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1.
Rev. Odontol. Araçatuba (Impr.) ; 41(3): 15-21, set./dez. 2020. ilus
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1121724

RESUMO

Introdução: A bichectomia é um procedimento cirúrgico que remove parte do corpo adiposo bucal não apenas para fins estéticos, mas também funcionais, limitando o trauma recorrente na região jugal. A correta indicação cirúrgica e o auxílio de exames de imagem são essenciais para o planejamento cirúrgico e seleção da técnica a ser utilizada, minimizando as taxas de complicações e alcançando resultados seguros e satisfatórios. Objetivo: Relatar dois casos clínicos em que a bichectomia foi realizada, enfatizando a importância da ultrassonografia pré-operatória na determinação do volume do corpo adiposo bucal e abordando duas técnicas cirúrgicas. Relato de casos clínicos: Duas pacientes do sexo feminino (18 e 32 anos), normosistêmicas, relataram queixas de insatisfação estética com o contorno arredondado da face, além de trauma constante na mucosa jugal. Ao exame clínico, as pacientes apresentavam mucosa jugal de volume aumentado e traumatizado. A bichectomia foi realizada pelo acesso de Matarasso e pelo fundo de sulco. Conclusão: a ultrassonografia mostrou-se eficiente no planejamento cirúrgico da bichectomia, favorecendo a retirada do corpo adiposo da bochecha de forma previsível, rápida e segura. As duas técnicas cirúrgicas foram eficazes para remoção do corpo adiposo bucal(AU)


Introduction: Bichectomy is a surgical procedure that removes part of the buccal fat pad not only for esthetic but also functional purposes, limiting recurrent trauma in the jugal region. The correct surgical indication and the aid of imaging examinations are essential for the surgical planning and selection of the technique to be used, minimizing complication rates and achieving safe and satisfactory results. Objective: To report two clinical cases in which bichectomy was performed, emphasizing the importance of preoperative ultrasonography in determining the volume of the buccal fat pad. Report of clinical cases: Two female patients (18 and 32 years), normosistemic, reported complaints of aesthetic dissatisfaction with the rounded contour of the face, in addition to a constant complaint of trauma to the jugal mucosa. At the clinical examination, the patients presented jugal mucosa of increased and traumatized volume. A bichectomy was performed by Matarasso access and by the furrow fund. Conclusion: ultrasonography proved to be efficient in assisting the surgical planning of bichectomy, favoring the removal of the buccal fat pad in a predictable, fast and safe way. The two surgical techniques were effective for removal of the buccal fat pad(AU)


Assuntos
Bochecha , Bochecha/cirurgia , Cirurgia Bucal , Tecido Adiposo , Ultrassonografia , Estética , Face
2.
Int J Esthet Dent ; 15(4): 402-426, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33089257

RESUMO

This article outlines the prosthetic concepts in the management of implants in the esthetic zone with a view to achieving optimal long-term esthetics and stability. The emphasis is on the understanding and application of the biologic factors and dental technology that influence treatment outcomes. The authors examine the exciting new world of digitalization of dental procedures that has transformed esthetic dentistry, dental technology, and surgery. The digital workflow makes it possible to attain excellence in many kinds of dental restorations, providing high quality while maintaining a very natural-looking appearance. The newest developments in the field of digital systems allow for greater predictability and precision of results as well as more accuracy, which in turn allows for better design quality. The duration of dental treatment and dental technology has also been reduced due to digitalization. Transitioning from an analog to a digital workflow requires a paradigm shift. The techniques to improve the daily workflow in practice and in the dental laboratory integrate advanced CAD/CAM technologies, combining 3D-printed models and high-end esthetic dental restorations in ceramics. An interdisciplinary approach, detailed in this article, is key to optimal case management.


