Private Dental Practitioner; Senior Clinical Teacher, Programme Director, Aesthetic Dentistry MSc King’s College London Dental Institute, UK; Board Member of the Academy of Dental Excellence
and
Shamir B. MehtaBDS BSc MClinDent(Prostho)(Lond) MFGDP(UK)
Dental Practitioner; Senior Clinical Teacher, Deputy Programme Director, Aesthetic Dentistry MSc King’s College London Dental Institute, UK; Faculty Member of the Academy of Dental Excellence
and
Christopher C.K. Ho BDS Hons(SYD) GradDipClinDent(Oral Implants)
MClinDent(Prostho)(LON), FPFA
Prosthodontist, Sydney, Australia; Visiting Clinical Teacher, King’s College London Dental Institute, UK; Faculty Member of the Global Institute for Dental Education; Board Member of the Academy of Dental Excellence
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Cover image: Courtesy of Subir Banerji.
List of Contributors
Subir Banerji BDS MClinDent(Prostho) PhD MFGDP(UK) FICOI FICD. Programme Director, MSc Aesthetic Dentistry and Senior Clinical Teacher, King’s College London Dental Institute. In private practice in London and Faculty and Board member, Academy of Dental Excellence.
Jorge André Cardoso DMD(Portugal) MClinDent(Prostho)(UK). Tutor, MSc Aesthetic Dentistry and Secretary, Portuguese Society of Esthetic Dentistry, In private practice in Espinho, Portugal and Faculty member Academy of Dental Excellence.
Brian Chee BDS MSc DClinDent(Perio) MFDSRCS(Eng). Greenhill Periodontics & Implants, Wayville, South Australia.
Tom Giblin BSc BDent(Hons) CertPros. In private practice in Sydney, Australia and Diplomate, ICOI.
Christopher C.K. Ho BDSHons(SYD) GradDipClinDent(Oral Implants), MClinDent(Prostho)(LON), FPFA. Visiting Clinical Lecturer, King’s College London, Faculty member, Global Institute for Dental Education and Faculty and Board member, Academy of Dental Excellence.
Kyle D. Hogg DDS, MClinDent (Prostho). Visiting Clinical Teacher and Postgraduate Tutor, MSc Aesthetic Dentistry, King’s College London. Previous Honorary Clinical Teacher, University of Florida College of Dentistry – Jacksonville. Faculty and Editorial Board member, Academy of Dental Excellence and in private practice, Dental Health Professionals, Cadillac, MI, USA.
Russ Ladwa BDS LDS FDSRCS MGDS DGDP FFGDP. Past Dean, Faculty of General Dental Practice (UK), at the Royal College of Surgeons of England and Past President, Odontology Section of the Royal Society of Medicine, London.
Il Ki Ricky Lee RDT. Sydney dental specialist.
Shamir B. Mehta BDS BSc MClinDent(Prostho)(LON) MFGDP(UK). Deputy Programme Director, MSc Aesthetic Dentistry; Senior Clinical Teacher, Department of Conservative and MI Dentistry, King’s College London Dental Institute; in private practice in London and Faculty member Academy of Dental Excellence.
Bill Sharpling MBA, DipCDT RCS(Eng). Director of the London Dental Education Centre (LonDec) and Senior Clinical Teacher and Associate Dean (CPD) at King’s College London Dental Institute.
Andrea Shepperson BDS(Otago). Member of the American Academy of Cosmetic Dentistry (AACD), Honorary Life Member of the New Zealand Academy of Cosmetic Dentistry (NZACD), Member of the American Academy of Oral and Systemic Health (AAOSH), Member of the New Zealand Dental Association. Digital Smile Design Instructor and Kois Center Mentor.
Charles A.E. Slade BDS LDS RCS MFGDP(UK) MClinDent(Prostho). Clinical Lecturer, London Deanery, Clinical Teacher, King’s College London Dental Institute and Faculty member, Academy of Dental Excellence. Key opinion leader Biomet 3i. In private practice, Lister House, Wimpole Street, London and No45 Dental, Chichester, UK.
Foreword
Dr Banerji is to be congratulated for assembling such an impressive, international array of co-authors, all of whom I know to be highly talented clinicians and teachers. Collectively, they bring together a wealth of clinical experience and knowledge.
This very practical work is clearly aimed at the senior dental undergraduate/newly qualified dental practitioner, but will also prove of value to more experienced clinicians. The ambition of the authors, set out in the Preface, is to supplement established standard textbooks and the many hands-on courses available to us. The combination in each chapter of concise text, practical clinical tips, high-quality illustrations, and particularly the many hours of ‘live’ video that accompany a majority of the chapters, ensures that this ambition will be achieved. A companion website is also available to complement this work.
The inclusion of high-quality ‘live’ video is a major strength and a huge advance on the static illustrations in most standard textbooks. Several of the videos show actual clinical procedures from start to finish and, along with narrated presentations from the authors, allow a level of understanding that cannot be achieved using static images alone. Their extensive clinical experience has also enabled the authors to compile a whole series of extremely helpful clinical tips. Every reader will find something to adopt here to enhance their own clinical practice.
Even today, there probably remains, in the minds of some people, a stigma associated with the terms ‘aesthetic’ or ‘cosmetic’ when applied to healthcare. The inclusion of a chapter on ‘Ethics’ is, therefore, entirely appropriate. It should also be noted that many of the procedures described are additive or minimally invasive, and fully accord with the principles of best practice.
