Additional Information
Book Details
Abstract
Help your patients look better and improve their self-esteem with this complete, user-friendly guide to all of the latest esthetic dentistry procedures that are in high demand. Thoroughly updated by the most renowned leaders in the field, the new third edition of Esthetic Dentistry: A Clinical Approach to Techniques and Materials offers clearly highlighted techniques in step-by-step fashion, with unmistakable delineation of armamentarium, for the treatment of esthetic problems. Hundreds of clinical tips are included throughout the book to help alert you to potential problems, variations on techniques, and other treatment considerations. Plus, an invaluable troubleshooting guide covers the different types of esthetic problems (such as size, discoloration, and spacing issues), potential solutions, and references to chapters where the specific problem is discussed in detail. With this expert reference in hand, you will have all you need to master the latest esthetic procedures that your patients want!
- Troubleshooting guide at the beginning of the book features tabled information containing a quick snapshot of the problem, the solution, and where in the text it can be found.
- Hundreds of clinical tips throughout the book alert you to potential problems, variations on techniques, and other treatment considerations.
- Short narratives utilize a user-friendly format that works as a dependable reference, as well as a quick, at-a-glance guide.
- Part 2: Principles of Esthetics provides a detailed discussion of the fundamentals of esthetics and its relevancy to dentistry.
- Part 3: Esthetic Materials and Techniques assists you in selecting the correct materials for a specific clinical situation.
- Part 4: Esthetics and Other Clinical Applications offers an overview of how esthetics relates to other clinical specialties including, periodontics, orthodontics, implants, oral surgery, pediatrics, occlusion, laser surgery, oral photography, CAD/CAM technology, dermatological pharmaceuticals, and plastic surgery.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front cover | Cover | ||
| Inside front cover | 1 | ||
| Front matter | i | ||
| Copyright | ii | ||
| Dedication | iii | ||
| Contributors | v | ||
| Foreword | ix | ||
| Preface | x | ||
| Acknowledgments | xi | ||
| Table of contents | xii | ||
| 1 Troubleshooting troubleshooting guide | 1 | ||
| 2 Principles of Esthetics | 33 | ||
| 1 Introduction to esthetics | 34 | ||
| Esthetics in the united states | 34 | ||
| Bibliography | 37 | ||
| 2 Fundamentals of esthetics and smile analysis | 38 | ||
| Light and shadow | 38 | ||
| The principles of color | 38 | ||
| Hue | 38 | ||
| Chroma | 38 | ||
| Value | 39 | ||
| Color (hue) relationship | 39 | ||
| The color wheel | 39 | ||
| Primary hues | 39 | ||
| Secondary hues | 39 | ||
| Complementary hues | 40 | ||
| Hue sensitivity | 40 | ||
| Metamerism | 40 | ||
| Clinical relevance. | 40 | ||
| Opacity | 41 | ||
| Clinical relevance. | 41 | ||
| Translucency | 41 | ||
| Depth | 41 | ||
| Shade progression. | 41 | ||
| Fluorescence | 41 | ||
| Opalescence | 41 | ||
| Bleached teeth. | 41 | ||
| The principles of form | 41 | ||
| Perception | 41 | ||
| Cultural biases | 42 | ||
| Masculine and feminine. | 42 | ||
| The golden proportion. | 42 | ||
| Artistic biases | 42 | ||
| Illusion | 42 | ||
| Computerized digital shade technology | 42 | ||
| Using the principles of perception to control illusion | 43 | ||
| Principle of illumination | 43 | ||
| The law of the face | 43 | ||
| Alteration of the face—incisors | 44 | ||
| Canines and the law of the face | 45 | ||
| Alteration of the face—canines | 45 | ||
| Principle of line | 45 | ||
| Age | 46 | ||
| Older teeth. | 46 | ||
| Younger teeth. | 46 | ||
| Gender | 46 | ||
| Feminine teeth. | 46 | ||
| Masculine teeth. | 46 | ||
| Tooth biometrics | 46 | ||
| Facial midline | 47 | ||
| Maxillary lip line | 47 | ||
