Cases reported "Diastema"

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1/6. Operative dentistry: an alternative to orthodontics.

    The purpose of this paper is to describe a clinical case, which highlights the role of Operative dentistry in the treatment of Dento-alveolar Disproportion in an impoverished tropical environment. The patient had a diastema located between tooth 24 and tooth 25 due to an atypical position of his tongue while swallowing. The patient had been referred to because he could not afford orthodontics. We suggested a conservative bridge compounded of 2 resin veneers and pontic bounded by the composite tetric ceram. The 0.5 mm teeth reduction concern lingual and proximal faces with retention form, starting at 0.3 mm from the incisal edge to 0.5 mm from the gingiva was performed with diamond burs (shoulder and finishing). The result was satisfactory and leads us to conclude that Operative dentistry is a good alternative to orthodontics in a very specific social context.
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keywords = dentistry
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2/6. Aesthetic tooth alignment using etched porcelain restorations.

    In restorative dentistry, aesthetics often depends upon the creation of symmetry at the patient's midline. This concept can be taken further in that an aesthetic smile has symmetry and harmony between horizontal and vertical planes. This article demonstrates a prosthodontic alternative to orthodontic therapy for patients who require an immediate change to their smile rather than submitting to the latter's extended treatment period. While orthodontic treatment remains the standard for the majority of these cases, other modalities are required for patients who refuse it.
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ranking = 0.25
keywords = dentistry
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3/6. Direct composite bonding in conjunction with surgical tissue management.

    This article discussed several issues associated with the intimate relationship between attachment apparatus and the restorative interface. First, it is essential that the restorative dentist have a clear understanding of crest position and its impact on the restorative outcome. Then, the restorative dentist must understand the importance of sequencing and timing when orthodontic therapy, tissue recontouring and restorative dentistry must be accomplished on the same patient.
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ranking = 0.25
keywords = dentistry
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4/6. Orthodontic intervention in adult patients as an adjunct to prosthetic and restorative dentistry.

    Combined orthodontic-prosthodontic procedures will enhance the results of restorative treatment in adult patients. Restoration of malposed teeth using prostheses alone will fail both esthetically and functionally. rotation, spacing or crowding and tipped teeth will compromise the final restoration if left untreated. Correction of axial inclination will prevent pulp exposure during preparation, as well as improving the periodontal status of the involved teeth. Cooperation between the orthodontist and the prosthodontist will ensure a more favorable final result. Cases treated in this manner are presented, illustrating the orthodontic treatment and the successful end results.
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ranking = 1
keywords = dentistry
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5/6. Implications of congenitally missing teeth: orthodontic and restorative procedures in the adult patient.

    Missing teeth are a concern to the patient and restorative dentist, and this social liability can be a multifactorial problem that involves esthetics, phonetics, disease, function, and stabilization. dental caries, trauma, and periodontal disease are usually identified by pain, food impaction, discomfort, and lack of esthetics or poor phonetics. Restorative dentists are concerned with all aspects of the general health and appearance of the stomatognathic system and not only have the responsibility for immediate correction of an extant problem, but also for ensuring long-term "outcomes." The perceptive integration of interspecialty orthodontic treatment before restorative dentistry can obviate deleterious circumstances that threaten successful completion of the treatment plan. The prerestorative repositioning of malposed adjacent teeth in spaces created by congenitally missing teeth is illustrated with clinical treatment of three patients.
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ranking = 0.25
keywords = dentistry
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6/6. Multiple-diastema porcelain laminate veneers: a case study.

    There is some controversy about whether or not tooth preparation is needed before placing porcelain laminate veneers. Without adequate preparation, the added surface contour may increase the risk of periodontal disease. When properly executed, veneers for cosmetic dentistry should be reversible. Many teeth that could have been saved with the use of a conservative laminate veneer are destroyed by full crown reduction. The case presented in this article illustrates the preparation of six maxillary anteriors with with pronounced spaces between them for laminate veneer placement.
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keywords = dentistry
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