インプラント治療の治療計画において，残存歯の抜歯の可否，ならびに隣在歯の修復の可否，治療期間や審美性を考慮し，十分な咬合力に耐えうるインプラントの埋入本数，埋入位置・方向等を計画したうえで，患者の要望を踏まえ，エビデンスレベルの高い治療の選択肢を提案することが重要である．特に前歯部のインプラント治療では，審美性等の患者の要望，侵襲の度合い，治療期間，治療の予後等も踏まえ治療計画を提示する必要がある．インプラント治療は，他の天然歯に対する補綴治療に勝ることはなく，あくまで代替治療であることを理解して治療を進めるべきであると考える．

Traumatic dental injury can result in avulsion of anterior teeth. In young patients, it is a challenge to the dental professional because after replantation, late complications such as ankylosis require tooth extraction. Although prosthetic and orthodontic treatment, and implant placement have been described as the options for intervention, autogenous tooth transplantation could be an effective...

Coronal fractures of the anterior teeth are a common form of dental trauma that mainly affects children and adolescents. One of the options for managing coronal tooth fractures when the tooth fragment is available and there is no or minimal violation of the biological width is the reattachment of the fragment. This article presents a novel technique for reattachment of obliquely fractured fragm...

Dental anomalies of number and forms may occur in the primary and permanent dentition. Various terms have been used to describe dental twinning anomalies: Germination, fusion, concrescence, double teeth, conjoined teeth, twinned teeth, geminifusion, and vicinifusion. Fused tooth is a developmental anomaly that is seen more frequently in the primary than the permanent dentition. Double tooth inv...

abstract the attrition of anterior teeth leads to the loss of efficient anterior guidance, which protects posterior teeth from wear during lateral excursions. this clinical report describes a 48-year-old man with diagonal tooth wear and posterior mandibular tooth loss. the clinical diagnosis was based on a complete oral examination, photos, functional analysis of lateral excursion movements, ge...

a new fixed-partial denture design using laminates is described for the replacement of a missing anterior tooth. in this article advantages, disadvantages, indications and contraindications of the new design have been discussed. this method is best suited for cases with missing incisors and esthetically compromised abutment teeth.

Talon cusp (TC) is a relatively uncommon developmental anomaly characterized by cusp-like projections from the cemento-enamel junction to a variable distance toward the incisal edge of an anterior tooth. It usually presents on palatal/lingual surface of the anterior teeth. Studies have revealed that it consists of enamel, dentine and a variable amount of pulp tissue. Presence of this cusp on th...

INTRODUCTION In attempting to provide a solution for cases that have been compromised by malpositioned anterior teeth, clinicians traditionally decide orthodontic approach. Nevertheless, in some cases changes in tooth morphology, tooth size, and shape is compulsory for optimal aesthetics. The advent in contemporary aesthetic materials and preparation techniques empowered the clinicians to deliv...