Faculty Bibliography

Anterior tooth replacement has always posed an esthetic challenge for dentists. A multidisciplinary approach makes it possible to provide patients with esthetics and function. Treatment planning should involve other specialists when clinicians are faced with the additional esthetic concerns of the patient (such as anterior spatial anomalies and esthetically unpleasant existing restorations). Metal-ceramic fixed partial dentures have been used to allow the replacement of missing teeth for many years, providing both strength and esthetics. Several other options also are available, including implant placement. Dental implants in the esthetic zone are well-documented in the literature; numerous controlled clinical trials have shown overall implant survival and success rates. This article illustrates a step-by-step analysis and treatment option for a single-tooth replacement and maxillary anterior spatial dilemma using Captek crowns

Creating an esthetic result that is pleasing to both the patient and the dentist requires careful consideration of patient concerns and treatment goals. This article presents a case involving a patient with many esthetic concerns. Following in-depth examination of the patient and consultations, an esthetic treatment plan involving the placement of laminate veneers was developed and executed. After the first set of laminate veneers was placed, some concerns led to an alteration in the proposed treatment plan. Each step of the treatment plan must be assessed before the next step is performed to guarantee a result that is both functional and esthetically pleasing

This in vitro study used two resin cements to evaluate the microleakage of CEREC 3D restorations. An mesio-occluso-distal-lingual (MODL) onlay preparation was placed on an ivorine premolar tooth. Sixty elastomeric impressions of this preparation were used to fabricate resin dies. Imaging propellant was applied to the resin dies. Optical impressions were taken with the CEREC 3 and the CEREC 3D software and used to design and mill 60 onlays. The reliability coefficient was alpha = 0.76 with an examiner agreement rate of 96.4%. Restorations cemented with posterior composite demonstrated a mean microleakage value of 1.46 mm (SD+/- 1.64); by contrast, those restored with dual-cure cement reported a mean microleakage value of 0.21 mm (SD+/-0.57). The difference in microleakage was very highly significant (alpha = 0.001). Posterior composite CEREC 3D restorations cemented with the dual-cure cement showed significantly less microleakage compared to those cemented with posterior composite

A multidisciplinary approach is generally required in the treatment of patients who present with missing and malpositioned teeth to achieve an esthetic and functional outcome. Treatment of a patient with congenitally transposed canines, missing central incisors, and peg-shaped lateral incisors using a multidisciplinary approach is presented