Interdisciplinary Minimally Invasive Treatment by Arthur R. Volker DDS, MSEd, FAGD, FACD, DWCMID. Dentaltown Cosmetic Dentistry

Interdisciplinary Minimally Invasive Treatment by Arthur R. Volker DDS, MSEd, FAGD, FACD, DWCMID. Dentaltown Cosmetic Dentistry https://www.dentaltown.com/MessageBoard/thread.aspx?s=2&f=101&t=251751&pg=1&r=4040757&v=0. Introduction: This case was never finished as the patient "left" the country, but for me it demonstrated the impact of minimally-invasive dentistry, because the treatment was so subtle, but the impact could have been so large. Treatment consisted of perio, internal bleaching of #9, ortho, and a polychromatic composite on #9. Due to "legal" issues, we never got to do the composite. However, this treatment, would have involved little if any tooth preparation (perhaps only for a starburst or infinity bevel on #9). This was a pro bono case. Patient sustained trauma to #9 when she was 12 years old. Patient was now 21. #9 is slightly labioverted. She did not like the "yellow tooth that was sticking out".

Initial film.

After internal beaching and placement of brackets and wire

Occlusal view of initial placement of brackets and wire.

After removal of brackets and another prophy. Hygiene was certainly an issue with the patient

Occlusal view after removal of brackets. Note the improved alignment.

I had been asked as to why I didn't just prepare the facial of #9 (and #8) and do crowns / veneers on both #8 and 9. First off, it is way too aggressive a treatment for my liking. Also, the increased chroma that can result from preparing a non-vital tooth may prove challenging for the lab. Metal ceramic or "oxide" ceramic crowns are another viable option, but would require too much tooth reduction for my liking.

Conclusion: There are certainly many ways to skin a cat. If possible, I will opt to move rather than re-move. Arthur R. Volker DDS, MSEd, FAGD, FACD, DWCMID

Upcoming presentations contact me for more info at https://www.dentcaredentaloffice.com

-January 21 - Progressive Study Club - Garden City, NY Minimally Invasive Dentistry

-February 10 - Irvine Study Club - Irvine, CA Ceramic Restorations from Start to Finish