Achieving the Perfect Smile with Crowns & Veneers · Digital Smile Mockup-is a proven practice...

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Achieving the Perfect Smile with Crowns & VeneersTODD C. SNYDER, DDS, FAACD, FIADFE, ASDA

To Learn:• Preparation Designs• Tips & Materials• Provisional Techniques• Cementation Protocols

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Why Are YOU Here?

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• a d d fadf jas

What Do YOU Want?

• Advertising

• Staff Training?

• Office Appearance

• Financing?

• Follow up?

• Or Create Emotional Opportunities & Sales of Cosmetic Procedures?

Will That Get You What You Want?

More Patients, Money…

According to the American Academy of Cosmetic Dentistry 50% of patients are

unhappy with their smiles and 3 out of 5 people will invest in their smiles.

How Do You Get More Cases?

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Consumer/Patient Impression/Opportunities

• Do they know what a Cosmetic Dentist is?

• Do they perceive you are one?

• Will they go somewhere else because they think you are a family dentist?

• Do they think you are capable of providing a great smile for them?

• How can you alter their perception?

• What is your brand image?• Your office appearance?• Website?• Your ads?• Your social media?

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Invest in technology.

-Office iPad (Large)

-35mm Digital Camera

-Big Lobby Television

-Software Systems

Personal Case Books

Office Displays

Referral Cards

Gift Cards

Custom Smocks & Bleach Kits

Modern Tools**

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One of the most powerful & fastest tools you own to create cosmetic opportunities??

WHITENING

Immediate Call to Action Motivator

Start Here

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Over-the-Counter Teeth

Whiteners: $1.4 billion

(MSNBC) ...

(Consumer Reports).

Over The Counter Whitening

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Whitening

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Opalescence GO!• Fast, Easy, Effective, Better

Experience• Convenient & affordable

professional whitening to GO• Pre-loaded, disposable UltraFit™

tray for a custom-like fit• Molar-to-molar coverage• No chair time

Opalescence Go Sample Tower

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“Total annual revenue in the teeth whitening industry topped $11 billion at the beginning of

2015, with $1.4 billion spent on teeth whitening products. These figures suggest a steady annual increase in the teeth whitening market industry, which is expected to continually climb over the

next 10 years” AACD Research

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So why are people willing to pay top dollar for a beautiful smile

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Cosmetic Alterations

• How many of you want to buy something sight unseen?

• How many of you want to experience something first before investing?

• Your patients are no different!

• They are concerned about how it will look and feel. They want to be excited and happy!

• Don’t Just Tell…..Show & Tell!

The Key to Success:

VisualizationWhat is the patient’s perception or desired outcome in their mind to create the EMOTION and DESIRE?

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YOU NEED CAMERAS

http://www.instagram.com/Toddsnyderdds/

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EYESPECIAL C-III (SHOFU)

• Designed for dentistry

• 8 modes

• 12 Megapixels

• Dental cropping and grid lines

• Large LCD touchscreen

• Water and chemical proof

• Durable rugged Exterior***

• Fast autofocusing & anti-shake capabilities

• Held with one hand – weighs only 1lb

• Compatible with the Eye-Fi X2 card –

Immediately upload images onto PC, iPad,

Tablet or Smartphone

EYESPECIAL C-III (SHOFU)

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EDIT & DRAW FUNCTION ON THE

EYESPECIAL C-II

• Edit functions are ideal for

patient education

• Under the Menu key you can:

• Draw on images to show

areas of focus

• Rotate the image

• Protect the image against

being deleted

ISOLATE SHADE MODEFOR OPTIMAL SHADE MATCHING

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EyeSpecial C-III35mm Pro

Cosmetic Dentistry

EyeSpecial C-IIIKodak DCS-N

Cosmetic Dentistry

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What do they want or envision?

Look at books or your cases.

Bring in examples of smiles.

HOW DID WE GET HERE?

Everyone has an opinion & priorities

How WHITE?

Translucency?

What Texture?

Color Transitions

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What about example

pictures?

◆ Are they relevant and

realistic?

Photographic Manipulation

• Cosmetic “Imaging” Software• SmileFy app• PreVue app• SmileVision• DentalGPS• DSD

• Digital Agents• Virtual Smiles ($125/image)• DreamSmiles (<$4000 a year?)

