The Role of Cosmetic Dentistry in Plastic Surgery

ABSTRACT

This article addresses the need for and the benefits of intraoral rejuvenation in conjunction with plastic surgical procedures. By highlighting a myriad of procedures available to the dental professional, the author demonstrates what techniques are presently available and the concomitant benefits to the patient and the reconstructive surgeon. It is important for the plastic surgeon to examine both the teeth and occlusion when evaluating a patient for perioral rejuvenation. The loss of vertical dimension is examined as well as the corrective procedures that can be employed to reestablish what time has diminished. Contouring of the lips and underlying support of the perioral area are discussed in relation to both fixed and removable prosthodontics. It is the intent of the author to demonstrate the rationale for prosthodontic stabilization through the use of endosseous implants. In effect, the author explores the concept of an “intraoral facelift” to be used prior to or in conjunction with traditional plastic surgical procedures.

KEYWORDS

Occlusal vertical dimension - endosseous implants - intraoral facelift

REFERENCES

• 1 Stedman T L. Stedman's Medical Dictionary.  Baltimore, MD: Waverly Press; 1977
• 2 Smiler D G, Johnson P W, Lozada J L. et al . Sinus lift grafts and endosseous implants. Treatment of the atrophic posterior maxilla (discussion and review).  Dent Clin North Am . 1992;  36 151-188
• 3 Dong J K. et al . Esthetics of the smile: a review of some recent studies.  Int J Prosthodont . 1999;  12 9
• 4 Neill D J, Nairn R I. Complete Denture Prosthetics.  Cambridge, England: Butterworth-Heinemann 1990: 66-67
• 5 Shillingburg H T. Fundamentals of Fixed Prosthodontics, 3rd ed. Carol Stream, IL: Quintessence Publishing; 1997 . 
• 6 Garber D, Goldstein R, Feinman R. Porcelain Laminate Veneers.  Chicago, IL: Quintessence; 1988