Things to know about Porcelain Veneer

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                                 before porcelain veneers                                                      after porcelain veneers                       

     Porcelain Veneer News

Remedent and Objet Geometries Team Up to Enhance Digital Cosmetic Dentistry Solution

"Using the Objet Eden 3D printing solution, Remedent is now able to rapidly manufacture high quality customized veneer models and delivery trays directly from their proprietary design software," said Avi Cohen, Head of Medical Solutions at Objet Geometries. "Objet's 3D printing solutions provide dentists with a high level of precision that is otherwise difficult to achieve using traditional freehand dental techniques. The ability to perfectly reproduce smooth, finely detailed dental parts in real life; straight from the CAD design imagery represents a significant leap towards the age of full digital dentistry." 

GlamSmile involves a proprietary veneer fabrication technique and a patented single-motion veneer placement tray which are both guided by a proprietary computer imaging, design and digital preview system. The unique tray delivery system lets dentists expertly seat 10 ultra-thin, custom veneers in less than an hour while preserving tooth structure. All the features of GlamSmile together -CAD/CAM technology, digital preview for dentists to evaluate the design and a unique full arch tray delivery system used in conjunction with minimally or no preparation ultra thin veneers- have revolutionized the art of veneering and transformed already many smiles and lives across the world.....

          via PRNewswire http://www.prnewswire.com

  Porcelain Veneers are dental restorations done by preparing the labial or buccal tooth surfaces.An Impression is taken after the tooth preparation.This is sent to the dental laboratory together with the tooth shade to be processed.Once processed, the prepared tooth surfaces are acid etched ready for the cementation of the porcelain veneer using composite luting cement. Porcelain veneers greatly improves the cosmetic appearance of teeth.Porcelain veneers  cost starts from $1,000 up.Porcelain veneer cost could go higher with the use of the new technology mentioned above.But if it makes the procedure as precise as promised then it is worth the price for a perfect smile.

     Indication for Porcelain veneer
1. Mild tooth surface discoloration that can not be removed by bleaching.
2. Hypoplasia
3.Small Tooth fracture as seen during trauma to anterior teeth.
4. Tooth wear lesions
5. Minimal space closure like in diastema
6. Veneers are sometimes used to modify tooth shape but with in a certain limit
7. aesthetic masking of minor tooth position problems
 
    Kinds of Veneers
1.Acrylic laminate veneers- not used anymore
2. Resin Composite- used for adolescent patients where excessive tooth preparation is not advisable
3. Porcelain Veneers- commonly used now due to its advantages

    Advantages Of Porcelain Veneers
1. Aesthetically better compared to composite resin
2. It is more durable
3. Less plaque retention
4. Longer life span provided proper care and good oral hygiene are observed
5. Minimal tooth preparation compared to Porcelain Jacket Crown tooth preparations

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How Does Sedation Dentistry Works ?

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 News for sedation Dentistry

       Sleep Dentistry An Option For Those With   Dental Phobias

A trip to the dentist has become more soothing for the anxious patient with the advent of a process known as sleep dentistry.The term “sleep dentistry” (also known as “sedation dentistry”) is a bit of a misnomer in that the patient isn’t technically asleep. Instead, the patient is placed into a relaxed state with the use of strong sedatives, allowing the patient to experience the dental procedure as if in a dream. Local anesthetics also are in the mix to make the session pain-free, although the patient will experience the usual discomfort once the anesthetic wears off. This treatment came about as a way to entice those with a fear of a visit to the dentist to put those fears aside to receive dental treatment that is sometimes a necessity. Some dental procedures can be invasive and painful, too much so for some patients, so the prospect of being able to “sleep” through the procedure helps some patients to overcome their fears.

           via The Daily Planet Dispatch

     Sedation Dentistry is a technique used in dentistry in which the use of drugs produces a state of depression of the central nervous system enabling treatment to be carried out, but during which communication can be maintained and the modification of the patient's state of mind is such that the patient will respond to command through out the period of sedation. This is according to General Dental council.
     In the dental clinic,there are children and adults who are very apprehensive about dental treatment.Some could be managed by discussing their fears and reassurance in the part of the dentist which sometimes works.But there are cases where no amount of reassurance works.A child patient whom you can not entice to seat on the dental chair. A child  who seats on the chair but when the dentist tries to start the treatment, he starts kicking and thrashing.A man or woman who starts to sweat , hyperventilate,tremble and cower at the sight of the needle.It can sometimes be funny,sometimes irritating if you see it in adults but  their fears are to them true.The anxiety felt is so strong that the tooth ache they are feeling is disregarded.This fear prevents them from seeking dental treatment to the detriment of their oral health.Then it is time to consider sedation dentistry.


