

Multidisciplinary approach in the treatment of lateral incisor anomalies - conservative aspect
Asst. prof. Jelena Juloski
The most common clinical situations in which the recontouring of the anterior teeth with composite materials is indicated are closure of the diastema between the central incisors, recontouring of lateral incisors with a shape anomaly (microdontia or conoid lateral incisors), uneven wear of the enamel of the incisal edge and the reshaping of canines in congenital lack of lateral incisors. Anomalies of the lateral incisors in the upper jaw represent a very common orthodontic problem, which is often treated by an orthodontic specialist in cooperation with a specialist in preventive and paediatric dentistry. The treatment plan includes diagnosis and indication, preoperative analysis of the appearance of the teeth and the harmony of the smile, orthodontic and conservative therapy plan. The use of modern adhesive technologies and composite materials allows us to change the appearance of teeth without any preparation and loss of healthy dental tissues. Clinical steps of lateral incisor recontouring with composite materials include isolation of the working field with rubber dam; the use of adhesive systems of the latest generations; determining the colour of the composite material; application of composite materials with various mechanical and aesthetic characteristics using different techniques to achieve a good aesthetic appearance and finishing and polishing of the composite restoration.
Although changing the shape and size of teeth with direct composite restorations is considered a simple procedure, mainly because it does not require tooth preparation and cementation of an indirect restoration, these procedures also require great precision, skills, patience, and experience of the operator. In addition to the basic advantage, which is a very low biological cost, these procedures are considered economical, highly aesthetic and functional over a long period of time.
Literature:
1. Wolff D, Kraus T, Schach C, Pritsch M, Mente J, Staehle HJ, Ding P. Recontouring teeth and closing diastemas with direct composite buildups: a clinical evaluation of survival and quality parameters. J Dent. 2010 Dec;38(12):1001-9. doi: 10.1016/j.jdent.2010.08.017. PMID: 20826192.
2. Frese C, Schiller P, Staehle HJ, Wolff D. Recontouring teeth and closing diastemas with direct composite buildups: a 5-year follow-up. J Dent. 2013 Nov;41(11):979-85. doi: 10.1016/j.jdent.2013.08.009. PMID: 23954577.
3. Pontons-Melo JC, Atzeri G, Collares FM, Hirata R. Cosmetic recontouring for achieving anterior esthetics. Int J Esthet Dent. 2019;14(2):134-146. PMID: 31061994.
4. Dietschi D. Optimizing smile composition and esthetics with resin composites and other conservative esthetic procedures. Eur J Esthet Dent. 2008 Spring;3(1):14-29. PMID: 19655556.
5. Solon Mello M, Milioni RPMVL, Santos GOD, Martins L, Monte Alto RV. Noninvasive approach to esthetic rehabilitation of conoid anterior teeth. Gen Dent. 2017 Sep-Oct;65(5):e12-e16. PMID: 28862596.
Jelena Juloski, DMD, PhD
Assistant professor, School of Dental Medicine, University of Belgrade, Serbia
Jelena Juloski is an assistant professor at Clinic for Paediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade in Serbia. She specialized in preventive and paediatric dentistry with the highest grade at the University of Belgrade, Serbia and received a PhD degree at the University of Siena, Italy in 2014. Prof. Jelena Juloski is a visiting professor at the Department of Medical Biotechnologies at University of Siena where she is engaged in teaching paediatric dentistry to fifth year undergraduate students.
Prof. Jelena Juloski published 40 articles in national and international journals with impact Her cumulative impact factor is 64,325, number of citations 892 and h-index 16, according to Scopus database. She is an author of several chapters in 5 books published in Serbia and the Balkan region. Jelena Juloski was an invited lecturer at three international and 17 national congresses. She presented 22 papers at international and 46 papers at national scientific congresses. Jelena Juloski was a member of local organizing committee of 13th Congress of the European Academy of Paediatric Dentistry held in 2016. in Belgrade, Serbia, and a member of several organizing and scientific committees of national paediatric and preventive congresses in Serbia.
Prof. Jelena Juloski is a member of Serbian Medical Society, International Association for Dental Research (IADR) and European Academy of Paediatric Dentistry (EAPD). She speaks English and Italian language.
