Usha dental clinic

29/12/2024

Routine Class IV direct Composite Restoration of 11& 21 .

Patient was referred by some other dentist for correction of his Ellis class 2 fracture 11& 21.
After Intraoral examination we found all maxillary anteriors Incisal edges are irregularly attrited. Suspected some occlusion discrepancy. Discussed with the patient and advised occlusal equilibriation . Patient didn’t want any treatment except his both incisor correction . All consequences related to this , explained very well to the patient and he agreed for occlusal equilibriation after few month. Meanwhile we corrected his 11 & 21 .
Note -:The Ellis class 2 fracture is due to trauma .

Thank u 🙏

29/09/2024

Simple but optically very much important case -:
White & brown spot correction and restoration of canine guidance.

Young female patient was having habit of nail biting .
She came to me for white & brown spot correction in her Right upper canine .
Choosing right composite is mandatory, which gives u opacity and at the same time translucency too because spot situated In Incisal 3rd area.
🙏🙏

07/05/2024

Referred case
Presenting a case of class IV Direct Composite Restoration referred by my dentist friend after Endo treatment of non vital 11 of 19 year young lady

Recipe:- 1.same day made a silicone Palatal index
2. Achromatic enamel
3. OA2 opaquer
4. Some tints
5 facial layer juniors enamel
All pictures are same day
Time taken one and half hr

Tried to copy nature 🙏🙏☺️Thank u

21/04/2024

The most important aspect of learning is a mistakes and take lessons

Here m presenting a case of class IV restoration, One of the most difficult restoration regardless of any material ceramics or composite, techniques direct or indirect …..

Mistakes- Over characterisation

Lessons-
1. For Incisal halo I have to use more bleach shade here
2. Memelone shouldn’t be more demarcated here
3. For opalescent here I have to use less prominent Color

17/04/2024

Life changing Dentistry

Hello everyone presenting a case of FMR
Pt came to me only for her esthetic concern discoloured front teeth and faulty fillings .
Extra oral examination:- 1.Deficit maxilla
2.Partial hypotonic upper lip
3. Low smile line
Intraoral examination:- 1.multiple faulty restorations
2. Absence of Incisal guidance
3. ⁠Unilateral posterior class 3
4. ⁠Unilateral canine guidance
5. ⁠maxillary cant
6. ⁠Improper gingival zenith

My Treatment plan for this case

1. Made a jig on 3mm raised vertical
2. Muscle deprogrammed with same jig
3. ⁠face bow transfer and record centric with same raised vertical
4. Wax up
5. ⁠Test drive
6. ⁠patient agreed
7. ⁠removed all faulty prosthesis
8. ⁠some ReEndo and Rct
9. ⁠crown lengthing as u can see thick biotype results were good , achieved 2 mm ferrule
10. ⁠some cast post
11.⁠patient wasn’t ready for Implant have told them about prognosis of some tooth .
12.Temporisation for 6 week
13. 3rd quadrant prosthesis have also changed ⁠
14. As previous prosthesis have multiple Interferences in all static and dynamic functions movements so tried to give interference free occlusion
15. ⁠on right side canine was not sound enough to hold force of mutual protected occlusion scheme so gave group function 1st Premolar and canine , on left side mutul protection occlusion scheme
16.In lower anteriors done composite restoration to maintain Incisal guidance
17. ⁠Some additive treatment also done on 4th quadrant premolars for securing Interference free occlusion

Thank u Irfan Kachwala sir for guiding me , teaching me and for all ur support . 🙏🙏😊

Thank u Ramesh Selvamsir for teaching me about occlusion, thank u for everything sir 🙏🙏😊 — feeling happy with Saumya Sourabh Mishra at Usha dental clinic.

14/03/2024

Post Orthodontic Treatment

Class III & Class IV direct Composite Restoration & Polishing
🙏🙏

07/03/2024

A case of Multidisciplinary approach

A young 9 year old female patient has came to me 6 year back for repair of her broken upper front teeth

After examination I found both the central Incisors were fractured and a pin point pulp exposure in a 21 , apex was not fully formed .
Exposure was repaired by MTA and Restored with Composite as a long term temporary.
After 6 years she came to me for complaints of swelling and pain on her 21 .
After clinical and Radiographical examination I found

1.peri apical radiolucency with 21
2. 11 was looking ok
3. ⁠open bite
4. ⁠Incisal guidance is absent
5. ⁠spacing
6. ⁠discoloured composite
Did Root canal treatment for 21 & Again Restored with Composite ,on both Incisors as a long term Temporary .
After Orthodontic treatment we can plan for ceramic restoration if she wants or as per situation.

Thank you 🙏

06/12/2022

06/12/2022

Right or wrong ?
Could be Different different types of opinions . A young female patient came to me and wants to close her gap between upper front teeth. I said yes but it will take time because diastema is too big ,u should go for braces treatment for that . But patient said after one week I have a interview for job ,so please give me a nice & beautiful smile with in a week ...... and I promise u after my job settlement I ll go for braces treatment....

O/ E : 1. Microdontia
2. Multiple diastema
3. High frenum attachment
4. Loss of Inciscal guidance
5. Group function occlusion.

T/ t:-Ideal ways w/b 1. orthodontic treatment dan Fill the remaining diastema with direct or indirect method dan Frenectomy. Sequences can be differe either 1st Restoration dan orthodontic dan Frenectomy.
In this case & situation my plan was first mockup / test drive dan direct composite restoration ( most conservative option ) .

I Think I have done justice to the patient ,what do u think plz let me know.

Constructive criticism is always welcome 🙏 Thank u😊