Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Video Details
Conservative Treatment of Exposed Crown Margins

Description:
Conservative factors are a prime concern as Dr. Ronald Goldstein describes the process of the restoration of esthetics in a case of the exposure of crown margins.

Date Added:
9/11/2014

Author(s):

Ronald Goldstein, DDS Ronald Goldstein, DDS
Dr. Ronald Goldstein is currently Clinical Professor of Oral Rehabilitation at Georgia Regents University College of Dental Medicine in Augusta, Georgia, Adjunct Clinic...
[read more]

Recognized Institutes



Online Videos / Restorative / Crowns and Bridges / Conservative Treatment of Exposed Crown Margins




Questions & Comments
Ronald Goldstein - (9/18/2014 8:43 PM)

Ana, I have had great success with these type repairs but using composite resin I expect them to last as a typical class V restoration with the exception of the bond to porcelain. That bond will be as good as any porcelain repair technique so I estimate the total repair to last from 3 to 7 years and needing refinishing periodically. No doubt the restoration helps protect the tissue and even stops cervical erosion.

ana mateos - (9/17/2014 1:01 AM)

Hi Dr. Goldstein, I enjoyed your video very much, I find this is a very practical way to extend the life of restorations that are esthetic failures yet still with great function. My question is: what would be the durability of these restorations? and supposing there was no over-contouring and the restorations are well polished, would you say this treatment HELPS the perio condition or affects it? Thank you for sharing this with us....

Ricardo Gapski - (9/16/2014 12:28 PM)

Great case Dr. Goldstein! Ricardo Gapski

Ronald Goldstein - (1/1/2014 7:59 PM)

I generally like to use air abrasion for all repairs to porcelain except when the use at the gingival area might initiate bleeding. So even then I sometimes use altered gingival margin trimmers to protect the tissue. Although hard to apply in these areas if possible I also like to apply a rubber dam or substitute. The benefit is to get micromechanical retention.

chandanpreet jaspal - (12/5/2013 4:29 AM)

Hi sir, thank you for the video. When would you use air abrasion on the porcelain? Maybe for a bigger defect? You would use SiO2 for the abrasion?

Ronald Goldstein - (3/28/2011 9:17 PM)

Matthew...
I was referring specifically to Venus Diamond but also , Estelite Sigma Quick is technically a "supra-nano" composite. Estelite Sigma Quick's filler is 200 nm (nano meters) in size, which means it is larger than a nano but smaller than a microfil.

Ronald Goldstein - (3/28/2011 9:17 PM)

Matthew...
I was referring specifically to Venus Diamond but also , Estelite Sigma Quick is technically a "supra-nano" composite. Estelite Sigma Quick's filler is 200 nm (nano meters) in size, which means it is larger than a nano but smaller than a microfil.

Matthew Giulianelli - (3/28/2011 4:09 PM)

I currently use filtek supreme plus which I believe is a nanocomposite that 3M classifies as a nanohybrid, is that the same as the microhybrid you refer to?

Ronald Goldstein - (9/12/2010 7:24 PM)

Pink opaquer can be an excellent way to neutralize the gray coming from the root surface...Have you tried some of the newer microhybrid nano composites?

Related Videos
Principles of Clinically Successful Shade Taking - The Science & Art - Part 7 Premium Member Content

Principles of Clinically Successful Shade Taking - The Science & Art - Part 7
Dr. Ed McLaren, continues the very clinically applicable demonstration of advanced and step-by-step shade taking techniques on a patient requiring a single anterior crown.

Presented By:: Edward A. McLaren, DDS, MDC
Presentation Style: Video
Community Rating:
 
Watch Now>>
Conservative Form and Space Management in Anterior Implants, Veneers and Esthetic Therapy - Part 2 of 2 Premium Member Content

Conservative Form and Space Management in Anterior Implants, Veneers and Esthetic Therapy - Part 2 of 2
Dr. Christian Coachman shares conservative methods of overcoming esthetic challenges in anterior restorations involving implant therapy.

Presented By:: Christian Coachman, DDS, CDT
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
The All-Ceramic Crown  Pt 1 Premium Member Content

The All-Ceramic Crown Pt 1
A discussion on the basic theory and applications of all-ceramic crowns.

