Anterior teeth

Aesthetic rehabilitation for school going children who lost their teeth due to trauma or decayed teeth was the common problem seen in pediatric patients. Treatment for this kind of cases can be given with removable or fixed appliance according to the parent’s desire. This article discussed about a fixed type of an anterior esthetic appliance placement, their importance to the children and contraindication of the appliance. The most important and decisive factor for placing anterior esthetic appliance is parental wish and their desire.

Objectives: The purpose of this study was to evaluate the retentive strength of the Pioneer Resin Bonded Bridge design with no abutment teeth preparations in comparison to the standard Maryland Bridge design.
Materials and Methods: Sample Pioneer and Maryland Bridges were fabricated and tested with an Instron machine to evaluate the amount of Pound Force units necessary to cause bridge dislodgement. The Pioneer Bridges were fabricated with a zirconia framework and a porcelain fused to zirconia pontic. Then, Pioneer Bridges were locked to the teeth with micro hybrid composite while the Maryland bridges were cemented with Panavia.
Results: The Pioneer Bridges showed 4.0-fold higher retentive strength as compared to the Maryland Bridges tested in this study.
Conclusion: This study provides evidence indicating that Pioneer Bridges may improve the current treatment for adolescent patients with congenitally missing lateral incisors for whom implants are not a viable option due to incomplete skeletal growth as well a lower cost alternative for adult patients missing an anterior tooth who cannot afford an implant. Clinical Implications: Esthetics are enhanced with Pioneer Bridges as compared to the Maryland Bridge, given the translucency
of the former as compared to the metallic finish of the latter. Additionally, the Pioneer Bridge does not require that the adjacent incisors be damaged for anchoring purposes as is the case with the Maryland Bridge. Also, the Pioneer Bridge expands the age for which a bridge may be employed to adolescents, given that it is not permanently fixed and therefore can be removed with subsequent skeletal growth and replaced with a larger version of the same or an implant upon reaching
adulthood. Finally, the cost of a Pioneer Bridge is expected to be  significantly lower due to reduced clinician time owing to a lack of tooth preparation.

Golden proportion is a proportion frequently present in nature and is considered as a means of achieving harmony in the teeth. It forms an important aspect of aesthetic dentistry as it deals with the restoration of the maxillary anterior teeth in relation to their widths.
Aim: The study was conducted to evaluate the presence of golden proportion between the maxillary anterior teeth in south Indian population by examining their widths. The study also aimed to evaluate the existing ratio present in the population
Materials and Methods: The study was conducted over a period of two months, March and April, 2014. 200 individuals including 100 male and 100 female patients were selected for the study based on the inclusion and exclusion criteria. The measurements were made using Vernier
calliper.
Result: Golden proportion was not prevalent in the south Indian population and did not serve as an adequate guideline to be applied to all maxillary anterior teeth.
Conclusion: Golden proportion is not a suitable method to correlate the maxillary anterior teeth widths in the south Indian population and cannot be applied as an absolute rule.