Multidisciplinary approach in the treatment of lateral incisor anomalies - conservative aspect
Asst. prof. Jelena Juloski
The most common clinical situations in which the recontouring of the anterior teeth with composite materials is indicated are closure of the diastema between the central incisors, recontouring of lateral incisors with a shape anomaly (microdontia or conoid lateral incisors), uneven wear of the enamel of the incisal edge and the reshaping of canines in congenital lack of lateral incisors. Anomalies of the lateral incisors in the upper jaw represent a very common orthodontic problem, which is often treated by an orthodontic specialist in cooperation with a specialist in preventive and paediatric dentistry. The treatment plan includes diagnosis and indication, preoperative analysis of the appearance of the teeth and the harmony of the smile, orthodontic and conservative therapy plan. The use of modern adhesive technologies and composite materials allows us to change the appearance of teeth without any preparation and loss of healthy dental tissues. Clinical steps of lateral incisor recontouring with composite materials include isolation of the working field with rubber dam; the use of adhesive systems of the latest generations; determining the colour of the composite material; application of composite materials with various mechanical and aesthetic characteristics using different techniques to achieve a good aesthetic appearance and finishing and polishing of the composite restoration.
Although changing the shape and size of teeth with direct composite restorations is considered a simple procedure, mainly because it does not require tooth preparation and cementation of an indirect restoration, these procedures also require great precision, skills, patience, and experience of the operator. In addition to the basic advantage, which is a very low biological cost, these procedures are considered economical, highly aesthetic and functional over a long period of time.
Literature:
1. Wolff D, Kraus T, Schach C, Pritsch M, Mente J, Staehle HJ, Ding P. Recontouring teeth and closing diastemas with direct composite buildups: a clinical evaluation of survival and quality parameters. J Dent. 2010 Dec;38(12):1001-9. doi: 10.1016/j.jdent.2010.08.017. PMID: 20826192.
2. Frese C, Schiller P, Staehle HJ, Wolff D. Recontouring teeth and closing diastemas with direct composite buildups: a 5-year follow-up. J Dent. 2013 Nov;41(11):979-85. doi: 10.1016/j.jdent.2013.08.009. PMID: 23954577.
3. Pontons-Melo JC, Atzeri G, Collares FM, Hirata R. Cosmetic recontouring for achieving anterior esthetics. Int J Esthet Dent. 2019;14(2):134-146. PMID: 31061994.
4. Dietschi D. Optimizing smile composition and esthetics with resin composites and other conservative esthetic procedures. Eur J Esthet Dent. 2008 Spring;3(1):14-29. PMID: 19655556.
5. Solon Mello M, Milioni RPMVL, Santos GOD, Martins L, Monte Alto RV. Noninvasive approach to esthetic rehabilitation of conoid anterior teeth. Gen Dent. 2017 Sep-Oct;65(5):e12-e16. PMID: 28862596.
Jelena Juloski, DMD, PhD
Assistant professor, School of Dental Medicine, University of Belgrade, Serbia
Jelena Juloski is an assistant professor at Clinic for Paediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade in Serbia. She specialized in preventive and paediatric dentistry with the highest grade at the University of Belgrade, Serbia and received a PhD degree at the University of Siena, Italy in 2014. Prof. Jelena Juloski is a visiting professor at the Department of Medical Biotechnologies at University of Siena where she is engaged in teaching paediatric dentistry to fifth year undergraduate students.
Prof. Jelena Juloski published 40 articles in national and international journals with impact Her cumulative impact factor is 64,325, number of citations 892 and h-index 16, according to Scopus database. She is an author of several chapters in 5 books published in Serbia and the Balkan region. Jelena Juloski was an invited lecturer at three international and 17 national congresses. She presented 22 papers at international and 46 papers at national scientific congresses. Jelena Juloski was a member of local organizing committee of 13th Congress of the European Academy of Paediatric Dentistry held in 2016. in Belgrade, Serbia, and a member of several organizing and scientific committees of national paediatric and preventive congresses in Serbia.
Prof. Jelena Juloski is a member of Serbian Medical Society, International Association for Dental Research (IADR) and European Academy of Paediatric Dentistry (EAPD). She speaks English and Italian language.
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