Annotated Failure Study

The goal of polishing tooth structure is to smooth roughened surfaces, and produce a pleasing appearance and feel with minimal to no trauma to hard and soft tissues.The first step is to assess our patient's awareness of their overall mouth condition. Dental Hygienist must carefully evaluate and select the appropriate procedures, based on the individual patient needs, and the types of stains and restorations present in the mouth. The clinician must critically evaluate the potential adverse effects of the coronal polish procedure against the benefits and be able to educate the patient.

Traditional layered porcelain veneers - Our strongest type of veneer. This type of veneer is created from thin layers of porcelain to create a durable shell-like restoration. The restoration is attached to your tooth to cover imperfections.

Veneers are one of the quickest ways to create the most dramatic change in your smile. We can use small pieces of tooth-colored material to essentially resurface your tooth. That means we can correct or hide chips, fractures, stains, discoloration, mild alignment issues, misshapen teeth, and more. To learn more about how the process works, visit our page on dental veneers.

I believe that the reason for Dev and Arnold failure is that they are not ready to start a family and take care of young kids. They want to have the positive side of having a kid, they like to play with them and make them happy, but they don't want to deal with them when they start to act like monsters. Therefore, they rather spend short fun time with their friend's kids than having them permanently. Dev is great with kids, but he is not ready to sacrifices his happiness, freedom and way of life for the sake of children. In sandwich scene, we can see that Dev doesn't want to leave the fancy sandwich and pick homemade sandwich for the sake of kid's happiness, he chose fancy bachelor lifestyle without kids and responsibility. Another reason could

Veneers are cemented to the teeth. The dentist also has to remove a small portion of the enamel. Veneers are more expensive than clear aligners. Furthermore, veneers are not permanent. They can break, and they may last less than 20

The Chairside Economical Restoration Esthetic Ceramics (CEREC), uses modern technology to create safe, accurate, biocompatible crown, inlays, onlays, veneers, and bridges. This is all completed in one visit to the dentist. It has three main parts to it-the CEREC Acquisition Unit, CEREC Camera, and CEREC Milling Unit. Since 1980, the CEREC has evolved and is the future of dentistry.

Impregum was used for the second impression and was sent to the lab for a bruxZir crown. This material had also been used for years by Dr. Spencer due to its flexibility and pleasant taste. Dr. Spencer had tried different products in the past, however, he found these specific materials to be more effective. The bruxZir crown is a more esthetic choice and was selected for this specific patient based on grinding habits. The other procedure I observed was a porcelain-fused-to-metal (PFM) crown placement using Cavidry, Carboxylate cement, and Durelon. Cavidry is a cleaning agent used for rapid drying, degreasing, and cleaning the area before a crown placement. Carboxylate cement and Durelon are mixed together to create a cement that is the most effective for porcelain-fused-to-metal crowns or gold crowns. The Carboxylate cements and Durelon were selected by the dentist due to its desirable retention of restorations, easy to use, and is inexpensive. The dentist also selected the PFM crown because it is a noble metal that is least likely to break. The office manager explained that a specific crown is selected based on insurance, esthetic purposes, and according to patient’s oral habits.

Experienced and amiable dentists in Tysons Corner at SmilePerfectors now use high-quality dental veneers for the complete smile makeovers. A popular aesthetic dental procedure, dental veneers are thin, custom-made porcelain or resin shells that help correct a range of teeth imperfections. These shells can help improve the color, size, shape, as well as the length of the teeth. They also help eliminate gaps between teeth. Further veneers help protect the surface of a tooth. The use of high-quality dental veneers to enhance the smile at the Tysons Corner dental arts center, the SmilePerfectors, gives patients an additional option to improving their smile through a popular dental treatment.

Your tooth may have a new porcelain or resin covering over it, but that does not mean the tooth cannot get a cavity again. In fact, the tooth will be more difficult to clean. It’s possible for bacteria to get caught along the edge of the crown, and if not cleaned properly, can cause a cavity to form on the side of the tooth. That’s why you must take extra care with brushing to ensure that the edges around the crown are very clean to avoid complications.

