<ul><li>Full Coverage Restorations In The Esthetic Zone; </li></ul><ul><li>Managing The Variables That  </li></ul><ul><li>...
 
 
Restoration Of The Maxillary Anterior Sextant
 
ESTHETICS &  FUNCTION
 
REPAIR & SHADE MATCH
CERAMIC  MATERIAL  OPTIONS <ul><li>1. FELDSPATHIC PORCELAIN </li></ul><ul><li>2. PRESSED or MACHINED GLASS CERAMICS, EMPRE...
 
> Than 5mm TOOTH  TRANSITION
CANINE TO LATERAL, Minimally Invasive
 
> Than 5mm SURFACE TEXTURE & COLOR
Peg Laterals PEG LATERAL TRANSFORMATION
 
 
 
 
Greater  Than 5mm WIDTH TO LENGTH DISCREPANCY, CONTACT AREA  MODIFICATION
> Than 5mm WIDTH TO LENGTH CORRECTION,  CONTACT AREA  MODIFICATION
Our Goal: Fully Formed Papilla’s!!!!!!!! Greater than 5mm.
Contact Area Classification Less Than 5mm. TYPE 1, LONG CONTACT AREA TYPE 2, INCISAL THIRD ONLY
Contact Area Classification Less Than 5mm. TYPE 3, MIDDLE THIRD TYPE 4, GINGIVAL THIRD
Less Than 5mm. TYPE 1, LONG CONTACT AREA TYPE 2, INCISAL THIRD ONLY TYPE 3, MIDDLE THIRD TYPE 4, GINGIVAL THIRD
The Ideal Contact Point:  Long:  Type 1 Less Than 5mm.
<ul><ul><li>The effect of the distance from the contact point to the crest of bone on the presence or absence of the inter...
The results showed that: 1.When the measurement from the contact point to the crest of bone was 5 mm or less, the papilla ...
TOOTH SIZE DISCREPANCY MICRODONTIA
 
 
TOOTH SIZE CORRECTION, CONTACT AREA MODIFICATION TYPE 2  --- TYPE 1
 
TOOTH SHAPE TRANSITION:TAPERED TO SQUARE CONTACT POINT MODIFICATION; ROOT COVERAGE
TYPE 3 TYPE 1
TYPE 2 TYPE 1 CONTACT AREA MODIFICATION, INTERPROXIMAL CONTOUR CHANGE
LOCALIZED TOOTH SIZE DISCREPANCY & REPAIR
 
 
> Than 5mm CONTACT AREA MODIFICATION, INTERPROXIMAL CONTOUR CHANGE TOOTH POSITION CORRECTION TYPE 2
> Than 5mm TYPE 2 EMAX TYPE 1
LONG CONTACT AREA Type 2 INCISAL 1/3 Type 1 GREATER Than 5mm. LESS  Than 5mm.
 
ABUTMENT COLOR MATERIAL CHOICE??
 
WHAT IS THE COLOR OF THE ABUTMENT?
ZIRCONIUM
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1991 3i  3.75 3i  3.25 Gold Custom Abutment & PFM IMPLANTS IN THE ESTHEIC ZONE 6.0 6.0
ASTRA ZIR Astra 3.5 2005
Ceramic Abutment, All Ceramic Crown 2005
Astra 3.0 Metal Abutment, All Ceramic Crown 5.0
Astra 3.5
ADVANCED
Astra 3.5 Astra 4.5 Astra Zir Ceramic  Custom Abutment,  Ceramic Crown Metal Custom Abutment 2 Unit Ceramo-Metal Splint
 
 
 
 
 
Thank you!! QUESTIONS? [email_address] 617 492 6070
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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

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Transcript of "Beautiful Teeth Created via Restorative Cosmetic Dentistry"

