Clinical Guidelines for Managing the Complex Restorative Patient

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The innovation and development of dental materials have radically changed modern restorative dentistry. The pace of development and progress has been unexpectedly rapid for dentists and dental technicians. In addition, patients now expect a higher level of esthetic restorative treatment because of information from the media and other sources. While these developments are positive, they also possess a certain element of danger. In other words, it is Possible to twist the essence of treatment into an excessive quest for esthetics. It is an axiomatic truth that esthetic restorative treatment cannot be called a real restorative treatment if it does not consider function, structural mechanics, and biology. With this in mind, it is important to establish the clinical basis for esthetic restorative treatment. At the same time, the more complicated and difficult the clinical cases become, the more cooperation with specialty fields such as orthodontics, periodontics, and implant dentistry will be needed at each clinical stage. Thus, the key to the success of a more refined esthetic restorative treatment is a minute and detailed discussion with these various specialists about diagnostic treatment planning. This article presents the author's interpretation of kay's classification of altered dental esthetics,1 along with an original way of classifying the cases. It also describes the latest dental materials and their usage.


  • Prosthodont Res. Pract.  

    Prosthodont Res. Pract. 7(2), 126-128, 2008-07-01 

    Japan Prosthodontic Society

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