Premises MA I NTA I NI NC ESTHETIC RESTORATION S-A SHARED R ESPON S IB ILl TY you have been practicing for more than five years, chances are you have seen a beautiful suffer traumatic incidents; however, more restorations are compromised by lack of ongoing maintenance on the part of both patient and dentist. When genetic factors are also considered, as well as the effects of local and systemic disease, the difficulty of maintaining esthetic restorations becomes apparent. If restoration turn ugly due to decay, tissue recession, or fracture. There is no doubt that patients Another challenge is that the initial problem for which the patient sought help was often caused by years of dental neglect, including inadequate home care. This patient now wants and receives your very best efforts for a functional and esthetic restoration. You feel great satisfaction with your esthetic accomplishment on that final seating day, but too often the patient resorts to the same neglectful behavior that led to the original problem. Maintenance is, at best, a complex issue. Esthetic maintenance adds yet another dimension, since esthetic success is dependent not only upon adequate margins and occlusion, but also upon the color, texture, and luster of the restorations, all of which are affected by the milieu of the restorations. In addition, tissue levels and gingival health are an integral part of dentofacial harniony and smile esthetics. We felt that the issues involved warranted attention in two special issues of the Journal of Esthetic Dentistry. Our guest editors for these issues are Marilyn Miller and Tom Truhe, co- directors of the Center for Dental Information. Their extensive travels, publications, and contact with the dental community made them perfectly suited to select the ideal authors and subjects for these issues. We are indebted to them and to the contributing authors for their considerable efforts. We trust you will be pleased with the results. &- Ronald E. Goldstein, DDS David A. Garber, DMD Editors-in- Chief Journal of Esthetic Dentistry

MAINTAINING ESTHETIC RESTORATIONS—A SHARED RESPONSIBILITY

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Page 1: MAINTAINING ESTHETIC RESTORATIONS—A SHARED RESPONSIBILITY

Premises

M A I NTA I N I N C E S T H E T I C R E S T O R A T I O N S-A S H A R E D R E S P O N S I B I L l T Y

you have been practicing for more than five years, chances are you have seen a beautiful

suffer traumatic incidents; however, more restorations are compromised by lack of ongoing maintenance on the part of both patient and dentist. When genetic factors are also considered, as well as the effects of local and systemic disease, the difficulty of maintaining esthetic restorations becomes apparent.

If restoration turn ugly due to decay, tissue recession, or fracture. There is no doubt that patients

Another challenge is that the initial problem for which the patient sought help was often caused by years of dental neglect, including inadequate home care. This patient now wants and receives your very best efforts for a functional and esthetic restoration. You feel great satisfaction with your esthetic accomplishment on that final seating day, but too often the patient resorts to the same neglectful behavior that led to the original problem.

Maintenance is, at best, a complex issue. Esthetic maintenance adds yet another dimension, since esthetic success is dependent not only upon adequate margins and occlusion, but also upon the color, texture, and luster of the restorations, all of which are affected by the milieu of the restorations. In addition, tissue levels and gingival health are an integral part of dentofacial harniony and smile esthetics.

We felt that the issues involved warranted attention in two special issues of the Journal of

Esthetic Dentistry. Our guest editors for these issues are Marilyn Miller and Tom Truhe, co- directors of the Center for Dental Information. Their extensive travels, publications, and contact with the dental community made them perfectly suited to select the ideal authors and subjects for these issues. We are indebted to them and to the contributing authors for their considerable efforts. We trust you will be pleased with the results.

&- Ronald E . Goldstein, DDS David A. Garber, D M D

Editors-in- Chief Journal of Esthetic Dentistry