Paulo Monteiro

My passion for esthetic dentistry began when I attended the last year of the Dental Medecine course in 1998 at the Institute of Health Sciences Egas Moniz in Portugal. In 2005 Paulo completed his specialization in Esthetic and Restorative Dentistry at the ISCSEM, Lisbon, Portugal, in 2010 he finished a Master’s degree in Dental Medicine and is currently he taking a PhD in Dentistry at Universidade de Santiago de Compostela, Spain. He has taken the International Professional Course of CAD/CAM technology in Restorative Dentistry, at the University of Zurich in 2008. Presently, he is an Assistant Professor at ISCSEM, for the Aesthetic and Restorative Dentistry Post-graduation program and for the Oral Rehabilitation Department at ISCSEM. In parallel, he is the head of Clinical Aesthetic Dentistry advanced consultation at ISCSEM, the head of Operative Dentistry Technology Training Course for Dental Assistants and the head of Intra-Oral Photography Technology Training Course for Dental Assistants in Egas Moniz, Lisbon, Portugal. He is also involved in research of new dental materials, including composite resins, dental adhesives, dental ceramics and new technologies. He is an active member of the International Association for Dental Research, and regularly presents research in the dental materials field. He is author and co-author of some publications in scientific international journals. and lecturer in national and international courses and congresses in aesthetic dentistry. In his private practice, he devotes himself exclusively to aesthetic dentistry.
My passion for esthetic dentistry began when I attended the last year of the Dental Medecine course in 1998 at the Institute of Health Sciences Egas Moniz in Portugal. In 2005 Paulo completed his specialization in Esthetic and Restorative Dentistry at the ISCSEM, Lisbon, Portugal, in 2010 he finished a Master’s degree in Dental Medicine and is currently he taking a PhD in Dentistry at Universidade de Santiago de Compostela, Spain. He has taken the International Professional Course of CAD/CAM technology in Restorative Dentistry, at the University of Zurich in 2008. Presently, he is an Assistant Professor at ISCSEM, for the Aesthetic and Restorative Dentistry Post-graduation program and for the Oral Rehabilitation Department at ISCSEM. In parallel, he is the head of Clinical Aesthetic Dentistry advanced consultation at ISCSEM, the head of Operative Dentistry Technology Training Course for Dental Assistants and the head of Intra-Oral Photography Technology Training Course for Dental Assistants in Egas Moniz, Lisbon, Portugal. He is also involved in research of new dental materials, including composite resins, dental adhesives, dental ceramics and new technologies. He is an active member of the International Association for Dental Research, and regularly presents research in the dental materials field. He is author and co-author of some publications in scientific international journals. and lecturer in national and international courses and congresses in aesthetic dentistry. In his private practice, he devotes himself exclusively to aesthetic dentistry.

EVENTS BY THIS MEMBER

Postgraduate Diploma in Minimally Invasive Restorative Dentistry.
Dental Photography course - the essential

ARTICLES PUBLISHED BY THIS AUTHOR

Increasingly in dentistry it is necessary to use various specialties to try to get the best final aesthetic and functional result. Moreover the adhesive materials and techniques presently allow us to preserve much tooth structure. A young patient came to our office after finishing an orthodontic treatment to improve the dental aesthetics in anterior teeth. In the intra-oral examination we observed some interproximal spaces to close, a severe change in the shape and color of existing teeth and the presence of deciduous teeth. The existence of a primary tooth in place in the canine, took us to the placement of an implant. One might we follow different treatment plans: ceramic restorations or composite resin restorations. However, the treatment planning would always be the same. Compared to a composite resin, the ceramic has the advantage of being biocompatible and stable in surface gloss and color. In this case, because of the high aesthetic demand the patient has chosen to make ceramic veneers. We want to share the importance of good planning between the various dental specialties and try to preserve the dental tissues, hoping to get a proper and natural aesthetic and functional result.

We have lately heard a lot about minimally invasive rehabilitation, and when it comes to anterior teeth we are sometimes advised to use ceramic veneers with a minimum thickness. As in the past, what we should always be looking for is trying to preserve as much tooth structure as possible in any clinical procedure, aiming for balance between function and aesthetics, preserving the maximum amount of enamel. Anterior adhesive rehabilitation is often a complementary procedure to a longer and differential treatment such as complex oral rehabilitation or orthodontics. Being keen of sound tooth structure preservation and perfect balance between function and aesthetics is very important when planning a treatment. Such planning may be performed in a digital or conventional manner, but always with a focus on constructing a wax-up and then on transferring into the patient´s mouth with the mock-up. This will allow proper communication between the clinician, the ceramist and the patient. It is important to always involve the patient in the planning process because it will dictate the fundamentals to make his/her desires and concept of aesthetics to come into reality. It is crucial to use all of our senses to achieve the best possible outcome for the patient, always trying to replicate what nature has created, but always with good sense. This article aims to highlight some of these clinical and laboratory steps, with some details that may be important for the final outcome of our clinical procedure.
Currently our patients are becoming more demanding with dental treatments and the final aesthetic outcome. The composite resins and the dentin adhesives occupy a very important role in today dentistry, because they are easy to use and have a very acceptable clinical behavior. In this clinical case I intended to describe a simple and predictable clinical sequence, to ensure the patient expectations with direct composite resins in anterior teeth.

In the white lesions  treatment in the anterior teeth we should try to use a strategy that preserves the maximum healthy enamel and dentin.

In this perspective, three types of treatment can be used: Infiltration with Icon, Microabrasion with gels or aluminum oxide or Macroabrasion.

When the stains are very deep and intense some times the more conservative treatments are not totally effective. Macroabrasion may be an alternative in solving these cases.

The present clinical case intends to share a way to approach this type of lesions with the macroabrasion procedure.

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