OBJECTIVES To compare the fracture load of zirconia and lithium disilicate crowns prepared with endodontic access with fine and coarse diamond instruments. MATERIALS AND METHODS 0.8 mm (3Y zirconia) or 1 mm (lithium disilicate) crowns were luted to resin composite dies with resin-modified glass ionomer (zirconia) or self-adhesive resin (lithium disilicate) cement. A 2.5 mm endodontic access hole was placed in each crown with fine (8369DF.31.025FOOTBALL) or coarse (6379 DC.31.023FOOTBALL) diamond instruments and restored with composite. A control group was prepared without access holes. Crowns were thermocycled for 10,000 cycles (5-55°C) and tested in compression with a steel indenter until failure (n = 8/group). A one-way ANOVA and Dunnett 2-sided test (alpha = 0.05) compared differences in fracture load between groups. RESULTS For zirconia, there was no statistical difference between the control group (2335 ± 160 N) and coarse diamond group (2345 ± 246 N); however, the fine diamond group (2077 ± 216 N) was significantly lower. For lithium disilicate, there was no statistical difference between the control group (2113 ± 183 N) and the fine (2049 ± 105 N) or coarse (2240 ± 118 N) groups. CONCLUSIONS 3Y zirconia crowns became weaker when accessed with a fine diamond instrument. There was no negative effect of the endodontic access with bonded lithium disilicate crowns. CLINICAL SIGNIFICANCE Conservative endodontic access openings in high-strength ceramic restorations do not have a negative effect on their static fracture load. The coarse zirconia-cutting diamond rotary instrument is more efficient and has a less detrimental effect on the strength of the crowns than a fine diamond rotary instrument.

More and more frequently, in their daily activity, dentists are increasingly being asked to perform cosmetic and esthetic treatments.Ronald E. Goldstein's Esthetics in Dentistry, Third Edition seeks to meet these requirements by providing an up-to-date reference to esthetic and cosmetic dentistry.This edition is improved by twenty-three new chapters containing clinical cases and treatment protocols.The book consists of two volumes divided in nine parts and forty-seven chapters accompanied by an index The first volume has three parts.Part 1, Principles of Esthetics introduces us to the field, presenting aesthetic concepts, the management of common psychological challenges, skills in esthetic treatment planning, digital smile design, dentistry marketing, legal considerations, practical clinical photography, proportional smile design and understanding color.Based on these notions, in Part 2 we move on to Esthetic Treatments, details and aspects regarding cosmetic contouring, bleaching discolored teeth, adhesion to hard tissue, composite resin bonding, ceramic veneers, partial-coverages restorations and crown restoration.Part 3, Esthetic Challenges of Missing Teeth, highlights the possibilities of prosthesis with the help of fixed partial dentures, removable partial dentures, complete dentures and dental implants.The first volume is accompanied by several appendices: aesthetic evaluation form, functional aesthetic analysis, laboratory checklist, and Pincus principles.The second volume consists of six parts.Part 4, Esthetic Problems of Individual Teeth, informs us on the management of stained and discolored teeth, abfraction, abrasion, attrition, and erosion, chipped, fractured or endodontically treated teeth.Part 5 talks about aesthetic challenges of malocclusion like: oral habits, diastema, crowded teeth, adult orthodontics and surgical orthodontic correction of dentofacial deformity.Part 6 familiarizes us with aesthetic problems of special populations such as: child patients and older adults, appearance enhancement, plastic surgery, cosmetic adjuncts, and periodontal plastic surgery.Part 7 discusses traumatic emergencies and aesthetic failures.Part 8 addresses the issues of chairside procedures, tooth preparation, impressions, esthetic temporization, try-in and cementation.Part 9 discusses aspects regarding aesthetic principles in building ceramic restorations, digital impression devices, CAD-CAM systems, and maintenance of esthetic restorations.Each chapter of this book is accompanied by numerous illustrations and the latest references in the field.The book has over 3700 photographs that help the reader to better understand the concepts presented.In conclusion, this new edition presents the golden rules in aesthetic and cosmetic dentistry, constituting a guide that should not be missing from the library of any practitioner and especially of those who focus specifically on dental esthetics.

