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Restoring function and esthetics in a patient with amelogenesis imperfecta.

Amelogenesis imperfecta is a rare dental disease and presents a major challenge to the dentist. With the tremendous advances in the field of esthetic dentistry, especially in bonding to dentin, it is today possible to restore function and esthetics to an acceptable level. The need for full crown preparation has been decreased to an absolute minimum. A case of amelogenesis imperfecta, complicated by a malocclusion, is presented. A combination of periodontal treatment and resin-bonded porcelain onlays and nobel alloys resulted in a highly successful outcome. The virtual absence of enamel was overcome with the aid of dentin bonding.

Adult↗

The traumatic anterior overbite.

The position of the anterior teeth and skeletal base relationship establish many of our facial characteristics, yet these same tooth positions can result in a range of dental problems that are often specific for a particular incisal relationship. Excessive loss of tooth tissue on various surfaces may result in trauma to the soft tissue and temporomandibular joint dysfunction. A range of treatment options may be required and can often be conveniently classified by the form of incisal relationship.

Crowns↗

Emergency treatment of acute temporomandibular disorders: Part 1.

The purpose of this short series of articles is to provide guidance in the management of patients who present with an acute temporomandibular disorder. This article is the first of two, highlighting the role of the general dental practitioner in the primary care of acute temporomandibular disorders.

Acute Disease↗

A clinical technique for temporization of teeth to receive porcelain laminate veneers.

Temporization of teeth prepared for porcelain laminate veneers is sometimes necessary to preserve occlusal relationships, prevent sensitivity or maintain esthetics. The literature describes several techniques which satisfy different requirements for temporization. A modified technique is presented that satisfies at once: occlusion, sensitivity and esthetic needs. Clinical time spent with the patient is minimized by fabricating a matrix on a diagnostic cast prior to the preparation/ impression appointment.

Dental Bonding↗

Management of temporomandibular disorders in a restorative practice.

Various disorders related to the masticatory muscles or to the temporomandibular joints may be encountered in a restorative dental practice. Most of them can be managed by the restorative dentist whose primary interest may not lie in the area of temporomandibular disorders. The term temporomandibular disorders is used in this discussion to denote the group of diseases of the masticatory system that involves primarily the temporomandibular joints, the masticatory muscles, and the occlusion of the teeth. The learning objective of this article is to describe temporomandibular disorders encountered in general practice. Managing these disorders in the general practice of restorative dentistry is not difficult and adds to the comfort of the patient and possibly to the success of the restorations.

Diagnosis, Differential↗