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Searching: healthy gum
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Page 1 of 15
Message Board
Views: 414 | Replies: 7
Just need a heat check on my treatment planning skills....<br/><br/>35 year old male<br/>I feel my teeth are small<br/>no cavities on xray or intra oral.<br/>healthy gums and bones.<br/> mount case. wax up, yadda, yadda, yadda... <br/><br/>
December 19, 2020
Cosmetic Dentistry
Message Board
Views: 334 | Replies: 5
healthy before I did anything. YesDMG resin infiltration works great for those types of lesionsThink of that treatment for the last layers of enamel. If the discoloration starts from inside from the Dentin, there wont be a change. I agree you need to get the gums healthy first otherwise the bleeding
March 29, 2021
Cosmetic Dentistry
Message Board
Views: 468 | Replies: 8
the provisional there..can pop it off and adjust..add..play with composite..see if you get healthy gum to rebound a bit.... The problem with extruding is the root gets narrower a bit and it will exaggerate the space issue. Something to think about. The facial is irritated in part due to the mesial overcontour
January 10, 2019
Cosmetic Dentistry
Message Board
Views: 137 | Replies: 0
for weeks with stoppage for color stability. Pt had bone sounding of 3-4 mm so I did not take margins deep sub g and was equi or only slightly sub g. I didn't take temp pics, but 1 month in temp and pt returns with amazingly healthy gums. The shrink wrap technique described here was used. I always
April 09, 2019
Cosmetic Dentistry
Message Board
Views: 169 | Replies: 11
are using ETTL the pearl is to meter the exposure off of the gingiva.This will allow the gums to be ideally exposed with out over exposing the teeth. If the teeth are overexposed then the translucency is not evident. Again this photo is used for the lab to understand what the incisal effects need
May 06, 2026
Cosmetic Dentistry
Message Board
Views: 101 | Replies: 3
I am looking for some feedback / advice on next steps for an ongoing cosmetic case. This gentleman first presented in 2018 with concerns about retained primary canines and concerns about his crowns #8, 9. He is periodontally and restoratively healthy with the exception of his crown #9. I
May 11, 2026
Cosmetic Dentistry
Message Board
Views: 1672 | Replies: 22
, the black margins are due to the dark roots. The teeth were damaged and darkened, then RCT, post, and crowns. Several years ago ortho was done to force erupt the centrals in hope of moving the soft tissue down, not much success though. Can CT graft fill help esthetics? Healthy gum. CT grafting
May 02, 2022
Cosmetic Dentistry
Message Board
Views: 1264 | Replies: 40
acrylic to fit over her existing gingiva while filling in the papillas and covering the cervical portion of the teeth. I'm not necessarily suggesting this for your mom, but just throwing out an out-of-the-box solution that worked for creating the appearance of healthy gums and proportioned teeth
October 26, 2015
Cosmetic Dentistry
Message Board
Views: 2802 | Replies: 65
!! Take care Terry Life changing work! Is there any chance shes interested in a deep cleaning? Her smile would look great with healthy gums. 100 percent. Her teeth look fantastic beautiful job!!! However her gums need work. It's hard to build a house, no matter how beautiful, on a crumbling
October 14, 2024
Cosmetic Dentistry
Message Board
Views: 870 | Replies: 12
and the gums are healthy, they will recover back to where they were before. 3- If you are going to be doing a stained case, then it might be best to extend the prep a little below the gum line. One good measure that I used successfully is to place a cord, then prep to that new gum line. That way you
March 27, 2019
Cosmetic Dentistry
Message Board
Views: 62 | Replies: 2
Does anyone have a different protocol when bonding veneers to dentin? I have a patient that had veneers done 20+ years ago and wanted them redone due to gum recession. The preps are aggressive and fully into dentin.. (I tried to just reposition margins)I did a new set for her and they kept popping
April 28, 2026
Cosmetic Dentistry
Message Board
Views: 1674 | Replies: 89
be better off using zirconia and potentially having healthier gum response to the zirconia as a result. The goal with the preps is the same: take away as little as possible. The only video I can find doing a dentinogenisis case from basically anyone is from Dr. Dorfman and he bonds his case. also
February 08, 2025
Cosmetic Dentistry
Message Board
Views: 8240 | Replies: 285
