Self Learning Assessment 2007 (May 01, 2007)

The SLSA program is based on current, referenced literature and consists of 40 questions, answers, rationales and references. Answers appear in the following issue at the end of each quiz. Dentists who complete the 15 question quiz in the November, 2007 issue of Oral Health may be eligible to receive continuing education points. The names … Read more

Conservative Smile Makeovers Using Feldspathic Porcelain Veneers

FIGURE 15--Final cosmetic result at the post operative appointment.

After years of calling on their professional organizations to put money and energy into building awareness of cosmetic dentistry, dentists woke up one morning and found themselves in the midst of a marketing blitz they had no idea was coming, launched by a highly unlikely source — the media.”1 This quote is from Dental Products … Read more

Sulcus Depth and the Restorative Gingival Complex

FIGURE 6P--Before and after.

The concept of a biologic width was first mentioned by Gargiulo, Wentz and Orban in a landmark paper in 1961.1 Understanding the biology of the dentogingival complex is still the key to creating and maintaining ideal esthetics. In Fig. 1,2 three significant measurements are demonstrated; a 1mm connective tissue attachment, a 1mm epithelial attachment and … Read more

Conservative Preparation for Bonded Porcelain Laminate Veneers

FIGURE 18

Ceramic veneers that can be glazed on the outer surface and etched on the internal surfaces for micro-mechanical retention provide us with materials that are more durable, stain resistant and enamel-like in appearance than previous composite resin alternatives. They can be fabricate by a ceramist and bonded to place with composite resin by the dentist. … Read more

The Direct Class IV Restoration

FIGURE 22

Patient demand for aesthetic dentistry with minimally invasive procedures has resulted in the extensive use of freehand bonding of composite resin to anterior teeth.1 Preservation of remaining tooth structure and using as much enamel to bond to, has made the procedure very predictable. In order to achieve maximum esthetics, the dentist must be able to … Read more

The State-of-the-Art in Impression Materials (Roundtable discussion)

FIGURE 2

The average practitioner takes approximately one crown or bridge impression per day, for a total of 20-30 per month. An impression is simply a process whereby the dentist can indirectly transfer information from the patient’s mouth to the lab technician’s bench. Ideally, if the transfer process is accurate the restoration will fit well, requiring little … Read more

Increasing Anterior Vertical Dimension to Restore the Worn Anterior Dentition Without Increasing Posterior Vertical Dimension

FIGURE 23--Final restoration -- the happy patient.

ABSTRACT The restoration of anterior teeth is a challenge in comprehensive dental restorative treatment when there is reduced vertical restorative dimension. In order to gain sufficient vertical dimension for restoration many specialized treatments are considered including: surgical, periodontal, orthodontic and restorative procedures. In this clinical case, an opportunity to provide the patient her desired dental … Read more

Determining TWL from Multiple Sources

Richard Mounce, DDS

In reviewing the literature, I found an article that has important clinical relevance with regard to the determination of TWL and that is worthy of wider discussion (“Frequency of Over instrumentation with an Acceptable Radiographic Working Length” by El Ayouti, et al, JOE, Vol. 27, No.1, January 2001). The purpose of this study was to … Read more

Esthetics 2007

Dr. Mechanic practices esthetic dentistry in Montreal, Canada. He is the Oral Health editorial board member for Cosmetic Dentistry.

Another issue of Oral Health devoted entirely to esthetic dentistry. The year’s largest issue of Oral Health featuring 12 original articles by an international group of clinicians. How could it be? A Canadian Journal! This would have been anyone’s thought just several years ago but to quote Bob Dylan, “The times they are a changing.” … Read more

Self Learning Assessment 2007 (April 01, 2007)

The SLSA program is based on current, referenced literature and consists of 40 questions, answers, rationales and references. Answers appear in the following issue at the end of each quiz. Dentists who complete the 15 question quiz in the November, 2007 issue of Oral Health may be eligible to receive continuing education points. The names … Read more

If You Are Wearing Loupes … the Line Never Blurred

Jordan Soll, DDS

A while back, I read an editorial, When Did the Line Blur? (Oral Health, Feb. ’06), that when done caused me to raise a “spockian” eyebrow. What seemed to resonate through the article was that “cosmetic dentists” are over zealous practioners with little regard for the patient’s well being. As a dentist who focuses on … Read more

Clean, Serene Endo Machine

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When the University of Toronto assumed ownership of the historic Medical Arts Building in Toronto, the partners of Endodontic Specialists faced an inevitable relocation of their practice. After 10 years, they still enjoyed their penthouse office overlooking the downtown core, but recognized this as an opportunity to acquire premises that would better meet the needs … Read more

Tax Policy Change = Tax Bite

We have all seen the overnight changes made by the tax man not too long ago for income trusts. The change certainly hurt a few people, possibly including you. Could there be more nasty tax surprises coming our way? Unfortunately, we do not have a crystal ball to predict the future. Instead of just sitting … Read more

US team delivers care

Children living with HIV/AIDS in Uganda have a chance to receive free comprehensive dental treatment, courtesy of a visiting 29-member pediatric dental team from the US. They treat clients of the centre from the surrounding community, orphanages, TASO chapters and other HIV-child-based centres. Dr Juliet Nabanja, head of the Mildmay dental clinic says dental hygiene … Read more