1- fundamentals of aesthetics

What do Botox/filler procedures offer?

Immediate results

Require minimal downtime compared to traditional surgery

What is Botox?

Botulinum toxin- neurotoxin temporarily paralyses muscles and reduces fine lines/wrinkles

What are dermal fillers?

Add volume to areas of the face that have lost fullness due to aging/other factors

What 3 main categories do cosmetic dental treatments fall into?

Tooth restoration

Whitening

Straightening (ortho)

What’s the difference between esthetics and cosmetics?

Cosmetics- improve appearance, doesn’t try achieve better function

Aesthetics- incorporates biological considerations to achieve ideal form, function and appearance for long term benefit

What are the 3 main objectives of contemporary restorative dentistry?

Prevention

Preservation- during resto prep

Conservation- longevity of tooth by increasing interval time between replacements

What are 6 examples of less invasive preventative procedures?

Remineralisation- sealants and preventive resin restorations

Plaque control

Fluoride administrations

Specific anti microbial treatment

Improved oral hygiene

Patient education

How can you conduct the preservation of natural tooth structure?

Eliminate disease

Remineralisation, heal demineralised areas

Adhesive prep design based on conservation of tooth structure

What tooth component provides a significant contribution to retention and strength of restorations?

Enamel- well supported by dentin, mineralised, strong

Bevel provides union at ends of enamel rods- increases surface area

7 Common aesthetic procedures?

Whitening- improves discolouration or staining

Veneers (porcelain or composite)

Composite bonding- resin used to repair chips, gaps, irregular contours

Aesthetic restorations- tooth coloured fillings designed to blend naturally with surrounding teeth

Ortho aesthetic treatments- clear aligners, ceramic brackets

Gingival aesthetics- gum contouring, crown lengthening, treat gummy smiles

Smile design/digital smile design (DSD)- plan depending on facial and dental proportions

The 3 goals of aesthetic dental care include the need to…

Meet realistic expectations of patient

Attain long term functional and aesthetic stability

Achieve treatment goals through minimal intervention

How to identify aesthetic problem?(4)

Comprehensive patient history

Listen to complaints and concerns

Examination- photos, radiographs, cast models- allows instant recall

Treatment plan

What’s the difference between MILC vs DSLR?

Smaller and less expensive, don’t have mirror based optical system

Varying sensor size, lens quality and flash- hard to compare to DSLR