Chapter 44 Cementation of Restorations Stephen F. Rosenstiel BDS, MSD, Stephen F. Rosenstiel BDS, MSDSearch for more papers by this authorRonald E. Goldstein DDS, Ronald E. Goldstein DDSSearch for more papers by this author Stephen F. Rosenstiel BDS, MSD, Stephen F. Rosenstiel BDS, MSDSearch for more papers by this authorRonald E. Goldstein DDS, Ronald E. Goldstein DDSSearch for more papers by this author Book Editor(s):Ronald E. Goldstein DDS, Ronald E. Goldstein DDS Clinical Professor of Restorative Sciences Adjunct Clinical Professor of Prosthodontics Adjunct Professor of Restorative Dentistry Former Visiting Professor of Oral and Maxillofacial Imaging and Continuing Education The Dental College of Georgia at Augusta University, Augusta, GA Boston University School of Dental Medicine, Boston University of Texas Health Science Center, San Antonio, TX University of Southern California, School of Dentistry, Los Angeles, CA Private Practice, Atlanta, GA, USASearch for more papers by this authorStephen J. Chu DMD, MSD, CDT, Stephen J. Chu DMD, MSD, CDT Adjunct Clinical Professor Ashman Department of Periodontology and Implant Dentistry, Department of Prosthodontics, New York, University College of Dentistry, New York, NY Private Practice, New York, NY, USASearch for more papers by this authorErnesto A. Lee DMD, Ernesto A. Lee DMD Clinical Professor Former Director University of Pennsylvania School of Dental Medicine, Philadelphia, PA Postdoctoral Periodontal Prosthesis Program, Penn Dental Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA Private Practice, Bryn Mawr, PA, USASearch for more papers by this authorChristian F.J. Stappert DDS, MS, PhD, Christian F.J. Stappert DDS, MS, PhD Professor and Former Director of Postgraduate Prosthodontics Professor and Former Director of Periodontal Prosthodontics and Implant Dentistry Past Director of Aesthetics and Periodontal Prosthodontics Department of Prosthodontics, University of Freiburg, Germany Department of Periodontics, University of Maryland School of Dentistry, Baltimore, MD, USA Department of Periodontology and Implant Dentistry, New York University College of Dentistry, New York, NY, USA Private Practice, Zurich, SwitzerlandSearch for more papers by this author First published: 06 July 2018 https://doi.org/10.1002/9781119272946.ch44 AboutPDFPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShareShare a linkShare onFacebookTwitterLinked InRedditWechat Summary Cementation is the final step in providing an indirect esthetic restoration. In the past, the luting agents used for cast restorations have been dental cements, such as zinc phosphate or glass ionomer. The cementation steps are critical to the success of the restoration, and careless handling of the resin luting agent may be a key factor in their prognosis. Many dentists continue to use zinc phosphate cement for their metal-ceramic crowns. Metal restorations require a chemically polymerized system, whereas a light- or dual-polymerized system is appropriate with translucent ceramics. Cementation for all-ceramic crowns is similar to procedures for ceramic veneer inlays and onlays. However, some of the newer luting agents are self-adhesive, not requiring a separate step etching during tooth preparation. If dentists find postcementation sensitivity to be a problem, then they should carefully evaluate their technique, particularly avoiding desiccation of the prepared dentin surface. Ronald E. Goldstein's Esthetics in Dentistry, Third Edition RelatedInformation

