After several years of working as a dentist I collected a lot of experience and scientific data about ceramic restorations. I learn from every case and analyze my protocols after follow-ups to improve efficiency of my practice, ease my daily routine and obtain more predicable results.
We can improve tooth shape and color with ceramics and that’s what we call white aesthetics. But is it enough? Can we leave gums without correction and smile will be nice in all cases? Is pink aesthetics so important or we just doing unnecessary uncomfortable procedures? Let’s take a look.
During last three months I had 3 different patients with repetitive problems: failed dentition caused by periodontitis, severe bone loss and accompanying diseases. Find below described solution with only 4 dental implants.
“If you fail to plan, you are planning to fail.”
This quote is essential in dentistry. Especially in total rehabilitation. When we deal with one tooth we perform diagnostics mostly concerning one tooth: X-rays, vital check, probing etc. When we perform whole mouth reconstruction we have to find a complete solution for the case. That means we have to make diagnostics for every single tooth but also a functional and aesthetic analysis, occlusion check, temporomandibular joint, alveolar bone and estimations of the patient to make the proper long-term treatment.
Every week I meet with tooth fractures after root canal treatment. Here are some cases of mine:
I always dreamed to do ceramics. When patient’s smile changes dramatically I’m inspired. That’s why I venue my time and effort to learn and understand aesthetics and functioning of human body. I thought that I will work with a team of specialists who will perform other parts of treatment: surgery, endodontics, orthodontics.
For pity I couldn’t find a dentist, who will do root canal treatment for my patients. So I started to do it by myself.
«Smile, it’s the key that fits the lock of everybody’s heart»
Can we imagine easier and more effective way to gather somebody’s interest than a sincere smile? Can people live a social life without smiling each other and not feel disabled?
Maybe when your girlfriend doesn’t smile to you she still loves you. Maybe she shames her teeth
Who likes to visit a dentist? Although some doctors love themselves, I think that nobody. Even their brotherhoods.
Recently I’ve been in dental office. It was a stress for me even if I had to change a filling. Visiograph sensor with doctor’s finges unpleasantly pressed my palate then I survived two injections of anaesthesia. But even that didn’t helped me from the overstretched mouth feeling. I don’t say about rubberdam, when you must swallow with opened mouth as breast-fed infant.
What matherial is better for restoration?
Adepts of veneers say that ceramics lives longer. Yes. But you have to drill tooth at least 0,3-1,5 mm and no matter big defect, small or intact tooth.
Adepts of composite restorations say that it’s less invasive, faster and cheaper. Yes. But big restorations chip and become “old” faster.
I don’t restrict myself with one method. If I need a big restoration I make veneer. If it’s small defect I can do composite filling.
Perfection is’nt about the price of work nor about equipment. It’s personal willing of doctor. His thoughts, his motivation. Right doctor will buy nessessary instruments, will invest in self-education. And the most important: will spend his time and strenght to make his work good.