Esthetic and Functional Management of Diastema

Transcription

1 Esthetic and Functional Management of Diastema

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3 Ugur Erdemir Esra Yildiz Editors Esthetic and Functional Management of Diastema A Multidisciplinary Approach

4 Editors Ugur Erdemir Faculty of Dentistry University of Istanbul Istanbul Turkey Esra Yildiz Faculty of Dentistry University of Istanbul Istanbul Turkey ISBN DOI / ISBN (ebook) Library of Congress Control Number: Springer Cham Heidelberg New York Dordrecht London Springer International Publishing Switzerland 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer International Publishing AG Switzerland is part of Springer Science+Business Media (

5 Preface Diastemas can negatively affect the patients smile and can be a major esthetic concern for patients as well as observers. In some situations, closure of diastema particularly in cases with excessive spaces presents a challenging treatment procedure, and it is not possible to correct diastemas to achieve the desired harmony, esthetics, and function without multidisciplinary interventions including orthodontics and/or periodontology because neither of the disciplines is able to correct this problem alone. Due to recent advances in the art and science of dentistry, there are a variety of tools and treatment options that a practitioner can use. Recent trends in dentistry require multidisciplinary and collaborative treatment procedures using minimal invasive treatment approaches, and these provide clinicians with optimal treatment options ensuring esthetically pleasing, functional, and long- lasting restorations. This book represents a comprehensive and multidisciplinary management of diastema by collaboration of restorative dentistry, periodontology, and orthodontics using minimally invasive and functional treatment procedures. The aim of this book is to demonstrate the necessity of the multidisciplinary approaches with minimally invasive treatment procedures and the clinical protocol for the esthetic treatment of diastema with an integrated orthodontic, periodontal, and restorative approach. In addition, it provides a comprehensive treatment planning by the analysis of the study models, photographs, occlusion, and soft and hard tissue as well as facial analysis which should also be evaluated for a satisfactory treatment outcome. Each chapter addresses various aspects of diastema starting from its etiology toward clinical considerations, esthetic evaluations, occlusion, and periodontal considerations with interdisciplinary treatment procedures and treatment options. Specific tips in the relevant chapters were also highlighted in the text for the clinicians regarding the application procedures. Treating an esthetic dental problem as in the case of diastema requires determining etiological factors, diagnosis, treatment planning, and selection of the appropriate materials and instrument. Then, a collaborative treatment should be performed in order to achieve esthetically pleasing and functional restorations. Therefore, we organized this book in order to better understand diastema, from its etiology to the treatment options. Clinicians will find definition of diastema and underlying etiological factors in Chap. 2 for a better understanding of the causative factors related to this esthetical v

6 vi Preface problem. In Chap. 3, patient history and clinical considerations in diastema cases were defined, and in Chap. 4, the diagnosis of this problem was presented in detail. As a part of the treatment planning in diastema cases, we have also provided the clinicians with the esthetic considerations starting from the planning through the smile design for treating unaesthetic alignment, shape or form of the teeth, and shade, enhancing the esthetic appearance along with the function (Chaps. 5, 6, 7, and 8 ). We have also provided information about soft tissue considerations and management of diastema cases in Chap. 9. In Chap. 10, 11, 12, 13, and 14, clinicians can find multidisciplinary treatment planning, its importance in the treatment phase and treatment sequencing in the light of a well-planned treatment, and direct and/or indirect treatment options with the proper material selection. We have used hundreds of scientific citations in this book to present to clinicians the evidence-based recommendations and techniques in the treatment of diastema cases. After reading this book clinicians will have detailed and comprehensive knowledge on diastema and its interdisciplinary esthetic and functional management for creation of a pleasant final outcome. Istanbul, Turkey Ugur Erdemir Esra Yildiz

7 Acknowledgments When we decided to write this book, we did not know it would be a laborious and time-consuming mission. Regarding accepting this book project, we would like to gratefully acknowledge Professor Dr. Taner Yucel for supporting us in every step of this project and sharing his experiences and professionalism. We the editors of this book also express our special thanks to the esteemed contributing authors for accepting our proposal in writing this book and their contributions, cooperation, and dedication in spite their busy working schedules. We also thank Dr. Nese Gonul who gave considerable time and invaluable assistance for orthodontic chapters and Dr. Bekir Baysal who provided the digital software program. We are grateful to Drs. Nurhan Inan Altay, Miiiddin Saipullaev, and Ilkin Babakishiev for their kind assistance during the clinical applications and taking the photographs. We also wish to thank laboratory technician Levent Ozyilan for his excellent work and local dental products companies who supported us with novel materials. In addition, we would like to express our thanks to the staff at Springer, Ulrike Huesken and Joni Fraser, for their effort in developing this project. Finally, we would like to express our gratitude to our families for their support and encouragement. vii

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9 Contents 1 Introduction Ugur Erdemir and Esra Yildiz 2 Definition and Causes of Diastema Esra Yildiz, Taner Yucel, Ugur Erdemir, Derya Germec Cakan, and Korkmaz Sayınsu 3 Initial Consultation and/or Clinical Considerations (Patient History) Ugur Erdemir, Esra Yildiz, and Taner Yucel 4 Diagnosis Taner Yucel, Esra Yildiz, Ugur Erdemir, Derya Germec Cakan, and Korkmaz Sayinsu 5 Esthetic Parameters/Smile Design Ugur Erdemir, Esra Yildiz, and Taner Yucel 6 Facial-Dentofacial Analysis Esra Yildiz, Taner Yucel, Ugur Erdemir, and Derya Germec Cakan 7 Dentolabial Analysis Taner Yucel, Esra Yildiz, and Ugur Erdemir 8 Dental Analysis Ugur Erdemir, Taner Yucel, Esra Yildiz, Derya Germec Cakan, and Korkmaz Sayinsu 9 Soft Tissue Considerations in the Management of Diastemas Korkud Demirel 10 Treatment Planning Esra Yildiz, Taner Yucel, Ugur Erdemir, and Korkud Demirel ix

10 x Contents 11 Treatment Options, Timing and Sequencing: Orthodontics Derya Germec Cakan and Korkmaz Sayınsu 12 Treatment Options, Timing and Sequencing: Direct-Indirect Restorative Treatment Ugur Erdemir, Taner Yucel, and Esra Yildiz 13 Material Selection: Restorative Materials Taner Yucel, Esra Yildiz, and Ugur Erdemir 14 Cases: Applications Esra Yildiz, Taner Yucel, Ugur Erdemir, Korkmaz Sayinsu, Derya Germec Cakan, and Korkud Demirel Index