| High maxillary lip line. | 47 | ||
| Standard maxillary lip line. | 47 | ||
| Low maxillary lip line. | 47 | ||
| Maxillary lip curvature | 48 | ||
| Upward maxillary lip curvature. | 48 | ||
| Straight maxillary lip. | 48 | ||
| Downward maxillary lip curvature. | 48 | ||
| Smile line | 48 | ||
| Parallelism of the maxillary anterior lncisal curve with the smile line | 48 | ||
| Relationship between the maxillary anterior teeth and the lower lip | 48 | ||
| The number of teeth displayed in the smile | 48 | ||
| Incisal embrasures | 50 | ||
| Incisal length | 50 | ||
| Anterior contact area | 50 | ||
| Gingival zenith | 50 | ||
| Axial inclinations | 52 | ||
| Frontal view. | 52 | ||
| Lateral view. | 52 | ||
| Laboratory communications | 52 | ||
| Conclusion | 52 | ||
| Bibliography | 52 | ||
| 3 Esthetic Materials and Techniques | 55 | ||
| 3 Dentin bonding agents | 56 | ||
| Historic perspective | 56 | ||
| Ideal characteristics of a dentin bonding agent | 57 | ||
| Product selection | 57 | ||
| Available dentin bonding products | 57 | ||
| Indications | 60 | ||
| Theory and practice of bonding to dentin | 61 | ||
| General considerations and procedures | 62 | ||
| Clean the preparation | 62 | ||
| Etch the tooth surface | 62 | ||
| Apply dentin bonding agent | 63 | ||
| Clinical procedures | 63 | ||
| Clinical technique for multicomponent bonding agents | 63 | ||
| Clinical technique for single-bottle bonding agents | 64 | ||
| Conclusion | 68 | ||
| References | 68 | ||
| 4 Color modifiers and opaquers | 69 | ||
| History | 69 | ||
| Chemistry | 69 | ||
| General considerations | 70 | ||
| Indications for color modifiers | 70 | ||
| Yellow and yellow-brown | 70 | ||
| Blue, gray, or violet | 70 | ||
| White | 70 | ||
| Red or pink | 70 | ||
| Class III and class IV restorations | 70 | ||
| Diastema closures | 74 | ||
| Direct facial veneers | 74 | ||
| Repair of acrylic veneer crowns | 76 | ||
| Porcelain repairs | 77 | ||
| Repair of fractured porcelain with no exposed metal | 77 | ||
| Repair of fractured porcelain with exposed metal | 79 | ||
| Repair of ceramometal margins | 80 | ||
| Cervical addition to exposed metal crown margins or restorations of recurrent caries around ceramometal margins | 80 | ||
| Conclusion | 82 | ||
| References | 82 | ||
| 5 Composite resin: Fundamentals and direct technique restorations | 83 | ||
| History | 83 | ||
| Basic chemistry | 84 | ||
| Particle size | 84 | ||
| General considerations: Acid etching | 85 | ||
| Enamel and enamel-dentin bonding | 86 | ||
| Polymerization shrinkage | 87 | ||
| Dentin bonding and polymerization shrinkage | 88 | ||
| Liners and bases | 89 | ||
| Marginal bevels | 90 | ||
| Finishing | 90 | ||
| Polishing | 90 | ||
| Techniques and materials | 91 | ||
| Class I composite resin restorations | 91 | ||
| Class II composite resin restorations | 92 | ||
| Occlusal wear. | 92 | ||
| Postoperative sensitivity. | 92 | ||
| Tight proximal contacts. | 92 | ||
| Strengthening cusps. | 92 | ||
| Contact forming devices. | 92 | ||
| Multiple-step buildup technique. | 95 | ||
| Class III composite resin restorations | 97 | ||
| Placing the restorative material. | 97 | ||
| Type I class III restorations: Lingual access only. | 98 | ||
| Type 2 class III restorations: Facial access. | 99 | ||
| Type 3 class III restoration: Through-and-through. | 99 | ||
| Class IV composite resin restorations | 99 | ||
| Single-step buildup technique. | 99 | ||
| Multiple-step buildup technique. | 100 | ||
| Class V composite resin restorations | 102 | ||
| Single-step buildup technique. | 102 | ||
| Multiple-step buildup technique. | 102 | ||
| Clinical cases | 103 | ||
| Composite resin facial class IV | 103 | ||
| 4 Esthetics and Other Clinical Applications | 281 | ||
| 14 Esthetics and periodontics | 282 | ||
| Periodontal alveolar bone defects | 282 | ||
| Differential diagnosis | 282 | ||
| Treatment options | 282 | ||
