13- relationship with other specialities

Look at all pics on ppt

How does orthodontics play a role in aesthetic dentistry? (4)

Alignment + symmetry

Minimally invasive approach- can remove need for extensive tooth prep (veneer/crown)

Smile design- smile arch, midline correction, gingival display

Adjunctive treatments- clear aligners before restorative work

What dental specialty is being displayed here?

Ortho

Closing diastemas orthodontically instead of masking them with composite or veneers

How is periodontics important when considering aesthetics? (4)

Gingival aesthetics- healthy, symmetrical gingival

Crown lengthening- corrects gummy or uneven smiles

Soft tissue contouring- improves smile proportions and harmony

Perio health- for long term stability

What dental specialty is being displayed here?

Periodontics

Crown lengthening before placing veneers for proper tooth proportions

How is prosthodontics closely linked to aesthetics?

Restoring form and function- crowns, bridges, veneers, dentures

Smile design- DSD and wax build ups

Choice of material influence translucency, colour and durability

Full mouth rehab

What dental specialty is being displayed here?

Prosthodontics

Porcelain veneers to improve color, shape, and minor alignment issues

How does restorative dentistry link to aesthetics?

Minimally invasive solutions

Direct resto- composites for bonding, reshaping + colour correction

Tooth preservation

Repair and maintenance- fractured or worn

What dental specialty is being displayed here?

Restorative

Composite bonding to correct chipped or discoloured teeth

How does oral surgery support aesthetic dentistry in cases requiring structural modifications?

Implant placement- aesthetic and functional outcomes.

Bone grafting- improves ridge contour

Soft tissue grafts

What dental specialty is being displayed here?

Oral surgery

Dental implants replacing missing anterior teeth for optimal aesthetic integration

How does endodontics ensure teeth are healthy for aesthetics?

Tooth preservation- RCT allows retention of natural teeth

Internal bleaching for discoloured non vital teeth

Foundations for restorations- RCT teeth often need crowns or veneers

What dental specialty is being displayed here?

Endo

Treating a non-vital discolored tooth with internal bleaching before aesthetic restoration

How does paediatrics and aesthetics influence each other?

Early intervention- manage developmental defects

Space maintenance- prevents future functional problems

Behavioural- self esteem boost

What dental specialty is being displayed here?

Paediatrics

Composite restorations in anterior teeth affected by trauma in children

Aesthetics relationship with oral medicine/pathology?

Ensure aesthetic treatment done in health environment

Diagnose lesions

Manage discolourations

Safety- no underlying compromising diseases

What dental specialty is being displayed here?

Oral medicine

Laser

What does interdisciplinary treatment planning depend on?

Coordinated planning of

Comprehensive assessment- facial analysis, smile design, occlusion, perio status

Sequential treatment

Communication enhances collaboration

Surgical crown lengthening cannot be achieved without…

Removing some crestal bone + apical relocation of bone

Successful treatment results in increased clinical crown length, normal periodontum circumferentially

Can the interproximal bone throughout the mouth in anterior and posterior teeth be recontoured using a standardized technique?

No bc there’s a sig diff between interproximal bone contours of posteriors vs anteriors

Try maintain shape of interdental bone so can support papilla and avoid interdental black triangles

Normal contour between posteriors is…

Flat buccolingually vs in chronic periodontitis- freq bony defects

7 indications for crown lengthening?

Convenience of tooth isolation

Increase clinical crown for ferrule effect

Prevent restorative failure

Avoid marginal restoration problems

Manage deep fracture

Locate obscure root canal orifices

After orthodontic extrusion of teeth or roots

How can you isolate teeth with significant carious lesions?

Put clamp directly in gingiva- but harmful and doesn’t fix subgingival caries or restoration after RCT

Caulk gaps around clamp with filling materials or putty- hard to restore deep fracture

Why do you need the ferrule effect?

Full crowns need retention on sound tooth structure

Acts as barrier to marginal leakage

Without it- excessive occlusal forces in post and core- loosens and fractures

How does exposure of all margins ensure chance for excellent restorative result?

Can remove caries below gingival margin

Can do subgingival margin

3 potential contraindications for crown lengthening?

Medical status

Esthetic zone- poor due to apical repositioning of gingival margin

Minimal VD of root trunk- if distance between furcation to level of crestal bone is under 4mm- can’t establish tooth exposure without extending to furcation

Following crown lengthening, biologic width will be…

Restored and stable at 6 months after curfew

At 1 yr- gain in exposed tooth structure may diminish as gingival tissue rebounds

Brasseler end cutting bur- shows smooth side and cutting flutes on end

Gingivectomy

Removes gum tissue at gum margin

To treat severe gingivitis

Gingivectomy- what 2 main types ?

Remove diseased gum tissue

Scalpel or laser

Gingivoplasty

Shape healthy hum tissue

Difference between gingivectomy and crown lengthening?

Gingivectomy- no flap or osseous recontouring