Aesthetic Success Research Articles

Transnational Perspectives on the Irish Foundation Myth

IntroductionThe town of Woodstock, Illinois, is perhaps most famous for being the shooting location of Bill Murray's 1993 film, Groundhog Day. Too distant from Chicago to be called a suburb, yet too populous to be called truly rural, Woodstock is instead a picturesque example of Middle America that proved ideal for the purposes of Mr. Murray and company. In reality, it is also home to the Stage Left Cafe, a small performance space on the town square where live music and spoken word events are hosted most nights of the week.The storyteller Clare Muireann Murphy came to Stage Left Cafe for a per- formance one Saturday night in November 2009. show was donation only, and the crowd was sparse but enthusiastic. Applause erupted in bursts after each of Murphy's stories, which she drew from her repertoire of legends and folktales from the Irish tradition. Then, at one point, she paused. She informed the audience that the story she was about to tell was not a regular feature of her sets, though she was willing to give it a try on this night because it-the story-was asking persistently to be told. Thus began the Irish foundation myth, told on this cold autumn evening, in a modest venue on the edge of the Midwestern prairie in the United States (Murphy, The Coming of the Milesians).In the next fifteen minutes or so, Murphy called up a myth both ancient in origin and foreign in location. Drawing on a blend of extemporaneous and theatrical performance techniques, the story was told, rather than recited, while voices and gestures were used to heighten dramatic effect. narrative tension reached its peak as the earliest ancestors of the modern Irish people defeated the monarchy that had previously ruled the island. When the three kings fell, the heart went out of the people, Murphy announced before the silent crowd. performance was an aesthetic success. mythic landscape, both alien and familiar to the modern mind, materialized in high relief through Murphy's telling. Yet the social question arising from this moment is how a culturally specific myth remained meaningful in the context of international performance and, moreover, how it reached Woodstock, Illinois, from its apparent place of origin in Ireland. Such concerns inform this study, which attempts to provide an interpretive frame- work for traditional narratives that cross national borders through the activities of traveling storytellers.Contested meanings surround the Irish foundation myth, as it is performed by Murphy on her tours of the world. Although she asserts that the main purpose of the story is to bring audiences together, alternative readings suggest connections with Ireland's history of sectarian conflict, as well as its present economic pre- dicament. Through this dialectic of personal and social forces, Murphy's version of the myth emerges as a quietly subversive ritual intended to foster narrative communion in a transnational performance context that imbues all stories with multiple meanings. following pages briefly discuss the terms and processes associated with this argument: globalization, mediation, transnationalism, myth, and ritual. Next, a description of Murphy's storytelling work outlines her history in the profession and her artistic interests. A subsequent interpretation approaches Murphy's version of the Irish foundation myth through the lenses of politics, economics, and ritual. Concluding remarks explore the connections among these forces, as well as the resulting perspective that may be applied to traditional narratives that travel far outside their culture of origin.1Globalization and the Performance of MythDefining globalization is the object of a perennial debate (Scholte 54-59), but it is generally accepted that one of globalization's practical outcomes is concurrent experience in different locations. For example, globalization allows for the simulta- neous online viewing of an international news event, such as the school shootings in Newtown, Connecticut, on 14 December 2012. …

Influence of filler charge on gloss of composite materials before and after in vitro toothbrushing

ObjectivesThis study evaluated the gloss behaviour of experimental resin composites loaded with different filler percentages, immediately after polishing and after toothbrushing simulation. MethodsSixteen disc-shaped specimens were fabricated for each different-charged composite (40%, 50%, 60%, 70% and 75%) and polished with SiC abrasive papers. Gloss measurements were made prior to simulated toothbrushing. The specimens were subjected to the simulation for 5, 15, 30 and 60min using an electrical toothbrush with a standardized pressure while being immersed in a toothpaste/artificial saliva slurry. ResultsBaseline composite gloss values ranged from 69.7 (40%) to 81.3 (75%) GU (gloss units) and from 18.1 (40%) to 32.3 (75%) GU after 1h of brushing. Highest gloss values were obtained by 75%-charged resin, while the lowest values were obtained by the 40%-charged one. ConclusionsAll tested materials showed a gloss decrease. However, the higher filler load a composite resin has, the higher gloss it can achieve. Clinical significanceGloss of resin composite materials is an important factor in determining aesthetic success of anterior restorations, and this property may vary according to the filler charge of the restorative material. Higher filler load of a composite resin results in higher gloss values.

