關於 ceramic crown ，我們在網路上蒐集到這些相關的討論、資訊與評價

Gotta be honest, this is one of the most challenging cases I’ve done so far. Single anterior discoloured tooth is always hard to deal with, especially with a gummy smile. But I’m excited to share!🤗

To achieve this result:
Smile Design • Gingivectomy • In-office Dental Whitening & Internal Bleaching • Mock-Up • 7 unit Composite Veneers & 1 unit Ceramic Crown

Patient has excessive gingival display (“gummy smile”) with hyperactive upper lip elevator muscle. We’ve discussed the options of:
🦷Orthodontic TX with TADs (“bone screw”)
🦷Botox injection to help reduce the upper lip elevation upon smiling
🦷…or simply accepting the profile and patient just have to learn to smile a little less wide

Patient opt for no Ortho tx nor Botox, and only the treatments I’ve mentioned above. Fully understanding the limitations of the improvement we can bring her, she trained herself to smile to her ideal height and I actually think it looks good.😊Sometimes, no treatment is also a form of treatment, don’t you agree?

Composite veneers weren’t too hard to place. However, it was difficult to mask the discoloured tooth. Root canal treatment was done many years ago and we can actually see the root discolouration showing through the gingiva. (Watch my story to learn more) Even with internal bleaching, the improvement was limited, unless we carry out soft tissue surgery to increase the thickness of the 21 buccal gingiva to mask the root discolouration.

We managed to mask some of the crown discolouration on 21 with procelain-fused-zirconia crown (to match the crown to the rest of the tooth was difficult as well) and the help of a little opaquer, yet there is still room for improvement in my opinion.

Although challenging, I’m blessed to have a very kind patient who’s willing to go through the whole treatment with me. There’s no difficult treatments, as long as our partner (aka patient) is a great one. Of course, it is cases like this which help us become better clinicians. Looking forward to more challenges in the future!🤩

#AestheticDentistry #Dentistry #Veneer #Crown #RestorativeDentistry #Whitening #DentalVeneer #Smile #Makeover #SmileMakeover #CeramicVeneer #CompositeVeneer

Composite v.s. Ceramic Veneers, which team are you on? If you’re interested to see me share the clinical flow in my stories, lemme know down below.🤗

Patient had her pre-existing composite veneers done elsewhere, and requested for a change due to chipping issues & to better the appearance of the veneers.
Her composite veneers were pretty satisfactory in terms of appearance, but we decided to give her a fuller smile arch with gingivectomy & 8-unit Ceramic Crowns and Veneers.

To achieve this result:
Gingivectomy • Smile Design • Mock-Up • Ceramic Veneers

One of the question I get the most is when to decide whether to go for crown or veneer prep when the tooth is vital. My answer? Think like a ceramist. Imagine where your margins are going to end, and whether the ceramic thickness is adequate to achieve the tooth shape desired. (I’ve learned this from one of the best ceramist!)

In this case, we’ve done Emax crowns from her 12-22 due to multiple large interproximal restorations as well significant increase in tooth length. The rest are veneers as we intend to reduce her buccal corridor, hence minimal prep is achievable.

Ceramic veneers are definitely more time & energy consuming but the outcome is definitely more aesthetic & long-lasting than composite veneers! ✨In the end of the day, when a patient is able to smile happily, it’s all that matters!

#SmileMakeover #Whitening #CeramicVeneers #PorcelainVeneers #Ceramic #Porcelain #Veneers #Emax #LayeredPorcelain #CeramicVeneer #PorcelainVeneer

Jingle bell, jingle bell, here’s a Christmas Case!🎄✨

I really enjoy treating this patient as she is super cheerful and love to smile a lot. Her main concern is her shortened dental crown height, but what caught my eye is the buccal corridor & gingival height (“gummy smile”). Wanting to give her a smile as bright as her personality, we started our smile makeover journey!🤩

To achieve this result:
Smile Design • Laser Gingivectomy • No-Prep Composite Veneers

If you noticed, there is an existing Porcelain-fused-metal crown on the 14. Patient wasn’t ready for ceramic veneers, hence we planned for composite veneers on the 15, 13-25.

How about the 14? Yes we could’ve place composite or ceramic veneer over the PFM crown but...will it last? Is it necessary? Who makes the decision? In my opinion, it is both the dentist AND the patient. After discussing with the patient, we decided to KIV for future treatment on 14 after the veneer placement. After all, we have to bear in mind that the set of teeth belongs to the patient and the patient’s decision matters as much.

After laser gingivectomy was done, we then proceed with 9-units composite veneers with injection molding technique with GC G-aenial Universal Injectable Composite (Shade A1), Zhermack clear silicone template , and minor touch ups with @dental2u composite instruments.

I’m really happy that we’re able to enhance the smile aesthetic in this case, and patient can finally have a set of teeth that matches her bright personality (look at how happy she smile!😍) Guess she will really have a “White” Christmas this year!🎄✨😂

Special thanks to my mentor dr @hakienoon for encouraging me in my smile makeover journey! And @ivan.sumz for helping me to snap documenting pics!

