Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Video Details
Creating Treatment Options for Discolored Teeth - Part 2 of 2

Description:
Through maximum usage of bleaching, bonding, laminating and crowning, the dentist can alter virtually all discoloration aspects of the smile, ranging from mild to severe. However, knowing which treatment to use, when and where, is still a question of judgment. This course will highlight diagnosis and treatment of some of the major esthetic problems encountered including, treatment planning and step-by-step procedures to accomplish the most in the least amount of time. Dr. Goldstein will also present a new comprehensive approach to management of patients with discolored teeth.

Date Added:
9/1/2010

Author(s):

Ronald Goldstein, DDS Ronald Goldstein, DDS
Dr. Ronald Goldstein is currently Clinical Professor of Oral Rehabilitation at Georgia Regents University College of Dental Medicine in Augusta, Georgia, Adjunct Clinic...
[read more]

Recognized Institutes







Online Videos / Restorative / Bleaching / Creating Treatment Options for Discolored Teeth - Part 2 of 2




Questions & Comments
Daniel Reshef - (8/24/2015 2:46 PM)

Thanks for your response. It certainly answers my questions. We do record the patient's pre and post-treatment colour as part of the routine protocol of the bleaching procedure. All the best.

Ronald Goldstein - (8/24/2015 1:31 PM)

Hi Daniel, Good question regarding the degradation of H2O2, I feel that the expiration date is the best date for maximum efficiency but no doubt even if the concentration of the material may lose some of its maximum bleaching ability it will still bleach long after the expiring date. That said, I would not dispense any manufacturer's product after the date knowing how long the patient will be using the amount given to them. We do use Opalescence and have had good results from it. Also we know that when the patient puts the bleach agent into the matrix it will lose much of its power after 20 to 40 minutes so if the patient is a senior or if the pulps have receded then we would suggest the patient put new drops of bleach in after 30 minutes for 2 bleachings during the one hour/night. Hope this answers your questions and be sure to take photos of before and after for your records

Daniel Reshef - (8/18/2015 5:44 AM)

Dear Dr. Goldstein. Regarding the use of Hydrogen Peroxide for the bleaching procedure - it is a well known fact that it degrades quickly, so how do the bleach materials like Venus or Opalescence stay effective during their shelf-life, or do they really?? How do you verify that the material you are using is at its highest efficacy? Thanks Daniel Reshef

Mohammad Khandaqji - (6/3/2014 3:25 PM)

Thank you, great information as always .

Ronald Goldstein - (7/15/2013 10:35 PM)

Bassam,

The crowns were Procera by Nobel Biocare. And we have utilized glass ionomer cement for the past 20 years with great success. The actual bonding to the abutment tooth is so strong that it is much more difficult if you ever have to cut off a crown compared to resin cement. Also I have only had a handful of crowns (less than 5) come off in the past 20 years. And finally I do like the anti-caries effect the glass ionomers posess.

Bassam Algheryafi - (12/6/2012 6:48 PM)

Dr.Goldstein, in the very last case, what was the material of the final crowns made of? was it all ceramic bonded to the teeth with Fuji cement? If yes, why not bonding resin cement?

840 - (9/11/2010 6:42 AM)

Excellant work by Dr.Goldstein.

niki nikolov - (9/2/2010 12:05 PM)

Hope to see you in Bulgaria Dr. Goldstein!

Related Videos
Creating Treatment Options for Discolored Teeth - Part 1 of 2 Premium Member Content

Creating Treatment Options for Discolored Teeth - Part 1 of 2
This course will highlight diagnosis and treatment of some of the major esthetic problems encountered including, treatment planning and step-by-step procedures to accomplish the most in the least amount of time.

Presented By:: Ronald Goldstein, DDS
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Tooth Whitening State of the Art - It takes a Team - Part 1 Premium Member Content

Tooth Whitening State of the Art - It takes a Team - Part 1
In this webinar, the entire dental team will learn all aspects of tooth whitening. This will include photos, case presentations, tooth bleaching, taking impressions, pouring models, to the fabrication and delivery of the home whitening trays.

