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Cosmetic dentistry

Schmidt, Christopher J; Tatum, Sherard A

Current Opinion in Otolaryngology & Head and Neck Surgery: August 2006 - Volume 14 - Issue 4 - p 254–259
doi: 10.1097/01.moo.0000233596.68928.39
Facial plastic surgery

Purpose of review Patients seeking the expertise of facial plastic surgeons for facial aesthetic improvement may also desire or benefit from dental aesthetic procedures. This paper reviews current treatment options available in cosmetic dentistry.

Recent findings Many techniques exist to improve dental aesthetics in color, position, shape, size, alignment and overall smile appearance. Although orthodontic therapy is still an important modality for smile aesthetics, some simpler procedures can provide acceptable aesthetic results. Comparison of external dental bleaching techniques reveals similar long-term results for in-office and at-home bleaching; in-office treatments, however, may provide the benefit of faster results. Internal dental bleaching is an effective method for correcting nonvital teeth coloration. Enamel shaping via either direct tooth contouring or the application of resins or veneers to tooth surfaces can correct defects, asymmetries and shape or rotation problems. Veneers or crowns are also options to correct intrinsic dental stains not amenable to bleaching techniques. Treatments to refine gingival margins and borders are another proven beneficial cosmetic procedure.

Summary A myriad of techniques exist to correct a patient's particular concerns. Correction of discoloration is usually feasible as is the improvement of a patient's smile and overall dental aesthetics.

SUNY Upstate Medical University, Syracuse, New York, USA

Correspondence to Sherard A. Tatum, MD and Christopher J. Schmidt, MD, SUNY Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210, USA Tel: +1 315 464 4636; fax: +1 315 464 7282; e-mail: and

© 2006 Lippincott Williams & Wilkins, Inc.