hello welcome to chair size live I'm Megan strong and I'm will Schmidt registered dental assistant
here at gladwell dental and in today's episode we're kicking off dr. merch on its three-part
case and it's a Brooks there aesthetic veneer case right and we know that not all veneer cases have
crowding and malalignment you know what well in this episode is quite the opposite we've got some
large interproximal spaces we've got excessive gingiva so what's the plan what's happening in
this first episode what this patient also had a series of facial piercings and I wonder how many
times you have to bite on the tongue ring before you decide it's probably a bad idea the world
may never know right but in a way this patient had fairly good oral health and the teeth were
pretty straight to begin with so what we're gonna see today is dr. merch ons and diagnosis and the
science behind these findings I love it let's get right into it dr. merch on hello everyone
thank you for joining me in today's episode I will show you how to incorporate laser procedures with
your cases and elevate the aesthetics using the newest highly translucent monolithic zirconia
brock's anesthetic we have the pleasure today to meet Ashley a young woman whose main concern was
a broken tooth she also reported that any time she looks in the mirror she sees large spaces between
teeth and she thinks her teeth are small with a lot of gum showing she reported breaking her
central incisor while she beat on her pierced tongue she was interested to fix the damage
minimize the spaces and her gummy display this clinical scenario is easy to treat with no prep
veneers with great aesthetic results for the patient looking at her close-up smile we can
note she has excessive gingival tissue over her maxillary anteriors making this tip seem out of
proportion and asymmetric with a lot of gingival access with the exception of number 10 where her
facial piercing was rubbing against the gingival tissue above number 10 making this tooth appear
longer than it control lateral seven a gingival display of more than two millimeters is considered
to be unattractive looking at this pictures we can see that her gingival display was about
six to seven millimeters the periodontal exam revealed gingival access very little plaque and
no bleeding on probing next I look at the incisal edge position relative to the face using a photo
with lips at rest I evaluate the incisal edges in regards to the lip position at rest and relative
to the face she has a reveal of three to four millimeters which is normal for her age and she
has no tooth where my diagnosis after reviewing all the clinical findings was altered passive
eruption this was the cause of anatomical crown being submerged under the gum tissue to better
understand the etiology of gingival access let's review the pattern of eruption active eruption
is the movement of the tooth out of the alveolar bone into functional position on the occlusal or
incisal plane passive eruption is the exposure of the teeth due to apical migration of the gingival
tissue altered passive eruption is the failure of the gingival tissue to migrate epically to expose
the entire clinical crown and obtain a normal position of the base of the soco's relative to
the cej once the diagnosis is made the next step is to look at best way to treat it please join
me in the next episode where I will show you the steps I follow to alter the pink aesthetics well
thank you for that dr. Bergeron and be sure to tune in for the remaining installments of this
exciting case part whines all wrapped up for today so on behalf of everyone here at Global
Dental thank you so much for watching and we will meet you right back here next time
you