ABSTRACT
The long-term clinical and esthetic success of an implant-supported restoration is determined by stable periimplant soft-tissue morphology that is in harmony with the surrounding tissue architecture of the natural dentition. An interdisciplinary approach can significantly improve predictability when restoring missing teeth in the anterior maxilla. This clinical report describes the application of forced orthodontic eruption prior to initiation of surgical and restorative implant treatment to achieve a coronal shift of bone and gingiva and enhance the 3-dimensional topography of the recipient implant site.
Subject(s)
Dental Implantation, Endosseous/methods , Dental Implants, Single-Tooth , Dental Prosthesis, Implant-Supported , Incisor , Orthodontic Extrusion , Adult , Female , Humans , Maxilla , Patient Care Team , Tooth Extraction , Tooth SocketABSTRACT
To meet the ever-increasing demands of well-informed patients, an interdisciplinary team approach is imperative to achieve optimal esthetics and function in complex rehabilitations. Orthodontic pretreatment is one viable option to improve a clinical situation prior to restorative treatment. An individual diagnostic waxup can be used to educate patients about treatment options, lower unrealistic expectations, and serve the technician as a blueprint for ideal framework design. Newly developed dental materials and computer technology have led to new restorative treatment options for both conventional and implant-retained restorations. With the increased processing power of computers over the past decade, computer-aided design/computer-assisted manufacture (CAD/ CAM) copings, frameworks, and abutments for conventional and implant-supported restorations have significantly altered treatment protocols for dentists and dental technicians. CAD/CAM-generated oxide ceramic components can be used to achieve optimal esthetics in any area of the mouth.
Subject(s)
Aluminum Oxide/chemistry , Dental Materials/chemistry , Dental Prosthesis Design , Esthetics, Dental , Patient Care Planning , Patient Care Team , Zirconium/chemistry , Communication , Computer Systems , Computer-Aided Design , Crowns , Dental Implants , Dental Porcelain/chemistry , Dental Prosthesis, Implant-Supported , Dental Technicians , Dental Veneers , Dentists , Denture Design , Denture, Partial, Fixed , Female , Humans , Malocclusion/therapy , Middle Aged , Mouth Rehabilitation/methods , Orthodontics , Orthodontics, Corrective , Periodontal Diseases/therapyABSTRACT
Accurate shade analysis and communication represent one of the biggest challenges in restorative and esthetic dentistry today, especially in light of the rapidly increasing array of ceramic materials available. Traditional methods of shade analysis have relied upon the use of conventional shade guides or, more recently, digital shade measurement. In this article, the author examines the advantages and disadvantages of traditional shade analysis; reviews principles for optimizing the evaluation process, including information regarding the scientific basis of general color science, optics, and aspects of material science; and proposes a six-step approach to shade analysis in which less emphasis is placed on shade guide samples in favor of natural internal structures and surface properties and their replication in different dentin, enamel, transparent, and colored translucent, as well as fluorescent and opalescent, ceramics.