| Retained papilla. | 282 | ||
| Guided tissue regeneration. | 282 | ||
| Osseous grafting. | 282 | ||
| Palatal or lingual ramping. | 282 | ||
| Open debridement with buccal ostectomy. | 282 | ||
| Clinical case: Retained papilla technique | 283 | ||
| Inadequate tooth structure for restoration | 284 | ||
| Differential etiology | 284 | ||
| Biologic width. | 284 | ||
| Treatment options | 284 | ||
| Surgical crown lengthening. | 284 | ||
| Forced eruption with fiberotomy. | 284 | ||
| Clinical case: Surgical crown lengthening | 285 | ||
| Clinical case: Developmental defect | 287 | ||
| Clinical case: Forced eruption with fiberotomy | 288 | ||
| Clinical case: Forced eruption with surgical crown lengthening | 288 | ||
| Recession | 288 | ||
| Differential etiology | 291 | ||
| Treatment options | 291 | ||
| Free gingival grafts. | 291 | ||
| Lateral pedicle grafts | 292 | ||
| Subepithelial connective tissue graft. | 292 | ||
| Exogenous or engineered donor tissue | 293 | ||
| Regenerative proteins. | 293 | ||
| Prosthetic gingiva. | 293 | ||
| Free gingival graft procedure | 293 | ||
| Clinical case: Correction of an isolated area of recession resulting from trauma | 293 | ||
| Clinical case: Correction of recession | 294 | ||
| Subepithelial connective tissue (sect) graft | 296 | ||
| Clinical case: Sect graft with coronal positioning of the resulting augmented gingiva | 296 | ||
| Clinical case: Correction of gingival recession using extracellular dermal membrane | 296 | ||
| Clinical case: Correction of recession and mucogingival reconstruction using an extracellular membrane | 298 | ||
| Esthetic management of the combined lesion | 300 | ||
| Clinical case: Treatment of external cervical root resorption and altered passive eruption (ape) with apically positioned ... | 300 | ||
| Clinical case: The use of guided tissue regeneration in enhancing anterior esthetics | 302 | ||
| Edentulous ridge deformities | 302 | ||
| Differential etiology | 302 | ||
| Trauma. | 302 | ||
| Periodontitis and juvenile periodontitis. | 302 | ||
| Classification | 304 | ||
| Treatment options | 304 | ||
| Gingival onlay grafts. | 304 | ||
| Connective tissue augmentation. | 304 | ||
| Bone grafts. | 304 | ||
| Ovate pontics. | 304 | ||
| Clinical considerations | 305 | ||
| Clinical technique: Ovate pontic. | 305 | ||
| Clinical case: Connective tissue augmentation and gingivoplasty | 305 | ||
| Clinical case: Multiple free gingival grafts and a synthetic bone graft | 308 | ||
| Clinical case: Papillary reconstruction via connective tissue augmentation | 308 | ||
| Gingival overgrowth | 313 | ||
| Differential etiology | 313 | ||
| Treatment options | 314 | ||
| Plaque control. | 314 | ||
| Gingivectomy or gingivoplasty. | 314 | ||
| Apically positioned flap with or without ostectomy. | 314 | ||
| Clinical case: Full-thickness flap with ostectomy | 314 | ||
| Clinical case: Correction of post-orthodontic gingival overgrowth in an adolescent patient | 315 | ||
| Conclusion | 316 | ||
| Bibliography | 316 | ||
| 15 Esthetics and orthodontics | 318 | ||
| Rationale for orthodontic intervention | 318 | ||
| The biology of tooth movement | 318 | ||
| Basic premises for diagnostic evaluation | 318 | ||
| Diagnostic evaluations | 319 | ||
| Assessment of the skeletal component | 319 | ||
| Assessment of the dental component | 319 | ||
| Assessment of the muscular component | 319 | ||
| Evaluation of the mandibular arch | 319 | ||
| Evaluation of the maxillary arch and its relationship to the mandibular arch | 319 | ||
| Fundamentals of orthodontics—types of movements | 320 | ||
| Types of appliances | 320 | ||
| Clear aligner attachments | 321 | ||
| Treatment of clinical problems—general considerations | 323 | ||
| Generalized spacing | 323 | ||
| Diagnosis. | 323 | ||
| Treatment. | 323 | ||
| Diastema closure via arch contracture | 323 | ||
| Localized spacing—clinically absent teeth | 324 | ||
| Localized spacing of maxillary central incisors | 324 | ||
