Predictable Implant Aesthetics Utilizing A Custom Fabricated Provisional Abutment & Impression Coping
Mastering the art of predictable implant aesthetics can be challenging. One of the most stressful areas for most dentists is the process of creating a beautiful provisional that will guide tissue and predictably communicate the aesthetic outcome for the final restoration in the aesthetic zone. Combining the use of a custom fabricated provisional abutment, provisional restoration and a custom fabricated impression coping many of the aesthetics challenges can be addressed. This information can then be communicated to the laboratory to ensure the most predictable aesthetic outcome possible. This program is designed to simplify and streamline the entire process of implant provisionalization and impression. This program will provide a systematic, step by step approach to tissue management, provisionalization and impression of implant cases.
Modern Crown Lengthening: Classification and Clinical Application
Crown lengthening procedures are indicated to provide adequate tooth structure in case of subgingival tooth fracture or caries, uneven gingival level, un-esthetic short crowns due to the tooth wear, inadequate axial height, altered passive eruption ,forced eruption of a single or multiple teeth and finally in case of gingival smile.
The treatment modality for esthetic crown lengthening procedure should be based on detail diagnosis in each case because of the multifactorial etiology and because of the type of therapy selected by the clinician, will have a direct implication for the esthetic result.
Achieving Stable Esthetic Results with Implant Supported Restorations
We will discuss basic concept regarding immediate implant placement and guided bone regeneration procedure related to the esthetic zone before focusing on the soft tissue management. We will describe the prosthetic procedures which are performed before, during and after the surgical procedures. Provisional restorations, impression techniques, prosthetic profiles and restorative materials will be presented. The purpose of the presentation is to provide a check list that will guide the clinician developing a proper analysis and diagnosis for the successful esthetic result with implant supported restoration.
Vertical or Shoulderless Preparations in Contemporary Prosthodontics
Tooth preparations without a defined finish line have been termed in several different ways, such as knife edge, feather edge, or shoulderless.
From a biological standpoint, preserving a maximum amount of sound tooth structure, as it is done in vertical preparations, might also offer a more conservative alternative to a horizontal margin design in other clinical conditions such as endodontically treated teeth, vital teeth in young individual, teeth affected by caries at the cervical third. Vertical margins on zirconia crowns have been tested in vitro and clinical reports have been published. A re-evaluation of possible advantages and shortcomings of vertical preparation design in contemporary prosthodontics will be presented in light of recently published literature.
Restoring the Pink and White Esthetics. Clinical Case Presentation
Every esthetic case is a challenge. As clinicians we need to understand and combine different treatment modalities and materials to achieve outstanding esthetic and functional results. This clinical case will demonstrate the importance of the little details, and how they influence the final result. We’ll go step by step thought the analyze, planning surgical and prosthetic procedures with focus on the key points that I find to be crucial.
Minimally Invasive Protocols for Total Esthetic Reconstructions
One of the biggest challenges that we dentists have are those cases that require a multidisciplinary approach which traditionally were managed using invasive and long term treatments. Nowadays, and depending on the case, the contemporary dentist can offer minimally invasive treatments which allow us to modify the shape of the hard and soft tissues.
The combination of surgical lip repositioning with periodontal plastic surgery yields highly effective results in the treatment of gummy smiles. During patient examination it is important to establish the etiology responsible for the excessive gingival display. The combined technique can be considered as an alternative option to more invasive procedures. The prognosis is acceptable and the patient realizes that the esthetic problem has been minimized.
Periodontal-Prosthesis in Modern Dentistry – Part 1 of 2
Clinicians must be aware of patient expectations when planning dental treatment. When full mouth reconstruction is planned, it is very important to satisfy such expectations in order to provide successful treatment. Patients are often concerned about the cost and duration of treatment, and the pain, esthetics, comfort, and function after treatment. However, we cannot assure longevity unless the treatment has a scientific basis.
During reconstruction or restoration, we generally remove and replace the existing crowns. Secondary caries are mostly detected on removal of these. Due to the caries, the ferrule and tooth thickness are not adequate; and frequently, the condition may not be suitable for prosthetic treatment. In such cases, we choose to extract the tooth or perform crown lengthening to retain the tooth.Thse days many teeth that we could retain by crown lengthening procedure are replaced by implants. In this presentation, we describe some cases in which a crown lengthening proce
Innovative Sequencing for Interdisciplinary Aesthetic Treatment
Smile enhancement therapy has become an important facet of the everyday aesthetic practice. Aesthetic evaluation utilizing facial aesthetic design to diagnose tooth position demands effective communication between the periodontal-restorative team.
This presentation will review innovative sequencing techniques for interdisciplinary cases which require aesthetic crown lengthening for the treatment of excessive gingival display, and for gingival augmentation for root coverage, and the correction of poor gingival quality. Immediate implant placement with immediate non–loaded provisional fabrication will also be reviewed.