Assuntos
Dente , Fluxo de Trabalho , Desenho Assistido por Computador , Planejamento de Prótese Dentária , Estética
3.
Int J Esthet Dent ; 15(4): 428-439, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33089258

RESUMO

OBJECTIVE: The combination of partial edentulism and a worn anterior tooth in the esthetic zone can be a challenge for the dentist. This clinical situation requires extensive knowledge of soft and hard tissue management, surgical planning and execution for implant therapy, and conservative tooth preparation with ideal bonding protocols for the tooth-supported prosthesis. Moreover, an optimal selection of the final restorative materials is imperative to manage occlusal forces and fulfill the patient's esthetic demands. MATERIALS AND METHODS: The patient presented with partial edentulism on site 11, a worn incisal edge, and facial defects on tooth 21. Minimally invasive implant therapy for site 11 was performed with a papilla-sparing flap design that only included the edentulous site, and the soft tissue contouring was started for an immediate provisional restoration. A suturing technique was executed that aimed at maintaining an interproximal papilla. Conservative veneer preparation was performed on tooth 21 in order to bond the restoration to the enamel structure. Final restorations included a custom abutment with a lithium disilicate fused to zirconia crown for the implant on site 11 and a lithium disilicate veneer on tooth 21. CONCLUSIONS: A well-planned single implant and a ceramic veneer restoration was able to fulfill the patient's esthetic expectations. The selection of materials for the final restoration was crucial to manage the occlusal forces and to mimic the shade and shape of the adjacent teeth.


Assuntos
Implantes Dentários , Estética Dentária , Coroas , Materiais Dentários , Estética , Humanos
4.
Swiss Dent J ; 130(10): 785-790, 2020 10 12.
Artigo em Alemão | MEDLINE | ID: mdl-33044805

RESUMO

Minimally invasive dentistry includes a wide range of treat­ment options for replacing lost tooth substance or constructing new tooth shapes. An additive restoration concept in combina­tion with composite or ceramic restorations ensures that the tooth substance is protected. The dentist's preferences deter­mine the choice of the restoration material. In this case, a direct composite restoration was selected to close a diastema between tooth 11 and 21.


Assuntos
Dente , Cerâmica , Materiais Dentários , Estética , Estética Dentária
5.
Am J Orthod Dentofacial Orthop ; 158(4): e29-e36, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32988572

RESUMO

INTRODUCTION: The primary objective of this study was to compare the aesthetic outcome of palatally impacted canines treated with an open or closed surgical exposure technique using the Maxillary Canine Aesthetic Index (MCAI) at least 1 year after debonding. Secondary objectives were set on the periodontal outcome, tooth color, pulpal status, and self-reported contentment. METHODS: The sample of this retrospective study consisted of 53 patients with an average age of 20 years and 7 months at the time of the investigation. A total of 53 canines were investigated. All canines were aesthetically scored with the MCAI. Other outcome variables were investigated, such as gingival inflammation, pocket probing depth, vitality, percussion sensitivity, and tooth color. All patients received a questionnaire to evaluate their appraisal of different parameters. RESULTS: A statistically significant difference (P < 0.001) was found between the groups treated with an open and closed technique in terms of the MCAI. The closed technique scored excellent in terms of aesthetics, whereas the open technique scored good. The closed technique had more discoloration (P < 0.001) and a delayed response to the cold test (P = 0.021). In general, patients were satisfied with both techniques but considered the treatment time to be very long. CONCLUSIONS: A closed surgical exposure of palatally impacted maxillary canines is preferred in terms of aesthetics when measured with the MCAI. There was no difference between the 2 techniques in terms of periodontal outcome. Canines treated with a closed exposure tended to have a darker color and delayed response to cold testing.


