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NEWS - NOTHING BUT THE TOOTH

{ THE ONLINE BLOG }
FEB 19
26
TUESDAY 26TH OF FEBRUARY 2019
Our case of the month for February involves the replacement of a single front tooth crown. Although this may seem a simple process, the technical skill involved in achieving a great match to the adjacent teeth is incredibly high.

A dental crown is often needed if a tooth is badly broken, decayed or has had root canal treatment. Heavily damaged teeth will not be able to withstand the everyday forces of eating, chewing or grinding and may split or fracture. If the fracture is below the gum level or between the roots, the only option will then be removal of the tooth.

The process involved with a crown has changed now that we use a fully digital approach. The only physical impression we need is a small one of the tooth to be able to make a temporary crown. The tooth in question will be prepared to approximately 0.8mm-1.2mm all around with a taper of 6-12 degrees. A vital aspect is something called a 'ferule'. This is where the preparation ends on tooth surface rather than a filling material. If a ferule of 1-3mm can be achieved, the retention and resistance form is very high leading to a long lasting treatment. Your dentist will be able to tell you if this has been achieved.

Once the tooth has been prepared, it is usual for some level of gum 'retraction' using either pastes, cord or a combination of both. This is important so that the margin of the preparation is clear. This is where the crown will sit and hence if the margin is clear, a good fit will be the end result.

We will then take a digital scan of the tooth and surrounding areas including how you bite. There is no need for messy, sticky impressions! On the software we can check that there is enough space, check the margin, shade test the adjacent teeth and check the angulation/ taper.

Then it is time to make the temporary crown. This is usually from a bis acryl composite material and seated with a soft  cement. Our labs will ask for 10 working days in most cases where the scans will be printed and the new crown designed, milled, characterised and glazed ready for fitting.

The fitting appointment is usually straight forward with perhaps a slight adjustment. Once fitted, the crown will take a few days to get used to. After that, it will feel part of your mouth.

Here are the photos of our case:

The left lateral tooth is the one in question. The crown is like a block of porcelain, unaesthetic and very obvious.


The new crown blends seamlessly with the adjacent teeth with characterisation and natural contours.


Needless to say, our patient was delighted.

Treatment completed by Dr Nissit Patel, lab work by Estetica Dental Lab.

Photos may not be reproduced for any reason without strict permission from Dr Nissit Patel.
FEB 19
10
SUNDAY 10TH OF FEBRUARY 2019
We are a bit late for the January case but it is well worth waiting for. The case involves one of our favourite treatments; ABC. As you may well, we believe in MI dentistry. Minimally invasive. We can create stunning smiles without having to drill away your teeth; we simply enhance what you already have.

Our case involves straightening initially using full mouth lingual braces. Lingual braces are the only braces that can be said to be 'invisible'. They are placed behind the teeth so that no one will know that you are having your teeth straightened. Of course, we can use alternative systems such as conventional outside braces or Invisalign also. There are many choices available, long gone are the days of metal train tracks as the only option.

After we achieved a beautiful straight smile, tooth whitening was done using our in chair Phillips ZOOM whitening and take home kit. This was followed by cosmetic bonding to create symmetry of otherwise uneven and asymmetrical teeth.

The results are simply awesome and this is a case of a true smile transformation. Please take a look at the before and after photos:

 

Before treatment.


After ABC- the Progressive Dentistry smile transformation. What a difference.


Light and day. Chalk and cheese. WOW.

Treatment completed by Dr Nissit Patel. Photographs are the sole property of Dr Nissit Patel and cannot be reproduced with strict permission.

If you are considering transforming your smile this year, call us today. It could changed your smile, confidence and approach to life.
JAN 19
10
THURSDAY 10TH OF JANUARY 2019
We love our Trios 3 Shape scanner. We have had the scanner for over a year now and it has changed the way we practice dentistry more than any other piece of equipment within dentistry. Digital dentistry is here to stay.

Not only can we take 3-D scans of the mouth, we are now able to show you how your teeth could look after orthodontic treatment within a couple of minutes. This latest innovation from 3 Shape is called Treatment Simulator. Once the scans are taken of your upper and lower teeth and bite, we can send the images to the simulator for processing.

Here is a recent example:

Before and after front view


Before and after side views


Before and after mirror views


 

These are screen shot images taken from the software and the difference is clear. You can therefore make a more informed decision on whether orthodontic treatment is for you. After all, seeing is believing!

We offer this service free of charge once you have the full clinical examination and scans. If you would are interested in changing your smile this year, we can help. Contact us today!
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