sleep well every night. Save your skills for them that can afford it. I'd like to see what these look like in a normal smile picture, not the retracted, dentist view. And of course, with healthier gums. We see people on TV all the time with caps that look like this....they like it. Al, I think
July 03, 2015
Cosmetic Dentistry
Message Board
Views: 1082 | Replies: 30
- gums are agonizingly painful. 5.) Max- bite is hurting. 6.) Mand- gums are so painful she can't bear it. 7.) Mand- teeth move and can't chew. 8.) Mand- teeth to thick. Patient story- Dentist told her that her gums were healthier than he has ever seen them. That she is a complainer and he has been
August 28, 2016
Cosmetic Dentistry
Message Board
Views: 638 | Replies: 8
the FIRST visit, ask them to apply a mixture of Bicarbonate and peroxide twice daily on their gums to keep them healthy. That way when they come back for the impression, the gums are super. You can then work in a clean and stable field. And once you have your impression, they can continue applying
March 05, 2015
Cosmetic Dentistry
Message Board
Views: 796 | Replies: 30
the gingival bleeding during treatment. Any tips for this? The gums should be healthy to do this type of treatment with minimal bleeding. If you're using the Unica band is similar like he does here, the seal should be perfect and keep out moisture. Can be visualized with maginifcation
June 05, 2025
Cosmetic Dentistry
Message Board
Views: 5795 | Replies: 112
) a prototype for the shape and occlusion of her final porcelain restorations. The other big advantage to starting with the mockups was that it gave her oral hygiene a chance to improve so we could place margins next to healthy gum tissue. Brushing had just not been an option with the extensive decay
August 27, 2012
Cosmetic Dentistry
Message Board
Views: 11166 | Replies: 196
on 18,19,20 Rescue case. Patient had blow to mouth and incisor came out. Cleaned up up area and bonded tooth back as bridge. Teeth had Perio issues so created double abutment with bonding below. Had big picture post op discussion with patient on importance of getting gums healthy. There is mounting
December 07, 2017
Cosmetic Dentistry
Message Board
Views: 907 | Replies: 51
, and meticulously retracted and scanned each tooth as every prep was Sub-G. The process was slow but not difficult since the gums were healthy. I submitted the scans to Dandy along with a scan of the waxup and told them to copy these temps exactly. No changes without my approval. Once I approved the waxup
December 19, 2023
Cosmetic Dentistry
Message Board
Views: 765 | Replies: 23
to finish. Another important step is to have the patient come in every 3 weeks to hygiene (part of the fee) to keep the gums perfectly healthy. I hate bleeding while prepping!!!!! Mac I like the steps you go through to get what will very likely be a predictable result Mac. Thanks for your input
April 29, 2016
Cosmetic Dentistry
Message Board
Views: 1977 | Replies: 32
comprehensive treatment but sometimes its not possible financially. If they can come in for hygiene and keep their gums healthy I'll consider composite in additive cases. I saw this thread and thought I'd post a patient I saw this week for a 2 week follow up/occlusion fine tuning. Financially this is all
May 19, 2024
Cosmetic Dentistry
Message Board
Views: 1336 | Replies: 35
teeth, structurally compromised/broken teeth, and infected gums).Let's get you healthy first. Every patient with a healthy mouth gets a free professional tooth whiter as a reward. Gotcha! me I stay away from the free offers, I would probably attract all the crazies.I was responding to someone
February 18, 2018
Cosmetic Dentistry
Message Board
Views: 2254 | Replies: 49
, getting the gums healthy and protecting the teeth with a well made bite guard. Direct composite dentistry done with a predictable bonding protocol allows conservative care patients usually love that do not set the bar dangerously high. Using products and protocols that properly seal the enamel can
May 24, 2017
Cosmetic Dentistry
Message Board
Views: 642 | Replies: 6
Emax pressed on healthy tissue . Follow the Pink Crowns Emax #3, #4Shade matched with natural teeth : A3/A3.5Stump Shade ND3#4- long and narrow toothFollow the Pink - tissue looks healthy Notice #2 Bruxer crown looks opaque and whitter comparative with Emax #3 had RCT done by the specialist
April 02, 2015
Cosmetic Dentistry
Message Board
Views: 387 | Replies: 4
compared it to what she saw online. Although her teeth have always been very healthy, they didnt look like the perfectly aligned pearly whites that she desperately wanted. Since she didnt have dental insurance and couldnt afford the out-of-pocket expense, she turned to YouTube to change her teeth
