Cosmetic Tribune U.S. No. 1, 2014
Live dentistry sessions are an AACD Scientific Session first
/ Strength - esthetics drive selection of restorative material in unusual case
/ Party with a purpose at Gaylord Palms
/ LVI Core I three-day course enables dentist and team to learn together
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[1] =>
COSMETIC TRIBUNE
The World’s Cosmetic Dentistry Newspaper · U.S. Edition
April 2014 — Vol. 7, No. 1
www.dental-tribune.com
Live dentistry sessions are an
AACD Scientific Session first
‘Education in the Round’ presented
in exhibit hall in partnership with
American Dental Association
For the first time ever, live dentistry
will be offered at AACD 2014 in Orlando, the annual scientific session of the
American Academy of Cosmetic Dentistry.
In a partnership with the American
Dental Association (ADA), the AACD
will present “Education in the Round,” a
live dentistry experience located in the
AACD exhibit hall and open to all attendees of the conference.
The goal of live dentistry is to provide
attendees with a real-life demonstration
of the procedures for which AACD dentists are highly recognized.
Here’s the presenter lineup: Thursday, Dr. Wynn Okuda, AACD accredited
member and AACD past president, direct composite veneers; Friday, Dr. John
Weston, AACD accredited fellow, prepless
veneers; and Saturday, Dr. Brian LeSage,
AACD accredited fellow, bonding.
The live dentistry exhibit is expected
to draw large numbers of dental professionals to the conference and is of interest to dentists and all members of the
dental team.
“Live dentistry will be a huge draw for
our attendees to visit the AACD Exhibit
Hall,” said Jeff Roach, AACD director of
strategic partnerships. “Education in the
Round will inspire our attendees and
motivate them to take their own work up
a notch. Also, the debut of live dentistry
at our 30th anniversary meeting just
proves how far cosmetic dentistry has
” See LIVE, page C4
Live dentistry, billed as ‘Education in the Round,’ makes its debut at the 2014 American
Association of Cosmetic Dentistry Scientific Session. The live dentistry stage will be in the
exhibit hall, open to all attendees of the conference. Presenters, from left, are Dr. Brian
LeSage, Dr. Wynn Okuda and Dr. John Weston. Photos/Provided by AACD
AACD launches ‘Your Smile Becomes You’ website
Interactive consumer site features smile analysis, Smile IQ quiz, educational content and videos
The American Academy of Cosmetic
Dentistry (AACD), the world’s largest nonprofit membership association dedicated
to the art and science of cosmetic dentistry, has launched a new consumer website,
www.YourSmileBecomesYou.com.
With the launch of this site, AACD is embarking on a new campaign aimed to help
educate consumers about cosmetic dentistry, encourage them in their pursuit to
improve their smiles, and to raise awareness of the importance of seeking out an
AACD accredited or member dentist for
treatment.
“There are currently many different
cosmetic dentistry treatment options for
patients, and this website enables the consumer to learn more about these procedures through a less intimidating, more
consumer-friendly fun way,” said Dr. Jack
Ringer, DDS, AAACD; AACD president
2013-2014. “We hope that the ‘Your Smile
Becomes You’ website provides consumers with foundational information that
will help them to have more informed
conversations about their oral health with
the right cosmetic dentist in their area.”
The website educates consumers on the
types of cosmetic dental procedures that
can improve their smiles. The website’s
content includes:
• What Does Your Smile Say About You?
– A personalized smile analysis tool that
uses Facebook to determine what your
smile says about your personality.
• A Share Your Smile gallery – A photo
gallery where users can upload their
smile personality and view the personalities of other users that have also used the
analyzer.
• “Your Smile IQ” Quiz – A step-by-step
quiz to help consumers determine the
procedures that could improve their
smiles.
• Explore Cosmetic Procedures – An educational section with consumer-friendly
videos showcasing cosmetic dentistry
procedures available to patients, such as
bonding, veneers and whitening.
The website also features a “Find a
Cosmetic Dentist” locator that enables
the user to quickly find an AACD accredited dnetist or an AACD member dentist
AACD launched the ‘Your Smile Become You’ website to help educate consumers about
cosmetic dentistry and encourage them in their pursuit to improve their smiles.
