Generated by All in One SEO v5.0.0.1, this is an llms.txt file, used by LLMs to index the site. # Tam Dental Group Cosmetic & General Dentistry ## Sitemaps - [XML Sitemap](https://www.clarencetam.co.nz/sitemap.xml): Contains all public & indexable URLs for this website. ## Posts - [Blog](https://www.clarencetam.co.nz/blog/) - Check out our Auckland practice’s dental blog to discover the latest news, technology, and treatment options that can help you meet your goals. Read more here. - [The presence of natural fissures in restorations](https://www.clarencetam.co.nz/the-presence-of-natural-fissures-in-restorations/) - Fissures represent the natural sluiceways for bolus escape during mastication and their presence restores the efficiency and esthetics of nature. Restorative: Clearfil Majesty ES-2 Universal U #KurarayNoritake #DirectResin #PosteriorComposite #CompositeArtistryAuckland - [Everyday composite resin elevated](https://www.clarencetam.co.nz/everyday-composite-resin-elevated/) - Daily bread and butter direct composite using #ClearfilMajestyES2 Universal U. - [Layered Composite Veneers with Gingival Recontouring](https://www.clarencetam.co.nz/layered-composite-veneers-with-gingival-recontouring/) - (Afternoon tea pics 2265.8: Ultradent Gemini | Ultradent Forma | Garrison Dental Solutions - North America Slickbands) Stratified composite veneers with a mesialized #6/1.3 and #5/1.4 as a result of a congenitally-missing lateral incisor (#7/1.2). The goal of the DSD was to create improved symmetry, correct the existing midline cant and to eliminate any visible - [Minimally Invasive, Maximally Esthetic](https://www.clarencetam.co.nz/minimally-invasive-maximally-esthetic/) - (Afternoon tea pics 2264.5: DMG Icon) The greatest joy is the rectification of confidence in a young patient. The greatest satisfaction is the achievement of this with a non-invasive resin infiltration solution. NB: Pre-prosthetic whitening was completed with custom nightguard bleaching as per Van Haywood and Heymann. #DMGIcon #MinimallyInvasiveMaximallyEsthetic DMG Dmg TopWinner - [Freehand Peg Lateral Direct Restoration using Forma](https://www.clarencetam.co.nz/freehand-peg-lateral-direct-restoration-using-forma/) - (Afternoon tea pics 2263.3: Ultradent Forma | Garrison Dental Solutions - North America) Freehand restoration to esthetically correct a peg lateral on #7 and enamel fracture on tooth #8DIFL using #Ultradent Forma and a #Garrison Slickband oriented vertically to recreate the proximoaxial contours. Ultradent Southeast Asia Ultradent Products, Inc. - [Moving to Broadway!](https://www.clarencetam.co.nz/moving-to-broadway/) - Dear Patients, We are excited to announce the practice is moving 300m down to 4/142 Broadway, Newmarket, which is the office building directly across from the terminus of Khyber Pass. The last effective clinical day in the old premises will be Friday, July 3rd and our first day in the new practice will be Monday, - [Class II restoration using freehand and Garrison-guided components](https://www.clarencetam.co.nz/class-ii-restoration-using-freehand-and-garrison-guided-components/) - (Afternoon tea pics 2261.7: Clearfil Majesty ES-2 Universal | Garrison Dental Solutions - North America) Class II direct restoration with a freehand distal wall, Garrison Compositight-guided mesial axial wall reconstruction, occlusal value neutralization using Kerr Herculite Ultra XL2 flowable microlayers, Clearfil Majesty ES-2 Universal UD as the capping composite. #ClassIIdirect #ClearfilMajestyES2Universal #KerrHerculite #GarrisonCompositight - [Bread and butter composite restorations](https://www.clarencetam.co.nz/bread-and-butter-composite-restorations/) - Bread and Butter direct restorations using the versatility of cloud-shaded #Clearfil #MajestyES2Universal and #GarrisonCompositight - [LM Javier Guadix Tapia Contact Burnisher in action](https://www.clarencetam.co.nz/lm-javier-guadix-tapia-contact-burnisher-in-action/) - (Afternoon tea pics 2259.1: LM Tapia Contact Burnisher | Clearfil Majesty ES-2 Universal | ES Flow Universal | Garrison Dental Solutions - North America Compositight 3D Fusion) First attempt with the new LM Tapia Contact Burnishing instrument. Restoration completed using Majesty Flow, Majesty ES Flow Universal and ES-2 Universal U with axial guidance from Garrison's - [Direct Composite Esthetics using Majesty ES-2 Universal](https://www.clarencetam.co.nz/direct-composite-esthetics-using-majesty-es-2-universal/) - Bringing this bicuspid back in the land of the living (not literally) with this direct restoration layered with #MajestyESFlow #MajestyES2UniversalU #KurarayNoritake #DirectComposite - [Use of the Garrison Strata-G Sectional