Assuntos
Dente Canino/diagnóstico por imagem , Dente Canino/cirurgia , Dente Impactado/diagnóstico por imagem , Dente Impactado/cirurgia , Adulto , Estética , Seguimentos , Humanos , Estudos Retrospectivos , Adulto Jovem
6.
Int J Oral Maxillofac Implants ; 35(5): 965-973, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32991647

RESUMO

PURPOSE: The aim of this study was to evaluate the clinical, esthetic, and patient-reported outcomes of one-piece zirconia implants placed in incisal areas using digital surgical templates after 1 year of follow-up. MATERIALS AND METHODS: Patients who had lost an anterior tooth received a 3.3-mm-diameter zirconia implant placed by computer-guided surgery. Implant survival and soft tissue conditions were assessed periodically 1 week, 3 months, 6 months, and 1 year after loading. Standardized radiographs were taken at definitive prosthesis insertion and 1 year postloading to evaluate peri-implant bone loss. Additionally, the esthetic outcomes and patient-reported outcomes were also investigated. RESULTS: Twenty zirconia implants were placed in 20 patients with no implants lost, resulting in 100% survival rates. A minor change in the mean marginal bone level (0.14 ± 0.87 mm) was found between definitive prosthetic loading and 12 months later. Peri-implant soft tissue remained stable throughout the observation period. The mean Pink Esthetic Score and White Esthetic Score were 12.05 and 8.60, respectively, while the mean Gingival Papilla Index scores were 1.55 at the mesial papilla and 1.65 at the distal papilla at the 1-year follow-up. The mean visual analog scale scores for patient perception of the overall process, speech, mastication, and esthetics were 93.3 ± 7.8, 95.1 ± 5.3, 93.6 ± 7.6, and 94.5 ± 6.2 mm, respectively. CONCLUSION: For the 1-year results, 3.3-mm-diameter one-piece ceramic implants placed by computer-guided surgery showed favorable clinical performances with no failure when used for single-tooth replacement in anterior regions.


Assuntos
Implantes Dentários para Um Único Dente , Implantes Dentários , Cerâmica , Estética , Estética Dentária , Seguimentos , Humanos , Projetos Piloto
7.
Int J Periodontics Restorative Dent ; 40(5): 749-756R, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32926005

RESUMO

This investigation was designed to evaluate the long-term effectiveness of human placental allograft in root coverage procedures in terms of clinical and esthetic outcomes. Thirteen patients with 28 maxillary or mandibular recession defects > 4 mm deep were reexamined at 6 months and 5 years postoperatively. Overall, mean percentage of root coverage decreased from 65.58% ± 16.45% to 49.75% ± 19.40% with a greater stability of the gingival margin in the mandible. At 5 years, 18 sites maintained at least 2 mm of keratinized tissue. Gingival color and texture blended well with adjacent soft tissue area in 78.6% of treated sites.


Assuntos
Retração Gengival , Aloenxertos , Tecido Conjuntivo/transplante , Estética , Feminino , Gengiva , Humanos , Gravidez , Retalhos Cirúrgicos , Raiz Dentária , Resultado do Tratamento
8.
Clin Dermatol ; 38(4): 494-496, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32972609

RESUMO

Stem cells have recently garnered increased attention, especially pertaining to their use in cutaneous rejuvenation. Their popularity has continued to grow with patients and consumers alike, which has followed the substantial marketing bolstering them. Although limited, studies have begun to demonstrate promise in the field of esthetics. We review the prominent studies in the literature to shed more light on the use of stem cells for cosmetic practitioners.


Assuntos
Técnicas Cosméticas , Dermatologia , Estética , Células-Tronco Mesenquimais/citologia , Rejuvenescimento/fisiologia , Envelhecimento da Pele , Fenômenos Fisiológicos da Pele , Células-Tronco , Tecido Adiposo/citologia , Células da Medula Óssea , Diferenciação Celular , Autorrenovação Celular , Humanos , Pele , Células-Tronco/fisiologia
9.
PLoS One ; 15(8): e0237616, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32790803

