RESUMO
A maxillary midline diastema (MMD) is a common complaint of dental patients. An MMD can be closed with treatment from different disciplines, including operative dentistry and orthodontics. A comprehensive smile analysis is also a necessity before beginning treatment. This article highlights the closure of a 3-mm MMD by using a combination of orthodontics and direct composite resin restorations.
Assuntos
Restauração Dentária Permanente/métodos , Diastema/terapia , Fechamento de Espaço Ortodôntico , Adulto , Resinas Compostas , Estética Dentária , Feminino , Humanos , Aparelhos OrtodônticosRESUMO
Due to the increased predictability of current bonding procedures and the improved properties of today's composite materials, large Class II and cuspal build-up direct composite resin restorations are routinely performed. Biological considerations and the stress associated with polymerization shrinkage are key factors that need to be considered during the treatment planning phase. This article demonstrates a combination of concepts and techniques to reduce the stress associated with polymerization shrinkage in large restorations, thus potentially improving the longevity of the restoration.
Assuntos
Resinas Compostas/química , Restauração Dentária Permanente/métodos , Adulto , Oclusão Dentária , Análise do Estresse Dentário , Humanos , Masculino , Mandíbula , Teste de Materiais , Dente Molar , Polimerização , Propriedades de SuperfícieRESUMO
Competency-based education, introduced approximately 10 years ago, has become the preferred method and generally the accepted norm for delivering and assessing the outcomes of undergraduate (European) or predoctoral (North America) dental education in many parts of the world. As a philosophical approach, the competency statements drive national agencies in external programme review and at the institutional level in the definition of curriculum development, student assessment and programme evaluation. It would be presumptuous of this group to prescribe competences for various parts of the world; the application of this approach on a global basis may define what is the absolute minimum knowledge base and behavioural standard expected of a 'dentist' in the health care setting, while respecting local limitations and values. The review of documents and distillation of recommendations is presented as a reference and consideration for dental undergraduate programmes and their administration.