Matrix](https://www.clarencetam.co.nz/use-of-the-garrison-strata-g-sectional-matrix/) - (Afternoon tea pics 1863.5: Garrison Dental Solutions - North America Strata-G | Voco Grandio SO | GC Ever-X Flow) Matrix Options for Larger interdental spaces You have seen me use a lot of the Compositight 3D Fusion (Garrison) system for small to regular interdental spaces, however, I find the newer Strata-G sectional matrix system to - [Preserving Facial Structure: How Dental Implants Help Prevent Bone Loss in the Jaw](https://www.clarencetam.co.nz/preserving-facial-structure-how-dental-implants-help-prevent-bone-loss-in-the-jaw/) - Discover how dental implant solutions can regenerate lost bone density and maintain facial contours after tooth loss from our AACD-accredited Auckland dentist. - [Voco Bifix Veneer LC](https://www.clarencetam.co.nz/voco-bifix-veneer-lc/) - (Afternoon tea pics 2257.7: Voco Bifix Veneer LC) Putting the new Bifix Veneer LC through its paces. Try-in and definitive paste: Bifix Veneer LC Bright Consistency: sticky and holds together - less bubble inclusion noted relative to Variolink Esthetic LC. Stats: 75% filled/wt Compressive strength: 300MPa (enamel is 384MPa and dentin is 297MPa) Flexural strength: - [DSD guided pink and white esthetics with composite veneers](https://www.clarencetam.co.nz/dsd-guided-pink-and-white-esthetics-with-composite-veneers/) - (Afternoon tea pics 2256.9: Ultradent Products, Inc. Gemini and Ultradent Products, Inc. Forma) Concurrent Digital Smile Design-guided gingivectomies on #7 and 10 along with stratified composite veneers on the same teeth with the request of leaving the fixed lingual retainer intact during the procedure. Gingival recontouring: Ultradent Gemini dual wavelength superpulsed mode: 810nm, 980nm Composite - [Garrison Quad Matrix in action](https://www.clarencetam.co.nz/garrison-quad-matrix-in-action/) - (Afternoon tea pics 2255.1: Garrison Dental Solutions - North America Quad Matrix | Majesty ES-2 Universal U) Bread and butter Class II partial replacement as part of a stablization phase for this patient due to financial constraints. Full coverage to come in the next phase. #GarrisonQuad #MajestyES2UniversalU Kuraray Noritake Dental Europe Kuraray Noritake Dental - - [Rhondium DME wedge for margin regularization](https://www.clarencetam.co.nz/rhondium-dme-wedge-for-margin-regularization/) - Often if your proximal gingival cavosurface margin is irregular and you wish to preserve every bit of healthy tooth structure in this region, the sectional matrix does not always adapt evenly to this topography. The DME wedge from #Rhondium works a treat to both lift the margin to a workable level and even out the - [Ultradent Forma Composite Class IV restoration](https://www.clarencetam.co.nz/ultradent-forma-composite-class-iv-restoration/) - A freehand stratified Class IV blunt trauma repair was completed for this lovely 15 year old female. Shades used: A1D, WE, Trans, white tint. #UltradentForma #bluntdentaltrauma - [Peripheral Rim Fracture Considerations in Cavity Design](https://www.clarencetam.co.nz/peripheral-rim-fracture-considerations-in-cavity-design/) - It's always difficult to decide which vertical hairline fractures to chase in a compromised peripheral enamel rim. Chasing and selectively removing the significant hairline fractures with penetration past the DEJ ensures that these superhighways are sealed and don't have an opportunity to seed caries insidiously. #VocoGrandioSO #GarrisonCompositight - [Insidious caries under an old fissure sealant](https://www.clarencetam.co.nz/insidious-caries-under-an-old-fissure-sealant/) - Caries noted in the 2nd shot was subsequently removed, but just goes to show how "sealants" that don't seal are really dangerous re: insidious caries progression. #KerrSimplishade #SneakyCaries - [Complex Composite Resin with Pulp Exposure Management](https://www.clarencetam.co.nz/complex-composite-resin-with-pulp-exposure-management/) - A long-term complex transitional direct restoration was completed on these molars prior to planned orthodontics to remove cracks and stabilize the tooth structure with full coverage indirect planned for immediately post-alignment. Freehand reconstruction of the lingual cusps was undertaken after the existing pulp exposure was treated and sealed using a resin-modified calcium silicate (Theracal LC). - [Simplishade Bulk Fill Flowable with Simplishade Universal](https://www.clarencetam.co.nz/simplishade-bulk-fill-flowable-with-simplishade-universal/) - Class I direct raw. Skulpting completed using the TNTAMKIT from @hufriedy Restorative: Kerr Simplishade paired with Simplishade Bulk Fill Flowable makes for an efficient esthetic solution for all posterior