The previous case showed just how effective non-invasive techniques can be. Sometimes, however the teeth are too heavily restored and too far out of line for us to use these techniques to any great effect. On these occasions we need to resort to cast porcelain restorations such as crowns, onlays and veneers. When porcelain is used in these ways then the results can be incredible and, literally, … [Read more...]
A Great Example of a Favourite Technique – “Bleach and Bond”
I never get tired of doing this type of dentistry and I hope I never will. The world of bio-aesthetics has shown dentist how we can make dramatic changes to a patients teeth with little or no alteration to the underlying sound tissue. The fact that we can do this at the same time as protecting the teeth from further damage makes this a genuine "win-win" technique. The whitening takes 2 weeks to … [Read more...]
An Affordable Alternative
This case highlights the point made in the last post about cost effective alternatives. The tooth in question had be scheduled for extraction and could only be replaced by an implant retained crown (approximately £2000) or a denture. A denture would be a problem in this case as there was active gum disease which is always harder to control in patients who where dentures. The tooth was too broken … [Read more...]
I hate to say I told you so
Back in April 2007 I wrote that a decision to make endodontic files and reamers single use was going to spell the end of root canal fillings on the NHS. It is with sadness that I read yesterday that a government report on the new dental contract (introduced in April 2006) has seen a 45 % reduction in root canal fillings provided on the NHS. This has been matched by an increase in tooth … [Read more...]
Two Very Succesful Days
I am back from two days lecturing in Norwich last week and am hugely motivated by the level of knowledge and dedication that the dentists we taught showed. I was lecturing as usual with Dr Jansie van Rensburg (www.fibrebond.co.uk) on our special interest in fibre reinforced composite restorations. I have mentioned this topic before in the blog and it is one of the exciting growth areas in … [Read more...]
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