Clareamento de dentes tratados endodonticamente: uma revisão da literatura

Na Odontologia contemporânea, a estética sofreu uma valorização significativa, ganhando destaque e importância. Nesse contexto, a beleza é influenciada pelo contorno, forma, simetria, alinhamento e, principalmente, pela cor dos dentes. O clareamento de dentes anteriores desvitalizados escurecidos tem se tornado uma terapia muito requisitada, uma vez que o escurecimento dos dentes é motivo de grande insatisfação por parte dos pacientes. Esta revisão de literatura tem como objetivo analisar os dados disponíveis na literatura sobre este assunto, uma vez que a associação entre o clareamento interno e a reabsorção radicular externa cervical é uma questão que ainda gera dúvidas na prática odontológica. O clareamento interno apresenta resultados esteticamente satisfatórios, no entanto, apresenta como possível efeito colateral a reabsorção radicular cervical externa, que prejudica ou até mesmo inviabiliza a permanência do elemento dental na cavidade bucal. A etiologia da reabsorção radicular externa relacionada ao clareamento é complexa, no entanto acredita-se que o agente clareador alcance os tecidos periodontais através dos túbulos dentinários, desnature a dentina, que passa a ser considerada um tecido imunologicamente diferente, sendo reconhecida como um corpo estranho e inicia uma reação inflamatória que resulta na perda localizada de tecido dental. Outra limitação do clareamento de dentes tratados endodonticamente é a recidiva da cor, ainda pouco compreendida. Apesar do clareamento de dentes desvitalizados ter um alto índice de sucesso e de sua natureza minimamente invasiva, os possíveis efeitos colaterais, tais como a reabsorção cervical externa e a recidiva de cor devem ser levados em consideração no momento de sua indicação.

The Use of Leukocyte- and Platelet-Rich Fibrin During Immediate Postextractive Implantation and Loading for the Esthetic Replacement of a Fractured Maxillary Central Incisor

I mplant-supported restoration of the maxillary anterior segment that is biologically, functionally, and esthetically acceptable following traumatic injuries in the maxillary anterior segment is always complex. Careful extraction of the fractured root, residual labial bone preservation, proper flap design, ideal positioning of the implant, appropriate softtissue contour, and the crown emergence are all important steps necessary to achieve a predictable, stable, functional, and esthetic success. However, healing of the tissues is always difficult to control and the development of new techniques and materials to improve these treatments is still necessary. The use of platelet concentrates is an interesting approach. Platelet concentrates for surgical use are widely used and continuously investigated in oral and maxillofacial surgery. The objective is to gather platelet growth factors and to inject them on a surgical site to stimulate the healing process. A significant percentage of the literature is focused on the platelet-rich plasma (PRP) families. PRP is a liquid platelet suspension often activated into a platelet-rich gel (like fibrin glues). Another technology called leukocyteand platelet-rich fibrin (L-PRF) allows for the preparation of strong fibrin membranes enriched with cells (activated platelets, leukocytes, circulating cells) and platelet growth factors. This autologous healing biomaterial is free of additives (no anticoagulant during blood harvest, no chemicals for activation), simple, inexpensive, and quick to prepare (15 minutes for all steps). This technique is specifically adapted to the practical needs in daily implant dentistry. Several articles have reported the use of these L-PRF membranes for the stimulation of bone and 1 Private practice, Turin, Italy. 2 Private practice, Ra’anana, Israel. 3 Clarion Research Group, Clarion, Penn. Department of Restorative Dentistry, State University of New York at Buffalo, Buffalo, NY. 4 LoB5 Unit, Research Center for Biomineralization Disorders, School of Dentistry, Chonnam National University, Gwangju, South Korea. Department of Stomatology, Oral Surgery, and Dental and MaxilloFacial Radiology, School of Dental Medicine, University of Geneva, Geneva, Switzerland. * Corresponding author, e-mail: LoB5@mac.com DOI: 10.1563/AAID-JOI-D-12-CL.3802

