Modern concepts in aesthetic dentistry and multi-disciplined reconstructive grand rounds:
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Philadelphia, Pa.
Elsevier
2015
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| Schriftenreihe: | The dental clinics of North America
559,3 |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XIV S., S. 529 - 759 Ill. |
| ISBN: | 9780323390941 |
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| adam_text | Titel: Modern concepts in aesthetic dentistry and multi-disciplined reconstructive grand rounds
Autor: Calamia, John R
Jahr: 2015
Modern Concepts in Aesthetic Dentistry and Multi-disciplined Reconstructive Grand Rounds
Contents
Preface: Modern Concepts in Aesthetic Dentistry and Multidisciplined
Reconstructive Grand Rounds xiii
John R. Calamia, Richard D. Trushkowsky, Steven B. David, and
Mark S. Wolff
The Components of Smile Design: New York University Smile Evaluation Form
Revisited, Update 2015 529
John R. Calamia and Mark S. Wolff
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 diag-
nostic 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.
An Aesthetic and Functional Rehabilitation: A Case Study 547
Jaafar AN, Christine Calamia, Kenneth S. Magid, John R. Calamia, and
Nicholas J. Giannuzzi
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 mo-
dalities 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 har-
mony 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.
Replacement of Old Porcelain-Fused-to-Metal Crowns and Smile Rejuvenation
Using All-Ceramic Restorations 559
Kateryna Grytsenko and John R. Calamia
This case report points out the previous restorative breakdown of tooth #8.
An interdisciplinary approach had to be applied to prepare the final treat-
ment 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 cur-
rent chief complaint, address her aesthetic needs, apply an interdisci-
plinary approach, deliver treatment of utmost quality, and maintain oral
health.
viii Contents
Restoration of the Dentition in a Patient with a History of Non-Hodgkin
Lymphoma and Gastroesophageal Reflux Disease 571
Manila Nuchhe Pradhan and John R. Calamia
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. Clinicians also provide treatment for patients
with complicated medical histories. Risk assessments include current
conditions, risks of recurrence, and suggestions for maintenance of resto-
rations, as well as guidelines to promote the future health and well-being of
the patient.
Restoration of Fluorosis Stained Teeth: A Case Study 583
Barbara Slaska, Arnold I. Liebman, and Diana Kukleris
Dental fluorosis is caused by over-ingestion of fluoride resulting in distur-
bances in enamel mineralization. Intrinsic discolorations occur in the
maxillary and mandibular teeth with a poor esthetic appearance. In chal-
lenging cases, an esthetic result may be achieved only by a combination
of techniques. This case report demonstrates a combination of modalities
used to treat a patient presenting with atypical staining resulting from
high-level exposure to ingested fluoride in drinking water during his child-
hood. Conservative treatment consisted of a combination of in-office
bleaching to reduce the discoloration and porcelain veneers to create an
esthetic result.
Comprehensive Risk-Based Diagnostically Driven Treatment Planning: Developing
Sequentially Generated Treatment 593
Dean E. Kois and John C. Kois
The clinical example presented in this article demonstrates a risk-based,
diagnostically driven treatment planning approach by focusing on 4 key cat-
egories: periodontal, biomechanical, functional, dentofacial. In addition, our
unique approach allowed the comprehensive clinical management of a
patient with complex restorative needs. A full-mouth rehabilitation was
completed sequentially without sacrificing the amount of dentistry neces-
sary to restore health, comfort, function, and esthetics. The result exceeded
the patient s expectation and was made financially possible by extending
treatment over numerous years.
Full Mouth Rehabilitation Determined by Anterior Tooth Position 609
Nicholas J. Giannuzzi and Shawn Davaie Motlagh
When patients seek cosmetic dentistry, their main concern is how their
new smile is going to appear. In trying to achieve a patient s desire for a
more beautiful smile, a careful and comprehensive analysis must be
completed to insure the desired outcome is achievable and will function
for many years to come. The clinician s primary goal is to restore the
patient s dentition to ideal form and function. Full mouth rehabilitations
need to be done in a systematic way to ensure all the parameters of an
esthetic and functional outcome are achieved.
Contents ix
Proportional Smile Design: Using the Recurring Esthetic Dental Proportion to
Correlate the Widths and Lengths of the Maxillary Anterior Teeth with the Size
of the Face 62S
Daniel H. Ward
Proportional smile design is a useful tool for evaluating and designing
smiles that are in harmony with the face. Although not always observed
in nature, the recurring esthetic dental proportion is preferred by dentists
surveyed to the width proportions observed in nature with normal-length
teeth. The width/length ratio of the central incisor is a key determinant in
providing a smile that is pleasing to dentists. Using the desired tooth length
while maintaining the preferred 78% width/length ratio of the central
incisor in conjunction with the recommended recurring esthetic dental
proportion is a good method for designing a smile balanced with the face.
Cosmetic Makeover Ensuring Patient Input in a Multidisciplinary Treatment 639
Sabrina Magid-Katz, Kenneth S. Magid, and Theo Mantzikos
A cosmetic smile makeover has become a sought after procedure in our
esthetically driven society. To promote patient satisfaction with treatment
outcomes, all parties involved, including the patient, must be a ware of the
results that can be achieved and what is required to achieve them.
