Chapter 31 - Cosmetic Dentistry and Teeth Whitening

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Transcript Chapter 31 - Cosmetic Dentistry and Teeth Whitening

Cosmetic Dentistry
and Teeth Whitening
Chapter 31
©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned,
copied, duplicated, or posted to a publicly accessible website, in whole or in part.
Cosmetic Dentist and Staff
• Requires additional training and
credentials
• Similar to any dental office staff
©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned,
copied, duplicated, or posted to a publicly accessible website, in whole or in part.
Scope of Cosmetic Dentistry
• Broad and diverse
• Corrects appearance
of teeth
• Restores oral
functioning
Courtesy of Dr. Stephen Crump, DDS
©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned,
copied, duplicated, or posted to a publicly accessible website, in whole or in part.
Fundamentals of Cosmetic
Dentistry
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Light
Color
Illusion
Shape and form
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©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned,
copied, duplicated, or posted to a publicly accessible website, in whole or in part.
Dental Check
• What is the term that describes the
intensity or quality of the hue?
– Chroma
©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned,
copied, duplicated, or posted to a publicly accessible website, in whole or in part.
Cosmetic Dentistry and
Psychology
• Psychological
– Influences
– Environment
• Sociological
– Influences
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Selection of Cosmetic Dentist
• Referrals
• Credentials
• Availability
© Cengage Learning 2013
©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned,
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Procedures
• Diagnosis
• Treatment planning
• Legal forms
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Oral Photography
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Case presentation
Patient records
Lab communication
Insurance
Quality control
Marketing and education
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Oral Photography
• Equipment
– Various cameras and
visual aids
• E.g., mirrors
• Extraoral
– Full face and profile
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©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned,
copied, duplicated, or posted to a publicly accessible website, in whole or in part.
Oral Photography
• Intraoral
– Anterior
– Maxillary
– Mandibular
– Buccal
– Lingual views
©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned,
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Contouring Soft Tissues
• Treatment
• Methods
• Technique
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copied, duplicated, or posted to a publicly accessible website, in whole or in part.
Dental Check
• If a patient has teeth that appear shorter
than normal, what procedure might that
patient consider?
– Crown lengthening
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copied, duplicated, or posted to a publicly accessible website, in whole or in part.
Occlusion
• Skeletal, dental, and muscular problems
• Impressions assessed
• Goal:
– Restore function
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Types of Restorations and
Materials
• Composite resins
• Ceramometal restorations
• Porcelain restorations
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Before and After Porcelain
Crowns
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©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned,
copied, duplicated, or posted to a publicly accessible website, in whole or in part.
Marketing Cosmetic Dentistry
• Plans
• Successes
• Affordability
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copied, duplicated, or posted to a publicly accessible website, in whole or in part.
Tooth Whitening
• Whitening
– Restoration of tooth surface by removing dirt
and debris
• Bleaching
– Teeth being whitened beyond their natural
color
• Shade guides
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copied, duplicated, or posted to a publicly accessible website, in whole or in part.
Tooth Whitening
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Most requested service
Bleaching
Hydrogen peroxide
Carbamide peroxide
Sodium perborate
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Teeth Whitening Shade Guide
• Vitapan classic shade guide
• 16 shades
• White with varying degrees of grays,
yellow, or orange
• Use natural light when choosing shade
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Causes of Staining
• Extrinsic
– Diet
– Habits
• Intrinsic
– Medications
– Dental treatments
– Injuries
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Role of the Dental Assistant
• Provide info and answer questions
• Assist chairside for treatments
• Instruct on use of home whitening
preparations
• Fabricate custom trays
• Obtain consent forms
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Whitening Techniques
• Non-vital bleaching
• Vital bleaching in office
• Home whitening
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Over-the-Counter Products
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Whitening strips
Whitening gel
Tray systems
Toothpastes
Mouth rinses
Chewing gum
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