Immediate supracrestal implant placement with immediate temporization in the anterior dentition: a retrospective study of 31 implants in 26 patients with up to 5.5‐years follow‐up

To assess the stability of the peri-implant bone, the peri-implant soft tissues and the esthetic success of immediately placed implants. In this retrospective study, scalloped-shaped implants were placed immediately and 1.5mm supracrestally after single-tooth extraction. All implants were immediately restored with an implant-supported temporary crown. Clinical and radiographic parameters were assessed on the day of tooth extraction with subsequent implant placement and temporization, after 6months at delivery of the final crown, and after 1, after 3, and up to 5years after crown delivery. All 31 implants were clinically successful and in function during the observation period (mean 3.4years). The peri-implant soft tissues were clinically healthy as indicated by a low mean plaque (below 0.5) and sulcus bleeding index (below 0.24) values. The distance between the implant shoulder and the first visible bone-to-implant contact (DIBrx) was measured at the mesial and distal aspects of each implant using periapical radiographs. Mean values for DIBrx of 1.73±0.59mm directly after implant placement and 2.25±0.66mm after the observation period demonstrated stable peri-implant bone levels. The mean distance from the implant shoulder to the gingival margin on the labial aspect (DIM vestibular) was 2.21±1.09mm directly after implant placement. Respective values at 1year, at 3years and at 5years after crown delivery remained stable thus demonstrating little if any gingival recession. The assessed mean values for the pink (PES) and white (WES) esthetic score (0=0-33% score, 1=34-66% score, 2=67-100% score) were 8/4 directly after implant placement and 9/10 after 1.5-5.5years of observation. After an observation time of 1.5-5.5years all implants demonstrated very stable soft tissue levels with little if any recession on mesial, distal and labial aspects and an esthetic score that was reasonable directly after temporization and developed toward maximum scores over time.

Full-mouth minimally invasive adhesive rehabilitation to treat severe dental erosion: a case report.

Dental erosion is increasing, and only recently are clinicians starting to acknowledge the problem. A prospective clinical trial investigating which therapeutic approach must be undertaken to treat erosion and when is under way at the University of Geneva (Geneva Erosion Study). All patients affected by dental erosion who present with signs of dentin exposure are immediately treated using only adhesive techniques. In this article, the full-mouth adhesive rehabilitation of one of these patients affected by severe dental erosion (ACE class IV) is illustrated. By the end of the therapy, a very pleasing esthetic outcome had been achieved (esthetic success), all of the patient's teeth maintained their vitality, and the amount of tooth structure sacrificed to complete the adhesive full-mouth rehabilitation was negligible (biological success).

Psychiatric Issues in Cosmetic Plastic Surgery

The objective of cosmetic surgery is increased patient self-esteem and confidence. Most patients undergoing a procedure report these results post-operatively. The success of any procedure is measured in patient satisfaction. In order to optimize patient satisfaction, literature suggests careful pre-operative patient preparation including a discussion of the risks, benefits, limitations and expected results for each procedure undertaken. As a general rule, the patients that are motivated to surgery by a desire to align their outward appearance to their body-image tend to be the most satisfied. There are some psychiatric conditions that can prevent a patient from being satisfied without regard aesthetic success. The most common examples are minimal defect/Body Dysmorphic Disorder, the patient in crisis, the multiple revision patient, and loss of identity. This paper will familiarize the audience with these conditions, symptoms and related illnesses. Case examples are described and then explored in terms of the conditions presented. A discussion of the patient's motivation for surgery, goals pertaining to specific attributes, as well as an evaluation of the patient's understanding of the risks, benefits, and limitations of the procedure can help the physician determine if a patient is capable of being satisfied with a cosmetic plastic surgery procedure. Plastic surgeons can screen patients suffering from these conditions relatively easily, as psychiatry is an integral part of medical school education. If a psychiatric referral is required, then the psychiatrist needs to be aware of the nuances of each of these conditions.