Presented By:: Ronald Goldstein, DDS;Ronald Goldstein, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Multitasking Digital Dentistry - Part 1 of 2 Premium Member Content

Multitasking Digital Dentistry - Part 1 of 2
The "Digital Smile Design" is a technique codified and published in 2011 by Christian Coachman and Marcelo Calamita. This approach has radically changed the way we analyze the aesthetics of our patients and at the same time gave the clinician a great tool of communication with the laboratory and with the patient. In recent years, softwares and applications have been introduced on the market in order to simplify the workflow and make more predictable the outcome. The purpose of the lecture is to resume the current concepts about digital aesthetic preview, and to show new trends.

Presented By:: Mario Imburgia, DDS, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
OCCLUSION: Can We Possibly Simplify It? - Part 2 Premium Member Content

OCCLUSION: Can We Possibly Simplify It? - Part 2
Over the past 20 years, many of us have been confused, frustrated, unsure and crazy about ... “How do I get my occlusion philosophy on the right path?” At NYU FMR we have developed tried and true techniques that are guaranteed to make you understand occlusion, contact points and mandibular movement that makes sense, is easy to diagnose and systematically treat with success. In addition being comfortable Restoring OVD, understanding TMJ joint position and treating the worn dentition. Using our SOT methods and Level 1-10 Occlusion Classification we can show you how to become successful in the “Occlusion” of your patients. Spend an hour with us and open up a whole new world of occlusion philosophy and understanding. This is the real deal!

Presented By:: Dean C. Vafiadis, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
OCCLUSION: Can We Possibly Simplify It? Premium Member Content

OCCLUSION: Can We Possibly Simplify It?
Over the past 20 years, many of us have been confused, frustrated, unsure and crazy about ... “How do I get my occlusion philosophy on the right path?” At NYU FMR we have developed tried and true techniques that are guaranteed to make you understand occlusion, contact points and mandibular movement that makes sense, is easy to diagnose and systematically treat with success. In addition being comfortable Restoring OVD, understanding TMJ joint position and treating the worn dentition. Using our SOT methods and Level 1-10 Occlusion Classification we can show you how to become successful in the “Occlusion” of your patients.

Presented By:: Dean C. Vafiadis, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
Related Articles
Proximal Contact Areas of the Maxillary Anterior Dentition

Proximal Contact Areas of the Maxillary Anterior Dentition
The goal of this study was to quantify the apicoincisal extent of the proximal contact area (PCA) between the eight maxillary anterior teeth. PCAPs should be taken into consideration for clinical anterior restorations since they determine the papillary and incisal embrasures.

Author(s): Stephen J. Chu, DMD, MSD, CDT;Dennis P. Tarnow, DDS;Christian F.J. Stappert, DDS, MS, PhD, Priv-Doz;Jocelyn H.-P. Tan, DDS
View Article>>
An Esthetic Alternative in Full-Coverage Restorations

An Esthetic Alternative in Full-Coverage Restorations
All too often, restorative dentists are faced with the dilemma of not being able to provide the ceramist the optimal space for maximum esthetics. The reasons are numerous, yet the problem still remains. The dental industry, along with the dental laboratory industry, has developed numerous full-coverage restorative options to obtain maximum esthetics. These include, but are not limited to, feldsphatic porcelain crowns or porcelain jacket crowns, In-Ceram (Vita Zahnfabrik; Distributor, Vident) and…

Author(s): Sergio Rubinstein, DDS;Alan J. Nidetz, DDS
View Article>>
Restorative Space Management: Treatment Planning & Clinical Considerations for Insufficient Space

Restorative Space Management: Treatment Planning & Clinical Considerations for Insufficient Space
In attempting to provide a restorative solution for cases that have been compromised by spatial considerations, clinicians have traditionally opted for an orthodontic approach that did not provide optimal aesthetics due to changes in tooth morphology, specifically tooth size and shape as a result of dental deterioration. With the advent of contemporary aesthetic materials and preparation techniques, clinicians and technicians are now empowered to deliver a penultimate result with minimal compromise to the surrounding dentition. This article presents the clinical and laboratory considerations that must be addressed when providing a prosthetic restoration for crowded teeth.

Author(s): Stephen J. Chu, DMD, MSD, CDT;Jason Kim, CDT, MDT, Galip Gurel, DDS, George Cisneros, DMD
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2019

Preferred Language: English Flag
Contact Us · Login ·