RESUMO
This article updates a simple checklist of foundational knowledge in aesthetic dental concepts that allows clinicians to organize their thoughts, to record the concerns of the patient, and to map out those improvements that must be addressed. This adjunct is called a Smile Evaluation Form. Along with other adjuncts such as radiographs, study casts, and diagnostic wax-ups, the Smile Evaluation Form allows clinicians to form a conceptual visualization of the expected end point. It provides a checklist for discussions with other disciplines in the team, to provide a logical sequence of treatment with a mutually agreed-on end point.
Assuntos
Lista de Checagem , Registros Odontológicos , Planejamento de Assistência ao Paciente , Sorriso , Comunicação , Relações Dentista-Paciente , Estética Dentária , Assimetria Facial/diagnóstico , Controle de Formulários e Registros , Humanos , Má Oclusão/diagnóstico , Avaliação das Necessidades , Equipe de Assistência ao Paciente , Fotografia DentáriaRESUMO
This article describes a multidisciplinary approach to a functional and aesthetic rehabilitation. In this case study, we successfully corrected an anterior open bite and an exaggerated curve of Spee using restorative modalities while still maintaining a highly aesthetic outcome. The maxillary anterior teeth no longer appear to have a disproportional width/length ratio and are now in harmony with the mandibular veneers. Posterior function was re-established, mostly with implant-retained crowns. Occlusal harmony and stability are maintained through cuspid guidance and anterior disclusion. Proper selection of final restorative materials is imperative for the long-term survival of the restorations.
Assuntos
Estética Dentária , Reabilitação Bucal/métodos , Sorriso , Silicatos de Alumínio/química , Aumento do Rebordo Alveolar/métodos , Lista de Checagem , Coroas , Cárie Dentária/terapia , Porcelana Dentária/química , Prótese Dentária Fixada por Implante , Facetas Dentárias , Humanos , Masculino , Ligas Metalo-Cerâmicas/química , Pessoa de Meia-Idade , Mordida Aberta/terapia , Planejamento de Assistência ao Paciente , Equipe de Assistência ao Paciente , Doenças Periodontais/terapia , Compostos de Potássio/química , Dente não Vital/terapia , Zircônio/químicaRESUMO
This case report points out the previous restorative breakdown of tooth #8. An interdisciplinary approach had to be applied to prepare the final treatment plan. All factors were taken into account when choosing the type of restorations and materials in this case. The ultimate treatment is presented with the final result. The objectives were to clinically assess patient's current chief complaint, address her aesthetic needs, apply an interdisciplinary approach, deliver treatment of utmost quality, and maintain oral health.
Assuntos
Cerâmica/química , Materiais Dentários/química , Porcelana Dentária/química , Falha de Restauração Dentária , Ligas Metalo-Cerâmicas/química , Reabilitação Bucal/métodos , Sorriso , Adulto , Apicectomia/métodos , Lista de Checagem , Desenho Assistido por Computador , Coroas , Facetas Dentárias , Estética Dentária , Feminino , Gengivectomia/métodos , Humanos , Planejamento de Assistência ao Paciente , Equipe de Assistência ao Paciente , Retratamento , Clareamento Dental/métodos , Extração Dentária/métodosRESUMO
Patients are concerned about dental disease and their appearance. Clinicians often must decide not only the type of restoration, but also the type of material for restoration that will provide aesthetics and longevity. A modern practitioner should know the pros and cons of different types of crowns and veneers. They are also responsible to provide treatment for patients with complicated medical histories. Risk assessments include current conditions, risks of recurrence, and suggestions for maintenance of restorations, as well as guidelines to promote the future health and well-being of the patient.
Assuntos
Materiais Dentários/química , Estética Dentária , Refluxo Gastroesofágico/complicações , Linfoma não Hodgkin/complicações , Reabilitação Bucal/métodos , Adulto , Lista de Checagem , Coroas , Porcelana Dentária/química , Facetas Dentárias , Seguimentos , Humanos , Masculino , Placas Oclusais , Higiene Bucal/educação , Planejamento de Assistência ao Paciente , Equipe de Assistência ao Paciente , Desbridamento Periodontal/métodos , Recidiva , Medição de Risco , Clareamento Dental/métodosRESUMO
This case report presents an interdisciplinary approach to achieve functioning occlusion and an aesthetically pleasing smile. This patient's concerns were spacing between upper front teeth and a gummy smile. The case was evaluated, and treatment was planned using a multidisciplinary approach. The patient rejected the option of orthognathic surgery to correct a skeletal problem. Treatment included orthodontics, osteoplasty, gingivoplasty, and porcelain veneer restorations to achieve the desired aesthetic result. Comprehensive orthodontics resulted in a functionally stable occlusion. Space distribution between maxillary anterior teeth with adequate overjet and overbite relationships allowed for conservative preparation to receive porcelain veneer restorations.
Assuntos
Diastema/terapia , Má Oclusão Classe III de Angle/terapia , Planejamento de Assistência ao Paciente , Sorriso , Adulto , Alveoloplastia/métodos , Lista de Checagem , Aumento da Coroa Clínica/métodos , Porcelana Dentária/química , Facetas Dentárias , Estética Dentária , Seguimentos , Gengivoplastia/métodos , Humanos , Terapia a Laser/métodos , Masculino , Equipe de Assistência ao Paciente , Técnicas de Movimentação Dentária/métodosRESUMO
Even if a clinician possesses basic knowledge in esthetic dentistry and clinical skills, many cases presenting in modern dental practices simply cannot be restored to both the clinician's and the patient's expectations without incorporating the perspectives and assistance of several dental disciplines. Besides listening carefully to chief complaints, clinicians must also be able to evaluate the patient's physical, biologic, and esthetic needs. This article demonstrates the use of a smile evaluation form designed at New York University that assists in developing esthetic treatment plans that might incorporate any and all dental specialties in a simple and organized fashion.
Assuntos
Registros Odontológicos/classificação , Estética Dentária , Planejamento de Assistência ao Paciente , Sorriso , Adulto , Cefalometria/métodos , Oclusão Dentária , Planejamento de Prótese Dentária , Relações Dentista-Paciente , Face/anatomia & histologia , Feminino , Gengiva/anatomia & histologia , Humanos , Lábio/anatomia & histologia , Masculino , Avaliação das Necessidades , Equipe de Assistência ao Paciente , Fonética , Dente/anatomia & histologiaRESUMO
This article discusses failures that could occur if meticulous attention is not given to details such as planning the case, conservative (enamel saving) preparation of teeth, proper selection of ceramics to use, proper selection of the materials and methods of cementation of these restorations, proper finishing and polishing of the restorations, and proper planning for the continuing maintenance of these restorations. Some concerns as to newer products and methods and their effect on the continued success of this modality of treatment are also addressed.