This work covers a comprehensive range of aesthetic clinical procedures and will be a very useful addition to every library. For many clinicians, it will be a ‘must have’ book!
Stephen M. Dunne BDS LDS FDS PhD
Professor of Primary Dental Care and Advanced General Dental Practice, King’s College London
Clinical Director, Genix Healthcare Ltd
Specialist in Restorative Dentistry
President of the European Federation of Conservative Dentistry
Preface
With changing trends associated with increased patient demands (often perpetuated by a growing wealth of ready-access, media-based and online digital information), it has become increasingly apparent that the attainment of a high-quality, predictable and desirable aesthetic treatment outcome has become an additional fundamental aim for the contemporary restorative practitioner. There is little doubt that the effective prevention, elimination and stabilisation of oral disease are essential prerequisites for successful oral rehabilitation.
Dental educators have responded to these needs by making available an array of resources, typically by means of traditional textual learning and hands-on courses. However, given the highly rapid pace of change and diverse developments in restorative dentistry, coupled with the current digital revolution (both in terms of information technology and social media), there is a need to deliver educational materials in a time-efficient, effective, user-friendly and economic manner – often at the ‘touch of a button’!
In this context, many online video presentations are widely available, for example on YouTube, which allow the dental practitioner to visualise procedures rather than simply imagining the stages between steps shown on photos supplemented by text. However, it is important that such resources meet quality assurance requirements and concomitantly boast authenticity.
I have come to realise the advantage of such assured dynamic-graphic content through my 20 years involved in educating undergraduate and postgraduate dental students as well as in my own clinical practice. In this unique publication I have been joined by an international team of highly experienced clinical educators who have, with their vast experience, put together material that aims to cover the principles and procedures for an array of clinical techniques, which we as experienced clinicians and educators strongly believe are integral to providing successful restorative dental treatment. In doing so, we have included a comprehensive range of aesthetic dental procedures commonly executed in everyday practice.
This learning resource comprises a combination of several hours of recorded video accompanied by an illustrated handbook summarising the key points, making available a source of information that we feel will help you to learn in a quick, meaningful and ‘bite-sized’ manner, and which we hope you will also find helpful and enjoyable.
While concise, this handbook is evidence based and includes references and suggestions for further reading. Additionally, it contains some relevant still photographs of crucial points in the procedures. The clinical images used throughout this resource have been taken from the contributing authors’ own dental practices and are from patients who have been treated by them.
Throughout this text, my co-authors and I have also tried to provide you with a number of useful, pragmatic clinical tips, which we feel may also help to tackle some of the minor (yet important) challenges that we as everyday practitioners encounter, but are seldom addressed.
The overall intention of this learning resource is to serve as a good accompaniment to traditional undergraduate and postgraduate learning materials, as well as to provide the general dental practitioner with a readily accessible form of relevant and appropriate information, combining the scientific and technical concepts in modern restorative dentistry.
This book is dedicated to those from whom we have learnt and to the many who continue on this journey.
Subir Banerji
Acknowledgements
Undertaking a project such as this is not possible without acknowledging the help and support of the many who have contributed towards its production, both directly and indirectly.
We would like to thank our families for their support and patience during this time when many hours were spent writing and recording the content for this unique enterprise. Our contributors have given generously and selflessly.
We would also like to extend our warm thanks to our patients who have given their permission and consent, enabling the use of images and footage that allow us to illustrate the various techniques with a practical and pragmatic approach.
We would also like to acknowledge the support extended by the Wiley production team and the publishers to make this idea into a reality.
Subir Banerji, Shamir B. Mehta and Christopher C.K. Ho
About the Companion Website
Practical Procedures in Aesthetic Dentistry is accompanied by a companion website:
www.wiley.com/go/banerji/aestheticdentistry
The website includes the following videos, corresponding to their listed chapter number:
2.2 Clinical Photography
2.3 Evaluation of the Aesthetic Zone
2.4 Clinical Smile Evaluation
2.5 Digital Smile Evaluation
2.6 Principles of Shade Selection
2.7 Treatment Planning for Aesthetic Dentistry
3.2 The Facebow Recording
3.3 Intra-occlusal Records
3.4 Semi-adjustable Articulators
3.6 Occlusal Stabilisation Splints
4.2 Crown Lengthening without Osseous Reduction
4.3 Crown Lengthening with Osseous Reduction
4.4 Management of Gingival Recession and Graft Harvesting
5.2 Teeth Isolation
5.4 Anterior Restorations
5.5 Posterior Restorations
5.6 The Finishing and Polishing of Resin Composite Restorations
5.7 Direct Resin Veneers
5.8 Repair and Refurbishment of Resin Composite Restorations
6.1 Tooth Preparation for Full Coverage Restorations
6.9 The Role of CAD/CAM in Modern Dentistry
7.2 Tooth Preparation for Porcelain Laminate Veneers
7.3 Provisionalisation for Porcelain Laminate Veneers
7.4 Appraisal and Cementation of Porcelain Laminate Veneers
8.1 Aesthetic Removable Dental Prosthetics
9.2 The Direct Canine Rise Restoration
9.3 Anterior Freehand Direct Restoration
9.4 Maxillary Anterior Direct Build-up with Indices
9.5 Mandibular Anterior Direct Build-up: Injection Moulding Technique
9.7 Evaluation and Management of the Occlusal Vertical Dimension: Generalised Tooth Wear