direct restorations. Packable specs: Compressive strength: 366MPa Flexural strength: 140MPa Flowable specs: Compressive strength: 409MPa Flexural strength: 129MPa Depth of cure = 5mm. @kerrdental #ClassIdirectesthetics - [Voco Amaris Composite Veneers](https://www.clarencetam.co.nz/voco-amaris-composite-veneers-6/) - This lovely patient declined pre-prosthetic orthodontics and only wanted to complete composite veneers on #8 and 9 for a more confluent anterior archform. Substrate Optimization #Aquacare Restorative #VocoAmaris - [Hypomineralized incisor reconstructed with a fixed retainer in place](https://www.clarencetam.co.nz/hypomineralized-incisor-reconstructed-with-a-fixed-retainer-in-place/) - Just your average Class IV hypomineralization fracture repair with a fixed lingual retainer in place. Axial contour made efficient using the Garrison Dead Soft matrix band oriented vertically. Supercomposite layering with #UltradentForma Soft tissue recontouring completed using the Superpulsed dual wavelength diode laser #UltradentGemini - [Predictable Contacts with Garrison Compositight 3D Fusion](https://www.clarencetam.co.nz/predictable-contacts-with-garrison-compositight-3d-fusion/) - Direct resin with the superduo #VocoGrandioSO #GarrisonCompositight - [Extreme Deep Margin Elevation using Rhondium's wedge](https://www.clarencetam.co.nz/extreme-deep-margin-elevation-using-rhondiums-wedge/) - Extreme DME case using the Rhondium DME wedge in sequence with the Garrison Compositight system with a supercomposite placed incrementally to support what little is left of this extremely-compromised second bicuspid. #VocoGrandioSO #RhondiumDME #GarrisonCompositight - [Supercomposites in Action with Voco](https://www.clarencetam.co.nz/supercomposites-in-action-with-voco/) - (Afternoon tea pics 2244.4: Voco Grandio SO | Garrison Dental Solutions - North America) #VocoGrandioSO #GarrisonCompositight VOCO GmbH - The Dentalists VOCO Philippines - [Supercomposite restoration with Voco Grandio SO](https://www.clarencetam.co.nz/supercomposite-restoration-with-voco-grandio-so/) - Direct supercomposite. Still the composite with the best clinical performance I have seen to date. #VocoGrandioSO #GarrisonCompositight - [We are moving!](https://www.clarencetam.co.nz/we-are-moving/) - Tam Dental Group has made the difficult decision to close our Devonport clinic with our final operational day being Monday the 30/3/26. Our lead dentist Dr Lillian Hsu is moving towards creating a better work life balance which is the right decision for her clinical longevity. This transition has left us with a recruitment gap - [Garrison Wide Prep ring with Kerr Simplishade](https://www.clarencetam.co.nz/garrison-wide-prep-ring-with-kerr-simplishade/) - Not all endodontically-treated teeth require full coverage, depending on the quality and quantity of residual tooth structure. This lower first bicuspid features a cast post with the bulk of the mesial coronal structure intact, something I do not wish to mess with. The Garrison Wide Prep ring was utilized in a stacked fashion to complete - [Rhondium DME at nearly crestal level](https://www.clarencetam.co.nz/rhondium-dme-at-nearly-crestal-level/) - (Afternoon tea pics 2341.3: Kerr Simplishade | Rhondium DME | Garrison Dental Solutions - North America) Getting d o w n with DME. #RhondiumDME #KerrSimplishade #GarrisonCompositight - [Creating realistic occlusal anatomy using composite resin](https://www.clarencetam.co.nz/creating-realistic-occlusal-anatomy-using-composite-resin/) - (Afternoon tea pics 2240.1: Kerr Simplishade Medium) Direct composite. #kerrsimplishademedium - [Complex Reconstruction of Amalgam filled molars](https://www.clarencetam.co.nz/complex-reconstruction-of-amalgam-filled-molars/) - (Afternoon tea pics 2239.4: Matrix in Matrix | Garrison Dental Solutions - North America | Kerr Simplishade) Complex direct resin reconstruction of these two heavily-restored molars. The Rhondium DME wedge was utilized to "even out" the irregular cavosurface margin to create a more linear adaptation. Matrix in matrix (Omnimatrix, Ultradent Products, Inc. and Dead Soft - [Invisible fillings in composite resin](https://www.clarencetam.co.nz/invisible-fillings-in-composite-resin/) - Chasing cracks on this cracker. #Garrison #KerrSimplishade #DirectResin - [Zirconia-infused composite resin esthetic restorations](https://www.clarencetam.co.nz/zirconia-infused-composite-resin-esthetic-restorations/) - Incisal layered restorations completed using the zirconia and ytterbium trifluoride-infused supercomposite #UltradentForma - [Rhondium SureMatrix in action with Separating Wedge](https://www.clarencetam.co.nz/rhondium-surematrix-in-action-with-separating-wedge/) - Direct