International Journal of Cosmetic Dentistry

cover art

Cover Date:
September 2011
Print ISSN:
1754-2766
Vol:
2
Issue:
1

Replacement of unsightly amalgams: direct or indirect?

Introduction and chief complaint
The patient was a 56-year-old female who had had a mixture of gold and porcelain onlays and crowns, and composites, updated partly in the UK and partly in Canada. She had three amalgam fillings remaining that she wanted replaced with toothcoloured material, as she regretted having the lower right gold restorations despite their high quality. restorations had been placed in Canada eight years previously. Extra-oral: Face, head, neck, TMJ and glands showed no relevant history. There was occasional nocturnal bruxism for which a hard acrylic night guard was worn regularly. Mouth opening was normal but with a report of occasional crepitus. Intra-oral: Retro-molar cheek biting, all teeth were firm. Periodontal score was BPE 200/111. She used a Braun electric toothbrush and red Tepe brushes and had 3mm pocket with bleeding at 16/17. She was in the process of having her amalgam fillings replaced with tooth coloured alternatives. She was content to leave the gold inlays and was happy with the natural colour of the teeth. Her occlusion was class 1 with mild lower crowding and group function on right and left sides. A full smile design assessment of the macro & micro anatomy of the teeth and their relation to the soft tissues and full face was carried out. Radiographs: three bitewings revealed slight horizontal bone loss and a periapical showed sound roots on 35,36,37.

Article Price
£15.00
Institution Article Price
£
Page Start
28
Page End
32
Authors
Oliver Harman

Articles from this issue

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  1. Editorial - Everyday dentistry to a standard of excellence
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  3. 0

  1. The aesthetic dentist and the worn dentition
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  3. 9

  1. Multiple veneers in areorganised occlusion
  2. 10
  3. 15

  1. Treating a discoloured tooth to match an otherwise unrestored dentition
  2. 16
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  1. The challenge of central incisors solved by CAD-CAM
  2. 20
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  1. Harmonising replacement veneers with the natural dentition
  2. 24
  3. 27

  1. Replacement of unsightly amalgams: direct or indirect?
  2. 28
  3. 32

  1. Direct Posterior resin restorations: everyday dentistry to accreditation standard
  2. 33
  3. 37

  1. Replacing large failing posterior restorations
  2. 38
  3. 39

  1. IJCD Sept11 Orthodontics as an adjunct pp40-44.pdf
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  3. 44