Video Details
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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
Dr. Ronald Goldstein is currently Clinical Professor of Oral Rehabilitation at Georgia Regents University College of Dental Medicine in Augusta, Georgia, Adjunct Clinic...
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Online Videos / Restorative / Bleaching / Creating Treatment Options for Discolored Teeth - Part 2 of 2
Questions & Comments
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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.
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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
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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
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Mohammad Khandaqji - (6/3/2014 3:25 PM)
Thank you, great information as always .
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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.
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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?
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840 - (9/11/2010 6:42 AM)
Excellant work by Dr.Goldstein.
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niki nikolov - (9/2/2010 12:05 PM)
Hope to see you in Bulgaria Dr. Goldstein!
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