• Ivoclar/Kapanu?

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Why Does this Work?

✓Creates awareness

✓Suggests the possibility

✓Promotes discussion

✓Provides bridge to clinical evaluation and

presentation of options

✓Creates EMOTION and DESIRE

Digital Smile Mockup

-is a proven practice building program that can:

Dramatically increase your patient’s interest in a smile

transformation

Remember, 50% of your patients want to improve their

smile

The goal is to help them visualize themselves with an

improved smile

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When you hand a Digital Simulation to your patient, you plant a seed of what is possible, a constant reminder of what their potential new smile can be. They can show it to their friends and family, you can put a copy in their chart for follow-up, have them hang it on their refrigerator...!

VIRTUAL SMILES©

• Tooth shape

• Length, width, & style #

• Tooth color

• Translucency, effects

• File Format

• Paper

• CD

• Email

• Flash

• Logo & Office Info

• Smile Simulations

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SMILE DESIGN SOFTWARE VS DRAG AND DROP SMILE GALLERY?

Overall Feel

Appearance…what is it? who decides, Dentist? Ceramist? Patient? Combined effort?

THEIR DECISION √

BUT YOU HAVE TO GUIDE THEM

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The Key to Success:

Traditional Veneers

Diagnosis & Treatment Planning

The Key to Success:

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Traditional Veneers

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You are selling the Emotion…

Do you know “THEIR” desired outcome?

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MARKETING

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Advertising Evolution- Internet & Social Media

• Traditionally Marketing was Expensive

• Internet is very Inexpensive comparatively• Website (SEO Management/Quality Code/Page Speed)

• Reviews

• Social Media (need to claim them all with same name)• YouTube• Facebook• Twitter• Flickr• Instagram-no cost High Return

• Cosmetic Imaging• In Office • OUTSIDE OFFICE?

• Virtual Smile Consultations


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• There never seems to be enough of it…

• It has to be built into the schedule or out source to employee

• Take the time to huge profit

• Know what the case is going to entail ahead of time

• What is the patients Chief Complaints?• Pick 3 to address

• Why do they have these problems?

• Are they going to drive you crazy?

Time

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• Immediate Smile Change Consultation?

• Can they come back in a week?

Time (CONSULTATION)

OR

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-Patient wants to fix the small

lateral incisor

-No tooth reduction

OPPORTUNITY

Beadline Provisional Mockup

http://d1ue90e5sp4tcv.cloudfront.net/668/images/Grid_Image_20945_22_v1.pdf

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Beadline Provisional MockupBeadline Provisional Mockup

Diagnostic Models with a waxup are duplicated. Special over impression is created and used to deliver temporary mockup


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LISTEN For Yourself

Show & Sell Possibilities..

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COSMETICChanges

3 out of 5 • Patient came in to fix small lateral incisors

• Wants “Absolutely” no tooth reduction

• What drives him?• Appearance

• No Tooth Reduction

• Emotion

• Desired Outcome…. Feel Better, more confident?

Results

Confidence, Dating,Work,Emotional Goals

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Cosmetic Dentistry

• Do YOU WANT more Cosmetic Cases?

• Patients desire a change• But don’t know what they want (typically)

• What are their Chief Complaints (pick 3)

• Why?

• And What will that accomplish? Reasoning behind Tx.

• Always look at the big picture

• Take photos

• Write down where they can see their Chief Complaints• Signature on waxup

• Signature on provisionals

• Signature for final cementation approval

Free TIPS on my Instagram Story

2 New Smile TIPS coming soon!!

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How Do We Create The

Intraoral Mockup?

• First take an impression of teeth with a material that allows you multiple repours.

• Want one original model

• One model for laboratory

• Extra model if you need bleach trays or practice preparations

• Photos

• Facebow

• Horizontal Plane Indicator

• Teeth that are too far facial will remain untouched. When photos are taken they will be less obvious.

Final Impression

• Pack #00 ReCord

• Take final impression with light body PVS (Affinity) and heavy body PVS (Affinity) tray material

• Use a custom HeatWave Tray

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Final Impression

Final Impression

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Final Impression

Final Impression

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REVIEW

• Existing In Office Patients (3 out of 5) want to fix their SMILES!

