A Review of case to "Make a Youngster Look Normal"

207 Rating(s).


Posted on By Gerald Benjamin In Composite Resin

This case was done 21 months ago when his Mother asked me to help her son 16 year old son look normal. He was missing permanent teeth and had retained deciduous teeth making him look like a 12 year old. We will extract deciduous teeth and place implants when he completes growing.
Direct resin adhesive dentistry has always been viewed as second rate treatment primarily for two reasons:
1. Most dentists have not been adequately trained in the use of direct resin placement and are not willing to spend the time or buy the appropriate composites.
2. Most dentists feel that they cannot charge sufficiently when compared to fees earned with indirect treatment options.

Resin is a fabulous material that allows the dentist to treat cases where porcelain is not an option for whatever reason.

14 year old full face
14 year old retracted view

16 year old full face shortly after direct resin was bonded on maxillary anterior teeth
16 year old smile post direct resin bonding


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10 Comments

Gerald; Great case my friend. I have seen Dr. Goldstein do this many many times. I am sure he too is pleased with your post. Did you do or consider any crown lengthening prior to the bonding? regards Maurice


Reply

Hi Maurice;
All of my dentistry is personally rewarding...I love it.
I performed electrosurgery to gain additional bonding surface. I did a wax up and transferred it with a putty matrix.
This intermediary dentistry will ideally last until the patient is 21 and then we will extract C and D; F and G and place implants in 6 and 11 and cantilever the laterals. The deciduous molars will be extracted as well and implants placed.
Regards,
gerald


Reply

Super planning....that young man is in great hands.


Reply

Beautiful result, Gerald, and very rewarding I am certain. Maurice is correct...some of my greatest pleasures have been accomplishing results like these for not only fee based patients but pro bono as well. In fact that is why I started "Tomorrow's Smiles" charity where volunteer dentists accept at least one patient to change his or her smile and the dentist's expenses for lab or materials is covered by the charity.


Reply

Hi Dr. Goldstein;
I will restore a high school student in your honor.
Let's do it!
Regards,
gerald


Reply

Gerald, if we take effort and have the knowledge, we see often happy patients. But if you are 16 and your teeth look like a small child teeth, then you come to Gerald - you LOVE him and dentistry and life...
Thank you for sharing and motivating us!
Snjezana


Reply

Thanks Snjezana!!!!!
I have been a spiritual Dental XPer my entire career... The unrelenting pursuit of excellence. At almost 70 and after 40 years, I still practice 5 days a week and do all my own wax ups. I truly expect to be a better dentist next week than I was this week.
It is truly sad how the average clinician is so accepting of mediocrity.
US News and World Report named "Dentistry" one of the best jobs in America yet 70-80% of all dentists here hate being a dentist. Inexplicable.
Thank you for your kind words and consistent support for my work. You are a rock star of our profession!!!


Reply

Gerald,

I shared your passionate words with my staff today and they said we need more guys like you that genuinely care! Bravo my friend -

The patients can feel your compassion also...

Cheers,

Richard


Reply

Gerald, Wonderful case. You've done life changing treatment for this young man.
Excellent work.
Take care Brian Mills


Reply

Thanks so much.
As a master of resin yourself, your compliment is a great honor.
Regards,
gerald


Reply


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