#SmileMakeover #Composite #Veneers #CompositeVeneers #InjectableComposite #GCInjectable #CompositeInjection #Aesthetic #Dentistry #AestheticDentistry #Smile #Dental #CeramicVeneers #Veneer #Dentist @ Subang Dental Specialist Clinic

牙醫師好賺嗎？醫師收入受健保壓縮，自費植牙、假牙、牙套、牙齒矯正等市場競爭激烈飽和，年輕牙醫面臨巨大挑戰，沒有工作熱誠難做到頂尖。
根據官方統計資料，臺灣牙醫師平均收入月薪15萬。但在健保越來越窮的窘境下，除非發展高端自費療程，譬如植牙dental implant、全瓷冠Full ceramic crown、瓷貼片porcelain Veneer、3D齒雕、假牙牙套（crown and bridge）、矯正牙套（braces）、隱形矯正如Invisalign、高階牙周手術periodontal surgery、困難根管治療endodontic treatment等等，否則牙醫的收入會越來越低。即使想要發展自費市場，難度也在提高。因現在牙醫診所滿街開，牙醫師越來越夯，越來越難考進牙醫系窄門，出來的新醫師都是智商高超的學霸，所以面臨的競爭對手也越來越強，已經從以前的藍海，慢慢變成紅海市場，絕對要多學習、精進自己的技術，才不會落後別人。另外新進醫師也不要氣餒，覺得比自己還不聰明的老牙醫佔了很多資源，而是要利用自己的強項，包括資料搜尋、自我學習的能力、對網路的熟悉度、利用社群媒體建立自己的品牌形象，還是非常有機會發展出自己的利基市場，超越以前的牙醫師！
臉書執行長馬克佐克伯有一個牙醫爸爸，小兒科醫師媽媽，但他父母從沒有push自己的小孩一定要從醫，而是讓佐克伯作自己擅長與喜歡的事：寫電腦程式。所以要作自己喜歡的工作，而不是追逐時下熱門的工作，才真得能做到頂尖，且在工作中得到成就感和自我實現

影片Source來源
Mark Zuckerberg created a 'social network' in his dad's dental office as a child
https://www.youtube.com/watch?v=hk4MLcx_gqw
洗牙：https://www.youtube.com/watch?v=wrdEE8Br7Zk
牙齦下刮除術（一種健保給付牙周手術）：https://www.youtube.com/watch?v=ZimvZcVi_cg

音樂: Funny day
音樂家: Ilya Truhanov
網址: https://icons8.com/music/

牙醫收入統計資料來源
臺灣官方統計，中華民國牙醫師公會全國聯合會：https://www.mol.gov.tw/media/1380923/bb24.pdf
外媒salaryexplorer.com統計：http://www.salaryexplorer.com/salary-survey.php?loc=212&loctype=1&job=924&jobtype=3

✏️相關文章
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https://follow-heart.com/den_chi
二次矯正費用和效果值不值得
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我需矯正牙齒？牙套美女怎來的
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✉️歡迎追蹤
臉書粉專｜https://follow-heart.com/den_fb
IG追起來｜https://follow-heart.com/den_ig

＃醫師薪水 ＃牙醫 ＃牙套 ＃ 牙齒矯正 ＃植牙

CASE :
STAINLESS STEEL, SATIN FINISHES
DIAMETER: 48.8MM
HEIGHT: 20.08MM
STAINLESS STEEL CROWN
DOMED SAPPHIRE CRYSTAL
SCREWED CASE-BACK, SAPPHIRE CRYSTAL, “ONE OF TWENTY-FIVE” PRINT
WATER-RESISTANT TO 50 METERS

FUNCTIONS :
BLACK FLUIDIC HOURS
MINUTES, SECONDS, POWER RESERVE

MOVEMENT :
MECHANICAL WITH MANUAL WINDING, EXCLUSIVE CALIBER
28,800 VPH, 4 HZ, 41 JEWELS
RHODIUM THINLY-SANDBLASTED BRIDGES
65-HOUR POWER RESERVE
HYT’S EXCLUSIVE PATENTED MICRO-FLUIDIC MODULE:
BOROSILICATE GLASS CAPILLARY TUBE, NANO-COATING INTERIOR
MULTI-LAYER METAL BELLOWS
TWO IMMISCIBLE LIQUIDS; ONE TRANSPARENT, THE OTHER ONE COLORED WITH A HIGHLY RESISTANT DYE
THERMAL COMPENSATOR WITH DEDICATED BELLOW AND SPECIFIC LIQUID
HIGH-TECH CERAMIC FLUIDIC RESTRICTORS
INTERFACE
TRANSMISSION BETWEEN MOVEMENT AND FLUIDIC MODULE BY CONVERSION OF ROTATION INTO LINEAR MOVEMENT USING A CAM-FOLLOWER SYSTEM
ISOSTATIC CONNECTION OF THE FLUIDIC SYSTEM GUARANTEED BY A TRIDENT

DIAL :
NEORALITE HOUR RING WITH C7 SUPER-LUMINOVA®
HOUR FLANGE WITH GREEN NUMERALS
C7 SUPER-LUMINOVA® RAIL UNDER THE CAPILLARY
MINUTE COUNTER WITH BLACK INDEX AND NUMERALS, BLACK MINUTE HAND WITH C7 SUPER-LUMINOVA®
SECONDS FLANGE WITH BLACK HAND
POWER RESERVE FLANGE WITH BLACK HAND

STRAP : BLACK RUBBER, TITANIUM FOLDING BUCKLE

REF. H02353; LIMITED EDITION 25 PIECES