Speed Learning, Back to Basics: Molar Hypomineralization and Peg Laterals
Recorded On: 05/23/2020
A routine exam that discovers a sensitive, brown, crumbling and carious first permanent molar in a previously asymptomatic 6 year old is a challenging clinical scenario for the doctor and patient alike. Can I get this tooth numb enough? Will the restoration hold? Should I seal the remaining groves? Is a permanent stainless steel crown the best solution? What about or extraction? Turns out, that the current literature gives us pediatric dentists evidence-based guidance on how to set up these teeth, and ultimately the patients, for long term success. This lecture will take a deep dive in to the composition of the hypominerlized molar. We will also be describing different strategies for restoring these teeth with a focus on sensitivity reduction and long term preservation of enamel.
The restoration of peg-shaped laterals is a challenging procedure for the restorative dentist. What esthetic and functional factors should be considered during the diagnosis and treatment planning phases? What restorative materials are currently available to restore peg-shaped laterals? What restorative strategies and clinical tips can be used during the restorative phase? This presentation will provide information from a conservative esthetic dentistry perspective to help answering these and many other questions.
Dr. Gustavo Oliveira is an Assistant Professor and Graduate Program Director of Operative Dentistry & Biomaterials at the University Of North Carolina Adams School of Dentistry. He earned his Doctor of Dental Surgery degree from the Santa Catarina Federal University, Brazil, and continued to practice in the realm of operative and esthetic dentistry before moving to the United States. Dr. Oliveira received his master’s degree and a Certificate in Operative Dentistry from the Operative Dentistry Graduate Program at the University of North Carolina at Chapel Hill. He also completed a clinical fellowship in the Department of Operative Dentistry at the same institution. Dr. Oliveira joined the University of Louisville, Kentucky, in 2010 as a full-time faculty member, teaching and training pre-doctoral students in the areas of operative dentistry, esthetics, and biomaterials. In January of 2016, Dr. Oliveira was recruited by his alma mater, joining the Department of Operative Dentistry at UNC, this time as a faculty member. In 2017, Dr. Oliveira was selected by the American Academy of Operative Dentistry as the recipient of the Inaugural Rising Star Faculty Award. Dr. Oliveira currently holds a position of Graduate Program Director of Operative Dentistry & Biomaterials at UNC. Dr. Oliveira is a member of various professional organizations. He is a contributing author of the textbook Sturdevant’s Art and Science of Operative Dentistry, has published many scientific papers, and serves as a manuscript reviewer for several scientific publications. He is actively involved in research. Dr. Oliveira maintains a part-time intramural practice dedicated to restorative, implant, and esthetic dentistry.
Brandon Schwindt completed his undergraduate degree at the University of Oregon. He graduated from Oregon Health and Sciences Dental School and completed a Pediatric Dentistry Residency at the Medical University of South Carolina under Dr Ron Bell. He is a diplomate of the ABPD and currently holds the position of President Elect of the College of Diplomates of the American Board of Pediatric Dentistry. He served on Oregon's Board of Dental Examiners from 2009 to 2017, serving as the Oregon State Dental Board President in 2015. Dr Brandon was appointed to the Oregon Dental Board's Anesthesia Committee where he has continued to serve since 2007. He practices full time with his wife, Dr Kathryn Bowman, in their pediatric practice in Portland, OR.
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