Upgrading

FIGURE 5B--Initial Waxup - no increase to length incisally.

We are living in the golden age of dentistry. New techniques and improved technology have brought more predictable, easier to use, and superior results to all facets of dentistry. Dentist’s are now thinking outside the box, working intensely, committed to pushing the barriers of esthetic dentistry to new heights. By assuming that we don’t know … Read more

Integrating Laser Dentistry Into Esthetic Dentistry

FIGURE 1

Since its invention in 1960, the laser has found a wide range of applications in medicine. It took more than 25 years to see the first dental laser, with very limited use, in our office. Since then, various types of lasers for dental treatments (Nd YAG, CO2, Diode, Er,Cr:YSGG and ErYAG) have been developed and … Read more

Dental Internet Directory (April 01, 2005)

ASSOCIATIONS CANADIAN DENTAL PROTECTIVE ASSOCIATION Bad things happen to good dentists. www.cdpa.com iCANADEN…internet CANAdian DENtistry An OPEN FORUM on the business and practice of dentistry. www.canaden.com ONTARIO STUDY CLUB FOR OSSEOINTEGRATION Seminar calendar and OSCO Information. www.osco.org TORONTO ACADEMY OF DENTISTRY Toronto Meetings Calendar, CE, Winter Clinic, Society Listings, etc. www.tordent.com THE ONTARIO ASSOCIATION OF … Read more

Simplifying and Facilitating Implant Dentistry in the Cosmetic Practice

FIGURE 15--Preliminary trimming of transitionasl on model.

Cosmetic dental patients may range from individuals seeking teeth lightening procedures to severely compromised patients who require full-mouth rehabilitation. Fortunately, teeth lightening procedures have become very predictable and expedient, thus bleaching treatments offer patients immediate satisfaction to their esthetic needs. On the other hand, patients requiring extensive esthetic treatment may require dental implant procedures, which … Read more

The Art of Conservative Esthetics

FIGURE 2--Discolored composite restorations in 1-1 and 2-2 and an anterior wear pattern.

The presence of cosmetic dentistry in the public eye has never been greater. Dramatic examples of the life changing effects of improving a smile can be seen during prime time television, in magazines and newspapers. The public is becoming more and more aware that beautiful smiles are not just for the rich and famous, but … Read more

Esthetic Fixed Partial Dentures: Rationale and Technique for Ovate Pontics

FIGURE 1--Ovate pontic compared to natural teeth

ABSTRACT As patient’s esthetic demands increase, dentists face the difficult challenge of replacing missing teeth with maximum esthetics without compromising overall function and health. When a fixed partial denture is the right choice, the ovate pontic is the best esthetic option. Dentists as far back as the 1930’s describe the ovate pontic as an esthetic-type … Read more

A Disturbing Transition of the Bonded Porcelain Veneer Restoration

FIGURE 6--This 29-year-old patient presents with a complaint of multiple BPVRs de-bondiing. The six maxillary restorations were easily removed with a dental explorer to reveal the underlying tooth preparations. Prognosis for long-term resistance to micro-leakage and additional de-bonding for the replacement BPVRs is guarded.

The bonded porcelain veneer restoration (BPVR) has undergone a dramatic transition over the past two decades. It was initially introduced as a conservative alternative to a complete coverage porcelain crown. This is because instead of achieving retention from a circumferential tooth preparation, it comes from micro-mechanical resin tags. The lifelike esthetics of modern ceramic materials, … Read more

Reliable, Durable Class II Posterior Resin Composite Restorations

FIGURE 2

Posterior resin composites have become a commonly placed type of restoration. They enjoy far greater success today than they have in the past due to advances in polymer and filler technology. There still remain some hurdles, which keep many clinicians from benefiting from their best performance. These include incidences of post-operative sensitivity and inability to … Read more

Re: January pediatric dentistry issue

Congratulations to Dr. Ross Anderson for the editorial on “Hospital Dentistry” and Drs. Keith Titley and Karen Campbell on “Acute Facial Swelling” for their outstanding articles in the January issue related to pediatric dentistry. They both underlie the importance of interactive communication between dental and medical professionals with direct benefit to patient care. This professional … Read more

Self Learning Assessment 2005 (April 01, 2005)

The SLSA program is based on current, referenced literature and consists of 40 questions, answers, rationales and references. Answers appear at the end of each quiz. Dentists who complete the 15 question quiz in the November, 2005 issue of Oral Health may be eligible to receive continuing education points. The names and license numbers of … Read more

Pediatric practice embraces SEA change

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Dr. Shelina Dhanji’s passion for the sea, children, and her profession as a pediatric dentist, are aptly reflected in her new Ajax, ON office. In relocating her practice, Dentistry 4 Kids, her goal was to create a cheerful, relaxing environment for all ages that would distract from the high technology of the office. She engaged … Read more

Developing a successful financial system

Financial guidelines are the key to practice success. A rock-solid payment system can significantly impact your practice’s financial health by improving cash flow, increasing treatment acceptance, and contributing to the overall contentment of your staff. But how can you implement effective financial guidelines if you don’t know which techniques are effective?

Tsunami teaches lessons in humanity

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Each of us is called upon, at one time or another, to come to the aid of those less fortunate than ourselves. How each person responds to this call differs. Some may choose to ignore it, but for others, when the time comes, a deep urge to help stirs them into action. Dr. Migara Weerasinghe, … Read more

Tips and Techniques II

PREVENTION REVISITED For your caries susceptible patients, there is now a more vigorous standard of care than scale, prophy and fluoride. Dr. Gerard Chiche (Toronto Academy of Cosmetic Dentistry) and Dr. Kenneth Shay (Toronto Crown and Bridge Study Club-Geriatric Dentistry) both gave similar check lists: 1. Diagnose the etiology of the problem, i.e. medical history, … Read more

Biofunctional Esthetics: The Comprehensive Approach to Esthetic Treatment

FIGURE 13--Free-hand resin mock-up. Functional and esthetic trial prior to wax-up.

Jane Doe makes an appointment in your office as a new patient. She is a 51-year-old business professional. She has had the same dentist, Dr. Smith, since she was 28-years-old. She has had a pot-pouri of dentistry over the years: several PFM crowns, multiple large composites on her anterior teeth, several teeth have been endodontically … Read more