Screen capture/www.YourSmileBecomesYou.com.guide
practicing near them. “A recent study
conducted by Kelton Research (confirms)
the importance the public places on an attractive smile. More consumers are willing to pay to fix their teeth than to pay for
weight loss,” said Barb Kachelski, AACD
executive director. “Knowing this, we
built the ‘Your Smile Becomes You’ website to help consumers understand steps
they can take to improve their smiles and
to showcase the clinical excellence of our
AACD member dentists.”
(Source: Digident and AACD)
[2] =>
C2
INDUSTRY CLINICAL
Strength, esthetics drive selection of
restorative material in unusual case
The patient was not interested in orthodontic treatment but wanted
as much improvement as could be created with restorative treatment
By Drake Laboratory Staff
In the esthetic restorative material
arena, Ivoclar Vivadent once again has
found an ideal niche with its IPS e-max®
lithium disilcate product. The application as a full contour restorative material provides improved strength and
cementability that compares to the
original, extremely successful, pressed
Empress formulation
Designed with simplicity and versatility in mind, e-max is available for both
the PRESS and CAD/CAM techniques.
When utilizing the PRESS technique,
two different types of ingots are available: IPS e.max Press, a high-strength
glass-ceramic, and IPS e.max ZirPress,
an esthetic glass-ceramic that is pressed
onto zirconium oxide in a fast and efficient procedure. Pressed flexural
strength is 400 mpa.
For CAD/CAM applications, either the
highly esthetic IPS e.max CAD ceramic
glass blocks or the high-strength IPS
e.max ZirCAD zirconium oxide can be
selected, depending on the case requirements (Fig. 1).
The nano-fluorapatite layering ceramic IPS e.max Ceram completes the
all-ceramic system. This material is used
to veneer all IPS e.max components, no
matter if they are glass-ceramic or zirconium oxide. Milled flexural strength is
360 mpa.
COSMETIC TRIBUNE
Publisher & Chairman
Torsten Oemus t.oemus@dental-tribune.com
President & Chief Executive Officer
Eric Seid e.seid@dental-tribune.com
Group Editor
Kristine Colker k.colker@dental-tribune.com
Editor in Chief Dental Tribune
Dr. David L. Hoexter feedback@dental-tribune.com
Fig. 1: For CAD/CAM applications,
either the highly esthetic IPS e.max
CAD ceramic glass blocks or the
high-strength IPS e.max ZirCAD
zirconium oxide can be selected,
depending on the case requirements.
Managing Editor U.S. and Canada editions
Robert Selleck r.selleck@dental-tribune.com
Photos/Provided by Drake Laboratory
Marketing DIRECTOR
Anna Kataoka
a.kataoka@dental-tribune.com
Managing Editor
Fred Michmershuizen
f.michmershuizen@dental-tribune.com
Managing Editor
Sierra Rendon s.rendon@dental-tribune.com
Education Director
Christiane Ferret c.ferret@dtstudyclub.com
Fig. 2: The entire upper arch is in
need of restorative treatment, so a
full arch plan is developed.
Accounting Coordinator
Nirmala Singh n.singh@dental-tribune.com
Projects & Events Coordinatorer
Robert Alvarez
r.alvarez@dental-tribune.com
Tribune America, LLC
116 West 23rd St., Ste. #500
New York, N.Y. 10011
(212) 244-7181
Fig. 3: The case is developed by
Drake Laboratory, Charlotte, N.C.,
and delivered. Post-op visits consist
of minor occlusal modifications and
production of an occlusal splint to
be worn at night.
Published by Tribune America
© 2014 Tribune America, LLC
All rights reserved.
Tribune America strives to maintain the utmost accuracy in its news and clinical reports. If you find a
factual error or content that requires clarification,
please contact Managing Editor Robert Selleck at
r.selleck@dental-tribune.com.
Tribune America 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 Tribune America.
Fig. 4: Final outcome is deemed a
success by the restoring dentist and
patient. The patient was very
pleased with the final result.
Case study
The patient presented with a desire to
improve the appearance of her smile.
She is an early-40s female in excellent
general health.
The overall patient desire was a bright
and white smile with as many improvements to gingival outline and occlusal
relationship as possible. The patient was
not interested in orthodontic treatment
and wanted as much improvement as
could be created with restorative treatment. The entire upper arch was in need
of restorative treatment, so a full arch
plan was developed (Fig. 2).