composite #RhondiumSureMatrix #Rhondiumseparatingwedge #KerrSimplishadeMedium - [Amalgam removal and biomimetic replacement](https://www.clarencetam.co.nz/amalgam-removal-and-biomimetic-replacement/) - Simple amalgam removal and replacement. Limited dissection of peripheral rim fracture. #SimplishadeMedium - [Patient participation in Smile Design with Composite Veneers](https://www.clarencetam.co.nz/patient-participation-in-smile-design-with-composite-veneers/) - Concerns addressed: *Composite caps that were visible *Desire for natural, completely uniform and lighter shade of anterior sextant *No desire for pre-prosthetic whitening *Request to support buccal corridors with inclusion of 5 and 12 *Overly "bulbous" looking teeth with cervical markings Strategy: *DSD-driven protocol *Minimal preparation (0.2-0.3mm) to debulk teeth in certain areas *Laser gingival - [Creating invisible composite fillings](https://www.clarencetam.co.nz/creating-invisible-composite-fillings/) - Class I replacement restorations with the cloud queen: #Optibond FL #Simplishade - [Full coverage zirconia crown workflow](https://www.clarencetam.co.nz/full-coverage-zirconia-crown-workflow/) - Full coverage zirconia workflow with buccal knife edge margin and inadequate reduction for conventional provisionalization. Opaldam was utilized to hold mesiodistal space as well as vertical centric stabilization during the provisional phase. #zirconiacrown #zirconiaworkflow #provisionalizationtipsandtricks - [Large volume composite restorations restored with Simplishade](https://www.clarencetam.co.nz/large-volume-composite-restorations-restored-with-simplishade/) - This type of case feels like going 12 rounds. Heavy lifting by the dynamic duo. #KerrSimplishade #GarrisonCompositight Flexural strength: 123.6MPa Compressive strength: 358MPa - [Stratified Composite Veneers using Ultradent Forma](https://www.clarencetam.co.nz/stratified-composite-veneers-using-ultradent-forma/) - (Afternoon tea pics 2230.3: Ultradent Forma | Ultradent Gemini) Social Six stratified composite veneers // Placed with DSD-guided gingival recontouring with Ultradent Gemini dual-wavelength Superpulsed diode laser // Layered application of Ultradent Forma, which contains silanated zirconia and ytterbium trifluoride for optimized opalesence, fluoresence, translucency and strength Ultradent Southeast Asia Ultradent Products, Inc. - [The Rhondium DME Wedge in Action](https://www.clarencetam.co.nz/the-rhondium-dme-wedge-in-action/) - (Afternoon tea pics 2229.1: Rhondium DME Wedge | Garrison Dental Solutions - North America Compositight | Kerr Simplishade | Optibond FL | Herculite Ultra flowable XL2) Complex Class II with deep recurrent cervical caries ^Inverted rubber dam #IsodamHeavy ^Air Particle Abrasion 29 micron aluminum oxide #Aquacare ^Adhesive Substrate Optimization using Sylc CaNaO6PSi #Aquacare ^Gold Standard - [Root protection and esthetic enhancement](https://www.clarencetam.co.nz/root-protection-and-esthetic-enhancement/) - Legs for days. #GCGaenialAchord #ClassVbangers #Class5artistry #Protectthoseroots - [Removing the cracks in teeth that matter](https://www.clarencetam.co.nz/removing-the-cracks-in-teeth-that-matter/) - Removing the cracks that matter as part of a Class I composite replacement. #Kerr #SimplishadeMedium - [Reversing Time and Protecting Dental Roots](https://www.clarencetam.co.nz/reversing-time-and-protecting-dental-roots/) - Reversing time and protecting roots. What we do in 2026. #GC #EssentiaU #ClassVbangers - [Potential Health Benefits of SureSmile® Orthodontics](https://www.clarencetam.co.nz/potential-health-benefits-of-suresmile-orthodontics/) - Our renowned cosmetic dentist in Auckland details the functional benefits that often accompany the straight, even smile achieved with SureSmile aligners. - [Gemini | Opalesence | Forma Composite Veneers](https://www.clarencetam.co.nz/gemini-opalesence-forma-composite-veneers/) - (Afternoon tea pics 2225.9: Opalescence | Gemini | Ultradent Forma) Non-invasive dentistry // Freehand composite veneers after gingivectomy on tooth #9 on microdontic lateral incisors with custom dentin shading and maverick tinting following pre-prosthetic whitening (Opalescence). #ultradentforma #zirconiareinforcedcomposite Ultradent Southeast Asia Ultradent Products, Inc. - [Rhondium DME Wedge and Garrison Wide Prep Ring](https://www.clarencetam.co.nz/rhondium-dme-wedge-and-garrison-wide-prep-ring/) - (Afternoon tea pics 2224.9: Rhondium DME wedge | Garrison Wide Prep Ring) Two pieces of kit that are indispensable for extensive Class II composite restorations where the line angles are missing. Restorative: Kerr Simplishade Dark | Simplishade Bulk Fill flowable #RhondiumDMEwedge #GarrisonWidePrep #KerrSimplishade Garrison Dental Solutions - North America Rhondium - [Simplishade ART3 technology in composite](https://www.clarencetam.co.nz/simplishade-art3-technology-in-composite/) - Simple invisible direct Class I. ART3 technology to modulate shrinkage stress and improve durability. #KerrSimplishade Vitals: Compressive strength: 358MPa Flexural strength: 110MPa - [AACD-Accredited Auckland Cosmetic Dentist Delves Into Smile Makeover Treatment Process](https://www.clarencetam.co.nz/aacd-accredited-auckland-cosmetic-dentist-delves-into-smile-makeover-treatment-process/) - Discover what to expect from the timeline of a Smile Makeover from our Auckland cosmetic dentist, including how long each treatment option may take to complete. - [Ultradent Forma Composite Veneers](https://www.clarencetam.co.nz/ultradent-forma-composite-veneers-2/) - (Afternoon tea pics 2222.2: Ultradent Forma Composite Veneers) // Stratified Composite Veneers feat. Ultradent Forma (zirconia and ytterbium trifluoride) for optimal translucency, opalescence, radiopacity and fluoresence. Gingival recontouring: Ultradent Gemini dual wavelength diode - 810nm, 980nm Superpulsed. Dentin shade: 50:50 ratio of A1D:WD Enamel shade: WE Translucent: Trans Effect shade: White tint Vitals: Compressive: 451MPa - [Tetric Flow and Fill sequence Ivoclar](https://www.clarencetam.co.nz/tetric-flow-and-fill-sequence-ivoclar/) - Direct complex composite restorative reconstruction with #TetricPlusFlow #TetricPlusFill featuring axial contours courtesy of #GarrisonCompositight3DFusion - [Kerr Simplishade used with Garrison to reconstruct a broken down molar](https://www.clarencetam.co.nz/kerr-simplishade-used-with-garrison-to-reconstruct-a-broken-down-molar/) - Direct Resin #KerrSimplishade #GarrisonCompositight - [Cervical abrasion Class 5 banger restoration](https://www.clarencetam.co.nz/cervical-abrasion-class-5-banger-restoration/) - Shape restored and cervical dentin insulated on this Class V banger using a single shade of the chameleon #GCEssentiaU - [Deep dental cavities ambush and direct composite restoration](https://www.clarencetam.co.nz/deep-dental-cavities-ambush-and-direct-composite-restoration/) - AMBUSH // Class I direct resin restorations with SFRC layered base. Caries detector dye Adhesive Substrate optimization #Aquacare Capping composite completed cusp-by-cusp using #ClearfilMajestyES2UniversalU #KurarayNoritake. - [Efficient Class II Workflow with Composite](https://www.clarencetam.co.nz/efficient-class-ii-workflow-with-composite/) - The power duo for power layering. #ClearfilMajestyES2UniversalU #GarrisonCompositight - [Dr. Clarence Tam Becomes 2nd New Zealand Dentist in History to Join Elite Bio-Emulation™ Group!](https://www.clarencetam.co.nz/dr-clarence-tam-becomes-2nd-new-zealand-dentist-in-history-to-join-elite-bio-emulation-group/) - Read about our Auckland cosmetic dentist’s induction into the preeminent Bio-Emulation team, focusing on science-driven cosmetic and functional dentistry. - [DME and pericrestal caries with matrix in matrix](https://www.clarencetam.co.nz/dme-and-pericrestal-caries-with-matrix-in-matrix/) - Direct complex restoration featuring peri-crestal caries // Substrate Optimization using 29 micron Al2O3 particles #AquacareUK #VelopexUK // DME using Omnimatrix and Matrix-in-matrix using #Omnimatrix/Garrison Dead Soft Bands // Wide 2-stage large interdental space closure with DME using the #Garrison Strata-G matrix system // Microlayers using #ClearfilMajestyES Flow for superficial layers and Majesty Esthetic flow in - [Direct Composite Artistry using Clearfil Majesty ES-2 Universal](https://www.clarencetam.co.nz/direct-composite-artistry-using-clearfil-majesty-es-2-universal/) - Direct composite #ClearfilMajestyES2Universal #GarrisonCompositight - [Dr. Clarence Tam Interviewed on Radio New Zealand in “Expert Feature” Segment](https://www.clarencetam.co.nz/dr-clarence-tam-interviewed-on-radio-new-zealand-in-expert-feature-segment/) - Read about our Auckland cosmetic dentist’s Expert Feature on Radio New Zealand, where Dr. Tam delved into treatments like whitening, orthodontics, and more. - [Recreating nature with direct composite](https://www.clarencetam.co.nz/recreating-nature-with-direct-composite-2/) - Custom dentin blend to balance the value/brightness of this traumatized tooth. Maverick effects created using a combination of white and blue to accentuate both halo and translucency details in the incisal window. #VocoAmaris #VocoFinalTouch #CompositeArtistry - [Breath by Breath Direct Composite Reconstruction](https://www.clarencetam.co.nz/breath-by-breath-direct-composite-reconstruction/) - (Afternoon tea pics 