April 11, 2025
Cosmetic Dentistry
Message Board
Views: 380 | Replies: 8
depths in that area are 3mm on 7 and 4 mm on 8. No residual cement present either. The PARL is getting evaluated by endo. Thanks for any help. Seems to me like the space is completely filled? Where would you want more gums in there? Perhaps the gums are a bit swollen and obviously
November 10, 2021
Cosmetic Dentistry
Message Board
Views: 489 | Replies: 20
. If you took your prep 5mm below the free gingival margin, you either have gingival disease that is in need of treatment or you have impinged on the biologic width. In the anterior section of the mouth, pocket depths average 1.5 to 2mm in the healthy mouth. I don't think there is ever a need
March 21, 2012
Cosmetic Dentistry
Message Board
Views: 236 | Replies: 4
Healthy female late 20's had peg laterals restored with ceramic crowns about 10 years ago. She reports that just in the last 5 or 6 years she's noticed her gums getting progressively red around the crowns. Question: the margins are horrible and the crowns need replacing. I suspect it's a crappy
January 28, 2015
Cosmetic Dentistry
Message Board
Views: 257 | Replies: 14
I have a pt who has all ceramic crowns on 8 and 9. Her gums have receded such that you can clearly see the margins, which are intact and closed, but not esthetic because of the transition between crown and dark root. Is there a composite that I can place that will look like an extension
August 09, 2017
Cosmetic Dentistry
Message Board
Views: 6910 | Replies: 110
against they will erupt 5-6 mm eventually or more if left for decades. Just my observations that come with practicing dentistry for 46 years I guess. Regards Terry I've heard the theory that you require some PDL movement to result in overeruption. eg. a root flush with the gum will have little if any
October 13, 2024
Cosmetic Dentistry
Message Board
Views: 74 | Replies: 1
includes gingivectomy/osseous recontouring depending on the bone levels underneath her gums, zirconia crowns with layered porcelain for #8-10 and a veneer on #7 to correspond with the porcelain on #10 for symmetry. I'm planning on the zirconia coping because when her #10 crown came off the substructure
February 23, 2020
Cosmetic Dentistry
Message Board
Views: 873 | Replies: 14
Delayed eruption - gummy smile- crown lengthening Healing in progress- preparing fro cosmetics in 6 months Nice job on the gums. It will look quite nice after the cosmetics are added.Very nice result from the esthetic crown lengthening surgery Delia!! The tissues look fantastic. Why are you
February 28, 2015
Cosmetic Dentistry
Message Board
Views: 790 | Replies: 19
I have some questions regarding anterior crowns<br/>Patient at her late 30's wants to improve her smile with crowns on her upper anterior teeth. She had Braces done few years ago which she did not complete because of gum recessions. Pt had gum grafts done for the recessions. She does't want
March 29, 2024
Cosmetic Dentistry
Message Board
Views: 434 | Replies: 17
back in our office after a year hiatus and he had a FMR done that had open margins everywhere, 3 botched RCTs done for some reason that were already abscessed, in significant pain and his gum constantly throbbed. He cried n the chair when we told him it all needed redone and he would probably lose
December 04, 2025
Cosmetic Dentistry
Message Board
Views: 465 | Replies: 16
teeth overlap the lower front teeth excessively when biting down. In the most severe cases, the lower front teeth may even bite into the gum tissue behind the upper front teeth. The curve of Spee is the natural curvature of the teeth as they align from the front to the back of the mouth. An exaggerated
October 13, 2025
Cosmetic Dentistry
Message Board
Views: 4863 | Replies: 81
6th so the whole thing is on a major time crunch w no room for error. Pt is a retired medical professional, very picky and intense personality but a good tolerant patient during tx. History of periodontal disease w extensive bone loss but had 2 perio surgeries and the gums are healthy overall
March 13, 2019
Cosmetic Dentistry
Message Board
Views: 3681 | Replies: 301
Spear, but the positive reinforcement is from Homoly. For every one bad thing mention 3 good things. For example, a full mouth end stage perio extraction case you could say, Yes, you have bad gums but the gums not near the teeth are extremely healthy. After the teeth are gone, I would expect great
January 20, 2007
Cosmetic Dentistry
Message Board
Views: 247 | Replies: 2
