Canadian Dental Patients with a Single-Unit Implant-Supported Restoration in the Aesthetic Region of the Mouth: Qualitative and Quantitative Patient-Reported Outcome Measures (PROMs)

Afrashtehfar, Kelvin I.; Igarashi, Kensuke; Bryant, S. Ross

doi:10.3390/data6080090

Cited by 4 publications

(2 citation statements)

References 16 publications

(24 reference statements)

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“…Finally, it is essential to note that the success of any dental treatment depends not only on the technical aspects but also on the patient’s satisfaction [ 22 , 23 , 24 , 25 , 26 , 27 ]. Therefore, thoroughly discussing the patient’s expectations and desires before initiating any treatment is crucial to ensure the desired outcome [ 28 , 29 , 30 , 31 , 32 ]. In this case, the patient was highly satisfied with the final outcome and reported a significant improvement in her self-confidence and overall satisfaction with her smile.…”

Section: Discussionmentioning

confidence: 99%

Minimally Invasive Laminate Veneer Therapy for Maxillary Central Incisors

Guzman-Perez¹,

Jurado

Azpiazu‐Flores

et al. 2023

Medicina

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Minimally invasive dentistry is a considered process that requires the clinician to be prepared with the ideal sequence and the tools needed. This report describes a well-planned ultraconservative approach using only two ceramic laminate veneers for the maxillary central incisors to significantly improve the patient’s overall smile. A 30-year-old female presented with the chief complaints of having diastemas between the central and lateral incisors as well as incisal wear. Diagnostic wax-up and mock-up were performed, and the patient approved the minimally invasive treatment with veneers only for central incisors. A reduction guide aided the conservative tooth preparations, and hand-crafted feldspathic veneers were bonded under total isolation with a rubber dam. The two final conservative veneers significantly improved the smile and fulfilled the patient’s expectations. Following proper planning and sequencing, predictable outcomes were obtained and fulfilled the patient’s esthetic demands. Minimally invasive restorative dentistry with only two single veneers can impact the entire smile frame. Overtreatment in the esthetic zone is unnecessary to meet a patient’s esthetic expectations.

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Section: Discussionmentioning

confidence: 99%

Minimally Invasive Laminate Veneer Therapy for Maxillary Central Incisors

Guzman-Perez¹,

Jurado

Azpiazu‐Flores

et al. 2023

Medicina

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“…Then, an intraoral diagnostic overlay can be fabricated to provide the patient and clinician with a tactile evaluation of the proposed treatment [ 11 ]. In addition, excellent communication between the surgeon and the restorative dentist is necessary to achieve the desired harmonious gingival architecture, especially in patients with high aesthetic demands [ 6 , 12 , 13 , 14 ]. Based on the diagnostic evaluations made by the restorative dentist, the surgeon can re-establish the soft and hard tissues to relocate the margins and alveolar crest and achieve periodontal health and an aesthetically pleasing gingival architecture.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Mock-Up as a Surgical Reduction Guide for Crown Lengthening: Technique Description and Case Report

et al. 2022

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Background and Objectives: The report describes a technique using a diagnostic mock-up as a crown-lengthening surgical guide to improve the gingival architecture. Materials and Methods: The patient’s primary concern was improving her smile due to her “gummy smile” and short clinical crowns. After clinical evaluation, surgical crown lengthening accompanied by maxillary central full-coverage single-unit prostheses and lateral incisor veneers was recommended. The diagnostic mock-up was placed in the patient’s maxillary anterior region and used as a soft tissue reduction guide for the gingivectomy. Once the planned gingival architecture was achieved, a flap was reflected to proceed with ostectomy in order to obtain an appropriate alveolar bone crest level using the overlay. After six months, all-ceramic crowns and porcelain veneers were provided as permanent restorations. Results: A diagnostic mock-up fabricated with a putty guide directly from the diagnostic wax-up can be an adequate surgical guide for crown-lengthening procedures. The diagnostic wax-up was used to fabricate the diagnostic mock-up. These results suggested that it can be used as a crown-lengthening surgical guide to modify the gingival architecture. Several advantages of the overlay used in the aesthetic complex case include: (1) providing a preview of potential restorative outcomes, (2) allowing for the appropriate positioning of gingival margins and the desired alveolar bone crest level for the crown-lengthening procedure, and (3) serving as a provisional restoration after surgery. Conclusions: The use of a diagnostic mock-up, which was based on a diagnostic wax-up, as the surgical guide resulted in successful crown lengthening and provisional restorations. Thus, a diagnostic overlay can be a viable option as a surgical guide for crown lengthening.

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