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Video Details
Conservative Treatment Planning for Minimal Esthetic Tooth Deformities

Description:
There is no single best treatment plan for patients who want a better looking smile. Even in a multidisciplinary and multiple restorative dental office there are multiple ways of accomplishing the goal. This presentation will cover some of the diagnostic and treatment parameters when patients present with not only fractured but other minimal deformities as well. The decision whether to bond, veneer, or crown for a young patient will be discussed.

Date Added:
5/6/2015

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...
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Online Videos / Restorative / Other Restorative / Conservative Treatment Planning for Minimal Esthetic Tooth Deformities




Questions & Comments
Yuriy May - (8/31/2016 9:59 PM)

Great Case Dr. Goldstein, What type of porcelain did you choose for the veneers in this case?

Ronald Goldstein - (8/31/2016 9:10 PM)

Lewis, the reason for the incisal wrap design on the central was because there was not much tooth structure left and I wanted to reinforce the incisal. I should have put in palatal photos which would have showed the lingual problems with the endo defect and microcracks. It would have also showed the central incisor was slightly in linguoversion so only a minimal reduction was necessary. Finally, in order to build out he central we needed to reduce the incisal edge and then the final veneer would appear normal.

Lewis Chen - (8/28/2016 3:24 PM)

Hi Dr. Goldstein, I am writing to ask you on your prep design. It appears from the pre-operative photo that incisal edge lengths of the right central and lateral incisors are at relatively esthetic positions. What was your rationale for the incisal wrap prep design and extension of your margins to the palatal surface? I can see why an incisal wrap design can be beneficial for #7 since you're lengthening it ever so slightly and accounting for protrusive excursion. How deep were your preparations? Would you have been able to get away with a window design on #8, pending patient's excursive pattern? - Lewis

Ronald Goldstein - (1/6/2016 4:53 PM)

Ankita, regarding microabrasion procedure I first need to make sure there is no possibility of just doing cosmetic contouring to eliminate a hypocalcified area. And if not then I choose to use the Ultradent technique which has virtually everything you need to complete the procedure. The kit contains a pumice with hydrochloric acid to help remove no more than 25 microns of the enamel surface. It is applied with rotary pressure using the polishing cups first with bristles and then without for finishing and polishing. Dr. Ted Croll normally does it in one appointment but I have found it takes more than one to completely remove the stain.

Dr Ankita Mota - (10/13/2015 7:55 AM)

Very well explained case! Really appreciate your conservative approach & not opting to do all 4 incisors veneers. Sir could you explain the microabrasion technique a little in detail..also do you recommend to use Hydrofluoric Acid for microabrasion procedure. Thank You.

Rafael Reggiani - (10/6/2015 10:34 AM)

Very well explained Dr. Goldstein ! Great vision of what is needed.

Rafael Reggiani - (10/6/2015 10:34 AM)

Very well explained Dr. Goldstein ! Great vision of what is needed.

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