Chapter 31 Cosmetic Dentistry and teeth whitening

ADA

is the largest dental organization dedicated to the art and science of cosmetic dentistry.

Veneers used is cosmetic dentistry are a part of which of the following specialties?

Fixed prosthetics

Implants used in cosmetic dentistry are a part of which of the following specialties?

Oral and maxillofacial surgery

Tooth color has three dimensions blank is/ are the terms for the color.

hue

Chroma

is the intensity or quality of the tooth color.

Value

is the brightness of a tooth shade.

Manipulating depth

areas in the light appear to come forward while areas in the dark recede.

The need to understand a patients feelings concerning his or her appearance includes knowledge of the patients

1. personality
2. motivations
3. expectations

The extraoral view includes

full face and profile

Oral photography is a new skill in cosmetic dentistry. Oral photographs are used in.....

1. patient records
2. insurance claims documentation
3. laboratory communications

Intraoral photo techniques involve using retraction means and mirrors. However, retractors are not used for the ......blank..... view, thereby making it more relaxed and casual.

natural smile line

The oral photo shows the patients centric occlusion.

buccal-view

All of the following are indications for soft tissue contouring treatments...

1. incomplete passive eruption of one or more teeth.
2. hypertrophied papilla
3. hypertrophied gingival tissue from drug therapy.

Superoxol solution, which is .....blank....... % hydrogen peroxide is placed as a whitening agent in the unfilled pulp chamber of a nonvital tooth,

30 to 35

Walking

whitening is used to lighten an endodontically treated tooth.

Power whitening is accomplished on

vital teeth

All of the following are commonly used whitening agents

1. sodium perborate
2. hydrogen peroxide
3. carbide peroxide

Which of the following can be side effects of OTC whitening materials?

1. Temporary tooth sensitivity
2. temporary gingival sensitivity
3. irreversible tooth damage

All of the following are OTC whitening products

1. toothpaste
2. chewing gum
3. strips

Whitening agents used in toothpaste include

1. hyrdogen peroxide
2. calcium peroxide.
3. sodium percarbonate

Creating the "perfect smile" is the focus of

cosmetic/ aesthetic dentistry

The prelimainary evaluation to determine the elements of the " perfect smile" include

1. color of the teeth compared to the adjacent teeth.
2. shape of the teeth compared to the adjacent teeth.
3. positioned of the teeth compared to the adjacent teeth.

Gingival tissue enlargement may make the teeth appear shorter than normal. What procedure could be performed to improve the appearance of a patient with this condition?

crown lengthening

What type of restoration would be used in an area of heavy occlusal stress?

ceramometal restoration

OTC

Whitening products that can be purchased over the counter

Assisted

Whitening procedure begins in office

Power

Liquids/ gels with applications of heat or curing light

Walking

Thick paste, placed in coronal portion of nonvital tooth.

Hue

name of color

Chroma

Intensity or quality of the hue

Value

Brightness of shade

Intrinsic

Medications, dental treatments, injuries

Extrinsic

Diet and habits

Whitening techniques

non-vital bleaching, vital bleaching in office, home whitening.

Transitional line angles

surround the tooth and mark the boundaries of the face.Shaping the face of one tooth or several teeth to match each other will give the illusion that they are the same size and shape.

Procedures in cosmetic dentistry

1. diagnosis and treatment planning
2. Legal forms and documentation

Uses of oral Photography

1. case presentation
2.patient records
3. laboratory communications
4. insurance
5. quality control
6. marketing and education

Teeth dehydrate when they are isolated for a period of time and may appear whiter

...

Home bleaching is very popular with patients because of the lower cost

...

The bleaching process will NOT make all teeth their whitest and brightest

...

Tooth sensitivity is sometimes treated with sodium fluoride treatments

...

A patient whose anterior teeth appear to be shorter than normal may consider a procedure called crown lengthening.

...

Assisted bleaching is an alternative technique for which the dental office provides the start up.

...

Which of the following will assist the outcome possibilities of bleaching procedure?

1. dedicated to following procedures
2. Limiting foods that stain teeth
3. Limiting habits that stain teeth

Tray home whitening systems can be sold OTC, which of the following are disadvantages of tray systems sold OTC?

Do not adapt to teeth properly and not trimmed to prevent tissue sensitivity

Whitening strips are an alternative OTC product for whitening. To achieve the desired results, the strips are to be worn for 30 minutes a day.

...

Gel bleaching is placed in the crown opening of the tooth of a nonvital tooth.

...

Walking bleaching in a nonvital tooth is a thick mixture of bleaching agent placed in the crown of the tooth, covered with temporary cement, and reappointed in 2 to 5 days.

...

Power bleaching" is done on the teeth in the dental office by the dentist

...

Home bleaching usually involves waiting weeks for results to show.

...

Whitening strips

Can be either a 6 percent hydrogen peroxide to be worn for 14 days or a 10 percent solution worn over 7 days.

Whitening gel

applied at home, painted on facial surface of the anterior teeth; some gels contain 18 percent carbamide peroxide and can used daily

Whitening toothpastes

Agents contributing to the whitening effect are hydrogen peroxide, calcium peroxide, and sodium percarbonate.

Sodium perborate

mixed with hydrogen peroxide, it is a weaker oxidizing agent

Hydrogen peroxide

liquid or gel varies in strength 5 to 35 percent

Carbamide peroxide

Used in 10 to 20 percent solution

Direct composite resin

tooth preparation, liners, bonding agents are placed, and then the composite resin.

indirect composite resin

involves tooth preparation and a final impression

ceramometal restoration

under heavy occlusal stress and for multiple unit fixed prosthese

porcelain restoration

can be made as full crowns / coverage or partial veneers/ coverage