E-Book, Englisch, 364 Seiten
Lazarescu / Lazarescu Comprehensive Esthetic Dentistry
1. Auflage 2015
ISBN: 978-3-86867-294-7
Verlag: Quintessenz
Format: EPUB
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)
E-Book, Englisch, 364 Seiten
ISBN: 978-3-86867-294-7
Verlag: Quintessenz
Format: EPUB
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)
Nothing can replace the sense of professional fulfillment and personal reward that comes from successfully restoring a patient's smile. This book, which serves as a complete primer on esthetic dentistry, is aimed at that precise reward. Informed by the latest scientific research and clinical evidence, the authors provide readers with keen insight into the artistic aspects essential to achieving a truly esthetic outcome. Preliminary chapters cover esthetic analysis, effective treatment planning, use of digital dental photography, and the importance of interdisciplinary collaboration. Further chapters outline effective treatment protocols, including the principles of ultraconservative restoration, tooth whitening, anterior and posterior all-ceramic restorations, in-office CAD/CAM technology, implant placement and soft tissue management in the esthetic zone, and the usage of minimally invasive procedures. This book, in its extensive knowledge and passionate voice, represents the union of function and beauty in dentistry, and in doing so, establishes itself as a comprehensive resource in the field of dental esthetics.
Autoren/Hrsg.
Fachgebiete
Weitere Infos & Material
Chapter 01. Esthetic Dentistry in the Modern Dental Practice
Chapter 02. General Principles in Dental and Dentofacial Esthetics
Chapter 03. The Photographic Examination
Chapter 04. Dentist-Patient Communication during Esthetic Analysis Integrating Provisional Esthetic Rehabilitation in the Treatment Plan
Chapter 05. Ceramics used in Esthetic Restorations
Chapter 06. Ultraconservative Dentistry
Chapter 07. Adhesive Techniques in Esthetic Dentistry
Chapter 08. Tooth Discoloration
Chapter 09. Esthetic Restoration of Anterior Teeth
Chapter 10. Esthetic Restoration of Posterior Teeth
Chapter 11. Luting Protocol for All-Ceramic Restorations
Chapter 12. In-Office Dental CAD/CAM Technology
Chapter 13. Dental Implants placed in the Esthetic Zone
Chapter 14. Soft Tissue Management for an Esthetic Aspect in Implant Dentistry
Chapter 15. Esthetic Strategies in Orthodontics
COSMIN ULMAN SMARANDA BUDURU RARES BUDURU Chapter I ESTHETIC DENTISTRY IN THE MODERN DENTAL PRACTICE 1.1 ESTHETIC DENTISTRY AS A SPECIFIC PROFILE IN DENTAL PRACTICE MANAGEMENT Esthetics is one of the never-ending medical specialties. In a world haunted by the image of eternal youth and beauty, people will always search to obtain the “perfect” image. News reports are full of stories that success and happiness follows immediately and unconditionally after a major physical transformation, and it is obvious how much everyone yearns for beauty. Esthetic dentistry is one of the most powerful instruments for renewing facial aspects, and there are studies that assert that the mouth and the smile are the most noticeable facial features. Consequently, as dental estheticians, we can certainly enter our patients’ lives and change them for the better, forever. An amusing story from a dental practice describes a female patient who had had her smile reconstructed by applying 10 maxillary dental veneers, after an almost complete body makeover. After finishing the dental esthetic treatment, she declared that everybody had noticed a change in her for the better, while the esthetic modifications of her body had remained unobserved by her close friends and relatives. Frequent discussions during esthetic dental congresses refer to the following questions: “Is there an esthetic dentistry and an unesthetic one?” and “Do I want to make an esthetic restoration today and a non-esthetic one tomorrow?” We do not want to believe that these contrasts exist, but definitely the final results differ from dental practice to dental practice and from patient to patient. The difference between a dentist who specializes in esthetic dentistry and a general dentist is that the former, before starting a treatment, will make an evaluation of the smile and of the type of patient. This will assume solid knowledge regarding facial, dental, and periodontal esthetics, as well as good communication skills, in order to understand what the patient wants and expects. In conclusion, the dentist must be not only first and foremost a professional, but also a fine psychologist.1,2 This is why we thought of systematizing the factors that differentiate between a dental practice with exceptional esthetic results and one with more modest results. These factors are related to the dentist, personnel, equipment, patients, and management.3–5 Let us say we have a dental practice, new or old, and we would like to change its profile and concentrate more on dental esthetic treatments. Where should we begin? How should this transformation take place? Once, during a congress where several esthetic cases were presented, I heard some dentists in the room talking and complaining that they did not have patients who “would ask for such treatments”. This idea is totally wrong! Never, or extremely rarely, will a patient ask the dentist for a certain type of treatment. The algorithm we should follow is: information; knowledge; practice; proposal; persuasion; and, finally, undertaking the treatment. In other words, the dentist must have state-of-the-art information and must undertake as many continuing medical education courses as possible, and dedicate a good part of his/her free time to accumulating new esthetic dentistry knowledge. We consider that anyone can become a successful esthetician, the only question is: What should one give up for this purpose? Mainly, a great deal of free time needs to be dedicated to study.6–8 