I. Ivancės straipsnis “Journal of Cosmetic Dentistry”, 2005

“The Journal of Cosmetic Dentistry”, USA, Volume 21, Number 1, Spring 2005

Amerikos estetinės odontologijos akademijos (The American Academy of Cosmetic Dentistry) oficialaus leidinio “The Journal of Cosmetic Dentistry” 2005 m. pavasario pirmo numerio skyriuje „Featured Smiles“ išspausdintas gyd. odontologės Ingridos Ivancės (Ivanciūtės) straipsnis ir darbų fotografijos. Šiame žurnalo skyriuje yra pristatomi geriausi Amerikos estetinės odontologijos akademijos narių darbai.

Ingrida Ivanciute, D.D.S.

Ingrida Ivanciute earned her dental degree from Kaunas Medical Academy, Lithuania, in 1994. She then completed a general dental practice residency at Zalgiris Clinic of Vilnius University, Lithuania. While practicing
general dentistry full-time in a private clinic, she also pursued continuing education, taking Master’s courses in aesthetic direct resin bonding restoration with Dr.Sergej Radlinskij, D.D.S., Medical Academy of Ukraine.

In 2000 established her own private enterprise Ivanciute’s Aesthetic Dentistry Center “VivaDens” in Vilnius and practices there full-time, specializing in restorative and cosmetic treatment - particularly natural methods of preserving tooth structure - direct resin bonding restorations. Since 2000 she also gives private courses, hands-on workshops in aesthetic direct resin bonding.

Dr. Ivanciute is a Laureate of Lithuanian Competition in the Art of Tooth Restoration 2000, a laureate of International „Prisma Championship“ Competition in the Art of Tooth Restoration 2000, Ukraine, a member of Lithuanian Chamber of Odontologists, a general member of the AACD and she attended the Academy’s 2003 Annual Scientific Session in Orlando, USA.

For the creativity, mind calmness, clarity of the vision she practices meditation for more than 10 years.

A beautiful a bit shy young women came for a consultation and in half-open smile told that she was not satisfied with the gaps in the upper anteriors, disharmony of the anatomic form of #10 (Fig 1). She didn’t want orthodontic correction. She also wanted whiter teeth. She inquired about conservative esthetic improvement. A thorough clinical exam revealed excellent periodontal health and her home care.

The factor of client’s and my as dentist’s concern in extremely preserving tooth structures determined the treatment plan: teeth whitening and direct resin bonding to close the gaps and lengthening and correcting the form of #10. Because the patient was concerned only with her four front teeth, I did not think to bring out the facial profile of teeth #6 and #11 to better transition into the posterior quadrants bilaterally. Four weeks before direct resin placement, the client underwent professional oral hygiene procedure and was given whitening trays with Illumine™ home 10% (Dentsply) paste. To reproduce the shade, shape and translucency of teeth in such a way that they would mimic their original appearance with low wear, high polishability the material Esthet•X® Micro Matrix Restorative (Dentsply DeTrey GmbH, Konstanz, Germany) was chosen. Anesthesia was administered. To determine the shade the regular body shade material was placed on the clean, hydrated tooth. The natural shade of her teeth was D-2. Conservative preparation procedure without any excess removal of the enamel surface just roughening interproximally 2.0 mm on the facial and palatal sections and incisal edges was done on ##7-10. The excess tooth structure on vestibulo-distal section was reduced approximately 2.0 mm on #10. A rubber dam was then applied. On working tooth anterior clasp was used. Total etch and the adhesive Prime Bond & Bond NT (Dentsply) were applied and, subsequently, using free-hand layering technique, Esthet•X was applied in increments. First, the dentin (shade OD-3) interproximally was built masking the transition from enamel to composite. Then, the palatal enamel and incisal edges (regular body shade D-2) were applied and the vestibular enamel (D-2 and translucent enamel YE+) was shaped. Finally using translucent matrix band and wedge proximal contact points were created. After occlusion and articulation were checked, the restorations were polished using finishing strips, Enhance Finishing and Polishing System and Prisma®-Gloss™ and Prisma®-Gloss™ Extrafine (Dentsply) pastes.

Immediately after the restoration was completed while looking in the mirror the women started to smile and cry in excitement: “This is my dream came true” (Fig 2). At a recall examination two weeks later she was overjoyed and said that the result far exceeded her expectations: now she can smile and it feels so good! And my joy of participating in the creating and witnessing the beauty offers a great reward in itself: “All bliss arises out of creativity. Unless you create something, you cannot feel blissful, impossible. Only God can be blissful. And in creating something, you become a little God.” (Osho®)

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