Dentaltown August 2022 - 49

Fig. 2a
Fig. 2b
teeth for 15 minutes, and upon trying the
load test again, no discomfort was noted,
indicating the symptoms were limited to
the TMJ musculature and not the disc/
bone of the joints themselves.
Because her teeth were healthy and
already a B1 on the Vita Shade guide,
my fi rst treatment recommendation involved
some whitening gel with or without
Invisalign orthodontic treatment.
The
patient immediately shot down this plan
because she had tried whitening in the
past, but her teeth did not become " white
enough. " Furthermore, she did not want to
deal with the maintenance associated with
at-home whitening. She wanted her teeth
to be as white as possible, which meant
bonded porcelain was the only realistic
answer.
To be sure, I created a couple of graphA
combination
of planning, skill,
freestyle jazz
and a bit of luck
allowed this case
to come together.
48 AUGUST 2022 // dentaltown.com
ical smile previews using DTS Pro software
to give her an idea what the various treatment
options would feasibly look like. I
love this software for treatment presentations
because it is quick and inexpensive
and lets pictures say the thousand words
I can't. I was able to show with reasonable
accuracy what a combination of Invisalign
and whitening (Fig. 2a), instead of maxillary
and mandibular porcelain restorations
(Fig. 2b), could do for her smile.
When the patient saw the graphical
mock-up of the porcelain work, she
exclaimed, " That is what I want! That is
what I'm looking for! " A treatment plan
had been accepted, and it was now time to
obtain records and get to work.
The dentist plans ...
I, like just about every dentist in the
United States, would describe myself as a
conservative dentist, so my treatment plan
involved comprehensive Invisalign therapy
to straighten her teeth and allow for conservative
veneers and onlays with minimal
tooth structure removed.
Once the orthodontic phase was completed,
I planned to make sure the patient's
joint and occlusion were stable through
splint therapy and equilibration as needed.
Impressions were made for Invisalign treatment,
aligners were delivered, attachments
bonded and interproximal reduction (IPR)
was performed between her mandibular canines,
premolars and fi rst molars. Months
of satisfying tooth movement via aligner
therapy could now begin.
http://www.dentaltown.com

Dentaltown August 2022

Table of Contents for the Digital Edition of Dentaltown August 2022

Dentaltown August 2022 - Cover1
Dentaltown August 2022 - Cover2
Dentaltown August 2022 - 1
Dentaltown August 2022 - 2
Dentaltown August 2022 - 3
Dentaltown August 2022 - 4
Dentaltown August 2022 - 5
Dentaltown August 2022 - 6
Dentaltown August 2022 - 7
Dentaltown August 2022 - 8
Dentaltown August 2022 - 9
Dentaltown August 2022 - 10
Dentaltown August 2022 - 11
Dentaltown August 2022 - 12
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Dentaltown August 2022 - 14
Dentaltown August 2022 - 15
Dentaltown August 2022 - 16
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Dentaltown August 2022 - 18
Dentaltown August 2022 - 19
Dentaltown August 2022 - 20
Dentaltown August 2022 - 21
Dentaltown August 2022 - 22
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Dentaltown August 2022 - 26
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Dentaltown August 2022 - 49
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Dentaltown August 2022 - Cover3
Dentaltown August 2022 - Cover4
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