| Diastema closure—removable appliance | 325 | ||
| Diastema closure—fixed appliance | 325 | ||
| Enlarged or malpositioned frenum | 325 | ||
| Supernumerary teeth | 325 | ||
| Congenitally missing lateral incisors | 325 | ||
| Anatomically small teeth | 325 | ||
| Labioversion of the maxillary incisors | 325 | ||
| Labiolingually malpositioned teeth | 325 | ||
| Hand stripping with ipr strips | 328 | ||
| Stripping with a disk and guard | 329 | ||
| Rotated teeth | 330 | ||
| Diagnosis. | 330 | ||
| Treatment. | 330 | ||
| Extruded teeth | 331 | ||
| 5 Esthetic Practice Management | 510 | ||
| 26 Esthetics and dental marketing | 510 | ||
| History | 510 | ||
| What is marketing? | 510 | ||
| External and internal marketing | 511 | ||
| External marketing | 511 | ||
| Internal marketing | 512 | ||
| Managing negative publicity | 512 | ||
| The four ps of marketing | 513 | ||
| Price4 | 513 | ||
| Place | 513 | ||
| Product | 514 | ||
| Promotion | 514 | ||
| Product versus service marketing | 515 | ||
| Designing a marketing program | 516 | ||
| Goals and objectives | 516 | ||
| Target audience | 516 | ||
| Budget | 516 | ||
| Specific marketing techniques | 516 | ||
| Time frame for implementation | 516 | ||
| Monitoring results | 516 | ||
| Treatment presentation | 516 | ||
| Patient motivation profile | 517 | ||
| Treatment presentation using the patient motivation profile. | 517 | ||
| Marketing techniques | 517 | ||
| Referrals | 517 | ||
| Civic lectures by dentists and staff | 517 | ||
| Practice newsletter | 517 | ||
| Direct mail | 518 | ||
| Yellow pages advertisement | 518 | ||
| In-office educational materials | 518 | ||
| Radio and television advertisements | 518 | ||
| Electronic marketing | 518 | ||
| Conclusion | 519 | ||
| References | 519 | ||
| 27 Esthetics and dental jurisprudence | 520 | ||
| Brief history of risk management | 520 | ||
| Risk management in cosmetic dentistry | 520 | ||
| Professional responsibilities in risk management | 521 | ||
| Common malpractice claims | 521 | ||
| Brief review of contract and malpractice law | 522 | ||
| Contract law | 522 | ||
| Dentist-patient relationship | 522 | ||
| When the relationship begins. | 522 | ||
| When the relationship ends. | 522 | ||
| Abandonment. | 522 | ||
| Guarantees | 522 | ||
| Implied duties in the dentist-patient relationship | 523 | ||
| Dentist’s implied duties. | 523 | ||
| Patient’s implied duties. | 523 | ||
| Tort law | 523 | ||
| Elements of dental malpractice | 523 | ||
| Duty and breach of that duty. | 523 | ||
| Causation and damages. | 523 | ||
| Professional liability/malpractice insurance | 524 | ||
| Consent and informed consent | 525 | ||
| Consent | 525 | ||
| Informed consent | 525 | ||
| Age and competency issues in informed consent. | 525 | ||
| Legal elements of informed consent | 526 | ||
| Consultation visits | 526 | ||
| Records | 527 | ||
| Health and dental history | 528 | ||
| Dental history | 528 | ||
| Statute of limitations | 529 | ||
| Commencement | 529 | ||
| Tolling | 529 | ||
| Expiration | 529 | ||
| Fraudulent concealment | 529 | ||
| Forms and releases | 529 | ||
| Procedure for handling a malpractice suit | 530 | ||
| Conclusion | 530 | ||
| References | 531 | ||
| 28 Esthetics and psychology | 532 | ||
| History of psychology and dental esthetics | 532 | ||
| “dentogenic” movement | 532 | ||
| The concept of self | 533 | ||
| Evolution of self theory | 533 | ||
| Self theory: Relevant constructs | 533 | ||
| Physical and physiologic influences | 534 | ||
| Facial appearance | 534 | ||
| The mouth and oral cavity | 535 | ||
| Sex and age | 535 | ||
| Psychologic influences | 535 | ||
| Personality | 535 | ||
| Measurement and evaluation | 535 | ||
| Motivations, desires, and expectations | 536 | ||
| Developing a trusting relationship | 536 | ||
| Decision-making ability | 536 | ||
| Cooperation and follow-through | 536 | ||