and not scrubbing gums? Would like to discuss botox and docs successes with it for cases like this. I have a local surgeon doing it, I dont. Someone please share your protocol for patients keeping gingiva healthy while wearing temps so bonding crowns is easier. I know someone has posted this in the past
August 04, 2017
Cosmetic Dentistry
Message Board
Views: 824 | Replies: 19
. After Xrays and diagnosis I found that every tooth needed a filling. Lots of Class 5's, and every interproximal. I was faced with a choice. Do the 10 veneers and put the rest of the treatment off knowing he may never get to it. Or use his budget towards fillings. After all the fillings, gum
November 20, 2015
Cosmetic Dentistry
Message Board
Views: 997 | Replies: 34
, an excess of gum tissue is present at the end of the extrusion, and a ferrule of about 3mm all around is visible.<br/><br/>I proceed to prep, post+core, impress and provisionalize with resin. I also recontour the gum line with a round diamond bur at the same appointment (fast ortho
February 09, 2014
Cosmetic Dentistry
Message Board
Views: 969 | Replies: 9
, porcelain veneers need to be replaced every 15 to 20 years; composites last roughly half as long. But veneers done poorly are a different story altogether: They can lead to major and irreparable health consequences, including rotting teeth, gum infections and disease, TMJ disorders, and other
May 06, 2025
Cosmetic Dentistry
Message Board
Views: 1435 | Replies: 41
. Are you sure that is a lateral next to 8?Thank you for great posts. It is #7 next to 8. 6 is impacted. Patient is old enough, wishes to leave the sleeping canine alone. No root resorption of #7 noted. No need to refer the patient to perio. I'm doing the simple gum graft myself, as a service
October 21, 2015
Cosmetic Dentistry
Message Board
Views: 2718 | Replies: 73
straight forward but it isn't. This one takes some thinking and I think is a great example of the importance of going through proper Tx. Planning process. Patient presents to me wanting to be healthy and beautiful. She's in her early 50's. Wants it done right according to her. Her complaint
January 20, 2016
Cosmetic Dentistry
Message Board
Views: 484 | Replies: 15
#14 Crown. Lower arch: #22-27 Veneers. These current restorations have been in place for 10 years. She has very deep overbite (90+%) but reports no TMJ issues. Overall, healthy female, non contributory medical history. One of things that stand out about her current restorations
October 09, 2015
Cosmetic Dentistry
Message Board
Views: 132 | Replies: 6
problems in both arches which means more space. Lateral image looks like they have retracted about as much as they can. Even if you spread out the spacing before you prep, those are going to be big teef. She has pretty healthy teeth. Kind of a shame. Surgical case? Didn't have time to get updated
January 28, 2026
Cosmetic Dentistry
Message Board
Views: 636 | Replies: 17
. The gingival facial and interproximal tissues looked healthy before the composite veneer was replaced. Your hands are tied if your patient will not let you add composite to the mesial of #8. I would shorten the incisal of the new veneer a tad. Maybe that will make her happy. Ed You did what
June 01, 2015
Cosmetic Dentistry
Message Board
Views: 773 | Replies: 31
pulpal involvement or exposure which can contaminate the bonding process . Caries removal then trying to bond to a bloody mess is tough. We see blood but dont know if it is from the gums or pulp. Those that said the tooth was over prepped have a point as well. A root canal and post would allow you
March 09, 2021
Cosmetic Dentistry
Message Board
Views: 1239 | Replies: 23
hygiene and so blood is the enemy. Even with a rubber dam it can be difficult. Worked today on a patient who had zero bleeding and it was so much easier. Beautiful work. Keep it coming. Denny When you are dealing with gums that are prone to bleeding consider the Greater Curve Wide or the Greater Curve U
January 28, 2026
Cosmetic Dentistry
Message Board
Views: 2028 | Replies: 75
the palatal donor site. David, Why seemingly backwards with the tissue? Same question, I find it easier to finish the foundation before I build the house Who says it's backwards? The periodontists that teach us, or don't teach us, perio in dental school? Periodontium is healthy, just recession
August 31, 2016
Cosmetic Dentistry
Message Board
Views: 995 | Replies: 26
Pt asked at a recall if she could do anything regarding her Black Lines at the gumline on her front teeth. Crowns are good with no open margins and pt has no sensitivity. I don't know if it's doable, but would I be able to drill right at the gum line and place composite? I'd hate to do
May 18, 2016
Cosmetic Dentistry
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