Ms. Blake ABG means she has an uncompensated metabolic acidosis with a positive anion. This means she has an acidosis associated with an anion other than chloride. The anion gap measures the difference between an anions and a non-anion in serum (Kraut & Nagami. 2013). The test is routinely performed in patients with known acidosis, altered mental status, unknown exposures, acute renal failure, and acute illnesses. In Ms. Blake’s situation, her pH is less than 7.30, and her HCO3- is less than 24mEq/L. She has an acidosis that is caused by starvation and/or diabetes related illness. Usually, when an individual is in the metabolic acidosis state, he or she may encounter hypoxia. In this case, Ms. Blake PO2 is less than 80; so therefore, supplemental

If you’re seeking a way to improve the appearance of chipped, discolored, malformed, or abnormally spaced teeth, veneers may be a treatment option worth considering. These thin, tooth-colored shells are customized to address a variety of aesthetic and physical issues and can be applied in as little as two visits. However, as with any procedure, there are drawbacks. Below, Dr. Kubo at Brian S. Kubo, DDS, Inc. in Kamuela, HI discusses several pros and cons.

Veneers are a good solution to fix many cosmetic issues that your teeth may suffer from. With proper care, they can last for a number of years without a problem. Therefore, use these tips to ensure that your veneers last a long

Proffit specializes in cosmetic dentistry, Fields in dentistry, and Sarver in orthodontics. Proffit and Sarver both attended the school of dentistry at the University of North Carolina at Chapel Hill; Fields went to Ohio State University College of Dentistry. Together they co-authored Contemporary Orthodontics which is a common textbook that offers a more modern and practical approach to the field of orthodontics. It is used at most dental schools in the U.S. and Canada. The original edition was published in 1986 with four more editions to follow. This particular edition contains additional types of supplemental teaching material including self-instructional computer teaching modules, recorded graduate-level clinical seminars on various topics, and an access to the website to which regular updates are posted. It also includes various informative images and drawings that are clearly illustrated. “This edition of Contemporary Orthodontics has been extensively revised to maintain the original goal of the book: to provide an up-to-date overview of orthodontics that is accessible to students, useful for residents, and a valuable reference for practitioners.” Overall, this textbook has proved to be a credible source in the field of orthodontics which is why it can be considered a landmark text. It contains a multitude of relevant information for not only students but also

evaluated the effect of different concentrations of chlorhexidine and different application times on the preservation of resin– dentin bonds formed using two etch-and-rinse adhesives. In experiment 1, after acid etching, the occlusal demineralized dentin was rewetted either with water or with 0.002, 0.02, 0.2, 2, or 4% chlorhexidine for 60 s. In experiment 2, the surfaces were rewetted with water, or with 0.002% or 2% chlorhexidine for 15 or 60 s. After this, both adhesives and composite resin were applied and light-cured. Bonded sticks were tested under tension immediately or after 6 months of storage in water. Two bonded sticks from each tooth were immersed in silver nitrate and analyzed quantitatively using scanning electron microscopy.

Superior aesthetics and biocompatibility of dental ceramics has driven the increasing use of all-ceramic restorations over the past decade (1). However, the brittleness and low fracture strength of ceramics can initiate crack propagation causing fracture of the restoration. Clinical studies have demonstrated that all-ceramic dental restorations have an increased resistance to fracture in service when adhesively cemented to the prepared tooth structure with resin-based composite cements (2). It is thought that the cement interacts and penetrates ceramic surface defects, preventing crack propagation. However, strengthening is dependent on sufficient resin cement polymerisation via free radical photo-polymerisation in response to blue light (450-500nm). Adequate polymerisation (DC) depends on appropriate light transmission (LT) to the resin cement, which is affected by the opacity and the thickness of the ceramic and the resin cement layer. Consequently, this will influence the mechanical properties of the resin cement together with the strength and longevity of the restoration (3, 4, 5). The aim of this current study is to analyse LT through ceramics of different shade and thicknesses; measure and map DC; and correlate the results to the degree of reinforcement achieved.