Cosmetic conservative dentistry

Cosmetic conservative dentistry encompasses the majority of disciplines we apply in our clinic on a daily basis. The high reliability of adhesive systems, the guarantee of aesthetic materials in terms of strength and durability, as well as their excellent aesthetic properties, make it a systematic approach that, if correctly applied, allows for the conservative resolution of most dental pathologies. From extensive reconstructions due to dental caries, through fillings (see "direct restorations" below) or inlays, to the application of aesthetic veneers on the anterior group, to dental cosmetics, where small and very conservative modifications can substantially improve one's smile without the need for expensive and complex prosthetic therapies involving the application of complete crowns. This category also includes tooth volume enhancements, for example, in cases where interincisal diastemas (gaps between the upper incisors) need to be closed. Many coronal fractures of the anterior teeth can also be resolved very simply, either by reattaching the dental fragment, if it has been preserved, or by "invisible" reconstruction, which is very natural, of the missing portion.

This is our treatment philosophy, and to better illustrate it, we present below some illustrative cases of our work.

A case of deep discolouration of the right lateral tooth in a 58-year-old patient
The tooth isolated with a rubber dam before veneer cementation
The veneer before adhesive cementation
The veneer after cementation, inserted in the context of the adjacent teeth
A 52-year-old patient requiring restorative treatment for widespread enamel abrasions
After the cementation of composite veneers on teeth 11 and 21
A 50-year-old patient with abrasions and tooth wear, involving both the upper and lower teeth
The patient was treated with ceramic veneers on incisors 11 and 21, and direct composite restorations on the lower anterior group
Extensive amalgam restorations, with secondary caries
The amalgam restorations were replaced by composite inlays
Presence of canines in place of the upper laterals
Simple modifications allowed for the transformation of the canines into more aesthetic lateral teeth
During the operative phase: the teeth are ready to receive composite material adhesion
The diastema after direct enamel application
Fracture of the left central incisor in a patient with old restorations
The rubber dam ensures excellent isolation of the operating field and correct adhesion between the tooth and the restoration
Note the good integration between the teeth and the restorations
Palatal view of composite material restorations. All healthy tissue of the patient has been preserved intact.
The young patient was not satisfied with her smile, the presence of the smaller lateral (hypodontia) did not satisfy her
An additive therapy was performed directly at the chairside: for the patient, this was the desired solution! The underlying tooth was not reduced in any way!
Share by: