To quote a mentor, “the best dentistry is no dentistry”. However, when dentistry needs to be done, it’s best to be done as conservatively as possible. As materials and technologies develop, clinicians can offer more minimally invasive restorative options to patients. However, ensuring long lasting and predictable results requires two things: patience and commitment. In … Read more
New technologies and modern concepts require close cooperation of the individual partners in dentistry, dental technology and also dental industry. Dr. Cary Brown and dental technician Frankie Acosta, both from California, USA, have worked together for seven years now and are a well-rehearsed team, who are enthusiastic practitioners of digital dentistry. They have integrated a … Read more
Cast Gold and Porcelain fused-to-metal crowns have a proven track record and are predictable.1,2 They are forgiving materials that can be used in less-than-ideal conditions such as uneven tooth reduction, sharp line angles and varying finish lines. Masking the underlying metal can result in high value opaque crowns. Gum recession may show an unaesthetic crown-tooth … Read more
To say that 2020 threw the world a giant curve ball would be one of the understatements of the decade. For some, it felt as though the earth had stopped revolving on its axis and it has never quite begun turning the same way. Government mandates closing offices, PPE requirement that increased costs and created … Read more
Introduction Congenitally missing maxillary lateral incisors present a challenge for both the orthodontic and restorative treating dentists. Often, only two scenarios are discussed: canine substitution or replacing the missing lateral.1 The former is often considered an orthodontic solution while the latter is more restoratively driven. However, there are complexities in these cases that are dependent … Read more
Introduction Predictability is a worthy goal for any practicing dentist. The study of evidence based models in dentistry has developed increasing predictability of the success of specific dental treatments and procedures in achieving optimum oral health.1 While dental treatments have continued to become more predictable, life, however, consistently presents unforseen situations. A traumatic dental injury … Read more
Imagine you are 18 years old and all your life you have dreamed of a career in acting or modelling. Everyone that you talk to in your chosen field tells you the same thing. You have what it takes to make it, except for one thing. Your teeth are simply too unattractive. So you do … Read more
According to a 2016 survey of the National Dental Practice Based Research Network, the top material choices for anterior crowns were lithium disilicate and layered zirconia whereas the top choice for posterior crowns was monolithic zirconia.1 Polishing high strength ceramics, such as zirconia and lithium disilicate, can be a clinical challenge due to the hardness … Read more
Introduction Achieving a successful outcome in aesthetic dentistry can be a formidable challenge for all dental practitioners, regardless of their experience level. The patient describes their expectations for the case to the dentist, who then diligently works with provisional restorations to satisfy those aesthetic desires, only to have to rely on the dental technician (ceramist) … Read more
For some people, with masks coming off, they’re taking a look at refreshing their teeth’s appearance. The company Smile Direct Club reported that 60% of the people they surveyed are looking forward to seeing people’s smiles again. They’ve also seen a 47% increase in teeth whitening procedures and a similar climb for teeth straightening. Cosmetic … Read more
Cosmetic dentist Kourosh Maddahi noticed a trend among his patients in Beverly Hills, California, beginning around March: Demand for treatments, everything from teeth whitening to full smile-makeovers, was higher than pre-pandemic levels. Even international virtual consultations restarted as people again consider traveling to the United States for cosmetic dentistry work. Why now? Maddahi said the … Read more
Upon reviewing my Editorial from the April 2020 issue, I had discussed what motivated any of us to continue to practice dentistry on a day-in, day-out basis. Little did I know what was in store for us all by the time the editorial came out in print. As I sit here at my computer pondering … Read more
The speed of advancement in the world of digital technology has made a tremendous impact in dentistry. The way we look at this advancement is quite important. With the influx of artificial intelligence powered robots, robots may perhaps augment humans by doing the work that humans don’t really want to do. Doing so would free … Read more
Abstract The anterior single unit implant can present a challenging dilemma to both the restorative dentist and the surgeon. Several factors may present that can adversely affect the final restorative outcome of cases such as these. Appropriate planning and execution are crucial for a pleasing result to both the patient and clinical team. Digital tools … Read more
Increasingly, more dental professionals are embracing digital dentistry and the technologies that accompany it. Pivoting to digital dentistry streamlines many processes while increasing convenience, comfort, and creating better clinical outcomes for patients and practitioners alike. With the inevitable march of dental technologies, restorations and dental procedures are being completed rapidly and efficiently, without middlemen nor … Read more
Introduction For many dental students the first-year class focused on Dental Anatomy and Morphology is their initial “real” introduction to a life-long, in-depth professional relationship with teeth. While the lecture portion of the course may closely resemble the format of many biology classes encountered in college, the laboratory component traditionally introduces one of the most … Read more
New opportunities are one of the many reasons people immigrate from Canada from all over the world. The same is true for our patient who arrived in Winnipeg in 2013 from Adama (formerly Nazareth), Ethiopia. This 37-year-old female was seen as a new patient during an initial hygiene appointment. What immediately struck us was the … Read more
Immediate restoration of teeth that are not worth preserving, with implants in the aesthetically demanding anterior region, is a challenge in everyday practice. The case study described here shows an immediate implantation to replace the right upper incisor with persistent apical inflammation in 2005. Since then, the patient has come to our practice at least … Read more
The dental implant is a prosthetic device delivered through a surgical process. It allows clinicians to replace one or multiple missing teeth without damaging the remaining dentition. Many attempts have been made in the literature to define the success, failure, and the factors that will influence the outcome. As clinicians, our focus should be on … Read more
With rapid progression in the science of restorative dentistry, particularly since the advent of ‘adhesive’ techniques, it is irrefutable that the demand and interest in cosmetic restorations has increased both from dentists and patients alike. Numerous materials and techniques are at our disposal in this modern age of dentistry, giving us the ability to work … Read more