Sunday, January 20, 2008
Composite Repair of Fractured Central Incisors
Friday, December 21, 2007
Closing Spaces
Asymmetries in the gingival contours complicated the multiple spaces. The shade of this patient's teeth was also a factor, but shape will always trump shade. The treatment plan included bleaching and 8 maxillary and 4 mandibular indirect porcelain restorations.
Planning for the option of a future graft, stop the preparation at the tooth's original CEJ or the level of the adjacent teeth.
Even though the teeth are wide, tapering the line angles toward the gingival (most apparent on the mesial of the right lateral incisor), reflects light to give the tooth a narrower appearance. Incisal translucencies also break-up the mass of a wide surface along with significant surface texturing.
Symmetry was created by developing gingival harmony and allowing the facial and buccal surfaces to flow from tooth to tooth. The maxillary gingival embrasures where closed successfully without creating a shape that was too square. As the tissue matures around the restorations, the papillae with form an even more intimate adaptation to the teeth. The gingival embrasures on the mandibular arch were not completely closed because it would have made the teeth too wide in the gingival areas. The margin along the mandibular right central incisor will be grafted with a soft tissue graft. The margin of the veneer stops at the tooth's original CEJ so this procedure can be accomplished.
It is always interesting to see how much more sophisticated an individual looks when the spacing between multiple teeth are closed. The final result is proportional to the overall face and within the dental arch. The teeth tend to have a squarer form when closing gingival embrasures or diastemata and tapering the line angles of the individual teeth toward the gingival areas keeps the appearance most natural.
Tuesday, December 11, 2007
Closed Osseous Crown Lengthening Followed by Minimal Indirect Veneer Preps
This patient wanted to have a fuller and brighter smile and display less gingiva when she laughed.
Friday, December 7, 2007
Another Provisional Cosmetic Bridge
Provisional Cosmetic Bridge
Welcome

The intent of this forum is to share innovating and new ideas that can increase your ability to create truly lifelike dentistry that is beautiful and durable. Everything shown, I do in my practice and there are no hidden agendas. There is no financial interest or compensation in any of the products or materials I use. If ever there was, I would tell you. The forum is designed to be heavily imaged based with short descriptive text and meant to be read and understood in minutes.
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