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2018-03-March Newsletter

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2018-03-March Newsletter MarionThe Newsletter of the Polk The NewsletterMarion & of Polk the Marion Dental Polk Society Dental Society OctoberMarch 2011 2018 “Prosthetic Principles to Maximize Results in the Esthetic Zone” Lauren Manning, DDS, DMSc, from OHSU Written by David Swiderski, DDS, MD Relative tooth dimensions Lower lip line On February 13, 2018 the MP dental society Smile symmetry received a lecture from Dr. Lauren Manning, DDS, DMSc, a private practice prosthodontist Laboratory controlled from Portland who teaches part time at the Level of the interdental contact dental school. Her lecture was entitled, Basic features of tooth form Prosthetic Principles to Maximize Results in Tooth characterization the Esthetic Zone. The goal of her presentation Surface texture was to help us as restorative dentists to Color Incisal edge configuration understand the multiple parameters that are in play while restoring the esthetic zone, master For gingival health, she recommended and control them to make a beautiful smile for optimization prior to restorations and our patients. prosthetics. She discussed a rule for interdental closure, i.e. papilla filling the space between In training for full prosthodontic restorative prosthetics. You will get 100% of papilla fill if cases, many of us were taught to use a the bone is within 5 mm of the contact. As the checklist with patient diagnosis such as ridge distance increases to 6mm, the papilla will fill type, smile esthetics, bone quality, etc. to 56% of the time and finally if there is 7 mm predict the outcome and avoid pitfalls. But distance papilla will fill on 27% of the time, many dentists don’t have a similar list for leaving dark triangles. anterior esthetics. However, she explained that such a checklist does exist and consists of 14 The zenith of gingival contour usually is items; eight that the restorative dentist controls slightly distal of the midline of the tooth and is and six the prosthetic lab controls. These are an easy was to spot if a crown is implant listed below with a reference of Magne P, supported. She recommended slightly Belser UC. (2002) Chicago/Berlin: distalizing implants to maximize to match Quintessence Books natural surrounding teeth. Gingival heights should balance side to side with a reminder that the gingival heights of contour should be the Dentist controlled Gingival Health same for the centrals and canines with the Interdental closure laterals have 1mm less towards the incisal Tooth axis edge. Zenith of the gingival contour (Continued on page 6) Balance of the gingival levels Page 2 March 2018 MARION & POLK E XECUTIVE B OARD DENTAL SOCIETY MPDS Executive Board Meeting Committee Minutes: BOARD OF DIRECTORS BOARD NOTES– February 6, 2018 PRESIDENT Paul Brannen, DMD PRESIDENT-ELECT/VP Recruitment and retention: 5- members joined, Jennifer Frankel, DMD 0 transferred out. 1 retired. 0 deceased. The PAST PRESIDENT numbers: Total=210. William Trevor, DDS Speaker Schedule updates: 2018-2019 SECRETARY/TREASURER schedule confirmed. 3 CE Risk Management is Kerry Csiga, DMD scheduled Dec 11, 2018. Article review assigned. REPRESENTATIVE AT LARGE Financial Update: Accounts verified. Jev Clark, DMD, MD Advertisement sponsorships available. Portable REPRESENTATIVE, MARION COUNTY David Swiderski, DDS, MD hard drive to be swapped. Hance given authority REPRESENTATIVE, POLK COUNTY to cancel extra room for low attending CE course. Selma Moon Pierce, DDS Recruiting for Treasurer board position. EXECUTIVE DIRECTOR/ADMIN SEC Old Business: ODC at the Oregon Convention Sabrina Hance Center, Portland- April 5-7, 2018. Website PEER REVIEW COMMITTEE-CHAIR updated, however; ADA has development still Holly Chamberlain, DDS working on photo problem showing ½ pictures. Update your Find-A- Dentist profiles. HOD in Bend, OR- Sept 8, 2018. Recruiting HOD ADA alternates. Policy wording finalized for new PH: (800) 621-8099 FAX: (312) 440-2500 benefit of executive director. Xu is new Peer Website: www.ada.org Review Member. Clark Interim Rep at Large. Campaign donations being accepted through ODA October 18, 2018 for ADA president Elect. Make PH: (800) 452-5628 checks out to: Rick Asai for President Elect and FAX: (503) 218-2009 mailed to Rickland G. Asai, DMD 11786 SW Email: [email protected] Barnes Rd, Suite 340 Portland, OR 97225. Website: www.oregondental.org New Business: Trevor to remain in Past President position. All board positions covered except MP PH: (503) 581-9353 Treasurer through May 2019. Meeting rooms FAX: 503) 581-0628 reserved for courses through December 2019 and Email: [email protected] board meetings through May 2019. Catering Website: www.mpdentalce.com reserved for Sept. 2018. Financial CE course 3040 Commercial St. SE, Suite 125, Salem 97302 opened to staff. MPDS is going paperless. Alex Miller Photography is proud to announce alexvisionpho- to.smugmug.com for all your local office print decoration options. They will gladly come to your practice for recommendations in finding the best land- scape for your waiting room, operatories, offices, etc... They will gladly refill your current frames for replacement or, you can purchase new frames and prints for a quick affordable way to update and refresh! 