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Dental Tribune Middle East & Africa No. 4, 2017

Dental Tribune Middle East & Africa Edition | 4/2017 GENERAL DENTISTRY 19 ◊Page 18 trays, and the second for upper and lower Essix retainers to be fitted the following day to prevent relapse during home tooth whitening. The whitening process was carried out at night (Enlighten Evolution night 10% & 16% Carbamide peroxide) with the patent wearing her Essix retainers during the day. To speed up the whitening of the darker UL1, this tooth was whitened both labi- ally and palataly. At the three week whitening review it became appar- ent that the patient experienced a complication with the whitening of UL1, as the tooth had not whitened as predicted and unfortunately became more opaque than the neighbouring teeth. A further week of whitening was carried out, but this did not solve the aesthetic issue. (Fig. 7) Two options were discussed with the patient: 1. Make all the teeth more opaque in appearance to match UL1 using an opaque composite resin. 2. Directly restore the tooth with a minimal facial preparation to allow for layering with more translucent composite. With the patient’s consent, the UL1 was given a minimal facial prepara- tion prior to restoring upper 3-3 with direct bonding using the wax-up as a guide. (Fig. 8-10) Conclusion Simple anterior alignment ortho- dontics can offer very simple and efficient treatments to patients who might otherwise have chosen more invasive procedures. Using digital planning via IAS Academy’s unique Spacewize> Archwize>3D printing pathway, the patient can be consented at every stage and full control can be kept of the anterior occlusion even when us- ing different appliances, as they are ultimately built on a co-ordinated 3D setup. landmark> With a combination of bleaching and some bonding, dramatic results can be achieved with very low risk and this kind of treatment can be af- forded by many more patients. The concept of align, bleach and bond (ABB), as pioneered by IAS Academy, is redefining the way many dentists approach cosmetic / aesthetic and functional dentistry altogether. (Fig. 11-14) Dr. Richard Field UK. Richard gradu- ated with Honours from the Univer- sity of Glasgow in 2011 and in 2014 was awarded Overall Best Young Dentist UK at the Dentistry awards. He works in private practice splitting his time between Bristol and central London, and has a keen interest in biological re- spectful aesthetic dentistry. www.DrField. co.uk / RichardField@me.com. Richard gained certification for the ClearSmile In- man Aligner in January 2013, after com- pleting the London hands-on training course with Dr Tif Qureshi. register for FREE – edubation everywhere and anytime – live and interabtive webinars – a fobused disbussion forum – free membership – no travel bosts – no time away from the prabtibe – interabtion with bolleagues and experts abross the globe – a growing database of sbientifib artibles and base reports – ADA CERP-rebognized bredit administration www.OTStudyClub.com Ortho Tribune Study Club Join the largest educational network in orthodontics! ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providersof continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

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