2213.6: Clearfil Majesty ES-2 Universal U | Garrison Compositight) A breath by breath conversion of a Class II situation into a Class I before a cusp-by-cusp reconstruction paying attention to fissure anatomy. #ClearfilMajestyES2 #ClearfilESFlowUniversal #MajestyESUniversal #GarrisonCompositight #DirectComposite Garrison Dental Solutions - North America Kuraray Noritake Kuraray Noritake Dental Europe Kuraray Noritake Dental - [Aquacare | Kerr Simplishade | Garrison Compositight | Crack Removal](https://www.clarencetam.co.nz/aquacare-kerr-simplishade-garrison-compositight-crack-removal/) - Determination of when to remove a peripheral rim enamel fracture hinges on whether the crack penetrates the DEJ, at which stage the risk:benefit ratio points to its removal. Caries is only detectable when it has reached 1/3rd the buccolingual thickness of the tooth, and it is not prudent to assume that it will express its - [Voco Amaris Composite Veneers](https://www.clarencetam.co.nz/voco-amaris-composite-veneers-5/) - #DirectStratifiedCompositeVeneers #VocoAmaris - [Clampless DME in a complex composite restoration](https://www.clarencetam.co.nz/clampless-dme-in-a-complex-composite-restoration/) - Direct Restoration #ClamplessDME #GarrisonCompositight #MajestyES2Universal - [Composite Veneers to correct peg laterals with Layering and Effects](https://www.clarencetam.co.nz/composite-veneers-to-correct-peg-laterals-with-layering-and-effects/) - Digital Smile Design (DSD)-guided composite veneers to correct peg laterals. White maverick effects placed to mimic natural hypocalcified flecks in the pre-operative situation. Dentin shade required a custom blend of O1:OBleach to reach the desired value. Enamels: HT, TL #layeredcompositeartistry #compositeveneers #cosmeticdentistnz #peglateralrestorations - [Deep Margin Elevation | Cervical ringbark caries](https://www.clarencetam.co.nz/deep-margin-elevation-cervical-ringbark-caries/) - (Afternoon tea pics 2301.7: DME | Garrison Compositight | Majesty ES-2 Universal) Direct restoration workflow featuring ringbark cervical caries #Majesty_ES2_Universal #GarrisonCompositight #DME using #UltradentOmnimatrix Kuraray Noritake Kuraray Noritake Dental Europe Kuraray Noritake Dental - US Kuraray Noritake Polska Kuraray Noritake Australia & New Zealand - [Matrix in Matrix system in composite reconstruction](https://www.clarencetam.co.nz/matrix-in-matrix-system-in-composite-reconstruction/) - The matrix-in-matrix system here was composed of an outer Tofflemire-type retainer (Omnimatrix, Ultradent) and an inner anatomically-contoured matrix band (Dead Soft band, Garrison Dental Solutions) in order to reconstruct the distal free-end axial wall in an efficient and accurate manner. Restorative: Clearfil Majesty ES-2 Universal U (348MPa compressive, 118MPa flexural) #ClearfilMajestyES2 #MatrixinMatrix #GarrisonSolutions - [Restoring Nature using Kerr Simplishade composite](https://www.clarencetam.co.nz/restoring-nature-using-kerr-simplishade-composite/) - Class I direct resin using #KerrSimplishade Compressive strength: 366MPa (enamel 384MPa, dentin 297MPa) Flexural strength: 140MPa (dentin 165.6MPa) - [Partial Composite Veneers to correct incisal hypomin](https://www.clarencetam.co.nz/partial-composite-veneers-to-correct-incisal-hypomin/) - (Afternoon tea pics 2206.1: Voco Amaris Composite Veneers) Freehand partial stratified composite veneers to correct shape asymmetry and incisor hypomineralization simultaneously in this 24 year old male ahead of his wedding. Shades: O2, TN, HT, white tint. #VocoAmaris #incisorhypomineralization VOCO Philippines VOCO GmbH - The Dentalists - [Creating predictable contacts in Class II restorations](https://www.clarencetam.co.nz/creating-predictable-contacts-in-class-ii-restorations/) - #KerrSimplishade #GarrisonCompositight - [Posterior direct composite artistry](https://www.clarencetam.co.nz/posterior-direct-composite-artistry/) - Posterior Complex Direct #KerrSimplishade #VocoFinalTouch - [Garrison Compositight and Clearfil Majesty used in a back to back Class II situation](https://www.clarencetam.co.nz/garrison-compositight-and-clearfil-majesty-used-in-a-back-to-back-class-ii-situation/) - Class II back to back to back. #GarrisonCompositight #MajestyES2UniversalU #Majesty Flow - [DO composite replacement workflow with Garrison Compositight](https://www.clarencetam.co.nz/do-composite-replacement-workflow-with-garrison-compositight/) - Class II direct restoration workflow. #KerrSimplishade #GarrisonCompositight - [Direct Foundational and Indirect Restorative Workflow](https://www.clarencetam.co.nz/direct-foundational-and-indirect-restorative-workflow/) - Full coverage direct foundational and indirect restorative workflow. #TSE #Ivoclar #IPSemax #Smiledesign - [Sequential Lobe Technique Direct Composite](https://www.clarencetam.co.nz/sequential-lobe-technique-direct-composite/) - Direct Restoration completed via the sequential lobe technique .