Cosmetic Tribune U.S. No. 1, 2011
Dental students attend AACD scientific session for free / Clinical indications for a composite metal PFM restorative / New study open for cosmetic dentists / Cosmetic dentist restores leukemia-ravaged teeth
Table of contents
Array
(
[post_data] => WP_Post Object
(
[ID] => 55834
[post_author] => 0
[post_date] => 2011-09-06 12:07:37
[post_date_gmt] => 2011-09-06 12:07:37
[post_content] =>
[post_title] => Cosmetic Tribune U.S. No. 1, 2011
[post_excerpt] =>
[post_status] => publish
[comment_status] => closed
[ping_status] => closed
[post_password] =>
[post_name] => cosmetic-tribune-u-s-no-1-2011-0111
[to_ping] =>
[pinged] =>
[post_modified] => 2024-10-21 19:20:42
[post_modified_gmt] => 2024-10-21 19:20:42
[post_content_filtered] =>
[post_parent] => 0
[guid] => https://e.dental-tribune.com/epaper/ctus0111/
[menu_order] => 0
[post_type] => epaper
[post_mime_type] =>
[comment_count] => 0
[filter] => raw
)
[id] => 55834
[id_hash] => 0daf218bf2eb8456fc0b3a7f9df1565c722889733acc8c45dc838584848292ea
[post_type] => epaper
[post_date] => 2011-09-06 12:07:37
[fields] => Array
(
[pdf] => Array
(
[ID] => 55835
[id] => 55835
[title] => CTUS0111.pdf
[filename] => CTUS0111.pdf
[filesize] => 0
[url] => https://e.dental-tribune.com/wp-content/uploads/CTUS0111.pdf
[link] => https://e.dental-tribune.com/epaper/cosmetic-tribune-u-s-no-1-2011-0111/ctus0111-pdf-2/
[alt] =>
[author] => 0
[description] =>
[caption] =>
[name] => ctus0111-pdf-2
[status] => inherit
[uploaded_to] => 55834
[date] => 2024-10-21 19:20:36
[modified] => 2024-10-21 19:20:36
[menu_order] => 0
[mime_type] => application/pdf
[type] => application
[subtype] => pdf
[icon] => https://e.dental-tribune.com/wp-includes/images/media/document.png
)
[cf_issue_name] => Cosmetic Tribune U.S. No. 1, 2011
[contents] => Array
(
[0] => Array
(
[from] => 01
[to] => 01
[title] => Dental students attend AACD scientific session for free
[description] => Dental students attend AACD scientific session for free
)
[1] => Array
(
[from] => 01
[to] => 03
[title] => Clinical indications for a composite metal PFM restorative
[description] => Clinical indications for a composite metal PFM restorative
)
[2] => Array
(
[from] => 02
[to] => 02
[title] => New study open for cosmetic dentists
[description] => New study open for cosmetic dentists
)
[3] => Array
(
[from] => 02
[to] => 02
[title] => Cosmetic dentist restores leukemia-ravaged teeth
[description] => Cosmetic dentist restores leukemia-ravaged teeth
)
)
)
[permalink] => https://e.dental-tribune.com/epaper/cosmetic-tribune-u-s-no-1-2011-0111/
[post_title] => Cosmetic Tribune U.S. No. 1, 2011
[client] =>
[client_slug] =>
[pages_generated] =>
[pages] => Array
(
[1] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/55834-fb02cf24/2000/page-0.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/55834-fb02cf24/1000/page-0.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/55834-fb02cf24/200/page-0.jpg
)
[key] => Array
(
[2000] => 55834-fb02cf24/2000/page-0.jpg
[1000] => 55834-fb02cf24/1000/page-0.jpg
[200] => 55834-fb02cf24/200/page-0.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[2] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/55834-fb02cf24/2000/page-1.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/55834-fb02cf24/1000/page-1.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/55834-fb02cf24/200/page-1.jpg
)
[key] => Array
(
[2000] => 55834-fb02cf24/2000/page-1.jpg
[1000] => 55834-fb02cf24/1000/page-1.jpg
[200] => 55834-fb02cf24/200/page-1.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[3] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/55834-fb02cf24/2000/page-2.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/55834-fb02cf24/1000/page-2.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/55834-fb02cf24/200/page-2.jpg
)
[key] => Array
(
[2000] => 55834-fb02cf24/2000/page-2.jpg
[1000] => 55834-fb02cf24/1000/page-2.jpg
[200] => 55834-fb02cf24/200/page-2.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[4] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/55834-fb02cf24/2000/page-3.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/55834-fb02cf24/1000/page-3.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/55834-fb02cf24/200/page-3.jpg