971-218-3472 Page 3 March 2018 Thank you, Lauren Manning, DDS, DMSc, from OHSU for presenting “Prosthetic Principles to Maximize Results in the Esthetic Zone ” on February 13, 2018. Page 4 March 2018 Tuesday– March 13, 2018 “Getting To and Through your Retirement” Presented by Larry Hanslits, CFP , from The H Group LOCATION: Roth’s Event Center– West Salem Staff encouraged to attend! 1130 Wallace Rd NW, Salem, OR 97304 COURSE OBJECTIVE: • To give participants the tools they need to successfully build a secure and fulfilling retirement. Hygienist, staff, and spouses welcome. 1.5 CE COST: $30 cash or check only please. No debit/credit cards. Registration is required. MENU: Painted Hills 8oz. prime rib, garlic mashed potatoes, carrots, Caesar salad, rolls with butter, and iced St. Patrick’s Day cookies. Beverage service. (Vegetarian option by request only: Baked ziti. Please email Sabrina.) DEADLINE: Thursday, March 8th, 2018, Noon. All registrations reserved and not honored will be billed. PARKING: Free parking available behind venue only. Kindly use back entrance which is handicap accessible. RSVP: Email Sabrina [email protected] or call (503)581-9353. You are asked to register, for proper seating and food preparation. Thank you! SPONSORS: Saalfeld Griggs, Artisan Dental lab, Rich Duncan Construction, and Columbia Bank Marion Polk Dental Society has been designated an approved PACE Program Provider by the Academy of General Dentistry. The formal continuing education programs of this program provider are accepted by AGD for Fellowship, Mastership and membership maintenance credit. Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. The current term of approval extends from 8/1/15 to 7/31/19. Page 5 March 2018 Remember to “Spring Forward” on Sunday, March 11, 2018! Page 6 March 2018 Marion & Polk Dental Society member dues did not change in 2018, and proudly have not changed since 2009! Your membership payments are due and can be processed online or by calling the ODA at 1-800-452-5628. “Prosthetic Principles...” (Continued from page 1) Tooth dimensions should follow the rule of “golden proportions” i.e. when viewed from the midline, the central should be 1.6 times larger than the lateral with the canine 0.6 times the size of the lateral. If moving your view laterally, these dimensions will change. She also stated the length of a central incisor should be 120% of its width. The lower lip line will ultimately determine the arch form and incisal edge configuration. She then continued the discussion on variables the lab can control. The level of the interdental contact is most incisal between the two centrals moving more apically as you move distally. This can be manipulated if no interdental papilla exists. She reviewed the three basic tooth forms consisting of Square, Ovoid and Triangular. She instructed that square was most forgiving, ovoid most youthful in appearance and triangular most difficult to match due to the higher likelihood of darker triangles forming. She also said the lateral incisor can have the most variability and can make a smile appears more natural and still esthetic by having slight differences between the pair. Tooth characterization consists of slightly different colorization of the teeth, addition of craze lines, translucent porcelain at the incisal edges, etc. She mentioned how this may become a dying art in our modern era of pressing and milling crowns. Color consists of three parameters, Value, Chrome and Hue. Value is the brightness and was discussed as the most important with Hue as the color. She recommended reorganizing our Vita Shade Classic shade guides by hue to help in matching. The order would be B1, A1, B2, D2, A2, C1, C2, D4, A3, D3, B3, A3.5, B4, C3, A4 and C4. She then discussed multiple cases where she had restored single implants, implants and natural teeth and only natural teeth in the esthetic zone. Several pearls emerged throughout the discussion of the cases as listed below: Obtaining natural papilla fill is most difficult between two implants located in the central and lateral incisor positions. (Continued on page 9) Page 7 March 2018 Thank you Dr. Kerry Csiga for volunteering your time and dedication to Marion & Polk Dental Society as the Treasurer/ Secretary in 2016- 2018. You will be missed. We wish you the best as you transfer to the Portland area. ADA MORNING HUDDLE... Scientists Developing Chewing Gum to Detect Peri-Implant Disease. PBS NewsHour (8/15, Dengler) reports scientists are developing a chewing gum that detects peri-implant disease by using the tongue as a detector. The article explains that the team added to the gum a bitter compound called denatonium attached to a biological tripwire – a molecule that gets chopped up by enzymes in the saliva of patients with peri-implant disease.
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