Zirconia Abutments in Implant Dentistry

Esthetic parameters have become integral aspects in defining success and failure of an implant. All-ceramic abutments have started to play a major role in achieving an esthetically successful result. The material itself, however, is not the exclusive determinant for esthetic success. It is the appropriate design and proper handling of the material and the abutment that enables the clinician to achieve esthetic outcomes that were not possible with traditional metal alloys. The focus of this systematic review was to assess the published data on the zirconia dental implant abutment.

Interimplant Papilla Reconstruction by Using Demineralized Freeze Dried Bone Allograft Block Fixed by Titanium Screw: A Case Report

Dental implants are now considered as a predictable treatment modality for the oral rehabilitation of partially or fully edentulous patients. Recently emphasis has changed towards achieving a predictable esthetic success. Creating aesthetically successful implant-supported restoration in the anterior region of oral cavity depends on the presence of interimplant papilla when multiple implants are used. The present paper reports a case of interimplant papilla reconstruction in esthetic zone of maxilla during one stage early loading multiple implant procedure using demineralized freeze dried bone allograft block fixed by titanium screw.

Prosthodontic rehabilitation of patient with ocular defect using an alternative technique

An ocular prosthesis is a simulation of of a perfectly normal healthy eye and surrounding tissues. The primary purpose of an ocular prosthesis is to maintain the volume of eye socket and create the illusion of a healthy eye and surrounding tissue. A custom ocular prosthesis is a good option when reconstruction by plastic surgery or the use of Osseo-integrated implants is not possible or not desired. Prosthetic rehabilitation of a patient with missing eye with custom made ocular prosthesis was described. Advantages include improved adaptation, increased mobility of prosthesis, improved facial contours and enhanced esthetics gained from the control of the iris and sclera. An accurate alignment of the artificial eye is one of the major prerequisites for esthetic success of the ocular prosthesis.

Colour stability of laminate veneers: An in vitro study

ObjectivesObtaining a perfect aesthetic, especially with the translucent porcelain laminate veneers; shade of the porcelain, type of the resin cement and their long term colour stability are important factors to achieve aesthetic success. The purpose of the study was to assess the effect of different resin cement systems and UV ageing on the colour of full ceramic laminates with different shades. Methods392 discs were made with A1, A3, HO and HT shades of IPS e.max Press with 0.5mm thickness. Different shades of light cured Variolink Veneer, Ivoclar Vivadent (+3, MO, −3); Rely X Veneer, 3M ESPE (A1, A3, White Opaque, Translucent); and dual cured Maxcem Elite, Kerr (White, Yellow, White Opaque, Clear); and Variolink II, Ivoclar Vivadent (White Opaque, Translucent) resin cements were applied on the porcelain discs with a thickness of 0.1mm. Colour differences of the porcelain substructures after cementation and 300h (150kJ/m2) of UV ageing test, were examined with a colorimeter (Shade Eye Ex, Shofu, Japan). The results were analysed statistically with Wilcoxon signed-rank and Kruskal–Wallis test. The mean values of L*, a*, and b* were also compared using Paired Sample t-test. Spearman's Rank Correlation test was used to analyse the correlation between ceramics with resin-cemented ceramics after ageing. The data analyses were evaluated at a significance level of p<0.05 for all individual tests without any adjustment. ResultsUV ageing caused significant colour change on ceramics and also cemented ceramics (p<0.05). Whilst L* and a* values decreased, b* values increased after ageing. Discoloration was between 0.8–1.2 ΔE for ceramic discs and 1.4–3.1 ΔE for cemented ceramics. There is no significant difference on the colour change of dual or light cured resin cements, which were polymerized beneath the porcelain substructure with 0.5mm thickness. Although statistically significant differences were observed for all specimens, the magnitudes of the mean colour differences were at an acceptable perception level and were considered clinically acceptable (ΔE<3.5). ConclusionsResin cements and ageing process influence the colour of porcelain laminate veneers. Cementation of laminates with either dual or light-cure resin cements does not effect the long term colour stability differently.

