of tooth, larger pulp chambers, and not-to-mention issues related to child behavior. Over the years, many types of crowns have been developed and advanced to aid the clinician in rehabilitating deciduous anterior teeth.

Esthetic rehabilitation of anterior teeth with laminates composite veneers.

No- or minimal-preparation veneers associated with enamel preservation offer predictable results in esthetic dentistry; indirect additive anterior composite restorations represent a quick, minimally invasive, inexpensive, and repairable option for a smile enhancement treatment plan. Current laboratory techniques associated with a strict clinical protocol satisfy patients' restorative and esthetic needs. The case report presented describes minimal invasive treatment of four upper incisors with laminate nanohybrid resin composite veneers. A step-by-step protocol is proposed for diagnostic evaluation, mock-up fabrication and trial, teeth preparation and impression, and adhesive cementation. The resolution of initial esthetic issues, patient satisfaction, and nice integration of indirect restorations confirmed the success of this anterior dentition rehabilitation.

Computerized image processing in esthetic rehabilitation of anterior teeth

To investigate the application of computerized image processing in esthetic rehabilitation of anterior teeth. Thirteen patients with esthetic problems in anterior teeth were included in this study. Oral digital images were obtained before and during treatment with a digital camera. All the oral esthetic data of the patients, including tooth shape, tooth shade, tooth characteristic color, incisal transparency, incisal curve, smile line, and gingival curve et al, were collected and analyzed. Diagnostic images of the anticipated esthetic outcome were created by computerized image processing software and transferred to the technician. Restorations were made according to the images by the technician. All anterior teeth of 13 patients were restored with this method and good esthetic results were achieved. Computerized image processing is a useful method in the esthetic rehabilitation of anterior teeth.