RESUMO

Patients with large iris defects not only suffer from functional disadvantages but also from aesthetic limitations. The aim of this study was to evaluate the aesthetic outcome of iris reconstruction using an artificial iris (AI). In this study, 82 eyes of 79 consecutive patients with mostly traumatic partial or total aniridia that underwent iris reconstruction surgery using a custom-made silicone AI (HumanOptics, Erlangen, Germany). Pre- and postoperative photographs of 66 patients were analysed subjectively and objectively. Subjective evaluation was based questionnaires. Objective evaluation included measurement of pupil centration and iris colour analysis. Averaged hues from iris areas were transferred to numerical values using the LAB-colour-system. Single parameters and overall difference value (ΔE) were compared between AI and remaining iris (RI), as well as AI and fellow eye iris (FI). Patients, eye doctors and laymen rated the overall aesthetic outcome with 8.9 ±1.4, 7.7 ±1.1 and 7.3 ±1.1 out of 10 points, respectively. Mean AI decentration was 0.35 ±0.24 mm. Better pupil centration correlated with a higher overall score for aesthetic outcome (p<0.05). The AI was on average 4.65 ±10 points brighter than RI and FI. Aniridia treatment using a custom-made artificial iris prosthesis offers a good aesthetic outcome. Pupil centration was a key factor that correlated with the amount of aesthetic satisfaction. The AI was on average slightly brighter than the RI and FI.


Assuntos
Aniridia/terapia , Órgãos Artificiais/estatística & dados numéricos , Iris/cirurgia , Implantação de Prótese , Procedimentos Cirúrgicos Reconstrutivos/métodos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Estética , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
10.
Plast Reconstr Surg ; 146(2): 147e-155e, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32740576

RESUMO

BACKGROUND: As one of the most commonly used soft-tissue fillers, hyaluronic acid is generally considered safe and efficacious. However, evident bone resorption in mentum was observed. In this study, the authors analyzed the impact of hyaluronic acid on bone resorption in mentum and the influencing factors. METHODS: The authors retrospectively compared the computed tomographic scans of patients with or without mentum augmentation using hyaluronic acid. The body mass index- and sex-matched control group was selected randomly. Semimandibular bone resorption index was calculated as the ratio of bone thickness in the incisive fossa to that in the mandibular symphysis. Injection volume, injection interval, the number of injections, product, complication were also recorded. RESULTS: From January of 2014 to June of 2019, 80 patients (160 cases) and 80 controls were recruited. The bone resorption index in the hyaluronic acid injection cohort was significantly lower than in the controls (75.25 ± 10.02 versus 82.86 ± 6.38; p = 0.000). Patients injected with greater than or equal to 1 ml per time were more susceptible to bone erosion compared with patients injected with less (68.89 ± 10.84 versus 76.49 ± 9.42; p = 0.000). There was no significant difference between one- versus multiple-injection groups and short-injection-interval versus long-injection-interval (≥6 months) groups. Furthermore, no reduced aesthetics were realized. CONCLUSIONS: Hyaluronic acid injection could induce bone resorption in the mentum; nevertheless, the aesthetics were not impaired. The severity of the bone loss was positively correlated with the injection volume per time; therefore, large-volume injection of hyaluronic acid should be performed with caution. The patients should be fully informed about this complication preoperatively. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.


Assuntos
Reabsorção Óssea/induzido quimicamente , Queixo/diagnóstico por imagem , Técnicas Cosméticas/efeitos adversos , Preenchedores Dérmicos/efeitos adversos , Ácido Hialurônico/efeitos adversos , Adolescente , Adulto , Grupo com Ancestrais do Continente Asiático , Doenças Assintomáticas/epidemiologia , Doenças Assintomáticas/terapia , Reabsorção Óssea/diagnóstico , Reabsorção Óssea/epidemiologia , Reabsorção Óssea/cirurgia , Preenchedores Dérmicos/administração & dosagem , Estética , Feminino , Humanos , Ácido Hialurônico/administração & dosagem , Incidência , Masculino , Satisfação do Paciente , Estudos Retrospectivos , Tomografia Computadorizada por Raios X , Adulto Jovem
11.
Plast Reconstr Surg ; 146(2): 284-293, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32740577

