Previous Case Discussions
Pink. White. Minimal Prep.
60 Minutes | 1 CE Credit
In this session, Nelson Rego and I focused on the art of blending pink and white esthetics to create a beautifully balanced smile design. Viewers left with practical, minimal-prep tips that made achieving stunning results easier than ever!
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Diastemas: Closing the Gap
60 Minutes | 1 CE Credit
Teeth often have significant undercuts, either due to their natural contour or after decay removal. The challenge is determining how to prepare the tooth to achieve a proper path of draw without converting a veneer preparation into a crown preparation. This case demonstrates how such undercuts can be managed in a minimally invasive manner.
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To Save or Not to Save?
60 Minutes | 1 CE Credit
As clinicians, one of the most challenging aspects of treatment planning is determining what acceptable compromises we are willing to make. Often, complex cases present multiple treatment options, each with its own risks. In this session, we explore a trauma case that sparked differing opinions on whether to extract or preserve the teeth.
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Undercuts: Where's Your Margin?
60 Minutes | 1 CE Credit
Where should you end your preparation margin when closing a diastema? This decision must be made carefully to create a natural emergence profile while addressing esthetic challenges such as black triangles or pinched, inflamed papilla.
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Managing Tooth Agenesis​
60 Minutes | 1 CE Credit
Managing tooth agenesis presents a unique challenge, as we aim to provide both functional support during the growth and development phase and enhance patients' confidence with a beautiful smile. This case discussion will focus on interdisciplinary care involving orthodontics, transitional composite bonding, and the progression toward final implant placement and porcelain restorations.
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Staging Full Mouth Rehabilitations
60 Minutes | 1 CE Credit
​Review various strategies to stage and phase a full mouth rehabilitation, particularly when opening the vertical dimension. Phasing the treatment can be necessary for several reasons, including patient financial considerations, managing appointment length, and maintaining control over the process. Special guest Nelson Rego provides insights from the lab perspective, highlighting what the dental team needs to communicate with the lab to ensure successful outcomes.
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What's Next After Ortho?​
60 Minutes | 1 CE Credit
Imagine working with a patient who is completely committed to achieving their perfect smile—no matter the cost, time, or procedures involved. But what happens when initial plans don't meet expectations, and the journey expands into a full smile makeover? Starting with a fractured tooth (#13), what began as a straightforward restoration evolved into a full smile makeover involving orthodontics, esthetic refinements, and close collaboration with a periodontist. Navigate the complexities of balancing esthetic goals with functional needs and learn strategies for effectively managing patient expectations.
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Implant Esthetics: Managing the Single Tooth Challenge​
60 Minutes | 1 CE Credit
Learn how to design abutments that mirror natural tooth contours for optimal tissue positioning with insights from Nelson Rego, CDT, AAACD. Master provisionalization to guide tissue behavior and explore analog and digital methods for final impressions. Get tips for single-tooth restorations and selecting the right materials to avoid translucency and thickness issues in ceramics.
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Achieving Longer Teeth Through Comprehensive Dental Restoration​
60 Minutes | 1 CE Credit
This case focuses on a patient's request for longer teeth, a common esthetic concern. Though the request seemed simple, an examination revealed underlying issues like wear patterns and bite problems. A treatment plan was developed, including orthodontics to correct alignment before restorative work.
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Prioritizing Pre-Restorative Orthodontics for Functional Excellence​
60 Minutes | 1 CE Credit
The main challenge in this case was the patient's pain, discomfort, and airway issues. Treatment involved finding a comfortable orthopedic position and determining how restorations could restore function while aligning with it. The feasibility of using Invisalign and the extent of restorations were key factors in the planning process.
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Minimally Invasive Veneer Case ​
60 Minutes | 1 CE Credit
The patient’s main concern was not showing teeth when smiling, though no functional issues were reported. To address the esthetics, the treatment plan involved deprogramming to alter the vertical dimension and performing veneers and crown-lays on teeth #3-14. Despite no functional complaints, deprogramming was needed to establish the correct vertical using a centric relation position. A restorative approach was chosen to meet the patient’s esthetic goals.
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Comprehensive Consultation for Maxillary Restorations and Smile Transformation​
60 Minutes | 1 CE Credit
The patient sought a restorative consult due to dissatisfaction with previous maxillary restorations, including redness and bleeding. She desired whiter teeth and had concerns about redoing recent crowns. Her dental history included orthodontics, occasional clenching, and difficulty eating certain foods. With her main concern being esthetic, a comprehensive evaluation and potential restorations were needed.​
Managing Spacing Across the Entire Upper Arch: Minimally Invasive and Cost-Effective ​
60 Minutes | 1 CE Credit
The case focused on evaluating the patient's dental-facial esthetics and tooth size discrepancies. With ongoing orthodontics, planning options like digital smile design and injection molding were discussed. The goal was a balanced, esthetic result with minimal invasiveness and cost, ultimately favoring injection molding as the most efficient solution.
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Where do we put the teeth within the face?​
60 Minutes | 1 CE Credit
In this complex case, the patient has implants, veneers, and crowns, with issues of gray discoloration and slight lip imbalance from previous surgeries. Dental Facial Analysis (DFA) revealed excessive tooth exposure. The plan is to shorten the anterior teeth, possibly use Invisalign to intrude the canines, and select suitable materials. Splinting the implants with pink porcelain to achieve a natural papilla effect is recommended. Effective lab communication is crucial for optimal material selection and esthetic outcomes.
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Harmony in Esthetics: Choosing the Right Materials​
60 Minutes | 1 CE Credit
During this session, we’ll explore the intricacies of finding the balance between esthetic goal and minimizing the risks associated with tooth structure integrity, which play a crucial role in material selection for achieving a beautiful outcome. Special guest Nelson Rego, CDT, AAACD will elaborate on the considerations and decision-making process involved in selecting the most appropriate material for this particular patient case. ​
Begin with the End
60 Minutes | 1 CE Credit
Minimally invasive dentistry requires an understanding of natural selection, case preparation, and finishing techniques. This discussion explores lab communication and the challenges of matching and restoring implants adjacent to minimally prepped veneers.
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