• Shade Evaluation every exam & everyone in Hygiene Department

• Website, Social Media Accounts all setup and posting RELEVANT content

• Photos of everyone to send home (possibly with imaging) GET A CAMERA

• Take a photo and do a Cosmetic Simulation/Mockup

• Instant visualization through software on an iPad or possibly internet

• Instant Composite Mockup in the dental chair

• Take an impression and have lab do a waxup to facilitate a Beadline

Provisional Mockup (reduced fee or no fee agreement with lab)

Diagnostic Models & Records

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Counter FIT- Multipurpose Replication Silicone

(Clinician’s Choice)

Counter FIT- Multipurpose Replication Silicone

(Clinician’s Choice)

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Wear Facets & Interferences

3 Sets of Models-One is untouched for legal documentation-Second to practice preparations (It will be waxed up)-Third is a spare to practice on or make bleach trays

Mounted and Equilibrated

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What Records & WhenDiagnostic & Prep Reduction Models

No Prep Veneers• Do a waxup

• Duplicate into a stone model

• Over impression of stone model w/ PVS BEADLINE TECHNIQUE or Siltech Putty

• Intraoral mockup using the over impression filled with temporary acrylic**

• Is thickness and appearance okay?• Depth cuts through over impression if necessary.

• Typically no provisionals are necessary

• No undercuts

• Color change varies based on tooth position/color

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Tooth Preparation Conservative Preparations

Mockup & prep

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No Prep Case: 1

• Angulation of teeth

• Spaces

• Lingually positioned

• Lack of lip support

• Thinned enamel

• Fuller smile

• Microdontia

• Chairside Mockup**

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Mockup & prep-Minimally invasive

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Mockup & prep

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Mockup & prep

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Mockup & prep

Preparations

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Veneer Preparations

• Depth Cuts

• Tooth Reduction

• Margins

• Retention Form (Line of Draw)

Images from Bruce Crispin, DDS, MS book entitled “Contemporary Restorative Dentistry”

Veneer Preparations

• Depth Cuts

• Tooth Reduction

• Margins



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Veneer Preparations

• Depth Cuts

• Tooth Reduction

• Margins



Veneer Preparations-Feldspathic Porcelain

Depth cuts of 0.2mm-0.8mm*

1.0mm-1.5mm incisal reduction*

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Veneer Preparations-Pressed Ceramics

Modern Ceramics

• Stand Alone Strength Properties

• Feldspathic (80-120 mpa)

• Lithium disilicates (360-500mpa)

• Lithium silicate (373 mpa)

• Zirconia (Monolithic 640-1200 mpa+)• Layered Zirconia Feldspathic (80-120mpa)

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Incisal edge preparations

a) No incisal lengthening

b) Changing color or wear

c) Lengthening tooth

Veneer Preparations


labial reduction options Depth Limiting Burs - Brasseler USA

Average enamel thickness

At CEJ .3-.4 mmMiddle third .8-1.0 mmIncisal third 1.1-1.3 mm

Veneer Preparations

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Preparation Reduction• Depth reduction burs

• Safe reduction

• Lasco

Veneer Preparations

Independent Depth Cuts (Lasco Burs)

▪ Depth Cuts▪ Tooth Reduction▪ Interproximal & Margins▪ Retention Form (Line of Draw)

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Preparation

Aesthetics

Function

Bonding to Enamel

Material Options

Minimal Prep Case: 2

Minimal Prep Case:

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Wax-up Case:

Preparation Guides:

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• Photomed (818) 908-5369

SHADE SELECTION

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Shade Assumptions

BW, B1, B2, A1, A2

Provisional Techniques

-Free hand

-Beadline Provisionals

-Putty over impression of waxup

-Premade temps?

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Review-Chief Complaint

-Occlusion

-Photographs/Imaging?

-Whiten first

-Waxup/BeadLine Provisional

-Material Selection

-Practice Preps

-Photograph Prep Shade

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EMOTIONFocus on overall appearance

Stay away from little details

“Going to look & feel great”

Complex Positioning &

Gingival Tissues: #8Aesthetics

Tissue Problems

Poor Function

No TMJ Problems

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Incisal position

Gum height

2-4 mm

10-12 mm

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Instant Ortho/Un-Rotating Teeth

• Do initial workup

• Diagnostic preps

• Diagnostic waxup


◼ Sequence

– Reduce all excess tooth structure

– Ideal reduction

– Margin placement

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Cementation**

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Selection Process

◦ Open Bite Trays

Plastic-full or quadrant

Metal-full or quadrant

Custom Trays

Non-perforated or perforated (metal or plastic)

Rigidity can eliminate tray distortion and rebound

Spring back after impression is possible with plastic

Cross arch stabilization

Ideal occlusal stops for proper model articulation

Able to recreate excursive movements if mounted on a

semi or fully adjustable articulator.

