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Video Details
Full Arch Minimally Invasive Direct Composite Smile Makeover

Description:
Dr. Richard Coates shares with us the step by step methodology of increasing vertical dimension in a 27 year old with severe erosion, and then the steps he took to restore this very difficult case from posterior teeth to anterior. He details all steps taken through to finishing and polishing of the direct bonded composite restorations. The Kois occlusal deprogrammer was key to success in this case and fabrication and features of the deprogrammer are also explained in this webinar.

Date Added:
12/5/2018

Author(s):
Richard Coats, BDS, PG
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Online Videos / Restorative / Other Restorative / Full Arch Minimally Invasive Direct Composite Smile Makeover




Questions & Comments
PAOLO Mastrangelo - (1/20/2019 2:26 PM)

Restorative Direct is sure the first choice for many patients. But I think is of nothing educational value to show these complex procedures...with no dam use, imho.

brian mills - (12/19/2018 8:02 PM)

Richard really nice case with a great life changing result for your patient. Thanks for sharing the case. Take care Brian Mills

Jeffrey Sims - (12/8/2018 4:14 PM)

Well done!

Richard Coates - (12/8/2018 6:38 AM)

Hi Hassam , the single tooth Mock-up was created with idealised proportions and a length of 11mm. This was then checked with lips in repose in order to gain an idea of our finalised smile line. (The presentation got a little stretched in widescreen before publication) but I can advise you that ideal proportions were achieved in order to close diastema and give us desired length of tooth. I have been mocking up by eye for years but would consider a full wax up to be an appropriate way to creat a single tooth stent for the same purpose. Remember I was also replacing lost palatal tissue so this has to be included in the mock-up. I have been a member of the AACD and Dental XP for nearly a decade and these organisations offer the best courses and conferences for international dentists.

Richard Coates - (12/8/2018 6:29 AM)

Thank you very much Dr Goldstein. I very much appreciate the feedback from someone I consider to be a mentor.

hussam sudani - (12/7/2018 6:10 PM)

Excellent work and presentation but my question dr. The single tooth mockup which determined the required hight of anterior plate depend on what ? Or just on visual examination. Thanx alote

Ronald Goldstein - (12/6/2018 1:27 PM)

Beautiful result, Richard! Precise and well illustrated video and reminded me of a similar case I did and published in the first Change your Smile book...but you have taken it to a new level. So congratulations on great technique and perfect video!!

Richard Coates - (12/2/2018 1:55 PM)

Hi Mohammed, no bite guard required as we have a predictable deprogrammed stable occlusion developed with patient in CR through equilibration by addition. I have similar cases with a much longer history and have little experience of wear or restoration fractures. Yearly polishing is all I recommend and I confirm at reviews that we still have a stable occlusion. I would only place a bite guard if patient had recognised parafunctional wear.

Mohammed salim880 - (12/2/2018 9:28 AM)

Fantastic case Richard. Very thorough & super end result. Would the patient need a bite guard for long term longevity?

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