Although treatment can be redone, it cannot be undone. Therefore,
much patient input must be solicited and considered before beginning
treatment and before the final restorations are cemented. This article pro-
vides a treatment sequence that minimizes the possibility of an unhappy
patient.
Esthetic Correction of Orthodontically Transposed Teeth with Veneers and Laser
Periodontal Modification 647
Kenneth S. Magid and Zahid Juma
Missing teeth in the esthetic zone, whether congenital or as a result of
other factors, present difficult choices in clinical management. The missing
teeth can be replaced by surgical or restorative intervention but are often
treated orthodontically. These repositioned teeth often lead to an unaes-
thetic result because of differences in morphology, color, and particularly
in gingival architecture. This article describes the use of multiple lasers for
periodontal modification and feldspathic porcelain veneers to achieve a
highly esthetic result.
Simple Case Treatment Planning: Diastema Closure 655
Vincent Calamia and Alexandria Pantzis
This article demonstrates the use of a smile evaluation form as an adjunct
in arriving at diagnosis and developing a treatment plan for a patient
desiring diastema closure. It also shows the importance of the diagnostic
wax-up fortemporization and visualization of case outcome. The case also
demonstrates the use of soft tissue lasers to create a gingival harmony
that enhances the resulting esthetics. Feldspathic porcelain was used
for the final restorations because they provide optimal esthetics and
translucency.
x Contents
Management of an Adult with Class III Malocclusion, Gummy Smile, and Spaced
Dentition
Sameera Babar, John R. Calamia, and Jerry M. Sorrel
This case report presents an interdisciplinary approach to achieve func-
tioning 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 multidisci-
plinary approach. The patient rejected the option of orthognathic surgery
to correct a skeletal problem. Treatment included orthodontics, osteo-
plasty, gingivoplasty, and porcelain veneer restorations to achieve the
desired aesthetic result. Comprehensive orthodontics resulted in a func-
tionally stable occlusion. Space distribution between maxillary anterior
teeth with adequate overjet and overbite relationships allowed for conser-
vative preparation to receive porcelain veneer restorations.
Esthetic Smile Design: Limited Orthodontic Therapy to Position Teeth for
Minimally Invasive Veneer Preparation 675
Andi-Jean Miro, Alex Shalman, Ramiro Morales, and Nicholas J. Giannuzzi
The standards of dentistry are being elevated, with a greater emphasis
being placed on esthetics along with functionality. Minimally invasive
dentistry has become an essential component in creating restorations
that are functional and have increased longevity. In the case discussed
in this article, the patient underwent 9 months of orthodontic therapy to
correct her improper overbite and overjet, and the spacing of her dentition
so the teeth could be positioned for future minimally invasive restorations.
Orthodontic therapy was paramount in positioning the teeth so that the
future restorations would have ideal axial inclinations and be as minimally
invasive as possible.
The Interplay of Orthodontics, Periodontics, and Restorative Dentistry to Achieve
Aesthetic and Functional Success 689
Richard D. Trushkowsky, Zainab Alsadah, Luis M. Brea, and Anabella Oquendo
Previously dentists focused on repair and maintenance of function. How-
ever, the emphasis of many patients and dentists is now on aesthetics.
Often there is a need for the disciplines of orthodontics, periodontics,
restorative dentistry, and maxillofacial surgery to work together in order
to achieve optimum results. Currently the sequencing planning process
begins with aesthetics and then function, structure, and ultimately biology.
Treatment of the Patient with Gummy Smile in Conjunction with Digital Smile
Approach 703
David Montalvo Arias, Richard D. Trushkowsky, Luis M. Brea, and
Steven B. David
Gummy smile cases are always esthetically demanding cases. This article
presents a patient treated with an interdisciplinary treatment approach and
Digital Smile Approach (DSA) using Keynote (DSA), to predictably achieve
an esthetic outcome for a patient with gummy smile. The importance of
using questionnaires and checklists to facilitate the gathering of diagnostic
data cannot be overemphasized. The acquired data must then be
Contents xi
transferred to the design of the final restorations. The use of digital smile
design has emerged as a powerful tool in cosmetic dentistry to help
both practitioner and patient visualize the final outcome.
Interdisciplinary Sequencing of Aesthetic Treatment 717
Michael Apa and Brian Chadroff
This article describes the concepts of treating a complex aesthetic inter-
disciplinary case in a traditional approach.
Restoration of the Anterior Segment in a Cleft Palate in Conjunction with
Surgically Facilitated Orthodontic Therapy: An Interdisciplinary Approach 733
Chiann Fan Gibson and George A. Mandelaris
A 26-year-old woman was referred to a periodontal surgical practice for
concerns related to gingival recession. After several consultations among
the orthodontist, periodontist, and cosmetic/restorative dentist, she
decided to have surgically facilitated orthodontic therapy as part of a
collaborative, interdisciplinary treatment planning process to correct her
constricted maxillary arch form, augment thin dentoalveolar facial bone,
simultaneously with gaining root coverage as well as improving attached
gingiva width and mucogingival thickness. As a consequence of changing
the arch form, an improvement in the buccal corridor space was gained,
which optimized her smile display.
Index
755
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