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Dental Tribune United Kingdom Edition

8 Event Review United Kingdom Edition May 2014 For more than 20 years, Luxatemp has been setting new benchmarks as the ultimate material for perfectly fitting and aesthetic provisionals. DMG has continuously expanded its range of products for temporaries – with bespoke variants to meet all the everyday requirements of the practice. Whether Luxatemp-Plus, the reliable tried-and-trusted classic, Luxatemp-Fluorescence, for superior natural aesthetics, or Luxatemp Star, the high-tech material with new record values in flexural strength and fracture resistance – each member of the Luxatemp family offers the quality and unique clinical results for which Luxatemp has been known worldwide for years. www.dmg-dental.com Everyone has a favourite. Luxatemp. Awards for Luxatemp Star. Luxatemp Star is sold in the USA under the name Luxatemp Ultra. *Market share USA 2012 according to the dental research company Strategic Data Marketing. The No. 1 for temporary crowns & bridges* AZ_Lx3_DeEn+GB_2014-01.indd 1 10.01.14 11:08 Top Tips For Aesthetic Brilliance Part 1 Lloyd Pope BDS describes Galip Gurel’s use of APTs for veneers, one of the cornerstones of Galip Gurel’s presentation at the 10th Annual BACD Conference T he keynote presentation at this year’s BACD Con- ference was delivered by Galip Gurel, arguably one of the world’s leading exponents of min- imallyinvasiveaestheticdentistry. Nowadays, just a small amount of treatment to one or two teeth can have a dramatic effect on the overall aesthetic result. We need to be able to visualise the final result ourselves and then introduce our ideas to the patient. One of the most important tools for achieving this is the use of Aesthetic Provisional Temporary (APT) mock-ups, one of Galip’s outstanding areas of expertise. Galip highlighted the evolu- tion of veneer preps as fol- lows: 1) Solely using depth guide dia- mond burs 2) Silicone indexes, which were an improvement but still had some faults 3) APT mock-ups With simple cases, you can virtually guarantee that every dentist will do the same veneer preparations because all the teeth are perfectly aligned. What is more they can easily be prepped using depth cutting burs follow- ing a standard protocol. There are various depth cutting burs avail- able, some with single sections and some with multiple sections. These burs are also available with different depths so that there is something available for every circumstance. The preparations should be supra-gingival. Once prepped you can provide provi- sionals for the patient to wear whilst the final restorations are prepared. Simple preps, with re- ductions within the enamel only offer good long-term success be- cause there is optimal bonding and minimised flexing of the re- sidual tooth. However, if the case involves space management, either be- cause of overcrowding or over- spacing, this creates different problems. If space management is involved this requires a de- gree of visual illusion in order to achieve an aesthetic result. Essentially you can change the alignment and appearance of the smile by altering line angles etc. Sometimes not every prep is perfect, no matter who does it, therefore you need a protocol to make it more reliable and pre- dictable. Rule 1 – if the teeth are crooked don’t do veneers straight away, use orthodontics first to move them into a reasonable position first. The Aesthetic Provisional Tem- porary Protocol Step 1 – The mock-up and silicone key Do a mock-up in composite to create the final outcome, though not necessarily in every detail. This is designed to assess the length of the teeth etc and to share the information with the patient. At this stage you can add composite to the teeth and even onto the soft tissue to see the ef- fect of any proposed soft tissue adjustment within an appropriate frame, the lips. Both you and the patient can assess the effect. Will orthodontics be required or not? This depends upon the patient’s opinion, so sometimes yes and sometimes no.