Publications by authors named "Brian P LeSage"

Objective: To briefly review and summarize significant clinical, functional, esthetic, and periodontal characteristics that are essential to multidisciplinary case analysis and treatment planning for single-tooth replacement in the esthetic zone with an implant-supported prosthesis.

Clinical Considerations: A patient's preoperative condition (e.g.

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Objective: Explore the best technique for achieving stable and comfortable occlusion. This is critical for long-term oral health and the foundation of durable esthetic, restorative, periodontal, and prosthodontic treatments.

Clinical Considerations: Various techniques and therapies have been proposed for establishing, determining, and restoring ideal centric relation (CR) and vertical dimension of occlusion (VDO) in patients who require restorations and/or full-mouth rehabilitation.

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While the concept of minimally invasive dentistry has long been considered a rational, viable approach to restorative care, preparation design, material science, and long-term evidentiary support have only recently begun to provide the foundation necessary to support such treatment in the everyday practice. This article reviews the fundamental paradigm shift evidenced in contemporary prosthodontics as required to facilitate the emerging interest in delivering conservative restorative alternatives.

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Mastering anterior direct composite restorations is a necessity for the contemporary clinician who appreciates and understands the art and science of cosmetic dentistry. In the esthetic zone, composite bonding procedures are considered the most conservative and least invasive technique to return missing, diseased, and unsightly tooth structure to enhanced color, form, and function. Composites' attractiveness and popularity are easy to explain because these restorations have excellent esthetic potential, very good to excellent prognosis, and a reasonable fee.

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Unlabelled: Dental implants provide clinicians with a predictable means of replacing the function of lost natural teeth. Whereas innovative restorative materials and techniques have yielded predictable "white aesthetics" for a tooth, comparable success with the "pink aesthetics" of implant restorations has been more problematic. This article describes a technique for improving the aesthetic outcome of implant dentistry by contouring soft tissue around implants through a buildup of composite to a "UCLA-type" abutment.

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