RESUMO
A technique for replacing existing porcelain veneers has been presented. Technique for smile design, tooth preparation, and cementation were described. The objective was to meet the patient's aesthetic expectations while also meeting functional requirements.
Assuntos
Cimentação , Porcelana Dentária , Planejamento de Prótese Dentária , Facetas Dentárias , Preparo do Dente , Adulto , Cor , Restauração Dentária Temporária , Estética Dentária , Feminino , Humanos , Planejamento de Assistência ao Paciente , Satisfação do Paciente , SorrisoAssuntos
Porcelana Dentária , Planejamento de Prótese Dentária/instrumentação , Facetas Dentárias , Resinas Acrílicas , Adulto , Silicatos de Alumínio , Cimentação , Dente Canino , Porcelana Dentária/química , Restauração Dentária Temporária , Desenho de Equipamento , Feminino , Gengivoplastia , Humanos , Incisivo , Má Oclusão/terapia , Preparo Prostodôntico do Dente/instrumentação , Preparo Prostodôntico do Dente/métodosRESUMO
Due to improved materials, instrumentation, and placement techniques, composite resins have overcome the traditional complications associated with wear resistance, microleakage, sensitivity, and tight anatomical contacts. Composite resins have been utilized with increased frequency for direct posterior restorations capable of satisfying the growing aesthetic expectations of contemporary dental patients. When properly placed, posterior composites can provide successful and predictable restorations. This article presents clinical considerations for the aesthetic conservation of posterior restorations with composite resin materials.
Assuntos
Resinas Compostas , Restauração Dentária Permanente/métodos , Resinas Compostas/química , Infiltração Dentária/prevenção & controle , Desgaste de Restauração Dentária , Restauração Dentária Permanente/classificação , Restauração Dentária Permanente/instrumentação , Sensibilidade da Dentina/prevenção & controle , Estética Dentária , Humanos , Restaurações Intracoronárias , Propriedades de Superfície , Resultado do TratamentoRESUMO
Viridans streptococci were the most common cause of bacteremia in 61 consecutive myeloablative allogeneic hematopoietic stem cell transplant (HSCT) recipients, occurring in 19 of 31 bacteremic patients (61%) during the period of post-transplant neutropenia. Seven of the 19 had more than one viridans streptococcus in the same blood culture. Twenty isolates from 15 patients were Streptococcus mitis. Most viridans streptococci were resistant to norfloxacin, used routinely for prophylaxis. Comparison of the 19 patients with viridans streptococcal bacteremia with a contemporaneous group of 23 allogeneic HSCT recipients with fever and neutropenia but no identified focus of infection found that patients with viridans streptococcal bacteremia were more likely to have severe intraoral pathology while neutropenic (26% vs 0%) and slightly shorter interval between the last dental procedure and the onset of neutropenia (11 vs 14 days). Poor underlying dental health and the use of norfloxacin thus appear to predispose to viridans streptococcal bacteremia.
Assuntos
Transplante de Células-Tronco Hematopoéticas/efeitos adversos , Doenças Estomatognáticas/complicações , Infecções Estreptocócicas/etiologia , Adulto , Antibacterianos/administração & dosagem , Bacteriemia/tratamento farmacológico , Bacteriemia/etiologia , Feminino , Neoplasias Hematológicas/complicações , Neoplasias Hematológicas/terapia , Humanos , Masculino , Testes de Sensibilidade Microbiana , Infecções Estreptocócicas/tratamento farmacológico , Transplante Homólogo/efeitos adversosAssuntos
Cerâmica , Resinas Compostas , Planejamento de Dentadura , Prótese Adesiva , Adulto , Prótese Parcial Temporária , Humanos , Incisivo , Masculino , Maxila , Dente ArtificialRESUMO
Thirty patients were selected to bleach their maxillary teeth. Vacuum-formed trays were fabricated for the maxillary arch so that only one quadrant of bleaching tray had reservoirs. Nupro Gold 10% carbamide peroxide gel was given to patients. They were instructed to place a drop of gel in each tooth area and wear the trays twice a day for two-hour periods. After 10 days the patients were evaluated for shade changes in each quadrant. No clinical difference was observed in the after-shade match of the two quadrants. It appears that the addition of blockout spacers to create reservoirs does not increase the success of home bleaching.
Assuntos
Clareamento Dental/instrumentação , Ureia/análogos & derivados , Administração Tópica , Adulto , Peróxido de Carbamida , Combinação de Medicamentos , Desenho de Equipamento , Feminino , Seguimentos , Géis , Humanos , Masculino , Maxila , Pessoa de Meia-Idade , Peróxidos/administração & dosagem , Peróxidos/uso terapêutico , Autoadministração , Propriedades de Superfície , Fatores de Tempo , Dente/patologia , Clareamento Dental/métodos , Descoloração de Dente/patologia , Descoloração de Dente/terapia , Resultado do Tratamento , Ureia/administração & dosagem , Ureia/uso terapêuticoRESUMO
Conveying news of cancer is stressful for the doctor, as receiving such news is for the patient. A patient may not perceive the news in the same way that the doctor does. Regular incorporation of the suggestions made in this article will advance the doctor's confidence, communication skills, and relationships with patients.
Assuntos
Neoplasias/psicologia , Relações Médico-Paciente , Revelação da Verdade , Adaptação Psicológica , Atitude do Pessoal de Saúde , Comunicação , Humanos , Neoplasias/diagnóstico , Papel do MédicoRESUMO
Many treatment plans require a dental practitioner to maintain the entire labial cortical plate of bone when removing an anterior maxillary tooth. A tooth with an undermined root secondary to an endodontic perforation or internal (Idiopathic) resorption can present a surgical challenge to the general practitioner. This article describes a new technique for extracting a severely undermined anterior maxillary tooth while maintaining the entire labial cortex of bone.