This chapter describes in detail the advantages and disadvantages, the indications and contraindications, and the techniques for using ceramic partial coverage restorations for anterior and posterior teeth, ranging from veneers to partial crowns. The production of ceramic restorations using the lost-wax press technique has been addressed already; yet modern computer-aided design/computer-aided manufacture (CAD/CAM) technology also allows fabricating veneers, inlays, onlays, and partial coverage restorations with similar precision and significant less laboratory procedures. Porcelain is generally considered the most esthetic and biocompatible material available for dental restorations. The chapter explains the classification of tooth preparation for anterior veneers. The use of mock-ups, followed by a wax model, esthetic pre-evaluative temporaries, and silicone index, provides the best esthetic, phonetic, and functional assessment of necessary tooth preparation for veneers. The chapter focuses on the two types of impression: digital or conventional.

Chapter 40 Tooth Preparation in Esthetic Dentistry Ronald E. Goldstein DDS, Ronald E. Goldstein DDSSearch for more papers by this authorErnesto A. Lee DMD, Ernesto A. Lee DMDSearch for more papers by this authorWendy A. Clark DDS, MS, Wendy A. Clark DDS, MSSearch for more papers by this author Ronald E. Goldstein DDS, Ronald E. Goldstein DDSSearch for more papers by this authorErnesto A. Lee DMD, Ernesto A. Lee DMDSearch for more papers by this authorWendy A. Clark DDS, MS, Wendy A. Clark DDS, MSSearch for more papers by this author Book Editor(s):Ronald E. Goldstein DDS, Ronald E. Goldstein DDS Clinical Professor of Restorative Sciences Adjunct Clinical Professor of Prosthodontics Adjunct Professor of Restorative Dentistry Former Visiting Professor of Oral and Maxillofacial Imaging and Continuing Education The Dental College of Georgia at Augusta University, Augusta, GA Boston University School of Dental Medicine, Boston University of Texas Health Science Center, San Antonio, TX University of Southern California, School of Dentistry, Los Angeles, CA Private Practice, Atlanta, GA, USASearch for more papers by this authorStephen J. Chu DMD, MSD, CDT, Stephen J. Chu DMD, MSD, CDT Adjunct Clinical Professor Ashman Department of Periodontology and Implant Dentistry, Department of Prosthodontics, New York, University College of Dentistry, New York, NY Private Practice, New York, NY, USASearch for more papers by this authorErnesto A. Lee DMD, Ernesto A. Lee DMD Clinical Professor Former Director University of Pennsylvania School of Dental Medicine, Philadelphia, PA Postdoctoral Periodontal Prosthesis Program, Penn Dental Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA Private Practice, Bryn Mawr, PA, USASearch for more papers by this authorChristian F.J. Stappert DDS, MS, PhD, Christian F.J. Stappert DDS, MS, PhD Professor and Former Director of Postgraduate Prosthodontics Professor and Former Director of Periodontal Prosthodontics and Implant Dentistry Past Director of Aesthetics and Periodontal Prosthodontics Department of Prosthodontics, University of Freiburg, Germany Department of Periodontics, University of Maryland School of Dentistry, Baltimore, MD, USA Department of Periodontology and Implant Dentistry, New York University College of Dentistry, New York, NY, USA Private Practice, Zurich, SwitzerlandSearch for more papers by this author First published: 06 July 2018 https://doi.org/10.1002/9781119272946.ch40 AboutPDFPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShareShare a linkShare onFacebookTwitterLinked InRedditWechat Summary An ideal tooth preparation for the all-ceramic crown is a balanced uniform reduction of tooth structure. This chapter describes step-by-step technique for the all-ceramic crown. When possible, periodontal therapy should be completed before the tooth is prepared. Burch suggests that when the subgingival margin is too near the alveolar housing, a preliminary "crown-lengthening" periodontal surgical procedure should be performed, and adequate healing time should be allowed before final preparation and impression. When finishing subgingival margins to a smooth surface, the beveled corners and smooth sides of the tip help avoid lacerations by pushing soft tissue aside. With the advent of more predictable bonding agents and cements that adhere to the restoration as well as the tooth, the all-ceramic margin becomes much more feasible in esthetic dentistry. To create an esthetically successful restoration, the gingival areas must be healthy and architecturally sound before restorative treatment is instituted. Ronald E. Goldstein's Esthetics in Dentistry, Third Edition RelatedInformation

