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
Conservative Treatment Planning for Minimal Esthetic Tooth Deformities

Description:
There is no single best treatment plan for patients who want a better looking smile. Even in a multidisciplinary and multiple restorative dental office there are multiple ways of accomplishing the goal. This presentation will cover some of the diagnostic and treatment parameters when patients present with not only fractured but other minimal deformities as well. The decision whether to bond, veneer, or crown for a young patient will be discussed.

Date Added:
5/6/2015

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 / Other Restorative / Conservative Treatment Planning for Minimal Esthetic Tooth Deformities




Questions & Comments
Yuriy May - (8/31/2016 9:59 PM)

Great Case Dr. Goldstein, What type of porcelain did you choose for the veneers in this case?

Ronald Goldstein - (8/31/2016 9:10 PM)

Lewis, the reason for the incisal wrap design on the central was because there was not much tooth structure left and I wanted to reinforce the incisal. I should have put in palatal photos which would have showed the lingual problems with the endo defect and microcracks. It would have also showed the central incisor was slightly in linguoversion so only a minimal reduction was necessary. Finally, in order to build out he central we needed to reduce the incisal edge and then the final veneer would appear normal.

Lewis Chen - (8/28/2016 3:24 PM)

Hi Dr. Goldstein, I am writing to ask you on your prep design. It appears from the pre-operative photo that incisal edge lengths of the right central and lateral incisors are at relatively esthetic positions. What was your rationale for the incisal wrap prep design and extension of your margins to the palatal surface? I can see why an incisal wrap design can be beneficial for #7 since you're lengthening it ever so slightly and accounting for protrusive excursion. How deep were your preparations? Would you have been able to get away with a window design on #8, pending patient's excursive pattern? - Lewis

Ronald Goldstein - (1/6/2016 4:53 PM)

Ankita, regarding microabrasion procedure I first need to make sure there is no possibility of just doing cosmetic contouring to eliminate a hypocalcified area. And if not then I choose to use the Ultradent technique which has virtually everything you need to complete the procedure. The kit contains a pumice with hydrochloric acid to help remove no more than 25 microns of the enamel surface. It is applied with rotary pressure using the polishing cups first with bristles and then without for finishing and polishing. Dr. Ted Croll normally does it in one appointment but I have found it takes more than one to completely remove the stain.

Dr Ankita Mota - (10/13/2015 7:55 AM)

Very well explained case! Really appreciate your conservative approach & not opting to do all 4 incisors veneers. Sir could you explain the microabrasion technique a little in detail..also do you recommend to use Hydrofluoric Acid for microabrasion procedure. Thank You.

Rafael Reggiani - (10/6/2015 10:34 AM)

Very well explained Dr. Goldstein ! Great vision of what is needed.

Rafael Reggiani - (10/6/2015 10:34 AM)

Very well explained Dr. Goldstein ! Great vision of what is needed.

Related Videos
Perfecting the Smile of a Cosmetically Conscious Teenager Premium Member Content

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.

Presented By:: Ronald Goldstein, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Creating Tooth to Face Proportion in One Visit Premium Member Content

Creating Tooth to Face Proportion in One Visit
This video illustrates a conservative technique for proportioning teeth to improve the smile and facial appearance as well. The goal in interpersonal contact is to be able to maintain eye to eye contact. However, when a tooth or teeth are out of proportion such as crowded, it becomes more difficult to maintain the eye to eye contact. The solution in this case is cosmetic contouring or reshaping the crowded teeth which provides an immediate esthetic result.

Presented By:: Ronald Goldstein, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Esthetic Rehabilitation for Severe Worn Dentition - Part 2 of 2 Premium Member Content

Esthetic Rehabilitation for Severe Worn Dentition - Part 2 of 2
This presentation covers the importance of a differential diagnosis for the worn dentition. The speakers highlight in a step-by-step approach how to diagnose, treatment plan and sequence esthetic rehabilitation of patients with severe worn dentition. Including smile design, shell technique for fabrication of full arch provisional, all ceramic system selection based on functional needs, adhesive system selection, and bonding sequence, with a focus on occlusal management in order to minimize porcelain fractures and complications.