Potential for errors & adjustments are low

Impression Trays

Custom trays create more

ideal placement

Thinner material creates

less distortion

USE TRAY ADHESIVES for

all open bite trays, not just

custom trays.

Only negative is time

Impression Trays Selection Process

Custom Tray

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▪ 4 upper & lower trays

▪ 60 sec. @ 158°F

▪ Fast, efficient

▪ Virtually custom

▪ 30% less impression

material used

Impression Trays

HeatWave by Clinician’s Choice

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Impression Trays


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Impression Trays


Dry all teeth in arch

Place tip in most difficult area first

Keep tip on margin and immersed in material

Go around entire margin first

Next go to adjacent teeth

Then do coronal aspect of teeth

Double Mix Single Impression is the most accurate

Syringe Placement

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Traditional Veneers

Remember How Did We Get Here?

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Traditional Veneers

Traditional Veneers (Bead Line Provisionals)

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Fluid/Tissue Management

Fluid/Tissue Management

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Aesthetic Contouring

Aesthetic Contouring

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Time??

ROI??

Aesthetic Contouring & ExperTemp Provisional

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AMD Picasso Laser Tissue re-contouring

Make cases easy

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Make cases easy, make your patients happy

Make cases easy, make your patients happy

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▪ High Tear Strength

▪ Fast & Regular Set

▪ Multiple Viscosities

▪ Proprietary Chemistry w/

grafted Surfactants

▪ Custom Bulk Pack Pricing

Affinity Impression Materials

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(Clinician’s Choice)Affinity Impression Materials

▪ Light Body

High Flow

Regular Flow

▪ Monophase

▪ Heavy Body

▪ InFlex

▪ Quick Bite

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Impressions & Provisional Tips

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25% aluminum sulfate (will not oxidize & turn black)

Heat Wave custom tray & Affinity impression

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Inspire Bead Line Provisionals

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Provisionals (Temp Tray, Template) Clinician’s Choice

• Utilize an accurate preliminary over impression

• Maintain over impression

• Check contacts and occlusion

• Template 30s working time / 30s setting time

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Inspire (Clinician’s Choice)40 second working time

Removal time of 1:30-2:30 minutes & total cure 4:30 minutes. Cut sooner.

4 available shades (B1, A1, A2 and A3.5) provide ideal translucency & fluorescence

High flexural and compressive strength

Elastic Modulus (3136 MPa)

Great polish

Provisionals

Cling 2 for all my full crowns & bridges, retentive inlays & onlays.

My Favorite Temporary Cements

ClearTemp LC (Ultradent)

For either veneers or thin

anterior cosmetic restorations

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is a zinc-oxide non-eugenol, automix temporary cement with a unique polycarboxylate resin

The addition of polycarboxylate optimizes adhesion, soothes the tooth, and provides an

excellent seal, while allowing the material to be easily removed from the tooth preparations

when desired.

Cling 2 (Clinician’s Choice)

30 second working time, 60-90 second set time

Good adhesion, easy removal

Low film thickness

Excellent marginal seal

Biocompatible – protects the gingival tissue

Resists forces of mastication

2 year shelf life

Another Case Of The Week

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▪ Heat Wave Thermoplastic

Tray

▪ #00 Record

▪ Tissue Goo if necessary

▪ Bite Registration

▪ Photograph

▪ Inspire Temporary

▪ Cling 2 Temp Cement


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Utilize an accurate preliminary over impression

Maintain over impression

Check contacts and occlusion

Utilize an accurate preliminary over impression

Maintain over impression

Check contacts and occlusion

Place temp cement only on margins

Do not fill temp with cement

Or vent holes

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Affinity Crystal or Template Clear

Affinity Crystal or Template Clear

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Inspire Provisional Material

Dry prepared teeth, place BAC or Chlorhexidine

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Hold in place

Remove excess

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Inspire Temporary Material (Clinician’s Choice)

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REVIEW

• Full arch impression Heat Wave Tray

• Record or Diode laser

• Light & Heavy Body Impression Material (Affinity)

• Bead Line Provisional Technique (Inspire) uses no temp cement or

adhesives, mechanical retention, shrink wrapped (using Template)

• Template Clear can be used also and is good for bonding

Simplified Provisionals**

Siltech Putty Matrix

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Bead Line Veneer Provisional Restorations. Pract Proced Aesthet Dent 2009;21(3):E1-E7.

