Dental Tribune United Kingdom Edition

13Cosmetic TribuneMay 21-27, 2012United Kingdom Edition page 14DTà P5 Newtron Range P5 Newtron XS with LED Apical Surgery Tips IrriSafe Tip Endo Success Tips Extremely versatile ultrasonic and irrigation products for endodontic treatments. TIPPED FOR SUCCESS W e t o c r e a t e For further information: 01480 477307 info@acteongroup.co.uk | sales@acteongroup.co.uk | www.acteongroup.com Our complete series of ultrasonic generators are available with or without self-contained irrigation and LED light. Other options include the Sterikit and a wide selection of tips. (Free CD-ROM Tip Book is available on request) 2012 Tipped For Success A4 Ad_2012 Tipped For Success A4 Ad 06/01/2012 12:29 Page 1 T oday’s patients expect restorations that are both functional and aesthetic. Unlike yesteryear’s, today’s patients have better knowledge of the advanced materials available and state- of-art equipment. Conse- quently, they have high expec- tations when designing their smile and other procedures to achieve optimum results. The specialist’s main aim is to achieve complete oral re- habilitation in the most con- servative manner. When choosing a treat- ment option, dentists and technicians must satisfy both the clinical criteria and the patient’s expectations. To de- sign the optimal outcome for a patient during aesthetic en- hancement, the dentist must seek to create a symmetrical and harmonious relationship between the lips, gingival ar- chitecture and the positions of the natural dentition. Case report A 27-year-old patient visited our practice with the chief complaint of attrition in the lower front teeth and gener- alised discoloration of all the teeth. He also complained of reduced visibility of the low- er anterior teeth along with blackish discoloration of the gingiva. Examination and treatment plan Clinical examination revealed attrition of the lower anteri- ors up to the level of the mid- dle third of the coronal tooth structure in relation to teeth #31, 32, 41 and 42. All the teeth were discoloured and extrin- sic stains due to the patient’s seven-year history of tobacco chewing (as reported by the patient) were present. Overall gingival asymme- try was observed. Generalised pigmentation of the gingiva was also observed (Figs 1, 2). It was decided to treat the pa- tient in four phases. Phase 1: Preliminary phase Impressions were taken and study models were prepared. An OPG was taken. Oral prophylaxis was done. The patient was recalled after two days for further treatment. Phase 2: Surgical phase The second phase entailed a laser-assisted gingivectomy and laser-assisted endodontic sterilisation. Gingivectomy Lasers offer increased opera- tor control and minimal col- lateral tissue damage. The fine tip of the diode laser can be manipulated easily to cre- Lase to amaze Dr Kirpa Johar presents a case Figs 1 - 2 Initial clinical examination showing attrition and depigmentation of the mandibular anteriors