#ClearfilMajestyES2Universal - [Wide Prep Ring and Line Angle Reconstruction](https://www.clarencetam.co.nz/wide-prep-ring-and-line-angle-reconstruction/) - POV when you're missing a line angle, and the Garrison Wide Prep ring comes in clutch. Restorative #KerrSimplishadeMedium #GarrisonDentalSolutions - [Caries detector driven removal of dental cavities](https://www.clarencetam.co.nz/caries-detector-driven-removal-of-dental-cavities/) - Clean Class I action with caries removal guided by Kuraray Caries Detector. Base microlayers completed with Majesty Flow for the simple reason of not only exceptional physical properties but outstanding radiopacity for crisp lesion delineation follow-up over time. The occlusal capping layer was completed in a segmental, sequential fashion. #ClearfilMajestyES2Universal #ClearfilMajestyFlow - [Bridge large interdental spaces with Garrison Strata-G](https://www.clarencetam.co.nz/bridge-large-interdental-spaces-with-garrison-strata-g/) - The combination of the Teflon-coated Dead Soft matrix bands and the Wide Prep ring are my go-to combination for creating tight contacts in large interdental spaces posteriorly. Restorative: Majesty Flow liner, ES-2 Universal U #Garrison #StrataG #ClearfilMajestyES2Universal - [Internal Bleaching and Composite reconstruction](https://www.clarencetam.co.nz/internal-bleaching-and-composite-reconstruction/) - A predictable and minimally-invasive combination of pre-internal whitening composite reconstruction of the endodontic access followed by 5 weeks of internal bleaching proper using sodium perborate. Provisional cover during this period was completed using a bonded Opaldam seal (green, sparkly) prior to composite reconstruction of the access with Majesty ES Flow Universal and ES-2 Universal Dark - [Voco Amaris Composite Veneers](https://www.clarencetam.co.nz/voco-amaris-composite-veneers-4/) - (Afternoon tea pics 2095.5: Voco Amaris Composite Veneers) Composite veneers to reshape maxillary laterals and canines - 2 week reassessment #VocoAmaris VOCO GmbH - The Dentalists - [Peripheral rim fracture and secondary caries](https://www.clarencetam.co.nz/peripheral-rim-fracture-and-secondary-caries/) - Class II magic using the power duo chameleon composite/matrix combination of #KerrSimplishade and #GarrisonCompositight Compressive strength: 366MPa Flexural strength: 140MPa - [Clearfil Majesty ES Flow | Clearfil Majesty ES-2 Universal U | Garrison Compositight](https://www.clarencetam.co.nz/clearfil-majesty-es-flow-clearfil-majesty-es-2-universal-u-garrison-compositight/) - Class II direct reconstruction on this pair #GarrisonCompositight #ClearfilMajestyESFlow #ClearfilMajestyES2Universal - [Peg Lateral Composite Stratification | Cleft Palate](https://www.clarencetam.co.nz/peg-lateral-composite-stratification-cleft-palate/) - (Afternoon tea pics 2092.5: Peg Lateral Composite Stratification) Stratification of direct resin to correct a peg lateral in a freehand fashion, guided by DSD measurements. Surgical: Ultradent Gemini Evo (810nm, 980nm) diode Restorative: Ultradent Forma Shades: WE, WD, Clear, white tint (Voco Final Touch) #UltradentForma #PegLateral #CompositeVeneer #cleftpalate #cleftlip Ultradent Southeast Asia Ultradent Products, Inc. - [Upgrading a smile with minimal intervention dentistry](https://www.clarencetam.co.nz/upgrading-a-smile-with-minimal-intervention-dentistry/) - Upgrading this smile with resin infiltration on #8/1.1 and a bonded microlayered lithium disilicate veneer on tooth #25/4.1. #DMGIcon #Resininfiltration #IPSemax #TSE - [Matching a single central incisor with a crown](https://www.clarencetam.co.nz/matching-a-single-central-incisor-with-a-crown/) - Matching the nuances of a sea of natural teeth successfully with a prosthetic replacement is no mean feat. There will always be subtleties that in direct, indirect and fluorescent lighting that will undermine our efforts at perfect integration. Nonetheless, we try. Provisional fabricated from TempSmart (GC America). Lab communication with the e-Lab protocol is key. - [Kerr Simplishade Bulk](https://www.clarencetam.co.nz/kerr-simplishade-bulk/) - Matrix in Matrix | Kerr Simplishade Bulk #loveabicuspid #simplishadebulk - [Class I direct esthetics](https://www.clarencetam.co.nz/class-i-direct-esthetics/) - Class I directs with one of my faves. #KerrSimplishade - [Ultradent Forma composite veneers](https://www.clarencetam.co.nz/ultradent-forma-composite-veneers/) - Freehand direct