Following standard procedure with
cases involving anterior guidance, the
procedure began with facebow-mounted
models in centric relation. It was determined that a slight increase in vertical
dimension was indicated for restorative
convenience. Also, the lower occlusal
plane was erratic and inappropriate.
A complete diagnostic wax-up was developed to simulate the improved occlusal plane and proposed gingival outline
of final restorations at the raised vertical.
Incisal edge position, and final restoration contours were developed with this
wax-up.
Upon approval, the wax-up was converted to a provisional restoration
through the use of a putty matrix. The
entire arch was prepared and the provisional was relined to accommodate the
Cosmetic Tribune U.S. Edition | April 2014
preparation discrepancy and gingivectomy performed at the time of preparation.
The patient was evaluated multiple
times postoperatively to perfect the appearance of the provisional and to evaluate lip support, occlusion and phonetics. Once all patient expectations were
achieved, the provisional was impressed
to be used as the final blueprint for the
case.
Final impressions were taken, and the
case was mounted in such a way as to
cross mount the approved provisional
and the die model. A labial incisal matrix
was developed, into which the permanent restorations could be built.
Based on its physical and esthetic
properties, e-max was chosen as the restorative material. Wax patterns were
developed for pressing, simulating a “cut
back” upon which final porcelain layering could be accomplished.
The case was developed by Drake Laboratory (Charlotte, N.C.) and delivered.
Post-op visits consisted of minor occlusal
modifications and production of an occlusal splint to be worn at night.
The patient was very pleased with the
final result. Although the case was compromised because of the lack of pretreatment orthodontics, the final outcome
was deemed a success by both the restoring dentist and the patient (Figs. 3, 4).
Conclusion
The type of predictability exhibited in
this case study is possible because of
many factors. Chief among them are
proper evaluation and planning combined with the skill of the clinician and
technician.
The Ivoclar IPS e-max material selected for the case ensured functional and
esthetic success.
Editorial Board
Dr. Joel Berg
Dr. L. Stephen Buchanan
Dr. Arnaldo Castellucci
Dr. Gorden Christensen
Dr. Rella Christensen
Dr. William Dickerson
Hugh Doherty
Dr. James Doundoulakis
Dr. David Garber
Dr. Fay Goldstep
Dr. Howard Glazer
Dr. Harold Heymann
Dr. Karl Leinfelder
Dr. Roger Levin
Dr. Carl E. Misch
Dr. Dan Nathanson
Dr. Chester Redhead
Dr. Irwin Smigel
Dr. Jon Suzuki
Dr. Dennis Tartakow
Dr. Dan Ward
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! If you would
like to make any change to your subscription
(name, address or to opt out) please send us
an e-mail at database@dental-tribune.com
and be sure to include which publication
you are referring to. Also, please note that
subscription changes can take up to six
weeks to process.
[3] =>
[4] =>
C4
AACD MEETING
Cosmetic Tribune U.S. Edition | April 2014
Party with a purpose at Gaylord Palms
Lawn party benefits ‘Give Back a Smile’ program
Are you looking for a fun way to spend
your Thursday evening at AACD 2014 in
Orlando?
Bring your entire dental team, spouse
or family to the Give Back a Smile (GBAS)
Lawn Party. The party will take place
on the Coquina Lawn on the property
of AACD 2014’s host hotel, the Gaylord
Palms. Partygoers will receive appetizers, one drink ticket and the chance to
win some prizes. Music and lawn games
will also be available.
Proceeds from the party will benefit
GBAS, which restores the smiles and
lives of domestic violence survivors who
have sustained dental injuries as a result
of abuse from a former intimate partner
or spouse. With the help of volunteer
dentists and their teams, GBAS patients
receive a chance to smile again and ultimately improve their self-esteem and
chances for professional success.
Attending the party is a great way
to support GBAS while celebrating its
many successes. While the AACD celebrates 30 years of cosmetic dentistry
excellence, GBAS celebrates its 15-year
anniversary this year. To date, GBAS has
The Gaylord Palms resort in Orlando, Fla. Photo/Provided by Marriott International Inc.
Ad
restored more than 1,400 smiles for a
total dollar value of more than $14 million. Currently, GBAS is helping more
than 250 patients throughout the United States smile again.
Your support will enable GBAS to
help many more patients. Tickets are
$40 and can be purchased through the
AACD conference registration system.