| Abnormalities and problem patients | 536 | ||
| Cultural influences | 537 | ||
| Mores and values | 537 | ||
| Sociologic influences | 537 | ||
| Affluence | 537 | ||
| Emphasis on health, wellness, and fitness | 537 | ||
| Media influence | 538 | ||
| Changed attitudes toward medical and dental treatment | 538 | ||
| Clinical practice | 538 | ||
| Interaction between dentist and patient | 538 | ||
| Interaction between the dentist and dental laboratory technician | 539 | ||
| Practice management | 539 | ||
| Physical environment | 539 | ||
| Psychologic environment | 539 | ||
| Personnel as an extension of the dentist | 539 | ||
| Communication | 539 | ||
| Financial considerations | 540 | ||
| Photography and computer technology | 540 | ||
| Ethics, quality assurance, and risk management | 540 | ||
| Conclusion | 540 | ||
| Acknowledgment | 540 | ||
| References | 540 | ||
| 6 Esthetics and Social Issues | 544 | ||
| 29 Esthetic dentistry and eating disorders | 543 | ||
| Characteristic symptomatology of eating disorder subtypes | 544 | ||
| Anorexia nervosa | 544 | ||
| Bulimia nervosa | 544 | ||
| Purging type. | 544 | ||
| Nonpurging type. | 544 | ||
| Binge eating or eating disorders not otherwise specified | 545 | ||
| Oral manifestations of eating disorders | 545 | ||
| Dental alterations | 545 | ||
| Mucosal lesions | 545 | ||
| Periodontal manifestations | 545 | ||
| Salivary and salivary gland manifestations | 545 | ||
| Dermatologic manifestation | 547 | ||
| Considerations when approaching a patient presenting with suspected symptoms of an eating disorder | 547 | ||
| Clinical treatment of a bulimic patient **The section, Clinical Treatment of a Bulimic Patient, was written by Kenneth S. ... | 548 | ||
| References | 549 | ||
| 30 Esthetic Dentistry and Domestic Violence | 550 | ||
| DOMESTIC VIOLENCE DEFINED | 550 | ||
| DENTAL ASSESSMENT OF DOMESTIC VIOLENCE | 550 | ||
| LEGAL ISSUES FOR DENTISTS | 552 | ||
| DISCUSSING DOMESTIC VIOLENCE WITH THE PATIENT | 553 | ||
| Listening to the Patient | 554 | ||
| Nonjudgmental Framing Statements | 554 | ||
| Formulating a Safety Plan | 554 | ||
| Assisting Victims with Safety Planning | 554 | ||
| CONCLUSION | 554 | ||
| REFERENCES | 555 | ||
| Appendix a: Custom staining | 556 | ||
| Fundamentals of custom staining | 556 | ||
| Dominant hues | 556 | ||
| Known shades. | 556 | ||
| Unknown shades. | 556 | ||
| Computerized digital shade technology | 556 | ||
| Complementary hues | 556 | ||
| Chairside staining | 556 | ||
| Basic principles | 556 | ||
| Computerized ceramic furnaces | 557 | ||
| Applying stains | 557 | ||
| Adjusting hue, chroma, and value | 560 | ||
| Adjusting hue | 561 | ||
| Increasing chroma | 561 | ||
| Decreasing chroma | 561 | ||
| Decreasing value without changing hue | 561 | ||
| Adjusting translucency | 562 | ||
| Increasing real translucency | 562 | ||
| Decreasing real translucency | 562 | ||
| Increasing apparent translucency | 562 | ||
| Decreasing apparent translucency | 563 | ||
| Adjusting the incisal-gingival blend | 563 | ||
| Characterization of teeth | 563 | ||
| Decalcification | 563 | ||
| Enamel cracks and checks | 563 | ||
| Stained composite resin or silicate restorations | 564 | ||
| Random discolorations | 565 | ||
| Pits and fissures | 565 | ||
| References | 565 | ||
| Appendix b: Ninety second rubber dam placement | 566 | ||
| Rubber dam clamp selection | 566 | ||
| Armamentarium (fig. b-1) | 566 | ||
| Rubber dam inversion | 571 | ||
| Patient reactions to rubber dam use | 572 | ||
| References | 572 | ||
| Index | 573 | ||
| A | 573 | ||
| B | 574 | ||
| C | 574 | ||
| D | 576 | ||
| E | 577 | ||
| F | 578 | ||
| G | 578 | ||
| H | 579 | ||
| I | 579 | ||
| J | 580 | ||
| K | 580 | ||
| L | 580 | ||
| M | 581 | ||
| N | 581 | ||
| O | 581 | ||
| P | 582 | ||
| Q | 584 | ||
| R | 584 | ||
| S | 585 | ||
| T | 586 | ||
| U | 587 | ||
| V | 587 | ||
| W | 587 | ||
| X | 587 | ||
| Y | 587 | ||
| Z | 587 |