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A rebuttal.

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Adult↗

Cosmetic dentistry for patients who can't afford it.

As I noted earlier, all things being equal, patients prefer tooth-colored restorations. This technique has removed virtually all the barriers to treatment and makes things a lot more equal. There's the cost factor (Dramatically reduced!) There's the fear-of-needle factor (Gone!) There's the time factor (Minimized!). In fact, prepping and placing these occlusal veneers is so fast I can now do 8 to 10 amalgam rehabs in one appointment. Doing so many in a short time is extremely profitable, even at the reduced fee. This technique certainly does not qualify as "great dentistry," but it brings "desire-motivated" cosmetic dentistry to an entirely new universe and those patients are appreciative. They're even referring their friends! In my practice, veneering amalgam has brought cosmetic dentistry to many patients who would never agree to have their restorations replaced with traditional composite resin. And it has brought me several additional thousand dollars in collections each month. So this is a classic "win-win" situation. Patients are getting cosmetic restorations they didn't think they could afford, and I'm making a great profit doing it.

Acid Etching, Dental↗

Advances in mucogingival surgery.

The term Mucogingival Surgery was proposed by Friedman in 1957 to indicate any surgery "designed to preserve attached gingiva, to remove frena or muscle attachment, and to increase the depth of the vestibule". The aim of this type of surgery was to maintain an adequate amount of attached gingiva and to prevent continuous loss of attachment. This philosophy was supported by many horizontal observations in humans that confirmed the need for a certain band of attached gingiva to maintain periodontal tissue in a healthy state. Subsequently, clinical and experimental studies by Wennström and Lindhe (1983) demonstrated that as long as plaque buildup is kept under careful control there is no minimum width of keratinised gingiva necessary to prevent the development of periodontal disease. These observations reduce the importance of Mucogingival Surgery. Surgical techniques are used mostly to solve aesthetic problems, since the term "Periodontal Plastic Surgery" has been suggested to indicate surgical procedures performed to correct or eliminate anatomical, developmental or traumatic deformities of the gingiva or alveolar mucosa. More recently the Consensus Report of the American Academy of Periodontology (1996) defines Mucogingival Therapy as "non surgical and surgical correction of the defects in morphology, position and/or amount of soft tissue and underlying bone". This assigns importance to non-surgical therapy and to the bone condition because of its influence on the morphology of the defects. In this respect the Mucogingival Therapy includes: Root coverage procedures, Gingival augmentation, Augmentation of the edentulous ridge, Removing of the aberrant frenulum, Prevention of ridge collapse associated with tooth extraction, Crown lengthening, Teeth that are not likely to erupt, Loss of interdental papilla which presents an aesthetic and/or phonetic problem.

Dental Plaque↗

Light dynamic properties of a synthetic, low-fusing, quartz glass-ceramic material.

Significant material advancements have resulted in the increased application of porcelain materials as an ideal restorative substitute for tooth enamel and dentin. This discussion introduces a synthetic, low-fusing, quartz glass-ceramic system for the fabrication of fixed dental prostheses. This article evaluates and compares the properties of this ceramic system with regard to its applicability for use in contemporary dental practices. The theoretical aspects are supplemented by clinical case studies that highlight examples of the authentic results achievable using the low-fusing restorative material.

Adult↗

The application of all-ceramic restorations in the anterior and posterior regions.

Aesthetic restorations in the posterior region must tolerate masticatory stresses and maintain an adequate amount of anatomic configuration at the occlusal and interproximal regions. Anterior prostheses must be durable, translucent, and versatile for use in areas that require significant color modifications or masking. Leucite-reinforced glassceramic materials have revolutionized the restorative armamentarium and enhanced the clinician's ability to deliver predictable porcelain laminate veneers, full-coverage crowns, inlays, and onlays. The incorporation of all-ceramic options, especially in the anterior region, has resulted in improved strength, durability, marginal integrity, color match, and wear resistance.

Aluminum Silicates↗