Cosmetic Provisionals (Bead Line Technique)


Scribe a 0.5mm-1mm groove into tissue & a little on tooth


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No Polish Necessary if you use a good model


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Mixed Provisionals

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Preparation Guides

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Preparation Guides

A-TYPE PREP

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Removing provisionals that are locked on.

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Removing provisionals that are locked on.

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Nine Years Later

QUESTIONS?

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Aesthetic Opportunities:

Developing Beautiful Smiles

Case #24 (Complex Occlusion)

Developing Beautiful Smiles

Assessment:Joint NoiseFacial Muscle PainPoor OcclusionInvisalign Done/RetentionAnterior WearWants to Keep Appearance

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Cause & Effect Diagnosis• Functional Wear on Anteriors

• Masticatory Muscle Pain

• Headaches

• Jaw Relationship / TMJ Disorder

• Obstructive Sleep Apnea (OSA)

• Combination

Aesthetics & Occlusion

Supplemental Tests:Sleep StudyCone Beam CT (CBCT)Airway Evaluation

AIRWAY VOLUME

-50mm2 and below have an association with OSA


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TMJ EVAL/Diagnosis

CBCT-Pathology-Jaw position-Bone Appearance-Active DJD/Remodeling


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Orthotic: Superior Repositioning Appliance (SRA)

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Nociceptive Trigeminal Inhibition Tension

Suppression System (NTI-tss)

Jaw Position

NTI type appliances

Jaw Position

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NITE BITE

• 5 minutes to make a Nite Bite appliance for relief of most TMJ discomfort

• Fast fabrication

• Force distribution

• Minimal opening

SRA FABRICATION:Try-in

Check Bite

Adjust Posterior

Shallow Ramp

Trim Trough

Occlusal Reline

Passive Centric & Hold

Mark Depth of Fossa

Trim Excess

Polish


https://www.youtube.com/watch?v=xT-kwc2Btrw

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• Patient wears just at night the first 2-5 days

• Understands they will wear 24/7 going forward

• Patient comes back for evaluation every 2-4 weeks

• Passive reline to achieve equal contacts

• Once the bite is stable follow for another 2-4 weeks


Orthotic: Superior Repositioning Appliance (SRA)

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Occlusal Analysis



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Aesthetics & Occlusion Impression Trays

HEATWAVE BY CLINICIAN’S CHOICE


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TISSUE AND MOISTURE CONTROL


A laser is more precise, causes less pain, and

prevents bleeding better than traditional tools used

on soft tissues. The highly focused laser light

cauterizes nerve endings, coagulates blood

vessels, sterilizes the surgical site, and increases

the speed of healing. Instantly cauterizing nerve

endings greatly reduces pain during the procedure

and after. Healing times can be as low as a few

days where traditional surgical approaches can take

several weeks.

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• Dry all teeth in arch

• Place tip in most difficult area first

• Keep tip on margin and immersed in material

• Go around entire margin first

• Next go to adjacent teeth

• Then do coronal aspect of teeth

• Double Mix Single Impression is the most

accurate

SYRINGE PLACEMENT


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Simplified Provisionals



• Verify shape

• Display at rest

• Protrusive

• Excursives

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CEMENTATION OPTIONS• Glass Ionomers

• Resin Modified Glass Ionomers

• Self Etch Resin Cements

• Bonding Agent w/ Resin Cement

• Calcium Aluminate

• TriSilicate Cement


CERAMIR (CALCIUM ALUMINATE CEMENT BY - DOXA)• Alkaline pH 8.5

• Moisture Tolerant

• Self Sealing

• Apatite Formation

• Insoluble

• Stronger with time

• Semi / Translucent

• Biocompatibility-Excellent

• Bioactivity-Apatite formation

• Sealing Quality-Excellent


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Pre-op

Post-op


Review Patient with Problems-Sleep Study Questionnaire-Sleep Study?-Cone Beam CT (CBCT)

-TMJ Diagnosis (Beamreaders.com)-Airway Evaluation

-Superior Repositioning Appliance (SRA)-Reline as needed.

