Responsible esthetic dentistry embraces the notion of optimizing esthetic results with minimal tooth structure removal while acknowledging the inherent risk to the dentition as a result of any restorative intervention. It is this systemic approach that underlies my esthetic treatment planning and, more often than not, multilayered composite allows me to provide the highest quality esthetic dentistry with the least impact to tooth structure.
There are several methods used to fabricate temporary restorations. They range in complexity from “block” temporaries, formed from the free-hand carving of set temporary material placed over the prepared tooth, to pre-fabricated stainless steel or acrylic temporary crowns to 3D printed or milled temporaries.
There is a constant stream of social media content depicting a wide variety of methods of improving one’s smile. These vary from at-home and in-office tooth whitening to actual dental procedures that alter existing tooth shape and positioning. In many cases, viewing even moderate tooth reduction on these social media platforms can produce anxiety in a patient that is actually contemplating such a dental procedure.
Long-term restorative treatment of the worn dentition can be a complex endeavour and possibly extend beyond the scope and experience of the general dentist. Additionally, restoration of this compromised dentition may require other health disciplines’ involvement to address any psycho-social factors that may limit the long-term success of the restorative treatment.
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