Chapter 22 Abfraction, Abrasion, Attrition, and Erosion Ronald E. Goldstein DDS, Ronald E. Goldstein DDSSearch for more papers by this authorJames W. Curtis Jr DMD, James W. Curtis Jr DMDSearch for more papers by this authorBeverly A. Farley DMD, Beverly A. Farley DMDSearch for more papers by this authorSamantha Siranli DMD, PhD, Samantha Siranli DMD, PhDSearch for more papers by this authorWendy A. Clark DDS, MS, Wendy A. Clark DDS, MSSearch for more papers by this author Ronald E. Goldstein DDS, Ronald E. Goldstein DDSSearch for more papers by this authorJames W. Curtis Jr DMD, James W. Curtis Jr DMDSearch for more papers by this authorBeverly A. Farley DMD, Beverly A. Farley DMDSearch for more papers by this authorSamantha Siranli DMD, PhD, Samantha Siranli DMD, PhDSearch for more papers by this authorWendy A. Clark DDS, MS, Wendy A. Clark DDS, MSSearch for more papers by this author Book Editor(s):Ronald E. Goldstein DDS, Ronald E. Goldstein DDS Clinical Professor of Restorative Sciences Adjunct Clinical Professor of Prosthodontics Adjunct Professor of Restorative Dentistry Former Visiting Professor of Oral and Maxillofacial Imaging and Continuing Education The Dental College of Georgia at Augusta University, Augusta, GA Boston University School of Dental Medicine, Boston University of Texas Health Science Center, San Antonio, TX University of Southern California, School of Dentistry, Los Angeles, CA Private Practice, Atlanta, GA, USASearch for more papers by this authorStephen J. Chu DMD, MSD, CDT, Stephen J. Chu DMD, MSD, CDT Adjunct Clinical Professor Ashman Department of Periodontology and Implant Dentistry, Department of Prosthodontics, New York, University College of Dentistry, New York, NY Private Practice, New York, NY, USASearch for more papers by this authorErnesto A. Lee DMD, Ernesto A. Lee DMD Clinical Professor Former Director University of Pennsylvania School of Dental Medicine, Philadelphia, PA Postdoctoral Periodontal Prosthesis Program, Penn Dental Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA Private Practice, Bryn Mawr, PA, USASearch for more papers by this authorChristian F.J. Stappert DDS, MS, PhD, Christian F.J. Stappert DDS, MS, PhD Professor and Former Director of Postgraduate Prosthodontics Professor and Former Director of Periodontal Prosthodontics and Implant Dentistry Past Director of Aesthetics and Periodontal Prosthodontics Department of Prosthodontics, University of Freiburg, Germany Department of Periodontics, University of Maryland School of Dentistry, Baltimore, MD, USA Department of Periodontology and Implant Dentistry, New York University College of Dentistry, New York, NY, USA Private Practice, Zurich, SwitzerlandSearch for more papers by this author First published: 06 July 2018 https://doi.org/10.1002/9781119272946.ch22Citations: 2 AboutPDFPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShareShare a linkShare onFacebookTwitterLinked InRedditWechat Summary Throughout the years, the dental profession has held a variety of theories about the causes of tooth wear, including chemical wasting of the teeth, the effects of tooth brushing, and lateral forces. Tooth wear may present as abfraction, abrasion, attrition, and erosion. It is well established that the most common cause of attrition is bruxism. According to only a few clinical studies, cervical wear was related to erosion and abrasion rather than abfraction or occlusal loading. When treating a patient with worn dentition, it is essential to first diagnose the cause and the type of wear, and whether restorative space is available. As a profession, it is important that dentists recognize that anthropologic evidence related to tooth wear and the consequences of basic stomatognathic function on the longevity of teeth and restorations. Citing Literature Ronald E. Goldstein's Esthetics in Dentistry, Third Edition RelatedInformation