-Hinge Axis-Diagnostic Model Workup-Discuss Options with Patient-I.C. and RBAs….Signatures


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Questions?


RESTORATION PLACEMENT?

• Bonded

• Margin placement

• Moisture Control

• Technique Sensitive

• Materials

• Self Adhesives

• Bonding agent (TE or SE) & luting resin

• Cemented

• Margin placement


• Retention Required

• Materials

• RMGI

• Ceramir

Cement Selection

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RESIN CEMENT COSMETIC CASES….

COSMETIC CASES….

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COSMETIC CASES….

COSMETIC CASES….

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COSMETIC CASES….

COSMETIC CASES….

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COSMETIC CASES….

COSMETIC CASES….

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COSMETIC CASES….

COSMETIC CASES….

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PROVISONALS

PROVISIONALS

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CERAMIC TRY-IN

• Make sure it is etched properly from lab

• Ceramic Primer prior to try-in (unless using Ceramir)

• Ultrasonic with ethanol after try-in

BONDS WITH OR WITHOUT HF

ACID ETCHING

THE “NO-WATER” SILANE w/ MDP

INSTANT ACTIVATION

LESS DEGRADATION

(More Stable 2 Year Shelf-Life)

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Silanes

Universal Adhesives (w/MDP)

Silane Primer + MDP

Organo-Phosphate Monomer (MDP)

Silane Primers

A disadvantage of many other silane products is that they are pre-

hydrolyzed.

Another disadvantage is some require the use of Hydrofluric Acid

etching and sometimes in addition to Micro-Etching. The new

Monobond Plus requires HF and Micro-Etching as well as 60 minute

activation time period.

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TRYIN APPROVAL

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FINAL RESTORATIONS

Veneer Finishing System

FREE SAMPLES AT BOOTH TODAY

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ContacEZ Restorative strip system

• NEW Gold Narrow Strip 0.10mm single sided medium diamond grit Sub Gingival Trimmer w/ Blank Clear Gateway

• Black Diamond Strip 0.06mm fine diamond single sided

• Orange Serrated Diamond Strip 0.05mm extra fine diamond single sided

• White Serrated Strip 0.035mm

• Blue Serrated Strip 0.065mm

• Gray Final Polishing Strip 0.05mm ultra fine diamond single sided

ContacEZ IPR Optional Strips

• Clear IPF Single Sided Opener 0.10mm med-fine diamond

• Cyan IPR Single Sided Widener 0.12mm med-coarse diamond

• Purple IPR Super Widener 0.25mm

coarse diamond

• Brown IPR Mega Widener 0.30mm coarse diamond

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• Design• Power• Durability• Access• Posterior tooth• Broad Light Output Range

– 395-480nm

• Cost• Weight

Cementation of Anterior

crowns

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• Alkaline pH 8.5


• Self Sealing

• Apatite Formation

• Insoluble/No Degredation

• Stronger with time

• Semi / Translucent

• Biocompatibility-Excellent

• Bioactivity-Apatite formation

• No silane, conditioning, bonding

CERAMIR ® CROWN & BRIDGE**

Cement Selection

Bioactivity by Doxa

A reactive bioactive system that contributes to hydroxyapatite mineralization of hard tissue through ion release and alkaline

pH.**

Cement Selection

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CEMENTATION TECHNIQUE

Cement Selection

Mix for 8-10 seconds

3-4 restorations

LITHIUM DISILLICATE (EMAX) OR ZIRCONIA

• Silane is contraindicated

• Tooth etching or conditioning

is not necessary

• Bonding agent is not needed

Cement Selection

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CROWN RETENTION• Results Zirconia crowns (Kg/F)

Material Result (Zirconia crowns) Kg/F

Ceramir Crown & Bridge 32.1 ± 6.3

RelyX Unicem (3M) 27.8 ± 11.3

Dyract Cem (Dentsply) 12.2 ± 3.1

Rely X Luting (3M) 10.9 ± 6.5

0

5

10

15

20

25

30

35

Ceramir Crown & Bridge RelyX Unicem (3M) Dyract Cem (Dentsply) Rely X Luting (3M)

