Topic Thread

Expand all | Collapse all

Examiner Case of the Month

  • 1.  Examiner Case of the Month

    Posted 6 days ago
    Sorry my photos didn't upload previously...


    Hello AACD Members,

    To continue our "Case of the Month Series", I have chosen a case that combines both porcelain and resin, but still falls into the mantra of "responsible esthetics". I am a firm believer in conservative treatment, and I feel this exemplifies that perfectly.

    This patient had an existing crown on tooth 8 for 30+ years which he called his "dinosaur tooth". He had re cemented it with crazy glue multiple times until he showed up in my office without it. (original photo not available). I quickly made a Cerec crown just to get something in his mouth as he was going away on vacation and I did not want to give him a provisional. When. He returned we discussed more ideal treatment. As you can see in the pre op pictures, the two main concerns are matching the color of the adjacent natural tooth and correcting the midline cant. Rather than veneering or crowning #9, a simple mesial resin was placed to upright the midline.

    My patient was super happy with the result. The case was successful for multiple reasons. A phenomenal ceramist who nailed the shade match, and great team work and communication between us. Accreditation Level?... yes for sure... Falls right into a good case selection for Case type 2

    Clinical Dentistry – Adamo E. Notarantonio DDS FAACD

    Lab procedures and Ceramics – Hakjoo Savercool CDT, San Diego Aesthetic Dental Studio

    Materials – Pressed eMax - Lithium Disilicate, Ivoclar Empress Direct Resin



    ------------------------------
    Adamo Notarantonio DDS, FAACD
    Huntington Bay Dental
    Huntington NY
    (631) 425-0300
    ------------------------------


  • 2.  RE: Examiner Case of the Month

    Posted 6 days ago
    Beautiful!

    ------------------------------
    T Shin DDS
    Arrowhead Creekside Dental
    Glendale AZ
    (623) 979-0053
    ------------------------------



  • 3.  RE: Examiner Case of the Month

    Posted 5 days ago
    Thank you my friend

    ------------------------------
    Adamo Notarantonio DDS, FAACD
    Huntington Bay Dental
    Huntington NY
    (631) 425-0300
    ------------------------------



  • 4.  RE: Examiner Case of the Month

    Posted 5 days ago
    Fantastic result. Maybe you or someone else viewing this thread can explain why a dentist or lab tech would choose press vs milled e.max?
    Thank you sharing this case.

    ------------------------------
    Salvatore Lotardo DDS, AAACD
    Bella Smiles
    Roslyn NY
    (631) 591-3243
    ------------------------------



  • 5.  RE: Examiner Case of the Month

    Posted 5 days ago
    Great question Sal. For me most of those decisions I leave up to my ceramist. Hak joo did not mill anything so we went with pressed. That being said, I am ok with milled crowns BUT have not found the fit of milled veneers be as good as pressed yet in my opinion. So if this was a veneer I would've requested pressed. I could have gone either way with the crown

    ------------------------------
    Adamo Notarantonio DDS, FAACD
    Huntington Bay Dental
    Huntington NY
    (631) 425-0300
    ------------------------------



  • 6.  RE: Examiner Case of the Month

    Posted 3 days ago
    We still find that pressing gives us a more intimate marginal fit over milling. In some veneer applications we are pressing at .2mm. Very difficult to consistently mill at this thickness.

    ------------------------------
    Steve Hoofard CDT, AAACD
    MicroDental Northwest
    Kennewick WA
    (509) 735-9336
    ------------------------------



  • 7.  RE: Examiner Case of the Month

    Posted 5 days ago
    Beautiful!! Thanks for sharing

    ------------------------------
    Marina Ambridge DDS
    The Smile Institute
    Peoria AZ
    (623) 937-1888
    ------------------------------



  • 8.  RE: Examiner Case of the Month

    Posted 5 days ago
    Thank you!

    ------------------------------
    Adamo Notarantonio DDS, FAACD
    Huntington Bay Dental
    Huntington NY
    (631) 425-0300
    ------------------------------



  • 9.  RE: Examiner Case of the Month

    Posted 2 days ago
    Very nice case with excellent outcome emphasizing conservative esthetic dentistry.

    ------------------------------
    Sambhavna Khanna DDS
    (813) 334-0079
    ------------------------------



  • 10.  RE: Examiner Case of the Month

    Posted 5 days ago
    Adamo,

    Fantastic result ... love the creativity in handling #9 as well.  I know we all tend to shy away from single tooth anterior indirect restorations ... thanks for showing us what's possible.

    Marvin​

    ------------------------------
    Marvin Berlin DDS
    McKinney Dentist
    Mc Kinney TX
    (972) 547-6453
    ------------------------------



  • 11.  RE: Examiner Case of the Month

    Posted 5 days ago
    Nice work !
    Hakjoo Savercool CDT - pretty much nailed it !

    ------------------------------
    Steven Andreaus DDS, AAACD
    Raleigh NC
    (919) 546-9011
    ------------------------------



  • 12.  RE: Examiner Case of the Month

    Posted 5 days ago
    Thank you for sharing your beautiful case and opening up the possibilities of esthetic conservative dentistry.

    ------------------------------
    [Marilyn] [Calvo] [DDS, AAACD]
    [Encino] [CA]
    [818.822.7310]
    ------------------------------



  • 13.  RE: Examiner Case of the Month

    Posted 4 days ago
    Love the attention to detail to obtain the most aesthetic and conservative results for #9!  Bet your patient was beyond excited!​

    ------------------------------
    Priyanka Seekand DMD
    Seek & Smile Dentistry
    Conyers GA
    (770) 922-1666
    ------------------------------



  • 14.  RE: Examiner Case of the Month

    Posted 3 days ago
    Such a beautiful Outcome Adamo .Thanks for sharing the case and your choice of your treatment .

    ------------------------------
    Aparna Sadineni DDS, AAACD
    Dentist
    Dublin OH
    (614) 766-5600
    ------------------------------