Cosmetic Tribune U.S.
Masters of Aesthetic Excellence: 34th Annual ASDA Conference / Replacement of a faulty posterior restoration
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Cosmetic TRIBUNE
The World’s Cosmetic Dentistry Newspaper · U.S. Edition
November 2010
www.dental-tribune.com
Vol. 3, No. 11
Replacement of a faulty
posterior restoration
By Sushil Koirala, Nepal
A 21-year-old male patient presented complaining of sensitivity
and mild pain when chewing on
tooth #36.
During examination, an underfilled tooth with poor marginal
seal and marginal discoloration
was visible. The peri-apical radiograph indicated secondary caries.
After careful removal of the
faulty composite restoration, the
cavity was treated with the fluoride-releasing bonding system FlBond II and restored with Beau-
tifil Flow as a base and Beautifil
fluoride-releasing materials (all
Shofu).
Effect colors were used on the
occlusal surface to mimic the
adjacent tooth.
The main challenges in this
case were the removal of the faulty
composite restoration with minimal intervention of the healthy
tooth structure and the mimicking
of the occlusal anatomy and proper shade. CT
g CT page 3C
Masters of Aesthetic Excellence:
34th Annual ASDA Conference
The 34th Annual ASDA International Aesthetic Dental Conference was held at the JW Marriott
Hill Country Resort and Spa in San
Antonio on Oct. 20–23. The conference brought together top leaders in
esthetic dentistry.
Speakers and presenters included:
Dr. Irwin Smigel, Dr. Paul Belvedere, Dr. George Kirtley, Dr. Robert
Lowe, Dr. Hamid Shafie, Dr. Lawrence Hamburg, Dr. Marvin Fier,
Dr. George Freedman, Dr. Howard
S. Glazer, Dr. Robert Weller, Adrian Jurim, MDT, Dr. Fay Goldstep,
Dr. Craig Zunka, Dr. Jack Griffin,
Dr. Elliot Mechanic, Chuck Maragos
CDT, Jenny Wohlberg, CDT, and Dr.
Dan Ward.
A hallmark of the conference
was the daily hands-on participation
workshops presented by Masters of
Aesthetic Dentistry.
The conference embodied three
complete days of lectures and workshops. Lunch and Learn sessions
enhanced the presentation of new
products and treatments. An impressive Thursday evening ceremony
included the induction of nine new
members, fellowship to Dr. Paul
Landman, and the induction of Dr.
Jordan Soll to the American Board of
Aesthetic Dentistry.
The presentation of the coveted
Smigel Prize to Dr. Seok-Kyun Kim
by NYU Assistant Dean Ken Beacham
highlighted the evening. The conference concluded on Saturday evening
Drs. Smigel, left, Dr. Seok-Kyun Kim
and Dr. George Kirtley.
with the 34th annual gala dinner/
dance in which ASDA members playing as the “Irwin Smigel Experience”
rocked the attendees with their performance.
The ASDA is the oldest esthetic
society and was established in 1976
by Smigel, who envisioned the growing interest of the public in esthetic
dental procedures. Conferences have
been held yearly to train and motivate
dentists to provide the best treatment for their patients. The conferences are unique for their comfortable size, their warm and nurturing
atmosphere and the open interaction
and sharing among the members.
About Dr. Irwin Smigel, DDS
Smigel has been regarded for years in
g CT page 2C
Fig. 1: Poorly
restored composite
restoration on tooth
#36.
Fig. 1
Fig. 2
Fig. 2: Cavity after
careful removal of
faulty restoration
with diamond point
#340s.
AD
[2] =>
2C News
Cosmetic Tribune | November 2010
COSMETIC TRIBUNE
2
1
The World’s Dental Newspaper · US Edition
Publisher & Chairman
Torsten Oemus
t.oemus@dental-tribune.com
Vice President Global Sales
Peter Witteczek
p.witteczek@dental-tribune.com
Chief Operating Officer
Eric Seid
e.seid@dental-tribune.com
1: Dr. Paul Landman, right, receives
his fellowship status from ASDA
President Dr. Irwin Smigel.
2: Members gather outside at the
welcome reception.
3: An international delegation from
Korea, along with Dr. Byoung Suh
and Carolyn Suh from BISCO,
attended the conference.
4: The “Irwin Smigel Experience”
composed of ASDA members entertains conference attendees.
f CT page 1C
professional circles around the world
as the “father of esthetic dentistry,”
and his whitening line, Supersmile,
as the most recommended whitening
system by cosmetic dentists worldwide.