This chapter addresses the basic elements of an oral hygiene program for successful long-term maintenance of both tooth- and implant-supported esthetic restorations. Today, implants can be expected to support restorations that not only function indistinguishably from natural dentition but also are beautiful and long lasting. As implants continue to become a desirable and routine choice for esthetic restorative dentistry, dental professionals increasingly will be caring for implant-supported esthetic restorations. The chapter discusses the roles of the patient, dental hygienist, and dentist in creating individualized oral hygiene programs. Although considerations for maintaining tooth-supported and implant-supported restorations are similar, important elements distinguish their maintenance regimens, so each is discussed separately. The postrestorative visit also provides an excellent opportunity to provide site-specific oral self-care instructions and review the patient's oral hygiene regimen.

A dental crown restoration can offer a remarkable service for a dental patient. The objectives of a crown are to restore function and esthetics for a treated tooth. Much of the longevity and esthetic success of the crown restoration relies on both maintenance and prevention routines adopted by the patient. This chapter provides details on full-zirconia restorations. It also provides discussion of esthetic considerations. An important factor to consider in the contour of the restoration is the shape of the pulp. If the pulp is unusually wide, this may be a contraindication for crowning. Indications for the machineable lithium disilicate material are inlays, onlays, veneers, partial crowns, telescope primary crowns, and implant superstructures. The metal–ceramic restoration has been the standard of care in esthetic dentistry for more than 30 years. The chapter discusses some of the esthetic principles and solutions to the most common esthetic problems.

Chapter 11 Cosmetic Contouring Ronald E. Goldstein DDS, Ronald E. Goldstein DDSSearch for more papers by this author Ronald E. Goldstein DDS, Ronald E. Goldstein DDSSearch for more papers by this author Book Editor(s):Ronald E. Goldstein DDS, Ronald E. Goldstein DDS Clinical Professor of Restorative Sciences Adjunct Clinical Professor of Prosthodontics Adjunct Professor of Restorative Dentistry Former Visiting Professor of Oral and Maxillofacial Imaging and Continuing Education The Dental College of Georgia at Augusta University, Augusta, GA Boston University School of Dental Medicine, Boston University of Texas Health Science Center, San Antonio, TX University of Southern California, School of Dentistry, Los Angeles, CA Private Practice, Atlanta, GA, USASearch for more papers by this authorStephen J. Chu DMD, MSD, CDT, Stephen J. Chu DMD, MSD, CDT Adjunct Clinical Professor Ashman Department of Periodontology and Implant Dentistry, Department of Prosthodontics, New York, University College of Dentistry, New York, NY Private Practice, New York, NY, USASearch for more papers by this authorErnesto A. Lee DMD, Ernesto A. Lee DMD Clinical Professor Former Director University of Pennsylvania School of Dental Medicine, Philadelphia, PA Postdoctoral Periodontal Prosthesis Program, Penn Dental Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA Private Practice, Bryn Mawr, PA, USASearch for more papers by this authorChristian F.J. Stappert DDS, MS, PhD, Christian F.J. Stappert DDS, MS, PhD Professor and Former Director of Postgraduate Prosthodontics Professor and Former Director of Periodontal Prosthodontics and Implant Dentistry Past Director of Aesthetics and Periodontal Prosthodontics Department of Prosthodontics, University of Freiburg, Germany Department of Periodontics, University of Maryland School of Dentistry, Baltimore, MD, USA Department of Periodontology and Implant Dentistry, New York University College of Dentistry, New York, NY, USA Private Practice, Zurich, SwitzerlandSearch for more papers by this author First published: 06 July 2018 https://doi.org/10.1002/9781119272946.ch11 AboutPDFPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShareShare a linkShare onFacebookTwitterLinked InRedditWechat Summary Cosmetic contouring is one of the oldest of all the esthetic procedures known, because as long as humans have had teeth, they have had tooth fractures. Cosmetic contouring has a number of advantages over other more involved esthetic procedures. Other than bleaching, it is perhaps the most inexpensive cosmetic treatment. Cosmetic contouring is indicated for the following purposes: alterations of tooth structure; correction of developmental abnormalities; substitute for crowning; minor orthodontic problems; removal of stains and other discolorations; periodontal problems; and bruxism. This chapter explores the contraindications to cosmetic contouring. Dentists who perform cosmetic contouring must give foremost attention to the tooth proportion. Cosmetic contouring must always be done with the principles of proper occlusion in mind. Cosmetic contouring is one treatment that should be considered in almost every patient's overall treatment plan. The chapter describes the following techniques of cosmetic contouring: achievement of illusions; angle of correction; reduction; altering tooth form; and arch irregularity. Ronald E. Goldstein's Esthetics in Dentistry, Third Edition RelatedInformation

