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At various moments in the clinical life of every dental surgeon, cases of high complexity appear not only due to their technical difficulty, but also to patient’s expectation. The example of the clinical resolution of the case described in this edition shows how important it is that the professional who performs Aesthetic Dentistry is always surrounded by professionals from areas related to the restorative part, respecting the biology and desires of each patient.
Any dental procedure is a set of processes, that is, a continuous sequence of operations that present a certain unity and that are reproduced with some regularity, in an orderly and precise way.1 Does a dental procedure seem complex? It does not seem so, it is. However, due to the repetition of any technique or method that a clinician or dental technician performs, the routine dental procedure, with time and repetition, begins to seem simple. This mechanism of repetition in any area of human...
Abstract: Congenital syphilis is endemic in our country, with thousands of new cases per year and increasing prevalence, especially in the Southeast region. Among its manifestations are those involving the teeth: Hutchinson’s incisors and Moon’s molars. From the discussion about the mechanisms that lead to its occurrence, the criteria for its diagnosis and forms of treatment, it was sought to revisit the subject, contributing so that Dentistry professionals may recognize it in a precise way...
The reader accompanying the publications of the (in)direct section could have noticed that I have been sewing a narrative on restorative techniques in composite resins and dental ceramics. It is important to make it clear that the goal is not to defend one technique over another; on the contrary: the purpose here is to provide comparative information in order to found a conscious clinical decision on the choice of techniques or materials to be used.
Introduction: Bone regeneration is one of the biggest challenges for Implantology. Finding a bone base with suitable volume and height for the installation of dental implants is not always possible, and various techniques have been improved to regenerate lost structure. The autogenous bone graft is considered the “gold standard” of regenerative therapies for having osteogenic properties that are not found in other techniques. Yet, the patient needs to perform two surgical procedures,...
Introduction: Doxycycline is a broad spectrum antibiotic derived from tetracycline, which is effective against most periodontal pathogens, by achieving concentrations in the gingival crevicular fluid 7 to 10 times greater than serum level, reducing the signs and symptoms of local periodontal disease. Objectives: The aim of this study was to determine the clinical parameters, as well as to quantify the G+ and G- microorganisms in patients with Diabetes mellitus type 2 undergoing basic...
Abstract: The aim of this paper was to present a review of the main adhesive techniques for direct restorations and to propose an application protocol and clinical indications. With this purpose, different adhesive strategies, adhesive system components performance and their interaction with the dental tissue were presented. Clarifying to the dental surgeon about the different adhesive techniques and their indications may contribute to produce better clinical results.
Introduction: Aesthetic treatment of teeth have been incorporated in various specialties. The multidisciplinary aesthetic treatment in Dentistry has the advantage of reestablishing the smile and function, promoting healthy teeth and their surrounding tissues. Objective: The objective of this study was to present the case report of a patient with aesthetic and functional alterations. Case report: 40 year-old patient, who showed root fracture of the tooth #21, anterior and posterior...
Abstract: The aim of this study was to report a clinical case of conservative treatment modality for the amelogenesis. Amelogenesis imperfecta is a condition that shows different clinical manifestations and genetic pattern. The main clinical manifestation is compromised aesthetics. This clinical condition in a 15-year-old male patient was treated with direct restorations using microhybrid composite resin (Amelogen Plus, Ultradent Products, Inc., South Jordan, USA), by means of the clear...
Objective: This study aimed at correlating the topographical features of implants surface and osteoblast adhesion. Methods: a search for publications using the BIREME and PubMed databases was performed. The search was limited to in vitro studies published in English, in the last 5 years (January, 2010 to November, 2014). Results: A total of 145 abstracts were recovered and only 23 articles were selected after reading the title and abstract; 61% of the articles found a positive correlation...
Introduction: Although the free gingival graft technique (FGG) presents a high predictability to increase keratinized tissue (KT), the graft contraction rate is significant. Objectives: This case report describes a modified FGG technique with the aim to reduce the graft shrinkage. Methods: Two patients presented chief complaints of sensitivity during tooth brushing on lower incisors and another patient in the region of an implant-supported restoration of tooth #46. In all cases, patients showed...
Abstract: This clinical report presents an oral rehabilitation performed in a patient with anterior open bite, whose main complaint was the fracture in a posterior restoration and aesthetics of the anterior teeth. After detailed examination, an increased vertical dimensional was observed, caused by premature contact of a posterior tooth. Treatment planning was defined to reestablish the vertical dimension by means of occlusal adjustment, which was first performed in dental casts mounted on...
Abstract: The relentless quest for perfection and naturalness has always been the goal of all dentists and technicians. The enormous complexity in replicating a tooth with all its intrinsic and extrinsic characteristics as well as macro and microtextures is a challenge to be overcome. Performing a restoration on a previous tooth, when it does not obey all these particularities, proves to be unsatisfactory as far as naturalness is concerned. It should allow to recreate the textures, light...
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