Management of multiple inter‐implant papillae – a report of two cases with 18–36‐month follow‐up

AbstractToday, oral rehabilitation with osseointegrated dental implants is considered a routine, being utilised for single‐tooth and partial edentulism tooth replacement, and full edentulism therapy. However, osseointegration does not always result in aesthetic success and patient satisfaction. Numerous surgical and restorative management techniques have been developed to achieve predictable and long‐term stable aesthetic and functional success. However, the periodontally compromised patient remains a challenge to all those techniques. This is a ‘step‐by‐step’ surgical and restorative approach to produce a visibly pleasing result where management had to address: long‐term chronic adult periodontitis with associated gross horizontal bone loss; elective, multiple extractions of adjacent anterior maxillary teeth with their immediate implant placement; maintenance of/or regeneration of interdental and inter‐implant papilla; and maintenance of the width of keratinised gingival tissue and the associated position of the mucogingival junction.

Treatment Planning Challenges in the Maxillary Anterior Region Consequent to Severe Loss of Buccal Bone

The burgeoning popularity of dental implant usage in the maxillary anterior region is well recognized. On the other hand, challenges involved in achieving optimal esthetics through implants have also been discussed extensively. Presence of labial/buccal bone in the maxillary anterior region is necessary for esthetic success of treatment, with or without the use of dental implants. This case report describes the multidisciplinary management of a rare case with severe loss of buccal bone confined to the maxillary central incisor region. A patient with a recent history of orthodontic treatment presented with a large buccal dehiscence of soft tissue that exposed nearly the entire buccal root surface of both maxillary central incisors. The treatment plan included extraction of both central incisors, hard and soft tissue ridge augmentation, and an all-ceramic fixed partial denture. After 2 years in function, the condition of soft tissues and integrity of the restorations remained stable. A discussion of traditional versus contemporary treatment planning using dental implants in such situations is presented. Although implant therapy has proven to be a highly successful option, traditional treatment without implants may be advantageous in certain clinical situations. Compared to implant therapy, it can provide similar or better esthetic results with reduced treatment procedures, expenses, and time.

A technique for fabricating a 2-part surgical template

Implant placement should be restoratively driven to eliminate or reduce complications during the restorative phase.1 The correct placement and angulation of dental implants are necessary for the functional and esthetic success of the prosthesis. Often, the restorative dentist will complete a diagnostic waxing to determine implant placement. This information, along with radiographs and the clinical examination, aids the restorative dentist in determining implant angulation, cementoenamel junction (CEJ) position, and the mesiodistal and buccolingual position of the implant.

Reattachment of Fractured Anterior Tooth: A 2-Year Review of a Case

ABSTRACT Injury to anterior teeth is a relatively common occurrence. Dentists are confronted on regular basis with dental trauma and the management. Some clinical studies have reported reattachment of fractured tooth segment using adhesive resin cement and dentine bonding agent with or without intraradicular postplacement. Reattachment of tooth fragment is simple and can provide good functional and esthetic success. Case description This article reports the reattachment of a fractured anterior tooth in a 17-year-old male patient with adhesive resin and a prefabricated metallic post. Result Evaluation at 2 years revealed good reattachment, intact post, good esthetics (even after a repeat reattachment) and good periodontal health.