)
[key] => Array
(
[2000] => 55834-fb02cf24/2000/page-3.jpg
[1000] => 55834-fb02cf24/1000/page-3.jpg
[200] => 55834-fb02cf24/200/page-3.jpg
)
[ads] => Array
(
)
[html_content] =>
)
)
[pdf_filetime] => 1729538436
[s3_key] => 55834-fb02cf24
[pdf] => CTUS0111.pdf
[pdf_location_url] => https://e.dental-tribune.com/tmp/dental-tribune-com/55834/CTUS0111.pdf
[pdf_location_local] => /var/www/vhosts/e.dental-tribune.com/httpdocs/tmp/dental-tribune-com/55834/CTUS0111.pdf
[should_regen_pages] => 1
[pdf_url] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/55834-fb02cf24/epaper.pdf
[pages_text] => Array
(
[1] =>
Cosmetic TRIBUNE
The World’s Cosmetic Dentistry Newspaper · U.S. Edition
January/February 2011
www.dental-tribune.com
Vol. 4, No. 1
Clinical indications for a
composite metal PFM restorative
By Barry McArdle, DMD
Although
“metal-free”
has
become a mantra in some dental
circles, even when it comes to indirect restorations, all-ceramics have
their limitations.
When parafunctional habits,
wear of the existing dentition, the
need for subgingival margin placement, masking of discolored tooth
structure or the necessity of conventional cementability contraindicate the use of these newer dental
materials, the traditional porcelainfused-to metal restoration is called
for.
It has, however, fallen out of
favor with many practitioners primarily because of its cosmetic
shortcomings in the esthetic zone.
There is an alternative to conventional PFM, which has proven
Fig. 1: The patient’s worn, misaligned and discolored smile.
Fig. 2: Transformed into a naturally balanced smile using Captek crowns.
itself as a prime option under these
circumstances both functionally
and cosmetically. Captek (Precious
Chemicals Company, Altamonte
Springs, Fla.) is a composite metal,
not an alloy, whose optical properties accurately mimic those of
enamel’s underlying hard and soft
tissues.1
In the hands of master ceramists,
such as the Elite porcelain team
at Arrowhead Dental Laboratory
(Sandy, Utah), ultimate vitality can
be obtained by using this system
(Figs. 1, 2) and the shade matches attained with this material is
remarkable (Fig. 3).
In addition, Captek has demonstrated micromechanical interlocking as its the primary mechanism
of porcelain adherence 2, which
g CT page 3C
Dental students attend AACD
scientific session for free
The American Academy of Cosmetic Dentistry is offering several
scholarships to dental students so
they can attend the AACD’s annual scientific session in May at no
charge — a $1,645 value.
The AACD will host the session
May 18-21 in Boston. The event,
themed “The Rise of Collaboration,”
will offer lectures, workshops and
networking opportunities for cosmetic dental professionals.
The AACD APEX Student Scholarship includes:
• Registration fees to the annual
scientific session ($125 undergraduate)
• Round-trip coach-class airfare
(up to a $500 value)
• Four nights hotel accommodations (May 17–21) for the annual
scientific session ($1,000 value)
• One year of AACD membership
($20 undergraduate)
• Undergraduate dental students
are eligible to apply for the
scholarships and will be judged
on academic achievement, and
their understanding of and
commitment to the future of
cosmetic dentistry. The deadline for applications is March 1.
To apply, students must submit:
• Completed scholarship application (available at www.aacd.
com/students).
• Official dental school transcript
(must be sent by a student’s
school)
• Two letters of recommendation
• Essay (500–1,000 words) on the
social or scientific value of cosmetic dentistry
Applications will be accepted and
reviewed by an AACD assigned
review committee for consideration.
For more information, visit www.
aacd.com/students.
About the AACD
The AACD is the world’s largest
non-profit member organization
dedicated to advancing excellence
Boston: Home to higher learning. Home to great
teams. Home to history. Home to the AACD.
There is no better backdrop for the 27th Annual AACD Scientific Session than Boston as the AACD writes the next chapter of
its history with “The Rise of Collaboration.”
