Beautiful Teeth Created via Restorative Cosmetic Dentistry
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Beautiful Teeth Created via Restorative Cosmetic Dentistry

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How to improve the esthetics and Function of your front teeth via restorative dentistry

How to improve the esthetics and Function of your front teeth via restorative dentistry

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  • 1.
    • Full Coverage Restorations In The Esthetic Zone;
    • Managing The Variables That
    • Determine Success or Failure
    The Restorative Dental Study Club of Cambridge
  • 2.  
  • 3.  
  • 4. Restoration Of The Maxillary Anterior Sextant
  • 5.  
  • 6. ESTHETICS & FUNCTION
  • 7.  
  • 8. REPAIR & SHADE MATCH
  • 9. CERAMIC MATERIAL OPTIONS
    • 1. FELDSPATHIC PORCELAIN
    • 2. PRESSED or MACHINED GLASS CERAMICS, EMPRESS OR EMAX
    • 3. HIGH STRENGTH CRYSTALLINE CERAMICS, ZIRCONIUM OXIDE
    • 4. METAL CERAMICS, CERAMO-METAL, PFM
  • 10.  
  • 11. > Than 5mm TOOTH TRANSITION
  • 12. CANINE TO LATERAL, Minimally Invasive
  • 13.  
  • 14. > Than 5mm SURFACE TEXTURE & COLOR
  • 15. Peg Laterals PEG LATERAL TRANSFORMATION
  • 16.  
  • 17.  
  • 18.  
  • 19.  
  • 20. Greater Than 5mm WIDTH TO LENGTH DISCREPANCY, CONTACT AREA MODIFICATION
  • 21. > Than 5mm WIDTH TO LENGTH CORRECTION, CONTACT AREA MODIFICATION
  • 22. Our Goal: Fully Formed Papilla’s!!!!!!!! Greater than 5mm.
  • 23. Contact Area Classification Less Than 5mm. TYPE 1, LONG CONTACT AREA TYPE 2, INCISAL THIRD ONLY
  • 24. Contact Area Classification Less Than 5mm. TYPE 3, MIDDLE THIRD TYPE 4, GINGIVAL THIRD
  • 25. Less Than 5mm. TYPE 1, LONG CONTACT AREA TYPE 2, INCISAL THIRD ONLY TYPE 3, MIDDLE THIRD TYPE 4, GINGIVAL THIRD
  • 26. The Ideal Contact Point: Long: Type 1 Less Than 5mm.
  • 27.
      • The effect of the distance from the contact point to the crest of bone on the presence or absence of the interproximal dental papilla. Tarnow DP ,, Magner AW ,, Fletcher P .
      • Department of Implant Dentistry, New York University College of Dentistry, New York.
      • J Periodontol. 1992 Dec;63(12):995-6
      • This study was designed to determine whether the distance from the base of the contact area to the crest of bone could be correlated with the presence or absence of the interproximal papilla in humans. A total of 288 sites in 30 patients were examined. If a space was visible apical to the contact point, then the papilla was deemed missing; if tissue filled the embrasure space, the papilla was considered to be present.
  • 28. The results showed that: 1.When the measurement from the contact point to the crest of bone was 5 mm or less, the papilla was present almost 100% of the time. 2. When the distance was 6 mm, the papilla was present 56% of the time, 3. When the distance was 7 mm or more, the papilla was present 27% of the time or less.
  • 29. TOOTH SIZE DISCREPANCY MICRODONTIA
  • 30.  
  • 31.  
  • 32. TOOTH SIZE CORRECTION, CONTACT AREA MODIFICATION TYPE 2 --- TYPE 1
  • 33.  
  • 34. TOOTH SHAPE TRANSITION:TAPERED TO SQUARE CONTACT POINT MODIFICATION; ROOT COVERAGE
  • 35. TYPE 3 TYPE 1
  • 36. TYPE 2 TYPE 1 CONTACT AREA MODIFICATION, INTERPROXIMAL CONTOUR CHANGE
  • 37. LOCALIZED TOOTH SIZE DISCREPANCY & REPAIR
  • 38.  
  • 39.  
  • 40. > Than 5mm CONTACT AREA MODIFICATION, INTERPROXIMAL CONTOUR CHANGE TOOTH POSITION CORRECTION TYPE 2
  • 41. > Than 5mm TYPE 2 EMAX TYPE 1
  • 42. LONG CONTACT AREA Type 2 INCISAL 1/3 Type 1 GREATER Than 5mm. LESS Than 5mm.
  • 43.  
  • 44. ABUTMENT COLOR MATERIAL CHOICE??
  • 45.  
  • 46. WHAT IS THE COLOR OF THE ABUTMENT?
  • 47. ZIRCONIUM
  • 48.  
  • 49.  
  • 50.  
  • 51.  
  • 52.  
  • 53.  
  • 54.  
  • 55.  
  • 56.  
  • 57.  
  • 58.  
  • 59.  
  • 60.  
  • 61.  
  • 62.  
  • 63. 1991 3i 3.75 3i 3.25 Gold Custom Abutment & PFM IMPLANTS IN THE ESTHEIC ZONE 6.0 6.0
  • 64. ASTRA ZIR Astra 3.5 2005
  • 65. Ceramic Abutment, All Ceramic Crown 2005
  • 66. Astra 3.0 Metal Abutment, All Ceramic Crown 5.0
  • 67. Astra 3.5
  • 68. ADVANCED
  • 69. Astra 3.5 Astra 4.5 Astra Zir Ceramic Custom Abutment, Ceramic Crown Metal Custom Abutment 2 Unit Ceramo-Metal Splint
  • 70.  
  • 71.  
  • 72.  
  • 73.  
  • 74.  
  • 75. Thank you!! QUESTIONS? [email_address] 617 492 6070