  1. 1. <ul><li>Full Coverage Restorations In The Esthetic Zone; </li></ul><ul><li>Managing The Variables That </li></ul><ul><li>Determine Success or Failure </li></ul>The Restorative Dental Study Club of Cambridge
  2. 4. Restoration Of The Maxillary Anterior Sextant
  3. 6. ESTHETICS & FUNCTION
  4. 8. REPAIR & SHADE MATCH
  5. 9. CERAMIC MATERIAL OPTIONS <ul><li>1. FELDSPATHIC PORCELAIN </li></ul><ul><li>2. PRESSED or MACHINED GLASS CERAMICS, EMPRESS OR EMAX </li></ul><ul><li>3. HIGH STRENGTH CRYSTALLINE CERAMICS, ZIRCONIUM OXIDE </li></ul><ul><li>4. METAL CERAMICS, CERAMO-METAL, PFM </li></ul>
  6. 11. > Than 5mm TOOTH TRANSITION
  7. 12. CANINE TO LATERAL, Minimally Invasive
  8. 14. > Than 5mm SURFACE TEXTURE & COLOR
  9. 15. Peg Laterals PEG LATERAL TRANSFORMATION
  10. 20. Greater Than 5mm WIDTH TO LENGTH DISCREPANCY, CONTACT AREA MODIFICATION
  11. 21. > Than 5mm WIDTH TO LENGTH CORRECTION, CONTACT AREA MODIFICATION
  12. 22. Our Goal: Fully Formed Papilla’s!!!!!!!! Greater than 5mm.
  13. 23. Contact Area Classification Less Than 5mm. TYPE 1, LONG CONTACT AREA TYPE 2, INCISAL THIRD ONLY
  14. 24. Contact Area Classification Less Than 5mm. TYPE 3, MIDDLE THIRD TYPE 4, GINGIVAL THIRD
  15. 25. Less Than 5mm. TYPE 1, LONG CONTACT AREA TYPE 2, INCISAL THIRD ONLY TYPE 3, MIDDLE THIRD TYPE 4, GINGIVAL THIRD
  16. 26. The Ideal Contact Point: Long: Type 1 Less Than 5mm.
  17. 27. <ul><ul><li>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 . </li></ul></ul><ul><ul><li>Department of Implant Dentistry, New York University College of Dentistry, New York. </li></ul></ul><ul><ul><li>J Periodontol. 1992 Dec;63(12):995-6 </li></ul></ul><ul><ul><li>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. </li></ul></ul>
  18. 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.
  19. 29. TOOTH SIZE DISCREPANCY MICRODONTIA
  20. 32. TOOTH SIZE CORRECTION, CONTACT AREA MODIFICATION TYPE 2 --- TYPE 1
  21. 34. TOOTH SHAPE TRANSITION:TAPERED TO SQUARE CONTACT POINT MODIFICATION; ROOT COVERAGE
  22. 35. TYPE 3 TYPE 1
  23. 36. TYPE 2 TYPE 1 CONTACT AREA MODIFICATION, INTERPROXIMAL CONTOUR CHANGE
  24. 37. LOCALIZED TOOTH SIZE DISCREPANCY & REPAIR
  25. 40. > Than 5mm CONTACT AREA MODIFICATION, INTERPROXIMAL CONTOUR CHANGE TOOTH POSITION CORRECTION TYPE 2
  26. 41. > Than 5mm TYPE 2 EMAX TYPE 1
  27. 42. LONG CONTACT AREA Type 2 INCISAL 1/3 Type 1 GREATER Than 5mm. LESS Than 5mm.
  28. 44. ABUTMENT COLOR MATERIAL CHOICE??
  29. 46. WHAT IS THE COLOR OF THE ABUTMENT?
  30. 47. ZIRCONIUM
  31. 63. 1991 3i 3.75 3i 3.25 Gold Custom Abutment & PFM IMPLANTS IN THE ESTHEIC ZONE 6.0 6.0
  32. 64. ASTRA ZIR Astra 3.5 2005
  33. 65. Ceramic Abutment, All Ceramic Crown 2005
  34. 66. Astra 3.0 Metal Abutment, All Ceramic Crown 5.0
  35. 67. Astra 3.5
  36. 68. ADVANCED
  37. 69. Astra 3.5 Astra 4.5 Astra Zir Ceramic Custom Abutment, Ceramic Crown Metal Custom Abutment 2 Unit Ceramo-Metal Splint
  38. 75. Thank you!! QUESTIONS? [email_address] 617 492 6070
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