Cement Selection

Cement Selection

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Cement Selection

Journal of Esthetic & Restorative Dentistry March 2015

Case #11:

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Cement Selection

Case Review

• Maintain Centric Occlusion

• Facebow & Wax Bites

• Beadline Provisionals

• Simplify Cementation

• Silane is contraindicated

• Tooth etching or conditioning

is not necessary

• Bonding agent is not needed

Technique Research/Literature**


• No Sensitivity

• Alkaline pH

• Apatite Forming

• Insoluble

• Stronger With Time

• Self Sealing

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Accuracy, Consistency, Data

• Perform better, faster & have accountability.

• Team training to be more successful.

Remember The Old Appointment Book?

How LONG Did It Take To Answer A Question About Balances, Forgotten

Appointments?

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VOIP System Integrates with your Practice Management Software

TIP

• VOIP Phone System Integrates with your existing dental practice management software (DPMS)

• Dentrix

• Dentrix Ascend

• Eagle Soft

• Easy Dental• SoftDent

• Practice Works

• Mac Practice

• Open Dental

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Teamwork

• Auto confirms appointments and adds to the Practice Management Software

• Auto Birthday Messages

• Auto propagation of messages

• Easy to implement with minimal time to use.

• Improve business opportunities dramatically

• Cuts down on current employee time by streamlining many tasks

• Saves money on traditional procedures

– Less postage

– Less paper goods

– Less employee time

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Online reviews• 2011 33% reported they did not trust online reviews.

• A recent study reported 88% of people trust online reviews

• 92% or internet users read product reviews

• 89% said it influences their purchases

• 74% of internet users said they would most likely not do business if there was a negative review

• Currently having one bad review is considered normal, but lots of bad reviews is not good.

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Reviews text message

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Weave Reviews Via Cell phone message • Select Ratings to be sent to:

• Google• Yelp• Facebook

• Customize Order of Review Sites

• FYI-A dental/medical office can have more than one listing on Google, Yelp etc.. Because they typically employee more than one doctor as well as the business name (ie. Aesthetic Dental Designs and also Todd Snyder, DDS and my Associate can have a site too, just use different phone numbers and emails)

Weave Mobile App

-Same functionality

-From anywhere you have a wifi or cell connection.

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WEAVE IS THE BEST SOFTWARE TOOL I OWN

• It lets me do more in less time than what it would take three people to do in an hour.

• It replaces your existing phone with a Voice Over Internet Phone that attaches to your practice management software.

• It gives you the ability to cut your phone bill and be replaced with a modern phone platform that allows you to.

• Text your patients

• Record all phone calls

• Automated appointment reminders, follow-ps, post-op notices, birthday greetings, and more

• Collect balances instantly via text

• See unscheduled patients and have the ability to instantly send automated text messages to fill gaps in the schedule

• Newsletters and promotions

• So much more….. YOU HAVE TO GET A DEMO IT IS AMAZING!!

• THE COST IS TYPICALLY THE SAME AS YOUR EXISITING PHONE BILL BUT YOU GET RID OF YOUR PHONE AND FOR THE SAME COST YOU REPLACE IT WITH SOMETHING BETTER THAT MAKES YOU MONEY!

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Lecture Handout

www.DENTOOLZ.comDigital Handouts, Products I Use & Special Offers

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Free Marketing Information & Handout

www.DENTOOLZ.com

• Reduce Your Stress & Build A Better Life

• Better Business Skills

• Incredible Marketing & Advertising

• Front Office Simplification

• Office Metrics/KPI

• Responsive Websites, Social Media

• Enhance Diagnostic Skills & Procedures

• Photography

• Elective Dentistry

• Cosmetic & Restorative Dentistry

• New Materials, Techniques, Technology & more..

Online Training For Dentists.www.LEGIONpride.com

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TODD SNYDER(949) 643-6733

[email protected]

www.aestheticdentaldesigns.comwww.drtoddsnyder.com

www.toddsnyderracing.com


http://www.facebook.com/todd.snyder.dds

http://twitter.com/tcsaesthetics

http://www.instagram.com/Toddsnyder1/

Achieving the Perfect Smile with Crowns & Veneers · Digital Smile Mockup-is a proven practice...

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