Collaboration is the key to success for the modern cosmetic
dental team. In order for dentists, technicians and team members to provide the comprehensive oral-health care today’s
patients demand, dental professionals must develop and refine
their skills together.
During the AACD meeting from May 18–21, dental teams will
learn side-by-side from some of the greatest educators in the
world of cosmetic dentistry. Visit aacd.com for more information.
in comprehensive oral care that
combines art and science to optimally improve dental health, esthetics and function.
Composed of more than 6,300
cosmetic dental professionals in 70
countries worldwide, the AACD fulfills its mission by offering superior
educational opportunities, promoting and supporting a respected
accreditation credential, serving as
a user-friendly and inviting forum
for the creative exchange of knowledge and ideas, and providing accurate and useful information to the
public and the profession. CT
[2] =>
2C News
Cosmetic Tribune | January/February 2011
New study open for
cosmetic dentists
A new cosmetic research study is
open for dentist participation in the
United States and internationally. The
purpose of the cosmetic dental study,
conducted by Dental Ideal Lab, SmileVision Dental Laboratory and Big Case
Marketing, is to determine the behavioral impact of pre-treatment cosmetic
simulations on patient case acceptance
rates, measure time efficiency of the
“template technique,” which improves
esthetic reliability and speeds the
delivery of cosmetic units, and to track
three years of clinical data related
to fracture, debonding, color stability,
esthetics and fit for E-max (Ivoclar),
pressed glass and porcelain to zirconia
restorations.
As a side effect of study participation, qualified cosmetic dentists can
expect significant numbers of fee-forservice patients inquiring to their practice for cosmetic dental treatment.
General dentists and prosthodontists who have completed advanced
cosmetic continuums or who have cosmetic academy credentials are eligible
to apply for selection as a designated
participating practice for the research
study.
Participating dentists must also be
members of at least one of the following: the American Academy of Cosmetic Dentistry, the American Academy of Esthetic Dentistry, the European Academy of Esthetic Dentistry,
the International Academy of Dental
Facial Esthetics, the Academy of Comprehensive Esthetics or the International Federation of Esthetic Dentistry.
Qualified dentists accepted as
research study sites will receive marketing ads and specific instructions
on how to locate study participants in
their geographic area who are interested in cosmetic dentistry.
While participating dentists will
offer treatment at a discount for
patients who opt to participate in the
study, cosmetic services are not free.
The number of practices in a geographic area allowed to participate is
also limited.
“Gathering data-related success
factors with these newer porcelains,
using a very innovative technique
that increases esthetic reliability and
improves delivery speed of dentistry,
and lastly measuring at least one key
behavioral factor we know affects case
acceptance rates makes this study the
most unique of its kind in cosmetic
dentistry,” said Dr. James McAnally,
Miami dentist and director of the Cosmetic Research Study Program.
“We’re very pleased to be able to
look at this on a global basis, to work
with some of the best cosmetic clinicians in the world, and of course see
far more patients worldwide benefit
from cosmetic dentistry as a result,”
McAnally said.
Dentists can use their local lab, and
any local lab can become certified in
the template technique required under
the study guidelines. Patients participating in the study must need four or
more units of cosmetic dentistry.
Dentists or labs wishing to apply as
a participating site can go to www.
CosmeticDentistryStudy.com or call
(206) 601-6754. CT
(Source: PRWEB)
Cosmetic dentist restores
leukemia-ravaged teeth
Leukemia took his health, made
him deaf and ravaged his teeth, but
Andre Fredricks has a new smile,
thanks to San Antonio cosmetic dentist Dr. John Moore, DDS, and the
Donated Dental Services program
of the Texas Dental Association’s
Smiles Foundation.
Fredricks, a 70-year-old San
Antonio grandfather, was this year’s
recipient of major dental restoration
work by Moore, of Cosmetic Dental
Associates of San Antonio. Moore
has been a volunteer dentist for the
Donated Dental Services program
since 2001 and has contributed more
than $21,000 to the cause.
Fredricks is in remission from
leukemia, a disease that brought
him to the brink of death, according to his wife and translator, Mrs.
Fredericks. “We lost him several
times,” she said. “We thought he
was a goner.”
At its worst, the disease took down
his immune system, bringing the
infection that took away his hearing,
brought organ failures, and other
ills. He wasted away to 92 pounds.
