Please activate JavaScript!
Please install Adobe Flash Player, click here for download
ePaper created 2018-02-22, 14:25:50 | version 1.38.0
Dental Tribune Middle East & Africa Edition | 3/2016 news 4 Direct Restorative in treating function and aesthetics ByDr.JanvanLierop Do we always respect the true role of the anterior dentition? Or do we get caught up in the creation of beauty to the disadvantage of function. In this clinical case we show how the understanding of the entire occlusal complex is critical in establishing a beautiful and stable long-term re- sult. By first creating stable anterior and canine guidance we can protect the dentition and the restorations, addingtolong-termstabilityofboth. Understanding When faced with obvious aesthetic shortcomings(asinFigure1)wehave toguardagainstgettingcaughtupin the obvious. Often by looking closer can we identify the true underlying cause. Here the signs of abfraction, loss of posterior support through molar erosion and the lack of canine guidance (Figure 2 and 3) had played a critical role in the eventual wear and chipping of the anterior teeth (Figure 4), part of the initial aesthetic complaint. Function To establish a stable aesthetic result, it is essential that we stabilize the occlusion first. This was achieved by systematically restoring the palatal anatomy of the anterior teeth (Fig- ure 5 and 6) using direct restoratives (Filtek™ Supreme XTE A2B) in a sin- gle visit. This established critical an- teriorandcanineguidance(Figure7). Inasubsequentvisit,onlyafewdays later, the lower posterior teeth were restored to their original anatomy (Filtek™ Supreme XTE A2B) thereby creating total occlusal contact and stability(Figure8). Figure1 Figure5 Figure9 Figure3 Figure7 Figure11 Figure2 Figure6 Figure10 Figure4 Figure8 Figure12 DrvanLierop DrJeanvanLierop is a private prac- titioner in Hout Bay Dental Stu- dio clinic in Cape Town, South Afri- ca. After graduat- ing from the University of Stellenbosch in 1999,DrJeanvanLieropspent some time in private practice in the Netherlands and United Kingdom. He achieved his PDD in Aesthetic dentistry at the University of Western Cape (Cum Laude), and is com- pleting an MSc in Restorative Dentistry at the same University. He is also a visiting lecturer at the University of the Western Cape’s post graduate restorative depart- ment. His primary interest lays in the use of direct restoratives, in particular their use in the conservative treatment of den- talerosionand toothwear. Filtek™SupremeXTEUniversalRestorativematerialnameinMEAregionisFiltek™Z350XTUniversalRestorative. Professionaldevelopmentwith 3MSM HealthCareAcademy Science. Knowledge. Solutions. Dentistry in Practice. International Expert Meeting, Warsaw, 3-4 May 2016 By3M The Dentistry in Practice event held in Warsaw in May, offered through the 3MSM Health Care Academy, was dedicated to all dentists seeking practical tips to solve daily problems in their practices. Throughout the event participating international dental practitioners had the oppor- tunity to share their most successful techniques and newest science that allows dentists to overcome their everydaychallenges. Scienceinandaroundus The International Science. Knowl- edge. Solutions. Expert Meeting in Warsaw hosted 20 specialized ses- sions led by 20 experienced dental professionals within Central Eastern Europe and Middle East and Africa Region.Theyexploredanddiscussed how science is driving evolutions in dentistry and how it can be applied to one’s daily work. The sessions coveredclinicalcasesandinnovative technologies that make it easier to find solutions for better clinical out- comes as well as improve the safety, healthandcomfortofthepatient. With easy access to the knowledge exchangedbyexpertson www.dentistryinpractice.com, we al- low every dentist to become a part of the conference directly from his or her home or office. In a quick and simple way, dentists can review vid- eos of the Specialized Sessions that were recorded during the Expert Meeting in Warsaw online at any time. Knowledgefordevelopment 3M is connecting the specialist com- munity to drive the exchange of knowledge, clinical experience and ideas that result in brilliant techno- logical solutions. Our goal is to make sure that our solutions have a real impact on the everyday practice of dentists and enable them to achieve greater clinical success. Working with patients is a real challenge and responsibility, requiring constant development and enhancements towardsmodern,science-basedsolu- tions. This is why we created a dedi- cated website that allows dentists to watch videos online and provides the opportunity to obtain practical tips with their utmost convenience in mind. We want to be everyday partners and advisors in your prac- tice. Solutions for simplified and betteroutcomes Every dentist can be a part of the 3MTM conference, with access to its content online. After registering, our partner dentists will receive notifi- cations every two weeks about new conference video materials, which will be regularly uploaded on dentis- tryinpractice.com. 3M, aiming to be partner in the daily work of dentists, has developed this innovative and convenient exchange of knowledge to improve dental practices through easy-to-apply solutions. This will help specialists to continue their education in a modern way, and to share their learnings and experi- ences throughout the dental com- munity. With www.dentistryinpractice.com, 3M helps science to move out of the laboratory and into daily practice for optimal clinical outcomes and the highestpatientsatisfaction. Contact Information ElenaGolubeva MarketingManager OralCareSolutionsDivisionCEEMEA egolubeva@mmm.com Aesthetics 3 months after the occlusion had been stabilized, anterior aesthetics was created following a digitally de- signed plan (Figure 9). By transfer- ring the digital plan to an analogue model we could create stents to guide in the aesthetic restoration (Figure 10). By using Filtek™ Su- preme XTE (shade A2D and A1E) in a layering technique a beautiful result was achieved (Figure 11 and 12). Real- izing the ultimate goal of achieving protective function and long-term aesthetics.