RESUMO

BACKGROUND: Gluteal prominence is a unique characteristic that is widely acknowledged in female contouring but ignored in the male population. This study focuses on male gluteal aesthetics based on a muscular anatomical approach. METHODS: A retrospective review of gluteal contouring in men from January of 2012 to September of 2019 was conducted. Male body sculpting surgery in the gluteal area was performed in most cases. Patients were included according to preoperative assessment and the American Heart Association risk analysis. The gluteal area was divided into four main anatomical contouring zones and classified according to the procedure type. The follow-up period of 3 months to 6 years was included with photographs and medical assessment data. A nonstandardized satisfaction survey was performed postoperatively. RESULTS: The analysis included data from 374 consecutive gluteal dynamic definition liposculptures performed in men (mean age, 38.2 years; range, 20 to 66 years). Patients were treated according to the authors' new classification of deformities. Fat extraction, liposhifting, and fat grafting were performed on a regular basis to enhance and define the gluteal area. A satisfaction index of 92.5 percent was reported. Minor complications were reported: seroma, 0.2 percent; prolonged bruising, 1.3 percent; and swelling, 1.8 percent. No necrosis, burns, or infections were reported. CONCLUSIONS: Men have been increasingly requesting improvement and definition of the buttocks, and our novel algorithm allows for a reliable method in this regard. The high satisfaction index supports the natural and athletic results accomplished with our new approach.


Assuntos
Tecido Adiposo/transplante , Contorno Corporal/métodos , Nádegas/anatomia & histologia , Estética , Lipectomia/métodos , Adulto , Idoso , Contorno Corporal/efeitos adversos , Nádegas/diagnóstico por imagem , Seguimentos , Humanos , Lipectomia/efeitos adversos , Masculino , Pessoa de Meia-Idade , Satisfação do Paciente , Estudos Retrospectivos , Adulto Jovem
12.
Ann Afr Med ; 19(3): 211-214, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32820736

RESUMO

Fluorosis is an endemic disease, prevailing in about 25 countries globally. Dental fluorosis is an acquired defect of enamel due to the exposure of an individual to excessive fluoride levels during tooth development. It could result in mild-to-severe discoloration of teeth, which might necessitate esthetic correction. Bleaching is one of the common treatment modalities used in the esthetic correction of such cases. In-office power bleaching is one of the techniques of tooth bleaching that involves clinical application and activation of the bleaching agent with light to accelerate the bleaching process. This case report describes the esthetic correction of severe dental fluorosis by power bleaching, without any need for invasive treatment. This report suggests that in-office power bleaching is an effective and conservative method for esthetic correction of tooth discoloration in severe dental fluorosis.


Assuntos
Fluorose Dentária/terapia , Clareamento Dental/métodos , Descoloração de Dente/etiologia , Adolescente , Estética , Fluorose Dentária/complicações , Humanos , Masculino , Clareamento Dental/efeitos adversos , Descoloração de Dente/terapia , Resultado do Tratamento
15.
Plast Reconstr Surg ; 146(2): 205e-216e, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32740598

RESUMO

LEARNING OBJECTIVES: After studying this article, the participant should be able to: 1. Describe normal ear anatomy and development, and evaluate the patient's ears for differences in shape, size, prominence, and symmetry. 2. Identify common congenital ear deformities, including prominent ear, macrotia, Stahl ear, cryptotia, constricted ear, and lobule anomalies. 3. Describe both early nonoperative management and operative techniques for correction of these ear deformities. 4. Be aware of advantages and disadvantages of common and emerging techniques for correction of pediatric ear deformities. SUMMARY: Whereas severe ear malformations such as microtia/anotia are rare, other ear deformities, such as prominent ear, Stahl ear, and cryptotia, are common. Although these ear deformities result in minimal physiologic morbidity, their psychological and cosmetic impact can be significant. Identifying these common deformities and understanding how they differ from normal ear anatomy is critical to their management. In cases where a deformity is identified in neonatal life, ear molding may obviate the need for surgery. Although various surgical techniques have been described for correction of common ear deformities, the surgeon should follow a careful stepwise approach to address the auricular deformity or deformities present. By using such an approach, complications may be minimized and predictable aesthetic outcomes achieved.


