Dental Tribune International
Clinical
Aesthetic crown lengthening, exostosis removal and veneer restorations

August 26, 2021

A 31-year-old female patient presented to our care with esthetic concerns regarding the appearance of her gummy smile and bony protuberances above her maxillary dentition. The patient had photographs taken at the initial visit and an in-action video of her speaking and smiling to better understand and document the patient’s concerns. We treated her gummy smile with esthetic crown lengthening and restored her dentition with veneers and removed the bony protuberances.

Full-mouth restoration with Zolid FX— a successful concept for sophisticated prostheses

August 25, 2021 | Americas

The patient case outlined here describes the challenges that prostheses have to meet under high stress. The patient presented to the practice with pronounced abrasion and asked to have his natural dental appearance restored. Full-mouth restorations have their own challenges, and this was particularly so for this patient, who tended to relieve his daytime stress by grinding his teeth at night. After completion of pretreatment and splint therapy, the patient presented to us with the status shown in Figures 1 and 2.

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Achieving anatomical shape, support and colour with an Atlantis patient-specific abutment

August 19, 2021

The aim of this case presentation is to show a step-by-step workflow with Atlantis patient-specific abutments. The case is of a 36-year-old patient with a vertical fracture of tooth #46 who was referred to our clinic.

Lane keeping assistance systems in endodontics

August 10, 2021 | Americas

A fully automatic navigation assistant for root canal therapy? What may initially sound like robo-doc treatment or treatment by remote control will take endodontics a significant step forward on the way to sustainable, reliable preparation. Cases presented in this article illustrate how digital endodontic assistance systems will revolutionise everyday treatment in the future.

Celebrities’ Smile Makeup—the MiCD way

August 4, 2021 | Americas

In today’s beauty-adoring society, most people have the desire to look and feel their best, since facial and physical appearance have a crucial role to play in an individual’s self-esteem, happiness and eventual success. It is undeniably human nature to attribute positive personality characteristics to attractive individuals, and such people customarily receive favourable treatment in a variety of situations.1 Beauty is subjective and difficult to delineate, as it lies in the eyes of the beholder, and the same applies to a beautiful smile. A substantial amount of research has suggested that smiles are powerful social forces that positively influence interpersonal judgements in innumerable ways. In global business, beautiful smiles are widely used as a marketing tool to produce positive impressions among fans and other consumers.

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Functional aesthetic speech therapy: Synergy between dentistry and aesthetic medicine?

July 29, 2021 | Americas

Aesthetic medicine is increasingly taking on a global connotation of harmony and balance, defined certainly by historically evolved and shared canons, but progressively corresponding to a biopsychosocially functional profile.1 From this perspective, different practices find common grounds of expression, aimed primarily at the interdependence between structure and function, constituting a dynamic functional unit which possesses characteristic and integrative links.2 In this article, we will take a deeper look at the contributions of speech therapy to facial aesthetics3 and to the reorganisation of stomatognathic functions4 in synergy with aesthetic medicine and aesthetic dentistry5 and in response to the aesthetic patient, deeply interlinked with personal life experience—the most intimate emotions linked to the self and identity.6

An in-office-fabricated implant surgical guide corrected using CBCT

July 15, 2021

Geometry of the bone present can make implant placement challenging. This can be especially true in the anterior, where the angle of the ridge requires a different trajectory than that of the prosthetic axis that will be used during restoration.1 Both the maxillary and mandibular ridge tip to the facial aspect, requiring implant placement that is not vertical in position. This can become more complicated in a site that is either edentulous or undergoing significant periodontal changes to the bone present, as the facial aspect is lost first, shifting the trajectory of the available bone present.

Zygomatic dynamic navigation: New challenges and possibilities

June 21, 2021

The presence of sufficient bone volume is one of the most important criteria for successful osseointegration of implants,1 wherefore restoration of atrophied edentulous maxillae poses a great dilemma for the surgeon and restorative dentist. Sinus bone grafting to build new bone for implant anchorage in atrophied jaws entails multiple surgical interventions and has varying implant success rates, high potential for donor site morbidity and increased surgical costs.2, 3 A major breakthrough came when Brånemark first used custom-designed, longer implants inserted into the zygomatic bone in support of a craniofacial prosthesis in the 1980s.4 When used in the treatment of maxillary atrophy,5, 6 zygomatic implants present a graftless alternative.

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