Presented By:: Gerard J. Chiche, DDS;Sergio R. Arias, DDS, MS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Esthetic and Functional Rehabilitation: A Case Report Premium Member Content

Esthetic and Functional Rehabilitation: A Case Report
Most people want to look beautiful. The ability to express feelings is fundamental to the quality of life, but expressing emotions is impossible without the freedom to smile. A patient with an ill-fitting removable denture and a fixed, porcelain-fused-to-metal bridge sought care to improve her smile. This fixed bridge was removed and direct provisional restorations placed, followed by crown-lengthening surgery and implant placement, waiting 10 months for the patient to heal. We waited one month to check occlusal stability and patient satisfaction and then made the final precision impressions and master casts. We cemented the final restorations; lithium disilicate allowed the creation of an esthetic result without sacrificing strength with use of both full-anatomy and layered techniques. Dental implants make it possible to have non-removable teeth that can be integrated esthetically and functionally, allowing the recreation of tooth color, form, and structure to reestablish a pat

Presented By:: Nazariy Mykhaylyuk, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Invisalign Records for the Dental Team Premium Member Content

Invisalign Records for the Dental Team
It is evident there are a variety of malocclusion and health concerns that can be treated by orthodontic therapy. Factors from treating systemic issues to minor tooth movement can be addressed specifically to the patients’ needs and desires. Not only is it important for the dental team to be aware that orthodontics can improve one’s quality and longevity of life, but that the knowledge of current orthodontic therapy treatment modalities available will enhance the overall comprehensive care the patient receives.

Presented By:: Shannon Pace Brinker, CDA, CDD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Turning Esthetic Failure into Esthetic Success Premium Member Content

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.

Presented By:: Ronald Goldstein, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Biofunctional Dynamic Occlusion Premium Member Content

Biofunctional Dynamic Occlusion
Biofunctional Dynamic Occlusion is a comprehensive approach between occlusion, posture, and function. Overall, this lecture will create an understanding and relationship between the cervical spine and mandibular movements and the trilogy between Joints, Muscles and Occlusion. Most of the patients that we treat for dysfunction, were compromised during the early stages of growth and development. Overtime these created accommodations and compensations in the system induced by the physiology of the airway.

Presented By:: Javier Vasquez, DMD, CDT
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
The Hidden Value of Digital Radiography for Caries Detection Premium Member Content

The Hidden Value of Digital Radiography for Caries Detection
The webinar will cover the basic features of Logicon and how it works, our recommended protocol for using it, and its role in the treatment plan for the version (4.0) presently on the market, where the dentist selects the surfaces to analyze and initiates the analysis. The webinar will also describe a new version (5.0) presently under FDA review that raises digital caries detection to a new level where all the surfaces in a bitewing radiograph are analyzed automatically at one time to give the dentist (and patient) a more global view of the state of their teeth.

Presented By:: David C. Gakenheimer, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Digital Dentures: Revolutionizing Treatment for the Edentulous Patient Premium Member Content

Digital Dentures: Revolutionizing Treatment for the Edentulous Patient
While the number of edentulous patients is increasing every year, the access to care is decreasing. In order to streamline the complete denture process, more companies are incorporating CAD/CAM. This lecture will review how digital technology is changing complete dentures, and how it can be incorporated into clinical practice.

Presented By:: Wendy AuClair-Clark, DDS, MS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
A Precise Bite Registration Technique

A Precise Bite Registration Technique
Courtesy of AEGIS & Inside Dentistry

Author(s): Ronald Goldstein, DDS
View Article>>
CAD/CAM Solutions for Minimally Invasive All-Ceramic Rehabilitation of Extended Erosive Lesions

CAD/CAM Solutions for Minimally Invasive All-Ceramic Rehabilitation of Extended Erosive Lesions
Dental erosion is a global health problem that can lead to significant functional and esthetic impairments of the affected patients. Treatment of sever cases with augmented loss of the vertical dimension of occlusion (VDO) represents a challenge for both the dental team and the patient. CAD/CAM technology was used in the presented case to analyze the inter-occlusal space. The case report documents a practical, digital approach and discusses the advantages related to treatment time, ease of treatment, and predictability.

Author(s): Petra C. Guess Gierthmuehlen, DDS; Enrico Steger, MDT
View Article>>
Adhesive Dentistry's 'Secret' Weapon

Adhesive Dentistry's 'Secret' Weapon
When it comes to bases, bondings, and build-ups, glass ionomer cements are the restorative material of choice to replace dentin.

Author(s): Robert A. Lowe, DDS
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2022

Preferred Language: English Flag
Contact Us · Login · Register