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Porcelain Veneers: Optimizing Results Using Supra-Gingival Principles, and Understanding Adhesion and Occlusion Lecture Os trow School of Dentistry of USC Friday, February 28, 2014 9:00 a.m. 5:00
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How to fill out using supra-gingival principles:

01
Begin by assessing the tooth structure and determining the amount of healthy tooth material available above the gum line. Supra-gingival dentistry focuses on preserving as much of this healthy tooth structure as possible.
02
Select the appropriate materials for the filling, such as composite resin or amalgam, that can be placed above the gum line without irritating the soft tissues.
03
Prepare the tooth by removing any decay or damaged tooth structure, making sure to maintain a supra-gingival margin. This margin should be placed at least 1-2mm above the gum line to prevent any contact with the marginal gingiva.
04
Use isolation techniques, such as rubber dams or isolation devices, to ensure a clean and dry working area. This helps in achieving better adhesion and longevity of the restoration.
05
Apply etchant and bonding agents to the prepared tooth structure, following the manufacturer's instructions. This will help in achieving a strong bond between the tooth and the filling material.
06
Place and shape the filling material above the gum line, ensuring that it is properly adapted and contoured to mimic the natural tooth anatomy.
07
Light cure the filling material to harden it, ensuring proper polymerization and strength.
08
Check the bite and occlusion to ensure that the filling does not interfere with the patient's normal function.
09
Polish the filling material to achieve a smooth and esthetic finish.

Who needs using supra-gingival principles and:

01
Patients with good oral hygiene and healthy gum tissues are ideal candidates for supra-gingival dentistry. It is especially beneficial for those who have minimal tooth decay or damage in the sub-gingival (below the gum line) area.
02
Individuals who are prone to gum recession or have thin gingival biotype can benefit from supra-gingival principles. By minimizing the contact between the filling material and the gums, it reduces the risk of gum irritation or recession.
03
Supra-gingival dentistry is also advantageous for patients who require future restoration or crown placement. By preserving more healthy tooth structure above the gum line, it provides a better foundation for future dental work and reduces the risk of complications.
In conclusion, using supra-gingival principles in dental fillings helps to preserve healthy tooth structure and minimize the impact on gum tissues. It is suitable for patients with good oral hygiene, minimal sub-gingival decay or damage, and those who may require future dental work.
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Supra-gingival principles refer to the techniques and methods used in dentistry to treat dental issues above the gumline.
Dentists and dental hygienists are required to utilize supra-gingival principles in their practice.
Using supra-gingival principles involves performing dental treatments that are focused on treating issues above the gumline.
The purpose of using supra-gingival principles is to effectively treat dental issues while minimizing trauma to the gums.
Information such as the type of treatment performed, the patient's oral health status, and any follow-up care recommendations must be reported when using supra-gingival principles.
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