Presented By:: Shannon Pace Brinker, CDA, CDD
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
The State of The Art in Whitening - Part 2 of 2 Premium Member Content

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.

Presented By:: Lee Ann Brady, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Tooth Whitening State of the Art - It takes a Team - Part 3 Premium Member Content

Tooth Whitening State of the Art - It takes a Team - Part 3
In this webinar, the entire dental team will learn all aspects of tooth whitening. This will include photos, case presentations, tooth bleaching, taking impressions, pouring models, to the fabrication and delivery of the home whitening trays.

Presented By:: Shannon Pace Brinker, CDA, CDD
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Related Courses
At-Home Bleaching: A 25-Year Retrospective Premium Member Content

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.

Presented By:: Edward J. Swift, DMD, MS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
Tooth Bleaching: Keeping Your Patient Smile Satisfaction High Premium Member Content

Tooth Bleaching: Keeping Your Patient Smile Satisfaction High
Video update of the popular procedure by a leading expert in the field. Covers bleaching chemistry, indications/contradictions, specific procedures, team care.

Presented By:: Ronald Goldstein, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Tooth Whitening State of the Art - It takes a Team Premium Member Content

Tooth Whitening State of the Art - It takes a Team
There's No Such Thing As Too White - Patients' desires and expectations today make tooth whitening a necessary part of most case presentations and treatment plans. There are many contributing factors associated with tooth discoloration. Aging and the consumption of stain-causing substances such as tea, coffee, wine and smoking are the most common factors. In this webinar, the entire dental team will learn all aspects of tooth whitening. This will include photos, case presentations, tooth bleaching, taking impressions, pouring models, to the fabrication and delivery of the home whitening trays.

Presented By:: Shannon Pace Brinker, CDA, CDD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
Re-establishing Esthetics of Fluorosis-Stained Teeth Using Enamel Microabrasion and Dental Bleaching Techniques

Re-establishing Esthetics of Fluorosis-Stained Teeth Using Enamel Microabrasion and Dental Bleaching Techniques
The aim of this study was to report the clinical case of a female patient of 18 years with moderate fluorosis, whose smile was re-established by the use of an enamel microabrasion technique, followed by in-office bleaching. A microabrasion technique with 6% hydrochloric acid associated with silica carbide showed to be a safe and efficient method for removing white fluoroses stains, while dental bleaching was useful for obtaining a uniform tooth shade. The association of these techniques presented excellent results and the patient was satisfied. Both techniques are painless, fast and easy to perform, in addition to preserving the dental structure. Treatment showed immediate and permanent results; this technique must be divulged among professionals and their patients.

Author(s): Danielson Guedes Pontes, PhD; Ketlen Michele Leite Correa, DDS; Flavia Cohen-Carneiro, PhD
View Article>>
Use of a Reflectance Spectrophotometer in Evaluating Shade Change Resulting from Tooth-Whitening Products

Use of a Reflectance Spectrophotometer in Evaluating Shade Change Resulting from Tooth-Whitening Products
Historically, shade change assessment associated with vital bleaching treatment regimens has been visually evaluated through the use of shade guide tabs. Innovations in the industry of dentistry have brought forth new technologies capable of measuring such changes via the capture and analysis of reflected wavelengths of light.

Author(s): Stephen J. Chu, DMD, MSD, CDT
View Article>>
The Status of Tooth Whitening Techniques 1999

The Status of Tooth Whitening Techniques 1999
Tooth whitening of vital teeth continues to have a major impact on the practice of dentistry. The growing public interest in having whiter, brighter teeth is clearly evident in the advertisements from toothpaste manufacturers on "whitening" formulations of their products and by the number of individuals seeking whitening procedures from their dentists. In addition, new over-the-counter whitening products continue to emerge in a marketplace that cannot seem to get teeth white enough, bright enough, fast enough.

Author(s): Ronald Goldstein, DDS;Van B. Haywood, DMD;Richard Blankenau, DDS
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2019

Preferred Language: English Flag
Contact Us · Login · Register