BACKGROUND:Awake bruxism is a common clinical condition that often goes undetected, often leading to pain or damaged teeth and restorations.METHODS:The authors searched electronic databases regarding the treatment and effects of awake bruxism compared with those of sleep bruxism. The authors used the search terms diurnal bruxism and oral parafunction. The authors combined information from relevant literature with clinical experience to establish a recommended protocol for diagnosis and treatment.RESULTS:The authors found articles regarding the diagnosis and treatment of bruxism. The authors combined information from the articles with a review of clinical cases to establish a treatment protocol for awake bruxism.CONCLUSIONS:Literature and clinical experience indicate a lack of patient awareness and, thus, underreporting of awake bruxism. As a result, myriad dental consequences can occur from bruxism. The authors propose a need for increased awareness, for both patients and professionals, particularly of the number of conditions related to awake bruxism.PRACTICAL IMPLICATIONS:Clinicians should look for clinical signs and symptoms of awake bruxism and use minimally invasive treatment modalities.

OBJECTIVESTo measure microleakage around zirconia crown margins cemented with self-adhesive resin or resin modified glass ionomer (RMGI) cement after ultrasonic scaling.METHODS16 molars were prepared for crowns (margin 0.5 mm coronal of cementum-enamel junction). Preparations were digitally scanned and zirconia crowns milled. Specimens were divided into two groups (n = 8): self-adhesive resin (RelyX Unicem 2) or resin modified glass ionomer (RMGI) (RelyX Luting Plus) cements. After cementation, specimens were ultrasonic scaled with a piezoelectric device (60 s, hand pressure). After thermocycling (20,000 cycles/5-55°C), specimens were immersed in 5 wt% fuchsine dye before sectioning bucco-lingually. Microleakage was examined under 40× light magnification. Statistical comparisons were made using a paired t test and a two-sample t test (α = .05).RESULTSUltrasonic scaling did not alter microleakage at the margins of crowns (P = .31). There was no significant difference in microleakage of scaled and untreated margins with the use of different cements (P = .21). The amount of microleakage around margins that were scaled was not significantly different between cements (P = .14). Untreated margins of crowns cemented with RelyX Luting Plus showed a significantly higher microleakage than those cemented with RelyX Unicem 2 (P = .005).CONCLUSIONSPiezoelectric ultrasonic scaling did not increase microleakage at the margin of zirconia crowns cemented with self-adhesive resin or RMGI cements.CLINICAL SIGNIFICANCEPiezoelectric ultrasonic scaling around zirconia crowns did not impact marginal microleakage cemented with self-adhesive resin or RMGI cements.

