Inhaltsverzeichnis
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Editorial: Do you do force finishing in cosmetic dentistry?
Dr Sushil Koirala, Editor-in-Chief, President Vedic Institute of Smile Aesthetics (VISA) Kathmandu, Nepal
I have been practising clinical dentistry for almost 20 years. Now my major clinical workload is shifting towards the management of complex smile defects due to occlusal disharmony. These cases are always difficult to manage because destructive force components are not visible.
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Case finishing is one of the important clinical steps in dentistry. Aesthetics, functional forces and oral health are the three fundamental components that need to be considered during case finishing. Aesthetic components are clinically visible and guided by the subjective analysis (perception) of the patient and the clinician. However, the force components are invisible, and their adverse effects are not easily appreciated clinically until the effects become chronic. Moreover, the force components require special tools and clinical techniques to demonstrate and measure them clinically. Therefore, the force is the most neglected component in cosmetic dentistry during case finishing...
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A mere 20 years ago, fourth-generation adhesives revolutionised restorative dentistry by offering a predictable technique for bonding to both enamel and -dentine.1 Less than five years later, advances in ionomer and resin technologies provided clinically successful dentine and enamel replacement. In 2003, the first se-lective preparation burs able to differentiate between healthy and unhealthy dentine were introduced.2 These were all revolutionary innovations that altered the practice of -dentistry significantly. Within a decade, adhesive resin and composites had displaced amalgam as the mainstream restorative materials. The intervening years have seen the development of improved fifth- and seventh-generation adhesives,3, 4 micro-hybrid and nano-hybrid composites, LED curing lights, soft-tissue lasers,5–7 and a host of other adjunct technologies that make -dental treatment better, easier, faster8 and more predictable.9, 10 These innovations have been evo-lutionary, rather than revolutionary, building upon the existing science through gradual improvement and facilitation...
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Enhancement of aesthetic treatment planning and communication using a diagnostic mock-up
Drs Laurie St-Pierre, Canada, & Deborah S. Cobb, USA
Success in aesthetic dentistry relies largely on the ability to understand clearly the patient's chief complaint and expectations in seeking -dental treatment to correct an aesthetic concern and to address them as fully as possible. Patients are increasingly demanding and may have ex-pectations that exceed what can be achieved in reality. Moreover, aesthetics, being subjective, may not be based on the same criteria for both the patient and the dentist...
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For many years, the trend in restorative dentistry has been to place only one- or two-shade composite restorations in daily practice. However, with this approach, it is difficult to achieve a satisfactory aesthetic result in anterior teeth. There are great variations in colour value (lightness or darkness), depending on the patient’s age and enamel thickness, which affect the overall tooth colour. It has been proven that aesthetic restorations can only be achieved if the different values of natural enamel are recreated with composite material of a similar translucency.
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Un-cosmetic dentistry - Are you ready to reduce your dependence on porcelain restorations?
Dr Michael Zuk, Canada
Dr Michael Zuk is the author of the book Confessions of a Former Cosmetic Dentist. As a consultant to several -marketing programmes, -including HighSpeed Braces.org and KillerToothache.com, the dentist has cultivated unique niches as alternatives to the veneer-based practice model. He can be contacted at drz@bowerdental.com.
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Daktari for Maasai – First dental project at Ololosokwan clinic
Prof. Martin Jörgens & Dr Caroline Kentsch, Germany
The whole project arose from my first visit to Tanzania in October 2010. After climbing the highest mountains in Tanzania—Mt. Meru and Kilimanjaro—I went on a safari mainly visiting the &Beyond lodges of Lake Manyara Tree Lodge, Klein’s Camp and Ngorongoro Crater Lodge and the associated national parks...
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Today dentists are looking for a core build-up material that offers not only reliability and good performance but also ease of use. Such core material has to be aimed at high-quality and long-lasting restoration. Therefore, at the beginning of 2012, -Kuraray introduced its new core build-up material, CLEARFIL DC CORE PLUS KIT. This material meets all the demands of today’s dental practice...
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About the publisher: imprint
Copyright Regulations _cosmetic dentistry_beauty & science is published by Oemus Media AG and will appear in 2012 with one issue every quarter. The magazine and all articles and illustrations therein are protected by copyright. Any utilisation without the
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