The New York state dental journal最新文献

Minimally invasive indirect veneers (MIIV) are ultrathin porcelain veneers that can be cemented onto labial surfaces after no or minimal tooth preparation. The benefits of no or minimal veneer preparation are conservation of tooth structure, absence of postoperative sensitivity, bonding to enamel, minimal flexural stresses, no need for provisionals and improved patient acceptance. However, no or minimal preparation veneers should be considered only after thorough functional and aesthetic evaluation. The article presented here illustrates a case of diastema closure using MIIV, to highlight the importance of treatment planning for achieving good results.

This is the report of a case of arteriovenous malformation (AVM) of the tongue in a 13-year-old female patient. The clinical course is outlined; anintraoperative dilemma is discussed; and a review of the literature is presented. Vascular lesions demand heightened attention by all practitioners throughout the planning and diagnostic phase, during surgical treatment, as well as postoperatively. Careful attention to detail can help avoid poor patient outcomes and, even, fatal consequences.

Managing dental caries remains a challenge to clinicians—more so when treating caries in remote, underserved areas of the world. The purpose of this article is to report preliminary results of an effort to reduce to practice the best features of silver nitrate (SN) anti-caries effect and atraumatic restorative treatment (ART) for lesion preparation and restoration. The modifications made to two approaches have practical applications to school-based outreach programs hoping to respond to the dire need for preventive and conservative restorative methods in parts of the world where access to the dental office is unobtainable.

The purpose of this article is to present a new computerized technique for evaluating tooth color before and after internal bleaching. Internal bleaching is a common and relatively safe procedure, from which results can be easily evaluated by both the dentist and the patient. Clinically, evaluation of the tooth color before, during and after internal bleaching is usually completed by using a color scale and comparing the shade to that of the tooth. However, since in some cases the bleaching results are not obvious, this method has limited value for complicated cases and especiallyfor dental research. The case presented here demonstrates the digital color evaluation process of a tooth going through all phases of internal bleaching. The detected color is presented as the color scale numbers and can easily be saved for follow-up. Those results are presented onthe device screen for the all-labial surface and also separately for the incisal, middle and cervical areas. This digital method for color detection can easily be used at every dental clinic as a validated dental record for the bleaching process. This method can also be used for dental research that evaluates the efficacy of bleaching techniques. The esthetic results can be verified easily and precisely.

Management of missing lateral incisors presents a challenge to attaining optimum esthetics and must be preceded by careful examination of areas of missing teeth and the relationship to adjacent soft and hard tissues. This case series describes various approaches and techniques for managing missing lateral incisors. These techniques were chosen depending mainly on the amount of space in mesiodistal and insiocervical dimensions. The amount of underlying bone played an important role in selecting the treatment modalities.

To determine the use of fluoride varnish (FV) to prevent dental caries and explore related factors, a survey was mailed to all 540 licensed general and pediatric dentists in eight Western New York counties. Of 193 surveys analyzed, 47.5% of dentists used FV in children. Only 44% accurately assessed high-risk cases for caries. Dentists serving children under age 2 and those correctly assessing high-risk children for caries were more likely to use FV in children under 7. Only 28% correctly recommended the first visit at 6/12 months; 38.7% recommended age 3. The authorsconcluded that FV was underutilized, suggesting a need for guide-line based strategies.