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The request for improvement in a patient’s appearance is commonplace in
dental practice but it does not mean that large amounts of tooth tissue need
to be removed in order to achieve this. Appearance matters, but should not
be achieved at a huge biologic cost. By using a minimally invasive approach
it is possible to improve the appearance of “aesthetically challenged”
patients while maintaining most of their tooth structure, protecting their
pulps and leaving a sensible fall back position should the restorations fail
in the future. This course will address some common aesthetic problems and
demonstrate that the majority of these may be addressed using minimally
destructive techniques. It will also provide clinical tips which may be
applied in general dental practice.
Some principles of dental aesthetics
Bonding composite to tooth structure
• The optimum bonding agent for bonding to dentine
• Composite materials which may produce the optimum long term results
The use of dentine bonded crowns
• All ceramic crowns with minimal tooth destruction
Changing the vertical dimension in wear cases
• Without tears
Aesthetic treatment planning
• Managing expectations
The porcelain laminate veneer
• Peril or pearl?
Doing the right thing
• The “Daughter Test”
• Avoiding the lawyers |