Assuntos
Orelha Externa/anormalidades , Estética , Procedimentos Cirúrgicos Otorrinolaringológicos/métodos , Complicações Pós-Operatórias/prevenção & controle , Procedimentos Cirúrgicos Reconstrutivos/métodos , Fatores Etários , Criança , Desenvolvimento Infantil , Pré-Escolar , Orelha Externa/crescimento & desenvolvimento , Orelha Externa/cirurgia , Humanos , Lactente , Procedimentos Cirúrgicos Otorrinolaringológicos/efeitos adversos , Complicações Pós-Operatórias/etiologia , Procedimentos Cirúrgicos Reconstrutivos/efeitos adversos , Tempo para o Tratamento , Adesivos Teciduais , Resultado do Tratamento
16.
Aesthetic Plast Surg ; 44(4): 1378-1380, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32766923

RESUMO

The COVID-19 pandemic has had a multitude of effects on daily life. Aesthetic and cosmetic surgery practices have been significantly reduced in their working capacity or closed during this time. We used Google Trends to gauge the public's interest in facial plastic surgery during this pandemic, and how it has changed over the preceding months. As local shelter-in-place orders are being lifted, interest in facial plastic surgery is increasing even in the context of an ongoing national pandemic. LEVEL OF EVIDENCE V: Letter to the Editor.


Assuntos
Infecções por Coronavirus , Estética , Marketing de Serviços de Saúde/tendências , Pandemias , Pneumonia Viral , Mídias Sociais/tendências , Cirurgia Plástica/tendências , Tomada de Decisões , Humanos , Procedimentos Cirúrgicos Reconstrutivos , Rinoplastia/tendências , Ritidoplastia/tendências
20.
BMC Psychol ; 8(1): 74, 2020 Jul 10.
Artigo em Inglês | MEDLINE | ID: mdl-32650841

RESUMO

BACKGROUND: The capacity to evaluate beauty plays a crucial role in social behaviour and social relationships. It is known that some characteristics of beauty are important social cues that can induce stereotypes or promote different behavioural expectations. Another crucial capacity for success in social interactions is empathy, i.e. the ability to understand and share others' mental and emotional states. Individuals with Autism Spectrum Disorder (ASD) have an impairment of empathic ability. We showed in a previous study that empathy and aesthetic perception abilities closely related. Indeed, beauty can affect different aspects of empathic behaviour, and empathy can mediate the aesthetic perception in typically developing (TD) individuals. Thus, this study evaluates the ability of aesthetic perception in ASD individuals compared to TD individuals, using the Golden Beauty behavioural task adapted for eye-tracking in order to acquire both explicit and implicit evidences. In both groups, the relationship between empathic and aesthetic perception abilities was also evaluated. METHODS: Ten ASD individuals (age ± SD:20.7 ± 4.64) and ten TD individuals (age ± SD:20.17 ± 0.98) participated in the study. Participants underwent empathy tasks and then the Golden Beauty task. To assess differences in the participants' performance, we carried out a repeated measures general linear model. RESULTS: At the explicit level, our behavioural results show an impairment in aesthetic perception ability in ASD individuals. This inability could have relevance for their ability to experience pleasure during social interactions. However, at the implicit level (eye-tracking results), ASD individuals conserved a good ability to feel aesthetic pleasure during the Golden Beauty task, thus indicating a discrepancy between the explicit and implicit evaluation of the beauty task. Finally, beauty perception appears to be linked to empathy when neither of these capacities is compromised, as demonstrated in the TD group. In contrast, this link is missed in ASD individuals. CONCLUSION: Overall, our results clearly show that individuals with autism are not completely blind to aesthetic pleasure: in fact, they retain an implicit ability to experience beauty. These findings could pave the way for the development of new protocols to rehabilitate ASD social functioning, exploiting their conserved implicit aesthetic perception.


Assuntos
Transtorno do Espectro Autista/psicologia , Estética , Percepção Social , Adulto , Emoções , Empatia , Feminino , Humanos , Masculino , Comportamento Social , Adulto Jovem
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