The video exam has proven to be a most effective means of re-establishing trust between patient and dentist by making the patient a co-diagnostician. In fact, it is not uncommon for patients to stop the diagnosis and ask specific questions about what they see. They can begin to diagnose pathology even before the dentist mentions it. A major benefit to the dentist is that invariably the exam reveals conditions not seen with typical clinical exams even using magnification loops. Although the intraoral camera has been around for more than a decade, its benefit during the video exam is more important now than ever before (8, 9). Every new patient and all patients of record should have the benefit of a video exam, as well as the dentist.

Figure 1The first step of the three-tier posterior finishing system is use oftheOSl , either 8-, 1 6-, or 30-bladed carbide or 30-, J 5-, or 8-1! diamond, depending on the amount of occlusal anatomy bulk present. Here the OS I UF is finalizing occlusal anatomy and is almost ready for the OS2 to take over. Figure 2-The second stage, placing the occlusal groove in composite resin, can easily be done with the DO52F and finished with a DO52UF. Figure 3-The process of finishing all grooves and fissures is accomplished with a 30-bladed OS2UF or an 8-!1 diamond. Figure 4-The final gnathological carving is performed with a 30-bladed OS 1 UF .

Esthetic dentistry offers a myriad of opportunities for older adults wishing to improve their smile, oral function, and self-esteem. The challenge for dental professionals is to maintain oral health throughout the patient's lifetime, even through periods of dependence that may include residence in a nursing home. Dental professionals will have increasing opportunities to share their knowledge and expertise about the relation between oral health and overall health, with a variety of health professionals who care for the aging population.

Journal of Esthetic and Restorative DentistryVolume 10, Issue 1 p. 1-2 ARE WE HAVING FUN—STILL? Ronald E. Goldstein DDS, Ronald E. Goldstein DDS Editors-in-Chief Journal of Esthetic DentistrySearch for more papers by this authorDavid A. Garber DMD, David A. Garber DMD Editors-in-Chief Journal of Esthetic DentistrySearch for more papers by this author Ronald E. Goldstein DDS, Ronald E. Goldstein DDS Editors-in-Chief Journal of Esthetic DentistrySearch for more papers by this authorDavid A. Garber DMD, David A. Garber DMD Editors-in-Chief Journal of Esthetic DentistrySearch for more papers by this author First published: 01 July 2007 https://doi.org/10.1111/j.1708-8240.1998.tb00329.xAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume10, Issue1January 1998Pages 1-2 RelatedInformation

Journal of Esthetic and Restorative DentistryVolume 8, Issue 1 p. 253-254 THE CAMERA DOESN'T UK —DOES IT? Ronald E. Goldstein DDS, Ronald E. Goldstein DDS Editors-in-Chief Journal of Esthetic DentistrySearch for more papers by this authorDavid A. Garber DMD, David A. Garber DMD Editors-in-Chief Journal of Esthetic DentistrySearch for more papers by this author Ronald E. Goldstein DDS, Ronald E. Goldstein DDS Editors-in-Chief Journal of Esthetic DentistrySearch for more papers by this authorDavid A. Garber DMD, David A. Garber DMD Editors-in-Chief Journal of Esthetic DentistrySearch for more papers by this author First published: January 1996 https://doi.org/10.1111/j.1708-8240.1996.tb00875.xAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume8, Issue1January 1996Pages 253-254 RelatedInformation

Computer technology has revolutionized the way the world does business, allowing us to work faster, smarter, and more efficiently than ever before. Within dentistry, that translates to x-rays that use significantly smaller amounts of ionizing radiation, automated periodontal charting and storage devices, and imaging systems. Perhaps the greatest bottom-line benefit, especially in esthetic dentistry, is that these state-of-the-art developments enable dentists and hygienists to more effectively communicate with patients. The future of any restoration is based on the patient's motivation and ability to maintain an efficient oral hygiene routine. Esthetic restorations demand more vigorous home care programs to maximize their esthetic and functional life expectancy. With computerized images on screen, patients can better visualize the treatment that has been done and come to a realization that the restoration's success rests squarely on their shoulders.