{"id":1530,"date":"2014-06-19T14:58:05","date_gmt":"2014-06-19T13:58:05","guid":{"rendered":"https:\/\/www.bluecourtdental.com\/cosmetic-dentist-harrow\/?p=1530"},"modified":"2016-07-20T09:36:41","modified_gmt":"2016-07-20T08:36:41","slug":"1530","status":"publish","type":"post","link":"https:\/\/www.bluecourtdental.com\/cosmetic-dentist-harrow\/dentistry\/1530\/","title":{"rendered":"A cosmetic dentistry article by Nishan Dixit"},"content":{"rendered":"

As a board member and scientific\u00a0director and education chair of the British Academy of Cosmetic Dentistry,\u00a0our very own Dr Nishan Dixit<\/a> is often asked to publish articles on successful cases so that others in the dental profession can learn from his successes. Here is one such article published in The Dentist,\u00a0<\/strong>Issue 76, \u00a0April 2014.<\/p>\n

A Happy patient<\/h2>\n

Nishan Dixit<\/strong> describes a non-invasive composite restoration using a multi-layer\u00a0technique.<\/p>\n

 <\/p>\n

\"Pre
Pre treatment<\/figcaption><\/figure>\n

67 year old male patient presented with a lingual cusp fracture in his lower right first pre-molar, which had an old amalgam restoration. He was not experiencing any pain, but was aware of the rough edge. Since the fracture had occurred, the patient had also become more self-conscious about the discolouration of the tooth.<\/p>\n

The treatment options were discussed with the patient. The tooth could either be restored with a direct composite<\/a> or an indirect laboratory-manufactured restoration. The patient decided on the composite option, as this would provide a more immediate and less disruptive solution. I prefer to offer composite treatment, rather than more invasive procedures, when the clinical situation allows. This is more affordable for the patient, and the durability of the material makes it a realistic long-term alternative.<\/p>\n

 <\/p>\n

\"Post-treatment\"
Post-treatment<\/figcaption><\/figure>\n

Having been a provider of cosmetic dentistry for almost 20 years, I have observed a number of improvements in materials. Long-term studies have proved the reliability of modern composites. The latest developments have produced composites that are more resistant to wear and have better colour stability, combined with\u00a0reduced polymerisation shrinkage rates.<\/p>\n

Composite selection<\/h3>\n

For a number of years,I have\u00a0used the Heraeus Venus range\u00a0of composites exclusively, due\u00a0to their handling properties and the results achievable. For this\u00a0case, I chose to use Venus Pearl.\u00a0It gives high aesthetic outcomes\u00a0using a multi-layer technique,\u00a0providing excellent colour\u00a0adaptation and a natural finish. The material is easy to use, masks\u00a0well and is highly sculptable and polishable. Compared with earlier\u00a0technologies, the cured \u00a0composite is more flexible under stress and\u00a0more durable over time.<\/p>\n

Venus Pearl includes super-fine nano-hybrid filler particles. This provides even more natural light refraction and supreme aesthetic appearance, combined with a creamy application.<\/p>\n

Treatment and outcome<\/h3>\n

At the treatment appointment,\u00a0local anaesthetic was administered and the tooth was isolated with rubber dam and a clamp system. The old amalgam restoration was removed and the cavity was rendered caries free. The preparation margins were smoothed and the enamel margins bevelled. A matrix band was then adapted to the tooth. The prepared cavity was etched with 37 per cent phosphoric acid using a total\u00a0etch technique. The cavity was thoroughly washed, gently dried\u00a0and primed. Then a bonding agent was placed and polymerised.<\/p>\n

Venus Pearl OMC (Opaque Medium Chromatic) was applied to the cavity in 2mm increments. The composite was adapted to the cavity, using a microbrush in a \u2018patting\u2019 motion, then\u00a0polymerised . Approximately 20\u00a0per cent of the cavity was filled with OMC and the remaining 80 percent was filled with the Venus Pearl A3 shade. The build-up of the composite was done on a cusp-by\u00accusp basis, gradually creating the tooth shape and fissure pattern. During the incremental build-up a\u00a0small amount of dark brown stain\u00a0was applied in the fissure areas\u00a0using an explorer.<\/p>\n

Finally, the restoration was polished with Venus Supra discs and a silicone carbide brush. The outcome was a restoration with good aesthetics, achieved with minimum loss of tooth substance and completed in one short visit. The patient was extremely pleased with the end result, leaving him feeling like he had \u201ca new, natural-looking tooth\u201d<\/em>. He had absolutely no post operative sensitivity or pain. Subsequent recall appointments have shown this has continued to be the case. The treatment has left a healthy tooth and a happy patient.<\/p>\n","protected":false},"excerpt":{"rendered":"

As a board member and scientific\u00a0director and education chair of the British Academy of Cosmetic Dentistry,\u00a0our very own Dr Nishan Dixit is often asked to publish articles on successful cases so that others in the dental profession can learn from his successes. Here is one such article published in The Dentist,\u00a0Issue 76, \u00a0April 2014. A … Continue reading A cosmetic dentistry article by Nishan Dixit<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13,11,1,4],"tags":[],"class_list":["post-1530","post","type-post","status-publish","format-standard","hentry","category-why-choose-us","category-practice-news","category-dentistry","category-dentistry-in-the-news"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.bluecourtdental.com\/cosmetic-dentist-harrow\/wp-json\/wp\/v2\/posts\/1530","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.bluecourtdental.com\/cosmetic-dentist-harrow\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.bluecourtdental.com\/cosmetic-dentist-harrow\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.bluecourtdental.com\/cosmetic-dentist-harrow\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bluecourtdental.com\/cosmetic-dentist-harrow\/wp-json\/wp\/v2\/comments?post=1530"}],"version-history":[{"count":9,"href":"https:\/\/www.bluecourtdental.com\/cosmetic-dentist-harrow\/wp-json\/wp\/v2\/posts\/1530\/revisions"}],"predecessor-version":[{"id":1868,"href":"https:\/\/www.bluecourtdental.com\/cosmetic-dentist-harrow\/wp-json\/wp\/v2\/posts\/1530\/revisions\/1868"}],"wp:attachment":[{"href":"https:\/\/www.bluecourtdental.com\/cosmetic-dentist-harrow\/wp-json\/wp\/v2\/media?parent=1530"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bluecourtdental.com\/cosmetic-dentist-harrow\/wp-json\/wp\/v2\/categories?post=1530"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bluecourtdental.com\/cosmetic-dentist-harrow\/wp-json\/wp\/v2\/tags?post=1530"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}