Dental Tribune International
Clinical
New paradigm in aesthetic restoration

July 31, 2020

This article presents a case of aesthetic restoration of anterior teeth using KATANA Zirconia Ultra Translucent Multi Layered (UTML; Kuraray Noritake Dental) complete anatomical crowns, with vestibular stratification, and the biologically oriented preparation technique (BOPT).

Mill, polish, seat! Indirect procedures in the dental workflow

July 15, 2020

In addition to the primary wishes of the patient regarding prosthetic treatment, namely safety, comfort and aesthetics, are the need for an efficient treatment process, high cost-effectiveness and a minimal number of therapy sessions. Owing to the possibilities offered by CAD/CAM, these desires can in many cases be fulfilled.

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Occlusion principles for the practising dentist in the digital age

July 1, 2020

What do dentists want to know about occlusion? Occlusion may appear complicated because of the multiple factors involved, such as teeth, muscles and the temporomandibular joints (TMJs). It can also be confusing, owing to imprecise terminology and philosophies of occlusion.

The copyCAD

June 2, 2020

Nature has always captivated us with its beauty. Whether it is a landscape, a sunset or the intricate details of a leaf, one marvels at natural aesthetics. The goal of an artist is to copy nature in every medium: painting, sculpture, music, photography. It is easy to see parallels in dentistry. The teeth and soft tissue display details on the macroscopic and microscopic scale that make up all their beauty. Even the smile has characteristics that define what is beautiful and what is not. Like an artist, the dentist and the dental technician use all their combined talents to create lifelike restorations. The secret to imitating nature is in the details of daily practice and hard work.

Dentine hypersensitivity experience using toothpaste with added bioglass: A clinical trial

April 8, 2020

In our clinical practices, dentine hypersensitivity (DH) has always been a challenge. Our best approach was to suggest at-home solutions such as sensitivity toothpaste or mouthrinse, but often there was no significant relief experienced by our patients. Last year, we met Richard Whatley, CEO of BioMin Technologies, who gave us some samples of BioMin F toothpaste for provision of relief from DH, and he explained the technology behind the effectiveness of this novel bioactive glass-based toothpaste. The bioglass particles contained in BioMin F toothpaste adhere to dental hard tissue and then slowly dissolve in saliva to release calcium, phosphate and fluoride ions, which precipitate on nucleation sites as fluorapatite crystals to occlude open dentinal tubules.

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Atraumatic extraction of maxillary second premolar

November 29, 2019

A 76-year-old female patient visited our clinic owing to pain in the left maxilla. She had a fistula in the buccal gingiva between tooth #25 and position #24. There were implants in positions #24 and 23. Tooth #25 already had a crown. The tooth had been affected by secondary caries earlier and had been repaired. A periapical radiograph showed an active inflammatory process in progress from the endodontically treated tooth that greatly worsened the prognosis and could have adversely affected the implants. The prognosis was therefore considered poor and we decided to extract the tooth.

How to give a second life to third molars: A case series with follow-up

February 1, 2019

Dental autotransplantation entails extracting and repositioning a tooth into a different site in the mouth of the same patient. A successfully transplanted tooth offers several advantages, given the preservation of the periodontal ligament: the proprioceptive function is maintained, the alveolar bone volume is preserved, orthodontics can be included in the treatment plan, and the dentofacial development and growth of the jaws are not impaired. Moreover, pulp regeneration and continued root development can be expected when a donor tooth with incomplete root formation is chosen and infection of the pulp tissue is prevented. [1, 2]

Aesthetic Digital Smile Design: 2-D-/3-D-assisted communication and software design

November 12, 2018

The communication between dentist and patient is important, especially in cases of partial or complete aesthetic restoration in the anterior (smile makeover). Nowadays, it is important not only to treat oral pathology, but also to request an aesthetic evaluation of the patient’s smile to obtain results that respect the patient’s aesthetic expectation. The smile is our business card and represents the first thing that distinguishes us in human relationships, in work and in social life. It is necessary to know that a smile can appear unpleasant even if there are no evident issues or pathology, influencing people/patients’ psychologically. The clinician should understand the psychological needs of desire, perception and personality to explain in a better way the necessary therapeutics and/or aesthetic choices. When a smile is being designed, these parameters are fundamental and dependent on the communication with the patient and they should be considered in the evaluation of a 360° clinical approach. It often happens that patients are not able to identify their expectations, so dentists must be able to consider whether their exigencies can be satisfied.

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