Tratamento estético periodontal: revisão de literatura sobre alguns tipos de cirurgias

Currently, periodontal aesthetics has been prized for harmony of the smile. The clinical crown lengthening, gingival excess or altered passive eruption, is effectively corrected by periodontal surgery. The purpose of this paper is to show, through a literature review, some types of surgery on clinical crown lengthening and root coverage. Clinical crown lengthening is done to Change the size of the anterior teeth and to optimize the cosmetic result of treatment with new coronal restoration and other cosmetic dental care. In general, the treatment plan and the choice of operative technique begin with careful clinical examination. Recessions tissue can be defined as a displacement of the gingival margin toward the junction mucogingival exposing the root surface. These, when present, impacting on patient comfort by providing the occurrence of cervical dentin hypersensitivity, and the esthetic, the amendment of the gum line. Successful treatment of recessions is based on knowledge of its etiology and assessment of predictability of surgical techniques that aim to root coverage. Through literature review, we can conclude that the types of surgery most often used are: 1) to increase the clinical crown, gingivectomy, flap surgery and gingivoplasty osteotomy, and 2) for root coverage, the use will depend on the amount of gum keratinized and especially the classification of Miller.

Interação entre odontologia restauradora e periodontia - parte 2: reanatomização dentária

The development of new dental materials has expanded dental therapeutic modalities ensuring excellence in aesthetic restorative treatments. Thus, the direct restorative procedures have been used in cases of dental reconstruction allowing an effective treatment with a low cost, while preserving healthy tooth structure. However, the clinician must be used to the techniques and the material in order to ensure longevity and success in the direct restorative procedure. The aim of this paper is to descrive, after completion of periodontal surgical procedures, the direct restorative step performed for dental reconstruction and diastema closure. The integration between Restorative Dentistry and periodontics enableb the restoration of a harmonious smile in a conservative manner, ensuring aesthetics and patient stisfaction.

Coroas estéticas anteriores em cerâmica metal-free: relato de caso clínico

Society's change of parameters for health and aesthetics has resulted in an increased demand for dental treatments. Nowadays, ceramics systems have shown a substantial development, becoming more reliable and predictable. Dental ceramics, besides being chemically stable, present excellent optical properties when compared to dental structures, thus assuring a special position in the list of aesthetic restorative materials. OBJECTIVE, CASE REPORT AND CONCLUSION: This article describes a successful clinical procedure involving the anterior teeth aesthetics, which were restored with all-ceramic crowns (IPS e.max® Ivoclar Vivadent).

Repercussões endodônticas dos procedimentos clareadores

Tooth bleaching is a treatment modality that raises great interest, due to the important role played by aesthetics in current life style. To perform such procedure, nowadays, there are several bleaching substances at several concentrations, as well as, diverse clinical techniques. When suggesting this procedure, the dentist should take into consideration several factors related to the patient to determine which will be the most appropriate technique/material combination for solving the clinical problem. The procedure indication should not only be based on the expectations exhibited by the patient, but also on respecting the biological principles to maintain the integrity of both the endodontic and periodontal tissues.

Reabilitação estética do sorriso por meio do sistema cerâmico dissilicato de lítio: relato de caso

The reestablishment of a harmonious smile through dental ceramics, when properly conducted and with specific indications, can achieve extremely predictable results. For aesthetic and functional rehabilitation, many ceramic materials can be used such as zirconia, leucite, alumina, feldspar, and lithium disilicate. Among these materials the lithium disilicate stands out due to the following characteristics: its resistance to wear, to chemical attack, high temperatures and oxidation; low electrical conductivity; near zero thermal expansion; good optical properties and biocompatibility with periodontal; excellent esthetics; color stability and reinforcement of tooth structure. The indications for the use of lithium disilicate are not limited to multiple facets of teeth in cases where there was no favorable response to tooth whitening, and also comprehend teeth with multiple restorations, diastema closure, shape alteration, and dental contouring, replacement of missing or fractured teeth, among others. The versatility of lithium disilicate ceramics allows its utilization in several clinical situations. The concomitant use of lithium disilicate for veneers and over metal has satisfactory aesthetic results, as reported in the present studying cases that require both aesthetics and resistance.

Fragment reattachment after atypical crown fracture in maxillary central incisor

Background. Fracture by trauma is one of the most common types of dental injury in the permanent dentition among children and teenagers. Aim. The aim of this study was to report the treatment performed to an atypical dental trauma case in a maxillary central incisor of a young patient by means of reattachment of the tooth fragment. Case Description. A 12-year-old male patient suffered a vertical crown fracture to the maxillary right central incisor. After clinical and radiographic examinations, a conservative restorative treatment which consisted in the reattachment of the tooth fragment with flow resin was performed in order to preserve the dental element and to obtain maximum aesthetics. Conclusion. The reattachment of fractured fragment is a fast and easy technique that can be used successfully as an option to restore dental element which suffered trauma. Clinical Significance. This technique restores the aesthetics and function of the dental element with minimal discomfort to the patient.