Correction of Tooth Defects and Discolored Teeth Using Direct Composite Resin
For over 50 years dentists have been making instant esthetic transformations using direct composite resin. That technology has been enhanced by the latest nano composite materials. Although the past decade has seen greater use of ceramic materials in esthetic dentistry, direct bonding with these new composites is still a highly valuable procedure. This video will deal with correction of severe tooth discoloration using nano composites. Immediate composite resin bonding can act as either the ideal correction or as an extended trial smile so patients can live with their new smile as long as necessary.
Adhesive Dentistry: From Direct to Indirect Restorations
Restorative dentistry has changed in recent years. A good esthetic and functional rehabilitation starts from the proper clinical evaluation of the patient and of his problems, planning all the clinical and laboratory procedures in order to reduce the possibility of performing a subpar restoration.
It is very important to have a synergy between the clinician, the dental technician and the patient and to make the right use of the protocols and a flow chart to address all patient needs. The goal is to achieve the right balance between biology, esthetic and function by applying a minimally invasive approach.
Restorative Material Selection in Modern Prosthetics
The scope of restorative dentistry is changing at a rapid pace. Technological evolutions in optical scanning, 3D printing, milling and new age materials is in a revolution versus old world concepts. What to choose, why and then when makes the dental team and lab a critical part of the material selection team. What materials are the strongest, most durable and esthetic are key elements in this new world. This presentation will provide you an up to date review of the current materials available and the scientific literature to support specific guidelines as to the selection process. Zirconium, Lithium Disilicates, alumina etc. will be discussed as well as the correct cementation materials with these new products.
At-Home Bleaching: A 25-Year Retrospective
The concept of at-home bleaching self-administered by the patient and supervised by the dentist became widely known in the profession about 25 years. At the time, little was known about bleaching except that application of a peroxide-based gel to the teeth could substantially lighten them in 4-6 weeks. Since then, a large volume of laboratory and clinical research have greatly expanded and enhanced our understanding of the process. This presentation provides a brief summary of what we have learned over the last 25 years, including how bleaching works and how long it lasts, safety issues, side effects such as tooth sensitivity, effects on teeth and materials, extended uses for bleaching, and over-the-counter options.
Single Dark Teeth Bleaching, Externally and Internally
Single dark teeth have some new bleaching options and materials, and the treatment options vary whether vital or non-vital. Restorative indications for anterior endodontically-treated teeth have changed, prompting a new interest in bleaching, with new techniques needed for maximum esthetics. Esthetic evaluations, bonding insights, and special tray fabrication designs will be explained, as well as when combination techniques are best utilized.
The State of The Art in Whitening
In this presentation we will look at what we know today about the science of tooth whitening and how to incorporate the different approaches successfully into our practices.
The State of The Art in Whitening - Part 2 of 2
In this webinar we will look at what we know today about the science of tooth whitening and how to incorporate the different approaches successfully into our practices.
Interdisciplinary Team Dentistry for Total Dentofacial Esthetics - Part 2
Orthodontics sets up the foundation for future prosthetics in cases with periodontal, surgical and restorative dentistry requirements. Adult orthodontics simplifies complex clinical situations. Making it easier for restorative dentist to achieve better esthetic & functional results. Orthognatic surgery combined with orthodontics corrects skeletal discrepancies in order to have the patient ready for prosthodontic replacement of multiple missing teeth. Cases combined with implants to restore form & function will further illustrate the importance of multidisciplinary dentistry. Today´s practice requires a team approach that will be presented. In order to meet the patient´s demands for better esthetics and to obtain long term occlusal stability of our results.
How to Take Ideal Impressions For The Best Outcomes
Taking accurate, detailed impressions are vital to the submission of a case to Invisalign. Even the most experienced clinician can encounter difficulties. Choosing the correct impression materials, patient positioning, Tray insertion and mixing, working and setting times. In this course we will also trouble shoot all areas of what we call bad impressions such as bubbles, tears, pulls, voids and tray contact.
Turning Esthetic Failure into Esthetic Success
This presentation is about a patient who is unhappy with the esthetic result of her anterior restorations although functionally they are acceptable. Dr. Goldstein begins with the patient interview and proceeds to improve the patient's smile via step by step cosmetic re-contouring of the previous dentist's ceramic restorations.
Perfecting the Smile of a Cosmetically Conscious Teenager
This video shows the necessity of crown raising in a teen conscious of her smile…Conservative cosmetic contouring, Microabrasion, and bonding were also done to improve the smile.
Minor Cosmetic Contouring to Motivate Patient to Accept Ideal Treatment
Slight esthetic improvement through cosmetic contouring helps to motivate ideal treatment.
Conservative Treatment for Tooth Wear
Predicting tooth wear should begin with the hygienist and hopefully end when necessary with conservative treatment by the dentist.
Crowns and Bridges