"As we enter into the twenty-first century, one cannot help but wonder what advances we will see in the field of adhesion dentistry. Looking back at the relatively brief period of adhesive technology, it is easy to see that recent advances in adhesion and esthetics have revolutionized what we can offer to our patients in strength and appearance. I am excited about the possibilities. I wonder if in 1955, Dr. Buonocore realized what a revolution he was initiating.

This patient had been bothered by the look of her teeth for years but was not aware that the teeth could be changed easily and strengthened at the same time. The old crown and metal post in tooth 10 needed to be re-treated in addition to replacing old oxidized amalgam fillings that were esthetically unpleasant. She also expressed a desire to have straighter and lighter teeth.

The post on tooth 10 was removed and replaced with a bonded Cosmopost™ with Tetric-CeramŪ as the buildup material. IPS EmpressŪ restorations were fabricated for teeth 3 thru 13 using a T-2 ingot. T-2 is a nice blend between the more translucent TC-1 ingot and the opaque O-1 ingot. We were able to give her the straighter, lighter teeth that she had always wanted with predictability and confidence in our choice of materials."

- Dr. Scott Parker

 

 
Patient's full smile showing rotated teeth, old dark restorations, and an unesthetic porcelain crown over endodontically treated tooth 10. Patient's final smile showing correct lip position, appropriate labial/lingual position, and pleasing esthetic result.
   
Close-up view of chipped and unbalanced teeth. Nice harmony and balance and appropriate root color for more natural look.
   
Side view showing old oxidized amalgams and dark root and gum over tooth 10. Correction of dark root and gum over tooth 10 (note natural translucency and beautiful esthetic result).
   
Side view again showing old oxidized amalgams. Nice balance in colors
and shape.

Scott Parker, D.D.S., graduated from Loma Linda University in 1996. He has been in private practice in Moscow, Idaho, and has recently moved to Seattle, Washington. He has focused his energy on esthetic enhancement and complex rehabilitation cases. He is a member of the Academy of General Dentistry and the American Dental Association. Dr. Parker is a graduate of the Spokane Advanced Aesthetic Continuum, as well as the Pacific Aesthetic Continuum-live, and has lectured in the Northwest and Canada on complex rehabilitation.