ESTHETICS IN DENTISTRY doc

[...]... intraoral camera in esthetic dentistry is in showing patients defective restorations This is especially useful when discussing how defective Class II restorations might affect the color of the proposed porcelain laminates To achieve ideal esthetics when making porcelain laminates, the teeth should be uniform in color Thus, an old amalgam restoration that is darkly staining a part of the tooth can influence... helpful in determining what concerns your new patient has regarding his or her dental needs One basic problem is that many individuals choose not to disclose the information, not wanting to prejudice you in rendering your opinion The fear is that you may “slant” your treatment plan one way or another based upon the referring patient rather than offer completely objective analysis 2 Include it in an information... Chicago; Quintessence 1997 Goldstein RE Communicating esthetics N Y State Dent J 1985;51:477–9 Goldstein RE Current concepts in esthetic treatment Proceedings of the Second International Prosthodontic Congress 1979:310–2 Goldstein RE Study of need for esthetics in dentistry J Prosthet Dent 1969;21:589 Goldstein RE The difficult patient stress syndrome: Part 1 J Esthet Dent 1993;5:86–7 Goldstein RE, Garber... you do this the better you will become at helping your patients see what is needed to improve their appearance (see Esthetics in Dentistry 1st ed., Vol II, Chapter 28: Facial Considerations) Visualize your intended changes, such as increasing the interincisal distance, or shortening, widening, or narrowing the teeth Then confirm your ideas via computer imaging Try to see how your patient’s appearance... suggesting restorative therapy during the treatment planning stage, you can use the camera as a continuous communicator and educator during treatment For example, you can point out actual caries under an old filling you are replacing Since very few patients have ever seen real “decay,” you are also reinforcing your credibility as an honest practitioner performing necessary procedures A major use of the intraoral... construct these open-faced crowns, depicting a heart in the right central incisor and an inlaid diamond in the right lateral incisor The patient’s own feeling of esthetics and concept of self-image is most important Esthetic dentistry demands attention to the patient’s desires and treatment of the patient’s individual problems Esthetic dentistry is the art of dentistry in its purest form The purpose is not... harmful habits and bring them to the attention of both the patient and you Such habits include lip, cheek, or nail biting, chewing ice or other foreign objects, or grinding of teeth (see Esthetics in Dentistry 1st ed., Vol II Chapter 20: Personal Habits) As the teeth are being cleaned, the patient’s desires in regard to esthetic treatment can and should be deter- Figure 2–2A: A sense of inferiority can... cracks, the intraoral camera has become one of the most valuable diagnostic aids in the dental operatory It is the best 28 Esthetics in Dentistry Figure 2–6A: Using an intraoral transilluminator is an excellent method of diagnosing microcracks The intraoral camera can also record these microcracks tool to allow you to reveal which teeth and/or restorations are defective In addition to showing your patient... this essential information may include the receptionist, dental assistant, hygienist, dental laboratory technician, and treat- 22 Esthetics in Dentistry ment coordinator Although we assume that all of the above individuals have contact with the patient, valuable information can also be gained by involving your laboratory technician with the patient’s esthetic concerns In most cases, the laboratory technician... studies proving the direct and indirect relationship of how looking one’s best is a key ingredient to a positive self-image, which, in turn, relates to good mental health The authors of a recent survey of nearly 30,000 people point to a relationship between psychosocial well-being and body image.7 They found that feeling attractive, fit, and healthy results in fewer feelings of depression, loneliness, and . manifests itself in a sense of inferiority. This sense of inferiority is a complex, painful, emotion- al state characterized by feelings of incompetence, inadequacy, and depression in varying degrees.” 21 These. names,” referring to her tetracycline-stained teeth. Figure 1–5B: Although bleaching was attempted, bonding the four maxillary incisors was required to properly mask the tetra- cycline stains. Unless. practice. Eventually, I was inspired to dedicate my professional career to promoting a comprehensive interdisciplinary approach to dentistry that united function and esthetics in the service of total