AD
3
4
Group Editor & Designer
Robin Goodman
r.goodman@dental-tribune.com
Editor in Chief Cosmetic Tribune
Dr. Lorin Berland
d.berland@dental-tribune.com
Managing Editor/Designer
Implant, Endo & Lab Tribunes
Sierra Rendon
s.rendon@dental-tribune.com
He is perhaps the most respected
dental professional of our time. Smigel introduced the first-ever cosmetic
bonding procedure in 1979 on the
nationally televised, hit TV show,
“That’s Incredible,” demonstrating
how easily and painlessly people
could beautify their smiles in as little
as one visit to the dentist. At that very
moment, in front of 50 million viewers, Smigel put the specialized field of
dental esthetics on the map.
Smigel’s contributions to the
field of dental esthetics run deep.
He founded the ASDA in 1978, of
which he is the current president,
and in June 2009 Smigel was officially recognized by the Smithsonian
Institution in a permanent installation called “The Smile Experience,”
a two-floor exhibit in Baltimore that
pays homage to his contributions to
the field of modern dentistry.
Smigel has worked on some of the
most famous teeth in the world, from
Elizabeth Taylor and Tony Bennett to
Jennifer Lopez, Marc Anthony, Jimmy
Fallon, Kelly Ripa, Johnny Depp and
Justin Timberlake. His office is a
regular beauty spot for the fashion
elite, including Calvin Klein, Diane
Von Furstenberg, Betsey Johnson, Jill
Stuart and Tommy Hilfiger (and the
list goes on and on).
He is the inventor of Supersmile®
Intelligent Smile Care, a clinically
proven collection of premium whitening, breath-freshening and cavity-fighting formulations designed to
deliver the most comprehensive, safe
and effective oral care.
Smigel was the first to create and
patent a tooth-whitening formula,
called CALPROX® — a proprietary
form of calcium peroxide mixed with
additional beneficial ingredients that
work to dissolve the protein pellicle
on teeth to which stains, plaque and
bacteria adhere. Without this clear,
sticky substance to latch onto, stains
are brushed away, leaving teeth
noticeably smoother and whiter.
This ingredient allows for his whitening toothpaste to be the only formulation of its kind proven to remove
stains on both artificial and natural
tooth surfaces. Supersmile has had
tremendous growth since it was originally developed in the early 1980s.
The company currently generates
more than $20 million globally and is
one of the highest grossing whitening
lines in the country. CT
Managing Editor/Designer
Ortho Tribune & Show Dailies
Kristine Colker
k.colker@dental-tribune.com
Online Editor
Fred Michmershuizen
f.michmershuizen@dental-tribune.com
Account Manager
Mark Eisen
m.eisen@dental-tribune.com
Marketing Manager
Anna Wlodarczyk
a.wlodarczyk@dental-tribune.com
Sales & Marketing Assistant
Lorrie Young
l.young@dental-tribune.com
C.E. Manager
Julia E. Wehkamp
j.wehkamp@dental-tribune.com
Dental Tribune America, LLC
116 West 23rd Street, Suite 500
New York, NY 10011
Tel.: (212) 244-7181
Fax: (212) 244-7185
Published by Dental Tribune America
© 2010 Dental Tribune America, LLC
All rights reserved.
Cosmetic Tribune strives to maintain
utmost accuracy in its news and clinical reports. If you find a factual error or
content that requires clarification, please
contact Group Editor Robin Goodman at
r.goodman@dental-tribune.com.
Cosmetic Tribune cannot assume responsibility for the validity of product claims
or for typographical errors. The publisher also does not assume responsibility
for product names or statements made
by advertisers. Opinions expressed by
authors are their own and may not reflect
those of Dental Tribune America.
Tell us what
you think!
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a particular topic you would like to see
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Let us know by e-mailing feedback@
dental-tribune.com. We look forward to
hearing from you!
[3] =>
Clinical
Cosmetic Tribune | November 2010
3C
Fig. 3: Isolation of tooth 36 with
rubber dam.
Fig. 4: Application of self-etching
primer on the entire cavity.
Fig. 5: Uniform application of bonding agent and subsequent lightcuring.
Fig. 6: Application of a thin layer of
flowable resin on the cavity floor.
Fig. 7: Application of flowable
opaque (#UO) to mask the discoloration.
Fig. 8: Build-up of the dentin layer,
obtaining occlusal anatomy.
Fig. 9: Build-up of the enamel layer
and carving of the pits and fissures
to achieve natural anatomy.
Fig. 10: Application of dark brown
stain on the pits and fissures to
match adjacent tooth 7, and lightcuring.
Fig. 11: Checking the occlusal contact with articulating paper.
Fig. 12: Reduction of the high points
with Dura White Stone #FL2.
Fig. 13: Note the restored anatomy
comparable to the natural adjacent
tooth.
Fig. 14: Restoration after finishing
and polishing.
f CT page 1C
This article first appeared in the
Dental Tribune International magazine Cosmetic Dentistry: beauty &
science, No. 2, 2009.
(Photos/Provided by Dr. Koirala)
About the author
Dr.
Sushil
Koirala,
VISA
president, can be reached at skoirala@
wlink.com.np.
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