Document Detail

Smile makeover utilizing direct composite resin veneers.
MedLine Citation:
PMID:  19133636     Owner:  NLM     Status:  MEDLINE    
Creating a beautiful smile is more than restoring a single tooth back to its proper form. One must take into account the entire aesthetic zone, along with the mechanics of restoring the teeth to proper form and function. To make this effort even more challenging, the clinician is in full control and completely accountable for making the direct composite resin restorations from which the smile is created. Patients usually won't critique the aesthetics of a posterior direct resin, but once we move into the visible smile (along with the fact that most cosmetic procedures are patient desire- and want-driven) we must be able to deliver what the patient expects. Preplanning the case and avoiding the "prep and pray" approach to the smile-design process is the cornerstone of success. Utilizing tools for the creation of the restorations, such as a preoperative wax-up and silicone putty matrix, help the clinician break the procedure down to individual restorations that when created in harmony with the pre-operative design or wax-up, will allow a final "smile design" to emerge with predictability without getting lost in the daunting task of creating the entire smile all at once. Proper use of ideal composite materials adds the final touch on creating realistic results that even the most discerning patients demand. Layering colors, utilizing differing opacities and translucencies within the restorative process, is a must. Having a "recipe" to follow simplifies the process and gives the clinician confidence that the final result will have that realistic look. All in all, the easiest way to handle a challenging case is to break it down into smaller and more manageable increments in order to ensure a predictable outcome.
Michael Koczarski
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Publication Detail:
Type:  Interview    
Journal Detail:
Title:  Dentistry today     Volume:  27     ISSN:  8750-2186     ISO Abbreviation:  Dent Today     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2009-01-12     Completed Date:  2009-02-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9005357     Medline TA:  Dent Today     Country:  United States    
Other Details:
Languages:  eng     Pagination:  76, 78-9     Citation Subset:  D    
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MeSH Terms
Composite Resins* / chemistry
Dental Enamel / anatomy & histology
Dental Materials* / chemistry
Dental Polishing
Dental Prosthesis Design* / instrumentation
Dental Veneers*
Dentin / anatomy & histology
Dentist-Patient Relations
Esthetics, Dental*
Gingivectomy / methods
Laser Therapy / methods
Patient Care Planning
Surface Properties
Tooth Preparation / methods
Reg. No./Substance:
0/Composite Resins; 0/Dental Materials

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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