Factors to Achieve Aesthetics in All-Ceramic Restorations

The demand for aesthetic restorations has increased during the last years. Dental ceramics are a successful alternative for some cases because of aesthetics and biocompatibility. Therefore, the aim of this literature review was to present the factors necessary to fabricate all-ceramic restorations with aesthetics similar to natural dentition. A search of English-language peer-review literature was completed using MEDLINE database from 1975 to 2009 including the keywords "aesthetic," "metal-free crown," "all-ceramic," and "color." It was observed that several factors influence aesthetics of all-ceramic restorations. Color scale, light source during color evaluation, characteristic of core material, color of supporting tooth, presence of root post, and type of cement are clinical factors that may influence color of the restorations. Laboratorial factors as technique for ceramic condensation, thickness, temperature, and number of firing cycles also influence the result of these crowns. Although several clinical and laboratorial factors influence aesthetics of all-ceramic restorations, the aesthetic success and longevity of these restorations depend on the integration with surrounding periodontal tissue.

The case for a database of musical repertoire

Finding new repertoire poses endless obstacles for musicians. Often the search for an unknown piece or composer presents such an unforeseen challenge that the actual aesthetic and technical success of the work becomes secondary. A major contributing factor is the lack of an accessible and centralized database. Many notable bibliographic reference books do not cite unconventional composers. Hopes of finding non-western European composers are close to none and information about women composers is inconsistent. If a ‘non-standard’ composer is listed, their repertoire list is not complete or updated, thus making the search for new possibilities a time-consuming and disheartening endeavour. This article is a discussion about the current state of bibliographic references for music repertoire and how we can improve the existing situation. By demonstrating the discrepancies that exist among the available resources in the first half of the article, suggestions for updating this database are proposed as a viable solution in the second half.

Canadian Society for Aesthetic (Cosmetic) Plastic Surgery/

One of the most critical variables related to successful breast augmentation is implant selection. Despite the numerous choices with regard to implant design, and the many ways such variables including shape, texture and fill can be mixed and matched, there are very consistent and well-defined principles that can be identified to enhance the aesthetic success of the procedure. Such principles include maximizing soft tissue cover, merging volume with skin elasticity to enhance a harmonious relationship with the native breast, matching implant dimensions to the patient’s anatomy, and precisely controlling the boundaries of the breast pocket. In particular, respecting the anatomy of the inframammary fold can greatly affect the overall result. By combining intelligent and strategic manipulation of these variables, and coupling them with artistic technical expertise, optimal results in breast augmentation can be achieved.

Fractured Maxillary Central Incisor Restoration with Fragment Reattachment: A 2 Year Follow-up Case Report

ABSTRACT Injury to anterior teeth is a relatively common event. Dentists are confronted with managing dental trauma and restoring fractured teeth on a regular basis. Hence the technique that speed and simplify treatment, restore esthetics and improve long term success rate are therefore of potential value and should be considered. If an intact tooth fragment is present after trauma, the incisal edge reattachment procedure presents a conservative, simple and esthetic alternative. Clinical trials have reported that reattachment using modern dentine bonding agents and resin system may achieve a functional and esthetic success. This article presents with a case report of restoration of fractured maxillary central incisor using fragment reattachment in a 12 year old child. The reattachment was carried out using resin cement followed by additional chamfer on buccal surface which was restored with resin composite. The reattached fragment was found to be intact at a 2 year follow-up visit.

Zirconia Abutments for Single-Tooth Implants—Rationale and Clinical Guidelines

Clinical success of an endosseous implant to replace a single tooth is not only defined by its survival. Esthetic parameters have become integral aspects in defining success and failure. All-ceramic abutments have started to play a major role in achieving an esthetically successful result. The material itself, however, is not the exclusive determinant for esthetic success. It is the appropriate design and proper handling of the material and the abutment that enables the clinician to achieve esthetic outcomes that were not possible with traditional metal alloys. This article explores the rationale for using zirconia for prosthetic implant components, explains specific material properties, and discusses strategies and guidelines for the design and successful clinical implementation of CAD/CAM-fabricated zirconia implant abutments.