Dr. Betsy Bakeman, Accredited by the AACD, shares her expertise in esthetic crown lengthening. Topics include achieving symmetry without reflecting a flap, different aesthetic crown lengthening techniques, and the use of blades and the KB1 chisel in the procedure.
The trans-saucular approach for crown lengthening provides better visibility during the procedure and can be combined with restorative work done on the same day, making it an efficient option for one to three teeth.
Establishing a normal crestal relationship between the bone and the free gingival margin is crucial in aesthetic crown lengthening procedures, and accurate measurements and precise tissue manipulation are necessary to ensure optimal results and respect the biologic width.
Deep dives
Trans-saucular approach for crown lengthening
The podcast episode discusses the use of a trans-saucular approach for crown lengthening. The speaker explains that this approach is typically used for one to three teeth and allows for better visibility during the procedure. It is recommended when healthy tissue is present and can often be combined with restorative procedures done on the same day.
Aesthetic considerations in crown lengthening
The episode highlights the importance of aesthetic considerations in crown lengthening procedures. The speaker emphasizes the need to establish a normal crestal relationship between the bone and the free gingival margin. Examples of measuring and establishing references for tissue positioning and bone sounding are discussed. The speaker also explains the implications of not respecting the biologic width and the need for accurate measurements and precise tissue manipulation.
Workflow for crown lengthening procedures
The episode explores different workflows for crown lengthening procedures. For trans-saucular approaches involving one to three teeth, the speaker recommends combining the procedure with restorative work on the same day. However, for flap reflection and longer healing times, a separate appointment is advised. The speaker highlights the importance of having systems in place for efficient tissue management and accurate results.
Importance of understanding tooth anatomy
The podcast emphasizes the significance of understanding tooth anatomy, particularly in restorative dentistry. The speaker mentions the value of waxing and its benefits in mastering dental anatomy and tooth shapes. Waxing allows for improved provisional restorations, better evaluation of laboratory work, and enhanced communication with the lab. The speaker highlights the benefits of knowing and applying tooth anatomy principles in restorative treatments.
Dr. Bakeman is included in an elite group of less than 300 dentists worldwide who are Accredited by the American Academy of Cosmetic Dentistry (AACD). In fact, she is one of 50 dentists worldwide and the first dentist in Michigan to have achieved the distinction of being an Accredited Fellow in the AACD.
Any skilled teacher will tell you that one of the best ways to learn is to teach others. Dr. Bakeman applies this philosophy to her own career by continuing her education so that she is best equipped to educate others in her profession. Currently considered a master in her field by her peers, she is the consummate teacher. Whether she’s teaching colleagues to achieve excellence in cosmetic dentistry or providing clinical experience for their development, both her peers and her patients benefit from her expertise. In fact, as a motivator, coach, and leader, she sparks intellect and makes a profound difference in the lives that she inspires.
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