The disease and wasting took
their toll on his mouth, where teeth
and bridgework began loosening
and falling out. By the time Fred-
ricks saw Moore, he had just a few
teeth left.
The financially strapped couple
didn’t have the resources to correct
the dental damage left by leukemia.
Then a neighbor who had been the
recipient of donated dental services
herself suggested that they apply for
the Smiles Foundation’s program.
The Texas Donated Dental Services program is open to patients
who are at least 55 years or older,
or have a permanent disability, and
have no other way to get dental
care. Patients submit their cases to
the website, and register online or
in person to become a candidate for
these services.
Once the patients meet their
requirements, their cases are then
submitted to the clinicians. The clinicians review each case they are
given, and choose the patient that is
financially and medically unable to
receive the treatment otherwise.
In Fredrick’s case, the treatment
started in July and continued several
months into the autumn. Mrs. Fredricks said it was a godsend.
“We were blessed,” she said. “Dr.
Moore did an awesome job with my
husband’s teeth. We had a great
time, and the whole staff [of Cosmet-
ic Dental Associates] was friendly,
nice and smiling.”
Moore said: “Over all the years I
lived in the community and what the
community has done for me, I feel
it is fun to give back and help others. Whether I help elderly people,
children, my staff or animals I find it
fun. Thank God I can not only help
myself and my family, but I am in a
position to help those that are not as
fortunate as I. It is a blessing to be
able to do that!”
Moore has been a San Antonio
dentist for more than 25 years, and
his credits include serving as an
assistant professor of dentistry at
the University of Texas Health Science Center in San Antonio. He is a
prolific lecturer and published writer, and has won numerous awards,
including being voted into America’s
Top Dentists in Cosmetic Dentistry
and honored as San Antonio’s Top
Dentist in Cosmetic Dentistry.
He is also a top San Antonio orthodontist, and has been honored for
his groundbreaking treatments in
correcting major alignment problems with a “no braces” method
without jaw surgery. CT
(Source: PRWEB)
COSMETIC TRIBUNE
The World’s Dental Newspaper · US Edition
Publisher & Chairman
Torsten Oemus
t.oemus@dental-tribune.com
Chief Operating Officer
Eric Seid
e.seid@dental-tribune.com
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
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
C.E. International Sales Manager
Christiane Ferret
c.ferret@dtstudyclub.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
© 2011 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!
Do you have general comments or criticism you would like to share? Is there
a particular topic you would like to see
articles about in Cosmetic Tribune?
Let us know by e-mailing feedback@
dental-tribune.com. We look forward to
hearing from you!
[3] =>
Cosmetic Tribune | January/February 2011
f CT page 1C
in my experience has resulted in
the superior strength and fracture
resistance that is often required in
specific clinical situations.
Even though the Captek coping is not cast, its extensively documented marginal integrity3 and
antibacterial qualities4 make it an
ideal restorative where subgingival
margins are necessary, and I have
found in many cases that these
properties may afford the clinician
more leeway in relation to the biologic width.
Uses
It is often the case that the location of previous restorations or new
carious lesions will mandate the
placement of subgingival margins.
Due to the moisture inherent in situations such as these, a cementable
restoration is essential, and of the
new generation in metal-free products, only zirconia will fit that bill.
However, zirconia is among the
least esthetic of the ceramics where
Captek is clearly superior, both
intrinsically and for its influence on
gingival appearance.
Captek has been found to outperform any other material in terms
of its performance with regard to
gingival color.5 Its aforementioned
bacteriostatic properties contribute
greatly to gingival health where
other materials, even including
semi-precious metal copings, can
be problematic (Figs. 4, 5). Thus,
Captek has become my material of
choice for indirect restorations in
the esthetic zone that demand subgingival margins.
As any dentist knows, endodontically treated teeth often discolor
significantly after such procedures.
It is also true that there are some
implant cases where it is preferable
to use a metal abutment, and in
these instances, the effect on gingival color can be decidedly negative.6
The translucency of most metalfree restoratives will not allow for
the full masking of this tooth discoloration or metal reflection, and cosmetic outcomes will be adversely
affected when those materials are
used under these circumstances.7
As a PFM restoration, Captek
affords ultimate masking qualities,
and its excellent esthetic results
make it the prime choice in situations where masking abutment discoloration is of prime importance.
