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Establishing Protocol in Digital Dental Photography: Essential Communication Tool for Dental Professionals and Patients

Digital photography provides good clinical evidence and is an essential communication tool for dental professionals and patients. Therefore, capturing correct information is critical when exchanging digital images. The quality of the captured images significantly reflects the quality of the final restorations.   In an ideal scenario, the technician/ceramist should receive the necessary information from the treating clinician to perform to the best of their abilities, and provide the best possible outcome for their patients. The image captured by the treating clinician needs translation into the language/perspectives as the way the technicians/ceramists see and apply within their workflow – i.e., the clinician should be able to explain why they are capturing the specific photos, and the technician/ceramist should be able to understand the...

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Before and After 2016: Smile Makeover – Full Mouth Reconstruction with a Heart-warming Testimonial

A female patient in her 50s was referred to me for a consultation, who literally got ‘hit by a bus’ in an accident. Multiple facial reconstruction and surgeries had been performed, yet she was dissatisfied with the dental work provided.   After a lengthy discussion with the patient and the treating clinician, we decided to restore her brand-new smile with confidence by performing a full-mouth reconstruction. There were existing implant restorations from 12-22 – the right lateral incisor to the left lateral incisor, replaced in Screwed-Retained Implant bridge. The rest to be done in lithium disilicate (e.max).   Fig 1 shows the pre-op condition. The patient’s lower lip was still hanging down at this point (due to the trauma), and thus she showed more...

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Unbreakable Zirconia Abutments: New Lava and NeoLink Zirconia Abutments

eLABORATE Magazine featured Yugo’s article titled ‘Unbreakable Zirconia Abutments: New Lava and NeoLink Zirconia Abutments’ in Jan/Feb 2010 (published language: English).   Introduction:   Strength and aesthetics are foremost in the mind of today’s ceramist. The longevity of restorations has always been an essential factor. In the past, however, aesthetic compromises may have been tolerated, particularly in the posterior region. Thankfully today, achieving a lasting, highly aesthetic result technically has become far more accessible due to the development of new technology and materials. In the burgeoning field of implant dentistry, to maximise aesthetics, it is essential to create a customised abutment instead of using ‘off the shelf’ abutments. Custom abutments are necessary to control the emergence profile, as well as the Sub-Gingival Contour (SGC). Customised Zirconia...

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Death – Finding a Purpose of Life by Becoming a Hero (GAMSAT Essay Example)

Consider the following comments and develop a piece of writing in response to one or more of them. Your writing will be judged on the quality of your response to the theme, how well you organise and present your point of view, and how effectively you express yourself.   ‘Nothing in his life became him like leaving it.’ – William Shakespeare   ‘It matters not how a man dies, but how he lives. The act of dying is not importance, it lasts so short a time.’ – Samuel Johnson   ‘It’s not that I’m afraid to die. I just don’t want to be there when it happens.’ – Woody Allen   ‘I have received two wonderful graces. First, I have been given time to...

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Before and After 2015: Smile Makeover – Replacement of 2 Teeth on 1 Abutment with Pink Ceramics

A Caucasian female patient in her 20s was just about to get married and wanted to look the best. She was missing laterals with vampire-like fangs that bothered her. Because of the timeframe, orthodontic treatment was not an option.   Since the teeth are all vital, we need to be conservative in prep generally, but the aggressive prep is necessary where required. Boding strength is another element we must consider. Thus, we decided to go with lithium disilicate (e.max) restorations – veneers on the central incisors and first-premolars, with joint crowns to replace the laterals and canines off one abutment for each quadrant.   Fig 1 shows the pre-op condition. When working a case like this, the communication between the clinician and technician is...

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Before and After 2014: Smile Makeover – Addressing Mid-line Cant and Proportion with Lateralised Canines

A Middle Eastern female patient was concerned about her smile’s asymmetry, cased by the midline cant and shift with missing laterals. The lateralised canines are as wide as the central incisors, so the overall proportion needs improvement. It is not visible in the initial smile photo, but the patient has a gummy smile, which she would like to address simultaneously.   When working on a case like this, initial planning is crucial to visualise the outcome from the beginning, and thus, diagnostic wax-up is a must. We have decided to idealise the gingival level by crown-lengthening/gum-contouring, to begin with, then lithium disilicate (e.max) veneers from 13-23, right upper canine to left upper canine, a total of 6 teeth.   Figs 1-4 show the pre-op condition. The...

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Courage – Courage to be Disliked for Authentic Happiness (GAMSAT Essay Example)

Consider the following comments and develop a piece of writing in response to one or more of them. Your writing will be judged on the quality of your response to the theme, how well you organise and present your point of view, and how effectively you express yourself.   ‘Courage is the thing. All goes if courage goes!’ – J.M. Barrie   ‘None but the brave deserves the fair.’ – John Dryden   ‘Courage is not simply one of the virtues but the form of every virtue at the testing point.’ – C.S Lewis   ‘As to moral courage, I have rarely met with two o’clock in the morning courage: I mean instantaneous courage.’ – Napoleon I   ‘Perhaps those, who, trembling most, maintain a...

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Before and After 2013: Smile Makeover – Implant Zirconia Bridge with Gum Porcelain

An Asian patient in her 40s was depressed about the aesthetics of her smile. She had several attempts to replace the restorations to achieve natural aesthetics, which she found difficult. She was looking for “a durable, functional and, most of all, a beautiful smile” in her words.   The treatment plan is to replace the existing restorations – 12-22 Screw-Retained Implant Bridge, and crowns on the canines - 13 and 23. To maintain the same property and material in the superstructure, we decided to use Zirconia with Ti interface abutment for the implant connections.   Fig 1 shows the pre-op condition. The aesthetical and functional issues we need to address are: correction of the midline cant achieving a sense of symmetry on the central...

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