Associação de prótese fixa, implantes e estética periodontal para reabilitação de pacientes parcialmente edêntulos

Periodontitis is a chronic inflammatory disease that results in the destruction of teeth and their supporting tissues with subsequent tooth loss. The replacement of missing teeth for implant-supported restorations has proven to be a highly predictable treatment method with good long-term prognosis. However, some consequences of tooth loss prevents dental implant placement in an ideal position, where regenerative procedures are necessary for this type of rehabilitation. Less invasive procedures such as conventional prosthesis emerge as a therapeutic option in cases where there is enough bone structure for implants and patient´s non-acceptance for invasive procedures. Thus, this paper aims to present the resolution of rehabilitation through a noninvasive and multidisciplinary treatment. One female patient referred to the clinic presented maladaptive bilateral mandibular fixed prostheses, endodontic lesions, gingival recession, and root sensitivity. For proper resolution of this case, an association among osseointegrated implants, fixed partial prosthesis, tooth extraction, and aesthetic periodontal procedures with the use of subepithelial connective tissue graft was proposed. After two years, the patient shows excellent aesthetics and chewing. Within the limits of this scenario, this paper discusses the various factors that may affect the choice of a particular treatment modality for the rehabilitation of edentulous single spaces.

Recobrimento radicular para o tratamento de hipersensibilidade dentinária cervical persistente

Gingival recession has a high prevalence in the population. This alteration may promote several complications such as cervical dentinal hypersensitivity (HSDC), carious and non-carious cervical lesions, and cosmetic changes due to the increase of the clinical crown length. To treat HSDC there are several therapeutic possibilities that should aim to eliminate pain after external stimulus. Treatment of this alteration can be performed by a conventional or invasive procedure, depending on the clinical condition and patients' desires. In situations where aesthetics is not the main complaint and HSDC persists even after conservative procedures, it is possible to indicate a procedure to achieve root coverage in Miller's Class I and II recessions. The aim of this paper is to report a case where the HSDC was not eliminated by conventional methods, which was resolved only after performing a minimally invasive surgery that promoted total root coverage.

Recobrimento radicular por enxerto de tecido conjuntivo subepitelial

Gingival recession lesions are characterized by apical migration of gingival margin with consequent exposure of the root surface, which constitutes an aesthetic problem for the patient. Several surgical techniques have been used for the root coverage, and the technique of subepithelial connective gingival graft has greater predictability of root coverage and best aesthetic results with fewer postoperative side effects in relation to the epithelial free gingival graft. The goal of this case repot is to describe the technique of subepithelial connective tissue graft and demonstrates its result in a coverage Miller class I root recessions. After two years we can see excellent root coverage with significant aesthetic improvement of the case. The free subepithelial connective tissue graft technique was effective in coverage Miller class I root recession presented in this clinical case.

Usabilidade, percepção estética e força de preensão manual: influência no design ergonômico de instrumentos manuais : um estudo com tesouras de poda

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Corpos (con) sentidos: cartografando processos de subjetivação de produto(re)s de corporalidades singulares

Pós-graduação em Psicologia - FCLAS

O reflexo estético como reflexo da realidade: a particularidade em Diego Rivera

Pós-graduação em Ciências Sociais - FFC

A leitura como construção de conhecimento e de sentidos que conferem poder

As a literature’s teacher, I’ve performed a search during three years devoted to the reader’s formation. Through this research, which resulted in my master's dissertation (FERREIRA, 2003), I’ve tried to diagnose, from 1998 to 2000, which were the previous concepts of young people belonging to prestigious classes that have led them to the rejection of reading. I’ve choose, based on the diagnosis, to develop a work guided by the reception’s aesthetics that aloud them to review both of these concepts, to expand the horizons of their expectations.

A moldura em análise

Considering that our practice is intended to deconstruct stigmas andstereotypes socially produced and institutionalized from normativities ofgender and sexuality, this work proposes a reflection on two issues which hascaused concerns: the secrecy and the ethics in relation to the patients whocome to us. This is because, most of these are LGBTs (lesbian, gay, bisexual,transvestite, transsexual and transgender), and that by being in a situation ofghettoization created by homophobia and resized by inner city context, aresubject to coexist and to relate, what makes be serviced by the same internshipproject or have friends or lovers in this. And, in this configuration, the group isquestioned by ethical dilemmas which imposes on the therapeutic relationship,forcing him to repositioning the respect of aesthetics, this is, the pictureframe setting, the treatment policy, the transference, the ethics and thesecrecy, forcing these concepts to the limit.

O sublime e o problema da modernidade em Pedro Kilkerry

Current paper discusses manifestations of the sublime in Pedro Kilkerry´s poetry as one of the distinguishing characteristics within the Parnassian orientations predominant in his cultural context. The particular way that Kilkerry employs the sublime´s expedients demonstrates the dialogue of his poetry with Romantic ideals, whose traits in his lyrical stance are directly linked to Symbolist influence, far from traditional Parnassian models. The sublime in Kilkerry develops through an elliptical and suggestive language that demonstrates the impossibility of the ideal being directly expressed and shows the affinity of his poetic work with the idealist crisis that marks post-Romantic poetry and provides the basis on which the poetics of Modernity is structured. The poetry of Pedro Kilkerry develops within a complex zone of convergence between the models provided by the Parnassian aesthetic, Romantic idealism with an atavic presence to Symbolism, and the search for new answers to old idealistic concerns. The meeting of these three conflictive currents, perceptible in the manifestations of the sublime in Pedro Kilkerry´s poetry, demonstrates his lyrical sensitivity to the trends of Modernity.