Dental Tribune United Kingdom Edition

For more information or to place an order in the UK please call 0800 169 9692 or in Ireland please call +44 1438 245000 email sales.uk.csd@carestream.com or visit www.carestreamdental.co.uk © Carestream Dental Ltd., 2012. features of Cs r4 R4 Mobile Direct link to PIN pad Patient Check-in Kiosk Care Pathways Communicator Steritrak E-Forms Patient Journey On-line Appointment Booking Text Message and Email reminders Clinical Notes Appointment Book Digital X-Ray Managed Service Practice Accounts At the heart of your practice CSR4Clinical+ PracticeManagementSoftware Working with you CS R4 Clinical+ practice management software is constantly working to help your practice function as smoothly and efficiently as possible. From text messaging, email patient reminders and easier appointment booking to improved clinical notes and closer integration of digital imaging services. CS R4 Clinical+ also incorporates elements to help explain your treatment proposals and effortlessly increase patient acceptance. Then when you’ve closed for the day CS R4 Clinical+ goes on working, backing up your data, updating your software and preparing your system for the next working day. As the demands on the modern dental practice grow CS R4 Clinical+ helps you to grow with them and to flourish even in the most difficult times. In fact, CS R4 Clinical+ is central to the success of every modern practice. NEW AutoPost NEW eForms T he move to less inva- sive treatment options in aesthetic Dentistry driven by GDP-provided or- thodontic programs has been a step forward in patient care, supported by the British Acad- emy of Cosmetic Dentistry (BACD). The straighten and whiten mantra (Figs 1 and 2) with associated compos- ite bonding is the future but there are still complex issues and the extreme high lip line (more than 3mm of visible gingivae above the laterals on smiling hard, Fig 3) or “Gum- my” smile is one of the most difficult to treat. “Expectation is merely pre- meditated disappointment” – this is the pervading fear in all aesthetic treatment plans, especially the more complex cases. Social media and an in- crease in appearance-driven trends has raised our patient expectations which can be dif- ficult to sate in these, the most challenging of aesthetic cases. Balance (Fig 4) is the key to achieving both our own, and our patients’ desires, es- pecially in high lip line cases where even at rest all of the anterior teeth may be visible. Thus in these cases, achieving balance in the soft tissue can see a beneficial result. There are many ways to achieve this balance; either or- thodontically, by gingival con- touring, or crown lengthening (hard and soft). Orthodontics is the least invasive method, and with the use of the Inman Aligner introduced five years ago by Dr Tif Qureshi, this op- tion to improve the tissue bal- ance is routinely utilised. This can be done in as little as four weeks (Fig 5) and as we see in this case where the patient did not want any surgery, the bal- ance has been improved. High lip line treatment: a case study and recent developments Dr Peter JM Fairbairn BDS (Rand) looks at the treatment of high lip lines “ ‘Expectation is merely premeditat- ed disappointment’ this is the pervading fear in all aesthetic treatment plans, especially the more complex cases” page 24DTà 23ClinicalNovember 12-18, 2012United Kingdom Edition