Dental Aesthetics: Innovation and Optimization
Restoring the function of the oral sphere is essential; paying attention to aesthetics is necessary. Dental aesthetics require precision and delicate techniques. At Ardentis Dental Clinics, innovative procedures are used to achieve perfect and optimized results.
Dr. Giovanni Tommaso Rocca is one of the aesthetic dentistry specialists at Ardentis Dental Clinics. He is also a scientific clinic director and clinical supervisor at the University Dental Clinic (CUMD) of the University of Geneva. His work in aesthetic dentistry has been published and is skillfully applied in dental artistry.
In 2019, an article by Dr. Rocca et al., published in QDRP Quintessence Restorative Dentistry and Prosthetics, reported the successful application of a preparation technique described by Dr. Ignazio Loi in 2013. This technique (BOPT: Biologically Oriented Preparation Technique) involves the vertical preparation of the tooth to allow the soft tissues to adapt to the desired contours. This approach fulfills the patient’s functional needs but, more importantly, provides an optimal aesthetic result. It appears to successfully hide the tooth root and maintain the long-term stability of the soft tissues around the crown.
Saratti C.M., Fehmer V., Krejci I., Rocca G.T.
QDRP Quintessence Restorative Dentistry and Prosthetics 13(1):89–95, 2019.
A thorough diagnosis and multidisciplinary approach are necessary to achieve a satisfying result for both the “white aesthetics” and “pink aesthetics” in anterior rehabilitation cases. “White aesthetics” refers to the natural appearance of the definitive restorations using appropriate materials, while “pink aesthetics” relates to the soft tissues surrounding the tooth. One of the main goals of aesthetic dentistry is to achieve stability and symmetry of the gingival tissue around the prosthetic restoration. Gingival recession, exposing the restoration margin, is considered one of the most common issues in this clinical situation. Bone loss can also affect the aesthetics of the interproximal area, leading to apical migration of the soft tissue and the creation of a black triangle.
Loi and Felice (2013) described a biologically oriented preparation technique (BOPT). In their protocol, vertical preparations were used to eliminate the margins of previously prepared crowns. This procedure allows the prosthetic margin to be placed beneath the gum without causing apical migration and has proven effective in maintaining the stability of the pericoronal soft tissue. It is especially recommended for the restoration of a single crown, with the goal of replicating the shape and size of the contralateral tooth.
With this protocol, the clinician and dental technician can interact with the surrounding tissues by modifying their shape and scalloped architecture, independently of any preexisting dental or gingival limitation.
