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Abstract: Gingival pigmentation results from excessive production of melanin by melanocytes in the basal layer of the epithelium. Gingival pigmentation consists of dark spots located on masticatory mucosa, most commonly in the attached gingiva or free gingiva, caused by different etiologies. This gingival pigmentation is not a health problem, however, many patients feel embarrassed due to the darkened aspect of their gingiva while smiling. Among the surgical periodontal therapy indicated to...
While restructuring this journal, one of the points discussed was how the covers of each edition would be if we used photos of teeth, models, drawings, etc. Between those and other ideas, we decided that we would use photos that, at some point, brought an emotion or reflection. Maybe that has not worked
Abstract: Opening beer bottles with teeth is a habit that should be discouraged, especially in public acts, such as TV shows and advertisements, as there is a great potential of harming the teeth. Similar act can cause several consequences, such as: 1) dental fractures; 2) aseptic pulp necrosis and calcic metamorphosis of the pulp; 3) chronic periapical lesion, including apical periodontal cyst; and 4) dental resorption, such as the internal replacement and the external cervical one. Concern...
In any procedure involving the application of a material to the dental structure, there will be a “transition area”, whatever the restorative material, ceramics or composite resins, made by the direct or indirect technique. It is a region that involves the tooth/restoration transition area, which will always exist and is of fundamental importance to both aesthetics and longterm stability. Thus, the following question is addressed to the fellow readers: do we give, in daily practice, due...
Philosophy of work is one of the most important instruments in the day to day of any dental professional. It comes from our background and professional experience over the years. One of the issues discussed at present is when choosing between composite ceramic and resin, as discussed earlier in this same space.1 Another questionable point, which generates doubts among clinicians is when to move from a case of composite resin to a ceramic rehabilitation through laminates. We will use a...
Abstract: The presence of macrodontic teeth in the upper anterior segment entails an important imbalance in smile harmony, jeopardizing dental proportions, symmetry and dental disposition due to a difference between the required and the available space. This article aims to describe the treatment planning, sequence and execution to resolve a macrodontic case affecting tooth #11 in a pediatric patient, through a multidisciplinary and conservative approach.
Abstract: The search for dental treatments is not limited to painful situations or prosthetic rehabilitations. The restorations of shape, function and color discrepancy of teeth are major complaints: with the intention of improving aesthetics of the smile, these patients seek dental offices. The fracture of old restorations, associated with dental stain, can be caused by several situations and there are many ways of clinical resolution. Direct composite veneer is a predictable, safe and...
Abstract: The use of ceramics called “contact lenses”, or without preparation, has grown a lot in recent years in clinical practice. Although it seems the best treatment choice, in many cases, this treatment approach is not possible. The simplification of the term often leads the clinician and the patient to make wrong choices. The objective of this article is to discuss the concept of contact lenses, diagnostic challenges, its indication until its completion, aiming to provide a...
Abstract: Minimally invasive ceramic laminates are a treatment option for smile cosmetic rehabilitation, providing greater conservation of structure and mimicking dental structures. The association of periodontal surgical techniques and reverse planning enhances aesthetic result desired. The development of new ceramic systems reinforced by lithium disilicate and resin cements favored increasing longevity and clinical performance of indirect restorations. The present paper aims at presenting...
Abstract: Bone loss after extraction is inevitable. Due to the different factors relative to resorption and bone remodeling, bone ridge will undergo different changes in horizontal and vertical structures until it reaches atrophy, which is a challenge not only for Implantology, but also for Prosthodontics and Aesthetics. As an alternative to restore the natural anatomy of an atrophic maxilla in the region of teeth #11 and #12 of a female, 23-year-old patient, a two-stages surgery was carried...
Abstract: Peri-implant diseases are inflammatory lesions that develop around the tissues that surround osseointegrated dental implants and can be differenced in two entities: peri-implant mucositis (a reversible inflammatory reaction that affects only the soft tissues surrounding the implant in function) and peri-implantitis (an inflammatory reaction associated with loss of supporting bone around the implant in function). High peri-implantitis incidence (28-56% of patients and 12-43% of the...
Introduction: Dental implants have a prominent role in the rehabilitation of edentulous patients, with satisfactory and predictable clinical outcomes, especially in relation to its survival rate over time. The need for high levels of success and survival rates, even in situations with reduced amount and quality of bone, coupled with the increasing demand for aesthetic and fast case resolution, has led to the development of surfaces that provide faster osseointegration. Objective: To verify the...
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