Thursday, March 25, 2010

What are Lumineers ?

Lumineers are a kind of thin veneer by Cerinate, to keep it simple.

Just like regular veneers, the Lumineers can change your like completely if you have esthetic problems like discolored teeth, teeths with large unestethic restorations, flourosis discolored teeth, teeth with gaps etc etc.

The difference between regular veneers and Lumineers is that Lumineers are made from a special patented Cerinate porcelain that is so strong than traditional laboratory-fabricated veneers but thin as contact lenses.

The main advantage of the Lumineers is that minimal tooth preparation is necessary. To keep it simple, very little - if any - of your natural tooth enamel needs to be removed before bonding the Lumineers over your natural teeth.

In the end, Lumineers are often reversible, since your tooth structure is left almost intact, unlike traditional veneers, where a significant amount of your tooth structure may need to be removed, almost everytime the drilling reachsthe dentin.


Sunday, March 21, 2010

Careful with Internal bleaching

If you have a tooth that had a previous root canal treatment and it's getting discolored, sometimes with a range of colors from grey to brown, sometimes even pink when the dentist left some live pulp inside the tooth, there's a good option to put that tooth with again, and that is Internal Bleaching.

So what do you do?

You drill the tooth through the same it was drilled to do the treatment and you protect it 2mm under the CEJ line with Glass Ionomer. You put the Hidrogen Peroxide in the pulp chamber and you close it for 3 to 5 days. Check the results and repeat if necessary.

So... All seems pretty easy and pretty good, and in fact the tooth get much whiter but the problem is that in clinical trials have showed that this kind of treatment has a recidive rate of aobut 50%, which means that after 3 years half the internal bleachs get back to dark again... Although it's never as the original dark color but it gets darker and you may need to internal bleach the tooth again so...

Should you go for internal bleaching? Or just solve the problem with a Ceramic Crown?

I don't have the answer to that, it depends on many factors, so you should be aware of this before choosing the treatment you want...

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Friday, March 19, 2010

Dental XP

Everyone interested in Cosmetic Dentistry already should know DentalXP, but if you are one of those that went on vacations to the moon just click the link above and browse that great webpage dedicated to dentistry.

You will find everything there, great works from the best of the world in their fields.

You can learn a lot from there by becoming a premium user also.


Wednesday, March 17, 2010

First Biohorizons Laser Lok tapered implant

Just got back from the appointment with my first patient receiving a Laser lok Biohorizons Implant to a replace a 13 which had in place the decidous 53, so we made an extraction with imediate placing of the Laser lok 3.8 implant.
I choose the Laser lok in the case because of the gingival retraction the patient had, due to old habit of brushing too hard and the gingival results are great after implant placemente. The gingiva grew a bit, not much, but at least didn't retract anymore.
The implant was also choosed because of the orientation of the apex of the adjacent teeth, which didn't gave me space to place a external conical Biohorizons implant.

For now i'm very happy with Laser Lok, lets see how it osteointegrates...

I'll post the results when I have them