Amelogenesis Imperfecta (AI) disrupts the composition of enamel in teeth. The condition can be x–linked, autosomal recessive or dominant. AI can affect both permanent and primary teeth. Clinical presentations of AI can include sensitivity, surface roughness, and discoloration. Diffuse pitting or grooves are caused by defective matrix deposition, showing up as reduced enamel thickness. Most…
Patient Presentation A patient presents to the orthodontic office with a chief complaint of straightening her upper and lower front teeth. She is particularly concerned about the vertical height of the two upper central incisors, which also cause an unbalanced upper lip position at rest. Dental history Previous root canal treatment of upper left central…
At-home teeth whitening systems are the new craze. A scroll through your social media shows everything from “laser activated” gels to charcoal toothpastes. With the flood of new whitening systems into the market, clinicians have to choose which system to invest in. Mode of action Hydrogen peroxide (usually 2-6%) and carbamide peroxide (10-16%) gels are…
Direct restorations can be a relatively low cost and a minimally invasive treatment option for the esthetic case. However, in a case aiming to restore anterior teeth involving a bonded lingual wire, our options of accessibility are limited. Here we outline a case by Dr. Malterud, showing how esthetics restorations in the presence of a…
Any treatment performed should stand the test of time. When dealing with the esthetic restoration of teeth, what you see during the time of insertion is expected to remain stable for years going forward. There has been much speculation regarding the gingival stability surrounding porcelain laminate veneers (PLV). Although short-term studies have shown favorable stability…
Fluorosis can be seen in varying degrees of severity. Regardless of the severity, it can produce a very un-esthetic condition, especially on anterior teeth. This condition can have a profound effect on the psychosocial state of a patient; especially considering the young age that fluorosis is first noticed. This undesirable mineralization of enamel is brought…