COSMETIC OPTIONS FOR THE AGING DENTITION - 10/09/11

Doi : 10.1016/S0733-8635(05)70476-9

Arthur C. Elias, DMD ^a, Arnold S. Jutkowitz, DMD ^b

^a Private Practice, Oral and Maxillofacial Surgery (ACE); Mount Sinai Hospital (ACE);, The New York Hospital (ACE);

^b Private Practice, Periodontal Prosthesis (ASJ); and the Department of Prosthodontics, and Periodontal Prosthesis, Columbia University (ASJ), New York, New York

Resumen

More than any other time period, the past 30 years have witnessed tremendous strides in the field of restorative dentistry. This is true from single-tooth restoration to the comprehensive rehabilitation of the entire dentition using dental implants, guided tissue regeneration,^{4 Branemark P., Zarb G., Albrektsson T. Tissue-integrated prostheses Osseointegration in Clinical Dentistry 1985 ; 11 : 93-94

Haga clic aquí para ir a la sección de Referencias} and osseointegration techniques.^{20 Powers M.P., Bosker H. Functional and cosmetic reconstruction of the facial lower associated with placement of the transmandibular implant system J Oral Maxillofac Surg 1996 ; 54 : 934-942 [cross-ref]

Haga clic aquí para ir a la sección de Referencias, 24 Tarnow D.P., Eskow R.N. Preservation of implant esthetics: Soft tissue and restorative considerations J Esthetic Dent 1996 ; 8 : 12-19 [cross-ref]

Haga clic aquí para ir a la sección de Referencias} These advances are largely due to the extensive amount of research in restorative materials, bonded restorations, and implantology.

The aging dentition presents with the following problems^{7 Goldman S., Cohen Fox Periodontal Therapy St. Louis: Mosby (1964).
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Haga clic aquí para ir a la sección de Referencias}: wear and attrition of natural teeth; teeth discoloration; loss, shifting, spreading, drifting, or migration of one or more teeth; ridge resorption; bite collapse; loss of vertical dimension and excessive freeway space; and wrinkled or collapsed facial characteristics.

In the restoration of patients presenting with these problems, the prosthodontist should adhere to some basic principles of reconstruction. In order to achieve aesthetic harmony, attention should be given to the color, size, shape, form, and arrangement of teeth. The prosthodontist also makes sure that once the reconstruction is finished speech and mastication are intact. The reconstruction must also function in harmony with the adjacent anatomy such as the temporomandibular joint and the supporting musculature, and it must not compromise the periodontal health of the individual.

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Esquema

WEAR AND ATTRITION OF TEETH

LOSS OF TEETH

SHIFTING OF TEETH

ORAL AND MAXILLOFACIAL SURGERY

CONCLUSION

Address reprint requests to Arthur C. Elias, DMD, 101 East 79th Street, New York, NY 10021
Special thanks to Dr. Steven H. Jutkowitz for providing all case studies and photographs of his restorative procedures documented in this article.