The longevity of large restorative
cases is of major consequence to
the treating dentist. Remakes due
to functional failure are costly to
the clinician not only economically,
but in terms of his or her reputation
as well.
The greater strength of PFM
restorations over their metal-free
counterparts, even including zirconia units, is well documented in the
literature.8
In cases where occlusal or parafunctional matters are of a principal
concern, ceramo-metal crowns will
be the longest lasting. Considering
Captek’s advanced cosmetic capabilities, there is no disadvantage
to going with PFM restorations in
a smile design case that has wear
issues that could lead to potential
failures if all-ceramics are used.
It is on this last point that I am
met with the most skepticism during my lectures around the country.
There are many practitioners who
simply will not believe that a PFM
restorative can match the vitality of
an all-ceramic product.
I have found it true in my practical experience that all other things
being equal (skill of the laboratory
technician involved, quality of the
clinical records provided, etc.), it is
easier to fabricate a really life-like
restoration from a metal-free material, but in the hands of a master
ceramist, Captek restorations can
achieve an organic realism that
is virtually indistinguishable from
nature.
In fact, complex restorative cases
blending Captek and all-ceramic
units have been documented to
realize a harmonious result.9
Clinical
3C
Fig. 3: Shade matching with Captek and accurate clinical records is virtually perfect. The crown in this picture is on tooth #13.
Conclusion
Although all-ceramic restorations
have been en vogue when in comes
to transformational restorative
cases in the esthetic zone for some
time, even being taught as state of
the art in dental schools,10 they are
not the be all or end all when it
comes to these situations.
The placement of all-ceramic
restorations is much more technique sensitive than its ceramometal counterpart, and their longterm function, especially when all
occlusal considerations have not
been carefully accounted for, is
questionable at best in comparison.11
There is a porcelain-fused-tometal alternative that is stronger
than the all-ceramic choices available, kinder to gingival tissues,
more esthetic when seen through
those tissues, and every bit as natural looking when fabricated by a
talented ceramist. These attributes
come from the design of Captek’s
unique composite metal coping12,
whose properties set it apart from
all other PFMs.
If there are cases for which you
hesitate to use a metal-free restorative due to occlusal questions or
where periodontal and gingival
factors are paramount, consider
Captek.
It will perform flawlessly under
all these conditions while delivering cosmetic results that are unsurpassed by any other material when
in the hands of a gifted laboratory
technician. What more could you
ask for? CT
The author would like to thank
the Elite porcelain team at Arrowhead Dental Laboratory for its
expertise in fabricating the Captek
restorations shown in this article.
A complete list of references is
available from the publisher.
Fig. 4: The gingivae at these premolars restored with
porcelain-fused-to-semi-precious-metal copings are severely
inflamed and have receded substantially after only 14
months.
Fig. 5: The same teeth, 10 months after having been rerestored with Captek crowns, show no sign of gingival irritation whatsoever.
About the author
Dr. Barry F. McArdle graduated from Tufts in 1985
and maintains a private practice in Portsmouth, N.H.
An expert reviewer for JADA, he has authored numerous articles in the peer-reviewed literature. McArdle
is also an alumnus of The Pankey Institute. He cofounded the Seacoast Esthetic Dentistry Association in
2000 and his lecture series, Seacoast Dental Seminars,
in 2005.
[4] =>
)
[page_count] => 4
[pdf_ping_data] => Array
(
[page_count] => 4
[format] => PDF
[width] => 765
[height] => 1080
[colorspace] => COLORSPACE_UNDEFINED
)
[linked_companies] => Array
(
[ids] => Array
(
)
)
[cover_url] =>
[cover_three] =>
[cover] => ![Cosmetic Tribune U.S. No. 1, 2011]()
[toc] => Array
(
[0] => Array
(
[title] => Dental students attend AACD scientific session for free
[page] => 01
)
[1] => Array
(
[title] => Clinical indications for a composite metal PFM restorative
[page] => 01
)
[2] => Array
(
[title] => New study open for cosmetic dentists
[page] => 02
)
[3] => Array
(
[title] => Cosmetic dentist restores leukemia-ravaged teeth
[page] => 02
)
)
[toc_html] =>
Table of contents
[toc_titles] => Dental students attend AACD scientific session for free
/ Clinical indications for a composite metal PFM restorative
/ New study open for cosmetic dentists
/ Cosmetic dentist restores leukemia-ravaged teeth
[cached] => true
)