For this training to be successful in daily practice, dentists should make an informed choice regarding the types of courses that could offer them these skills. We consider that, in addition to esthetics courses in prosthetics, dental occlusion, color, dental photography, periodontology, and implantology would be necessary. The knowledge acquired during courses and congresses should be permanently added to and developed by reading reference books in the field and subscribing to various publications in order to be continually updated about new trends and technologies.9,10 The personnel of the esthetic dentistry practice must always be trained, according to their position, in the treatments that are carried out in the dental practice. The patient’s first contact is the person who answers the phone at the reception desk. This person plays a major role because s/he offers the first impression, which can be defining for the whole office. S/he should be a pleasant and extremely professional person, who will win the patient’s trust and offer enough information about treatments in a way that will persuade the patient to make an appointment. Subsequently, the meeting with the receptionist must strengthen this first good impression. Moreover, the receptionist should be able to offer relatively complex information regarding the different treatments. The details of the treatments will be offered, of course, by the dentist. The dentist’s personal assistant is one of the most important people, as s/he is closest to the dentist, knows the treatment stages in detail, and can provide the patient with valuable information. The personal assistant can also confirm the dentist’s professionalism and qualities by telling the patient about successful cases completed by the dentist. Very often patients trust information offered by a team member because that team member does not have a direct material interest in the case.11 Dentists are at the top of this ladder and, until they meet the patient, their image must be enhanced each time the patient meets with other team members. This is why the way the auxiliary staff talk, as well as their smiles and general appearance, influences the dentist’s image. When meeting the patient, the dentist must be able to listen to the patient’s wishes, to inspire trust and confidence, and to explain all possible treatments in such a way that the patient can easily understand. S/he must present all treatment types that may meet the patient’s needs, instead of waiting for the patient to suggest his/her own ideas for treatment. The esthetic dentistry practice must be congenial, clean, nicely perfumed, and have an attractive atmosphere. There should be numerous photos showing wonderful smiles, albums with “before” and “after” cases, explanatory videos, and brochures, which will encourage the patients’ interest and their wish to obtain more information. In addition, the practice should be equipped with all that is necessary for performing the esthetic treatment correctly: an esthetic analysis sheet; a very good camera and everything that has to do with photos and case documentation; large-screen computers and smile design software; a large range of composites to form the mock-ups; rotary instruments (turbines, multiplication pieces, reduction pieces, finishing pieces, precalibrated mill sets, and specific forms for making precise preparations); augmentation optical instruments (dental microscopes or loupes); quality materials for making the provisional works, in color ranges with pigments and glazes; precision impression materials, preferably with automatic mixing for increased quality; specific materials and instruments for expanding the sulcus; equipment for optical impression; colorimeter and spectrophotometer for colored maps; materials for bonding; airborne particle-abrasion instruments; ultrasound baths; isolation systems; several adhesive cement systems; and finishing systems. The patient entering the esthetic dental practice has specific wishes and the dentist must be a good psychologist in order to make a correct selection of the patients who can be treated. Generally, the patients who want to increase their self-esteem and their self-confidence are looking for better social, personal, and professional perspectives. They have real personal complexes, or are people who have been influenced by the beautiful images reported in the media, or by acquaintances who have successfully changed their appearances – the thereby their lifestyles – in their search for eternal youth. The patients to be avoided are those who have visited several esthetic practices, have changed many of their treatments over a short period of time and for whom no treatment has been good enough, and who have a totally unrealistic vision of what they could look like. The patients who are going to be treated will become very close to the esthetician because s/he must understand their wishes and visions about this image change. Treatment will start only after patients have understood the procedure, and accepted, by signing a consent form, the medical team that will take care of their case, as well as the timespan and the specified costs involved. After the treatment ends, the patient will have to be monitored and educated in order to maintain the correct dental hygiene and relevant lifestyle. Besides having regular checkups, patients should receive information periodically regarding new treatments as they appear (this should be done only with the patient’s consent). We suggest that patients should also be sent greeting cards for their birthdays or at Christmas or Easter, in order to show them that they are important to the practice. The dentist may become an exceptional esthetician as long as s/he is passionate about beauty in general and about esthetic dentistry in particular. We also believe that the dentist’s smile, and those...