     Routes of sedation dentistry
1. Oral Premedication- normally using benzodiazipines
2. Inhalation sedation - using nitrous oxide and oxygen.There should be correct mixture of both gasses using  a  specific equipment.The   most common equipment used is the Quantiflex system.
3. Intravenous Sedation- uses one of the following drugs
   a. Earlier drugs used were pentobarbitone,pethidine, hyoscine, methohexitone and benzodiazipine drugs
   b. Midazolam which have superseded the use of diazepam.
4. Hypnotherapy- uses hypnosis
5. Transmucosal sedation - usually intranasal or through the nose

 Sedation Dentistry is not for patients who have:
1. Sever respiratory diseases
2. Neurological disease like multiple sclerosis
3. Deafness
4. Sever mental or physical impairment
5. Nasal obstruction like nasal polyps,common colds
6. Patients intolerant to mask if contemplating  the used of inhalation sedation

 Intravenous sedation is contraindicated for:
1. Patients taking oral benzodiazepines because they will be more difficult to sedate.
2. It is not suitable for young children under 10 years old.

What to expect with conscious sedation dentistry,take note that these are temporary only
1. Tingling sensation in the fingers,toes,lips and tongue
2. Tinnitus or ringing noise in the ear.
3. Lethargy - delayed or slowed reaction to requests
4. Mild intoxication
5. Some patients may hallucinate under sedation.
6. Normally controlled emotions may be released with the use of intravenous sedation.
7. Patients are not discharged until they have fully recovered which is from 1 hour to 1 hour 30 minutes.

 Sedation Dentistry in conjunction with the use of local anesthesia is a means to help very anxious patients have much needed dental treatments, therefor improving their quality of life.
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What Everybody Ought To Know About Mercury and Amalgam

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Amalgam is the oldest dental filling in dentistry.It is composed of mercury and metals like silver,tin,copper and zinc.It is still the filling of choice today for big cavities specially in the molar areas.Amalgam fillings in these teeth are needed to withstand the  forces during mastication.The Food and Drug Administration  and American Dental Association still approves the use of amalgam as dental filling. Only  precaution is regarding pregnant women and children below 6 years of age.That is to defer removing amalgam fillings when a woman is pregnant to avoid the inhalation of aerosol generated when burring out old amalgam fillings.But people should know that when the dentist uses high vacuum  dental suction while working,there is little aerosol spray only because the dental suction does sucks most of  the aerosol produced.
   Amalgam can be replaced by using composite fillings.Today, there are composite fillings manufactured specially for posterior teeth like the molars.The only problem with composite is, it is technique sensitive.The dentist should follow certain guidelines or techniques in using composite filling for it to have a higher chance of success.Unlike amalgam,it is not so sensitive to techniques but still has also its own guidelines to be followed.In the presence of tooth sensitivity some dentist prefer to use composite to avoid exacerbating the problem if metal filling is used.Since amalgam,a metal could conduct temperature changes to the tooth.But with the use of dental cement as base under the amalgam ,amalgam can still be used.
    If you are so concern about mercury in amalgam,discuss with your dentist the alternative filling or other possible dental remedies for your problem.There are inlays,onlays and dental crowns as choices aside from composite depending on the depth,size and location of your dental cavity.

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How to Stop Bruxism with the Dental Remedy

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abraded tooth until the pulp was exposed

  Bruxism is simply teeth grinding.It could be during times of stress when one is awake or when one is asleep.Grinding one's teeth during sleep causes more damage to the teeth.Clenching of the muscles repeatedly could cause muscular pain and head ache.In bruxism,the muscles of the upper and lower jaws are affected.The nocturnal gnashing of teeth causes attrition of the enamel,which is the hardest part of the tooth.This causes tooth sensitivity.If bruxism is not corrected then the attrtion of tooth surfaces could lead to pulp exposure and later death of the pulp.Bruxism do not only cause damage to the tooth but also can lead to temporo mandibular joint pain.
    Learning to manage stress would help prevent bruxism.Consult your dentist.Oral splints could be fabricated for you to minimize the damage to your teeth.This oral splints are worn at night.The time when a bruxist do most damage to one's teeth.Dental attrtion usually presents ragged edges causing irritation to the tongue.If present in anterior teeth,it is unesthetic and could become very sensitive.These therefor needs to be restored   to stop further damage  and for cosmetic reasons.

 If there is myofascial pain,it could be due to the chronic clenching of the muscles, It is characterized by:
1. acute but diffuse pain on the muscles of the face,neck and head
2. limited mandibular movement
3. difficulty of mastication
4. diffuse pain on the area
5. The dentist cannot find any pathology in the TMJ x-ray

Here are some remedies:
1.Anti inflammatory drugs
2. Warm compress to the face
3.Soft diet
4.Manage to reduce stress
5.Muscle relaxant drugs that can be prescribed by your doctor.
6.Oral Splints

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