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Social media has flooded the Internet with beautiful "before and after" photographs of porcelain restorations. While these images can help promote the benefits of cosmetic dentistry, one of the problems this can lead to is patients mistakenly assuming that such restorations are simple to achieve. They may fail to realize that multiple steps need to be taken to attain such esthetic results, with each step requiring meticulous attention to detail. What some patients may not appreciate is the precision that goes into every step and which is critical to achieving long-term success. From preparation design and material choice, to selecting the correct bonding protocol and cements. no steps in the restorative process can be overlooked or deemed less important than others. The case presented describes a smile rehabilitation with proper isolation and cementation protocols. [ABSTRACT FROM AUTHOR]

To achieve excellence in dentistry, a multitude of steps needs to be completed. From performing a thorough history, to diagnosis and treatment planning, all the way to accurate insertion of the restorations, every aspect of the restorative process requires careful thought and precision, especially in a complex case. This article describes a stepwise approach to completing a full-mouth rehabilitation using an entirely digital approach. Additionally, it discusses ideal measures of isolation and bonding as pertaining to all-ceramic restorations. Through utilizing a systematic strategy, the clinician can establish a predictable path to ensure a successful result. [ABSTRACT FROM AUTHOR]

The author discusses treating a patient who had experienced lingering trouble with two teeth; the author administered periodontal treatment, replaced the bonding, and used several shades of resin to match natural dentition colors.

OBJECTIVE: In the last years, the mean age of women who underwent cervical treatment for high-grade cervical intraepithelial neoplasia (CIN 2-3) is similar to the age of women having their first pregnancy. The aim of this study was to evaluate the risk of preterm birth in subsequent pregnancies after loop electrosurgical excision procedure (LEEP). PATIENTS AND METHODS: From January 2013 to January 2016 the study identified a total of 1435 women, nulliparous, who underwent LEEP for CIN 2-3, and who wished to have their first pregnancy. Before surgery, the lengths of the cervix were calculated by transvaginal sonography. After the treatment, the dimension of the removed tissue was evaluated. During the pregnancy, all women carried out periodic transvaginal sonography and vaginal-cervical swabs. RESULTS: The average age of patients was 31.96±5.24 years; the interval between the surgical procedure and pregnancy was 12.04±4.67 months; the gestational age at births was 37.53±2.91 weeks. The first vaginal and cervical swab performed during pregnancy was negative in 81.8% of patients. The most prevalent infections were related to C. Albicans, G. Vaginalis, and Group B Streptococcus (GBS). The rate of preterm delivery was significantly higher in women with a minor cervical length. CONCLUSIONS: The length and the volume of cervical tissue excised have been shown to be directly related to the risk for preterm birth. Furthermore, vaginal infections and their persistence during pregnancy in women with a history of LEEP may be associated with an increased risk for preterm birth, compared with women with no history of LEEP. [ABSTRACT FROM AUTHOR]

Abstract: Background and aims: The Mediterranean diet has been recognised as having a protective role on the cardiovascular system due to its low lipid and high antioxidant content. Lipid profile and oxidant status represent two important risk factors related to endothelial dysfunction, even at early stages of cardiovascular diseases. The aim of the study was to evaluate the influence of a 12-month Mediterranean diet on the variation of lipid profile and carotid intima–media thickness (cIMT) in pre-pubertal hypercholesterolaemic children. Methods and results: We performed a cross-sectional study comparing lipid profile and cIMT in a group of 68 pre-pubertal children (36 with hypercholesterolaemia and 32 controls). In addition, in the hypercholesterolaemic children a 12-month intervention programme with a Mediterranean diet was started to evaluate the variation of lipid profile and cIMT. At baseline, hypercholesterolaemic children showed a significantly higher cIMT (both right and left carotid artery) compared to controls (both p < 0.05). After 12 months of diet intervention, a significant reduction of total cholesterol, LDL-cholesterol and cIMT was documented (all p < 0.05). Furthermore, at the end of follow-up, delta body mass index-Standard Deviation score and delta LDL-cholesterol were significantly and independently related to the changes of cIMT (both p < 0.05). Conclusion: The Mediterranean diet represents a valid approach in the treatment of hypercholesterolaemia even during childhood. [Copyright &y& Elsevier]