Visit www.aacdconference.com for
more information.
Also, be sure to stop by the GBAS Silent Auction, which will take place in
the AACD exhibit hall. A wide variety of
auction items have been donated, providing attendees lots of opportunities
to support GBAS — while also taking
home a gift.
Auction items range from dental
products to celebrity memorabilia. The
silent auction will take place on Thursday from 11 a.m. to 7 p.m. and Friday
from 11 a.m. to 2 p.m.
Are you interested in becoming a
GBAS volunteer? Or are you interested
in spreading awareness about GBAS to
patients who might be able to benefit
from the program? For more information on how to get involved, you can
visit www.givebackasmile.com.
(Source: AACD)
◊ LIVE, page C1
come, and further strengthens our commitment to esthetic excellence.”
About the AACD
The AACD is the world’s largest nonprofit member organization dedicated to
advancing excellence 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,
the AACD fulfills its mission by: offering
educational opportunities; promoting
and supporting an accreditation credential; serving as a forum for the creative
exchange of knowledge and ideas; and
providing information to the public and
the profession. For more information
visit www.aacd.com.
(Source: AACD)
[5] =>
EDUCATION
Dental Tribune U.S. Edition | April 2014
C5
LVI Core I three-day course enables
dentist and team to learn together
By Mark Duncan, DDS, FAGD, LVIF,
DICOI, FICCMO
Clinical Director, LVI
As a patient, I expect the best care I
can find. As a doctor, I want to deliver
the best care possible. That takes us
to the power of continuing education,
and as doctors we are faced with many
choices in continuing education.
As a way to introduce you to the Las
Vegas Institute for Advanced Dental
Studies, or LVI, I want to outline what
LVI is about and what void it fills in
your practice. The alumni who have
completed programs at LVI were given
an independent survey, and unlike the
typical surveys, 99.7 percent said they
love practicing dentistry, and of those
surveyed, 92 percent said they enjoy
their profession more since they started their training at LVI. That alone is
reason enough to go to LVI and find
out more.
While the programs at LVI cover the
breadth of dentistry, the most powerful and life-changing program is generally reported as Core I, “Advanced
Functional Dentistry: The Power of
Physiologic-Based Occlusion.”
This program is a three-day course
that is designed for doctors and their
teams to learn together about the
power of getting their patients’ physiology on their side. In this program,
doctors can learn how to start the process of taking control of their practice
and start to enjoy the full benefits of
owning their practice and providing
high-quality dentistry.
Whether he or she works in a solo
practice or in a group setting, every
doctor can start the process of creating comprehensive care experiences
for his or her patients.
We will discuss why some cases that
doctors are asked by their patients
to do are actually dangerous cases to
restore cosmetically. We will discover
the developmental science behind
how unattractive smiles evolve and
what cases may need the help of auxiliary health care professionals to get
the patient feeling better.
The impact of musculoskeletal signs
and symptoms will be explored and
how the supporting soft tissue is the
most important diagnostic tool you
have — not simply the gingiva, but the
entire soft-tissue support of the structures not just in the mouth but also in
the rest of the body.
Comprehensive care
A successful restorative practice
doesn’t need to be built on insurance
reimbursement schedules.
An independent business should
stand not on the whims and distractions of a fee schedule but rather on
the ideal benefits of comprehensive
care balanced by the patients’ needs
and desires. Dentistry is a challenging
and thankless business, but it doesn’t
have to be. Through complete and
comprehensive diagnosis, there is an
amazing world of thank-yous and hugs
and tears that our patients bring to
us, but only when we can change their
lives. The Core I program at LVI is the
first step on that journey.
That’s why when you call, we will answer the phone, “LVI, where lives are
changing daily!”
Las Vegas
Institute for
Advanced Dental
Studies offers
Core I, a threeday course for
doctors and their
teams. Photo/
Provided by Las
Vegas Institute for
Advanced Dental
Studies
Ad
educate | inspire | connect
30
years
of Making Smiles
April 30 - May 3, 2014
30th Annual AACD Scientific Session
Visit www.AACDconference.com
• Be part of a cosmetic dentistry
evolution spanning 30 years
• Tap your inner overachiever
with AACD’s high-level,
hands-on learning
• Get social and re-energize
in the Florida sunshine
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