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Aprosthetic restoration of the upper incisors is the most difficult aesthetic challenge to address. The development of new materials and the most advanced technologies associated with the guidelines developed and disseminated over the last twenty years by the great masters of prosthesis now make the challenge more accessible. However, the characteristic that make the new materials more integratable from an aesthetics perspective, the translucency of the substructure, is also the most controversial limit. Translucency is the physical property that allows light to pass through a material in a diffused manner (the opposite property is opacity). This feature adds a new evaluation parameter which is essential for all projects that involve the use of metal-free as a prosthetic solution, especially in the anterior sectors. It should be added that a modern prosthetic restoration requires that its realisation is not only in balance with the periodontium but is in close relation to the whole face and especially in harmony with the personality of the patient. A well-designed and well-made restoration, even if of only two central incisors, can completely change the appearance of a subject and improve the social quality of their life.
Since natural teeth provide our esthetic model, it is logical to use the inner structure of natural teeth to precisely guide tooth replacement. In Part 1 technicians Michael Brüsch and Ralf Dhal presented their systematic approach to restorations using GC Initial. In this article, they demonstrate additional options (such as the CAD/CAM system) through case studies. Included are both the extraordinary layering system supported by outstanding photographs and detailed descriptions of patient cases to test the limits of the new technologies.
Today more than ever, a nice smile makes all the bad that surrounds us more bearable, therefore, the main goal of my work is to be able to give the patient, who relies on the clinical team with confidence, an article that is perfectly integrated with the oral cavity.
In this issue, we will be reviewing the Tender Pink Shades of the ENA HRi Esthetic System. This system can be used to colorize metals, composites and acrylic to more naturally simulate tissue colors in the oral cavity. This product is manufactured by Micerium Spa., distributed in North America by Synca Marketing and is comprised of four tissue-shaded composites ranging in color from light to dark pink (but also including bluish and yellowish shades and white) and varying from translucent to opaque. The system comes packaged in a kit which also includes: three concentrated bottles of light cure Stain (Red, white and blue) which can be used to modify shades provided, and a syringe of light cure pink opaque containing a metal primer. Components of the kit can also be purchased separately.
Natural teeth have a morphology that reflects the different function of each element. The teeth in the oral cavity are in the correct position in accordance to established principles, maintaining an outstanding balance with the surrounding tissues. Of course, during an aesthetic restoration it is necessary to bear these principles in mind when constructing a prosthetic device. If, for example when constructing a prosthetic device we closely copy the morphology without worrying about other aspects, the device will necessarily lack normal function.
After summarizing the history of epithetic technology and the work description of an epithetic technician in part 1, the author outlined various attachment systems in terms of implants and different available implant systems
in part 2. In this article the author discusses the chance of success and possible complications.
This series deals with the reconstruction of artificial ears. In the first part we discussed the development of epithetic methods throughout history and the role of an anaplastologist. In the following article the author gives us an overview of implant based anchorage systems.
Ceramic veneers are one of the hottest topics in modern dentistry. The areas of application are numerous, from pure aesthetics for front teeth - for example to close a diastema - passing by the palatal parts to reconstruct a lost canine guide, up to the occlusal parts to restore or improve function and vertical dimension. In all cases preparation can be minimally invasive, making it possible to retain the tooth substance and satisfy the patients’ desire for treatment without complications and with little or no pain.
The expectations of patients who must undergo extensive treatments are often very high. The response plans are usually very long and the patient is required to have a lot of patience. And this is the difficult part in this important phase of life. The decision for a given type of treatment is made after weeks or even months, at which point the only thing the patient wants is a new smile as soon as possible. It is important to provide explanations and visual examples of the possibilities of intervention, to obtain the patient’s confidence and avoid disappointment. The aesthetic needs must also be considered, which often depend on fashion. Due to the complexity of the treatment and to ensure optimal results often there is a need for very specialized dental care such as implantology, periodontology and/or orthodontics. In implantology, aesthetics and predictability are important. In addition to more in-depth knowledge of the professional team, new techniques provide continuous improvements in the field of predictability (e.g. Nobel-Guide) and the results obtained with implants in the esthetic zone.
In the following series in line with the development of a procedure with helpful lines on the ear, nose and forehead, tests are performed that assist the anaplastologist with the reconstruction of artificial ears. Apart from the determination of the parameters, the procedure will be described from the measuring and the transfer of the lines to the finishing of the epithesis.