Category: Implantology, Esthetic Dentistry
Language(s): English
Publication year: 2009
Video source: 60 Jahre Quintessenz
Content
The ultimate goal of dental care is achieving health,
function and aesthetics (the HFA triad), ensuring clinical
gratification and patient satisfaction. It is impossible
to consider aesthetics in isolation to function and
health, both of which are perquisite to maximising success.
The chronological treatment sequence is attaining
health, followed by function and lastly aesthetics.
Placing superlative restorations in an unhealthy and
non-functional environment is not only an exercise in
futility, but doomed to failure. This discussion focuses
on factors which compromise the HFA triad, and how
to foresee, avoid, and overcome these obstacles for
optimising the final result. The salient points for maximising
success, while minimising failure are as follows:
1.Patient influences (hereditary, medical and dental
history, psychological, dental phobias, dental awareness,
endurance for protracted treatment sessions,
expectations and fiscal constraints); 2.Biological factors
(soft and hard tissues); 3.Operator factors (temperament,
academic knowledge, competence or manual
dexterity and degree of clinical self-deprecation);
4.Using appropriate dental hardware (equipment);
5.Choosing the most suitable dental materials based
on scientific critique, rather than commercial or peer
pressure; 6.Sound clinical procedures; 7.Employing
skilled ceramists for fabricating indirect restorations,
which are functional and aesthetically integrate with
healthy tissues. Using a variety of dental modalities,
the lecture highlights how to exploit prevalent clinical
scenarios, and methods for mitigating negative elements
in the provision of aesthetic dental care.