Colored Gingiva Composite Used for the Rehabilitation of Gingiva Recessions and Non-Carious Cervical Lesions.

In this case of extensive gingival recession (Miller's Class II) and mild physiologic pigmentation, an alternative method for the placement of Amaris Gingiva-Colored Composite was used to produce a non-invasive, aesthetic result acceptable to the patient. In restoring the defects in the entire maxilla of this patient, the opaquers were not mixed, but applied individually, directly to various areas of the teeth. Multiple opaquers were placed in a pattern mimicking the coloring of the patient's gingiva. These were then covered with the base shade for a more aesthetic result to the patient's satisfaction. The restorations resulting from the alternative method were highly aesthetic and at an eleven (11) month review showed no signs of failure giving rise to the conclusion that this method proposed for application of Amaris Gingiva-Colored Composite is viable for producing highly-aesthetic restorations in cases of gingival recession.

A Picture Worth A Thousand Words - Using Chairside Cellphone Pictures to Aid in Visualization of Treatment

They say a picture is worth a thousand words. In the world of dentistry photography plays a pivotal role in providing patients with the opportunity to see possible outcomes of treatment. In this project we sought to use chair side cellular phone pictures and editing techniques to assist in the formulation of definitive treatment plan.

The use of Myerson Duracetal Obturators In the Rehabilitation of Maxillary Resection Defects

Myerson Duracetal, was used for the fabrication of Obturator Prostheses in four (4) patients. The steps in fabrication are outlined. The patients' perception of function as assessed using the Obturator Function Scale (Table 1) is also presented. Despite technical challenges, Myerson Duracetal was successfully used in fabrication of light, stable, retentive, aesthetic prostheses which could be adapted to the evolving defects.

Copying Is Not Cheating: The Use of Copy Dentures In The Digital Denture Process

Dental practitioners often encounter patients who want to replace an old pair of complete dentures. There are many factors and inherent challenges involved in providing a new pair of dentures which are not only technically and clinically acceptable, but also acceptable to the patient. These challenges can prove to be particularly difficult, when the replacement denture is for an elderly patient, or patients with systemic disorders such as Parkinson's, Dementia, Alzheimer's or the physically frail. Previous denture use enables a patient to adapt more quickly to a new set of dentures, as compared with a patient who has never worn dentures before. However, when patients are wearing old and inadequate prosthesis over long periods, the necessary muscular control develops, which enables them to still function. Therefore, the difficulty arises if major changes are made in the new denture, and a lot of muscular adaptation is required for control. In these cases, the advantage of a copy dentures would be the ease with which neuromuscular adaption to the new dentures can occur. (Vohra and Habib 2013) The method described in this poster used materials readily available in a private practice to generate a pair of duplicate dentures which captured all of the features of the patients existing pair. These were modified chair-side and used to capture vital information on fit, occlusion and aesthetics, forming a template which was transferred to the laboratory and used to generate new dentures via the traditional laboratory process. The same template was also used to generate a pair of "AVADENT Digital Dentures" for comparison.

Exploring the versatility of gingiva-colored composite.

Gingival recession has a diverse etiology. The consequences may include gingivitis, periodontitis, and hypersensitivity. Whereas the management can include surgical treatment options, sometimes a more conservative, yet still esthetic approach may be required. The use of gingiva-colored composites provides one such alternative and can be applied to varying presentations of the problem. While surgical treatment can be successful in re-creating favorable esthetic anatomy as well as achieving accurate tissue contour in cases when minor amounts of tissue are reconstructed, long-term results vary because of the vascularity and complexity of the interdental space. Factors such as cost, healing time, discomfort, and variable long-term results make surgery an unpopular choice. If tooth-colored restorative materials are utilized to restore cervical tooth exposure as a result of severe recession, the disproportionate appearance of the visible crown may give a dissatisfying result. Gingiva-colored composite provides dental practitioners with a versatile material that can be used to directly restore cervical defects caused by gingival recession, thus correcting the appearance of the gingival anatomy. It offers a treatment option that may increase patient satisfaction through the provision of a cost-effective, minimally invasive solution with highly esthetic results.

Management of dentinogenesis imperfecta: a review of two case reports.

Dentinogenesis imperfecta (DI) is an inherited disorder that affects dentin and often manifests as tooth discoloration; in addition, the dentition is also extremely susceptible to wear. Treatment of DI focuses primarily on protecting affected dentin, reducing sensitivity, and improving esthetics. Routine restorative materials, such as amalgams and composites, may be used. In more severe cases, the treatment of choice is full coverage crowns, while bonding of veneers may be used to improve the esthetics of the anterior teeth. This study presents two cases of Type II DI in the same family and the management of each case. Restorative management included amalgams, composite veneers, crowns, bridges, and overdentures.