stratified veneers completed on this lovely 21 year old female who desired retention of the midline diastema. A novel zirconia and ytterbium fluoride-filled composite (Forma, Ultradent) was utilized for exceptional hardness (80HK) and polishability along with functional esthetics due to its well-matched flexural strength (160MPa) to dentin as well as exceptional compressive strength - [Composite veneers to repair complex tooth fracture](https://www.clarencetam.co.nz/composite-veneers-to-repair-complex-tooth-fracture/) - Extensive enamel-dentin fractures on this lovely 7 year old female in a teeth vs. enamel bathtub accident. Direct reconstruction completed using Clearfil Majesty ES-2 Premium shades: A1D, A1E, Clear, white tint (Final Touch, Voco) #Directcomposite #compositeveneers #ACC #dentaltrauma - [Voco Amaris Composite Veneers](https://www.clarencetam.co.nz/voco-amaris-composite-veneers-3/) - (Afternoon tea pics 2085.6: Voco Amaris) Composite veneers on #8 and 9 to restore the esthetics of these fractured and heavily-restored teeth to a more uniform level still exhibiting nuances of nature. The Garrison Varistrip was crimped and inserted cervically against the radicular surface to create a natural emergence profile. Shades used: Voco Amaris O4, - [Single lithium disilicate veneer](https://www.clarencetam.co.nz/single-lithium-disilicate-veneer/) - Single root-canal treated teeth often darken as a result of the breakdown product of hemoglobin in the dentinal tubules, hemosiderin. Internal bleaching is often not practicable as relapse can happen. In this situation, a combination of incisor hypomineralization as a result of childhood trauma (Turner's tooth) necessitated a reductive approach and the use of a - [ES Flow Universal U used to reconstruct entire cusps of a tooth](https://www.clarencetam.co.nz/es-flow-universal-u-used-to-reconstruct-entire-cusps-of-a-tooth/) - This case demonstrates the elite combination of the super-polishable ES Flow Universal in Low Flow format paired with the sculptability of ES-2 Universal U. This duo presents a universal shade solution that has a dynamic light diffusion technology that allows a chameleon-like reflection beside whatever shade it is proximal to, mimicking it nearly identically, whether - [Composite Veneers using Clearfil Majesty ES2 Premium](https://www.clarencetam.co.nz/composite-veneers-using-clearfil-majesty-es2-premium/) - Digital Smile Design-guided composite veneers to camoflage mesialized upper left canine and upper left first bicuspid posing as a congenitally-missing upper left lateral incisor and upper left canine respectively. The upper right peg lateral incisor was also restored in a multi-stratified approach to mimic nature and re-establish esthetic proportions to the anterior sextant. Immediate post-op - [Clearfil Majesty ES-2 in a quadrant restorative case](https://www.clarencetam.co.nz/clearfil-majesty-es-2-in-a-quadrant-restorative-case/) - Freehand Class II and Class I combination work to restore recurrent caries and replace old suspicious restorations. Restorative: Majesty ES-2 Universal U #ClearfilMajesty #KurarayNoritake Fissure tint: Final Touch, #Voco - [Failure of dental overlay and mode of failure](https://www.clarencetam.co.nz/failure-of-dental-overlay-and-mode-of-failure/) - Less is not always more Indirect overlays are a nice idea by some, however, if marginal integrity and precision of fit is suboptimal, early problems can arise. There is a quote from John Kois that comes to mind, "sometimes more is more." He is referring to the mode of failure of a tooth. In this - [Quadrant dentistry using Garrison Strata-G](https://www.clarencetam.co.nz/quadrant-dentistry-using-garrison-strata-g/) - Quadrant dentistry on this lovely 21 year old man using the Clearfil Majesty armamentarium to correct: // old leaking restorations, // buccal hypomineralization, // deep erosion pits // new carious lesions The Garrison Strata-G matrix was utilized to optimize axial contour and anatomy. Microlayering was completed using the OG Majesty Flow (81% filled wt) as - [Black triangle elimination using Garrison Varistrips](https://www.clarencetam.co.nz/black-triangle-elimination-using-garrison-varistrips/) - Happy Monday tea(m), Black triangle elimination using a partial pull through with the pre-contoured Garrison Varistrip and a single shade of GC Essentia U. Rubber dam isolation allows for ideal papillary retraction and compression resulting in full closure of this undesired space. With universal shaded chameleon composites, an opaquer is rarely used in through and - [Restoring teeth using Ultradent Forma and Garrison Strata-G](https://www.clarencetam.co.nz/restoring-teeth-using-ultradent-forma-and-garrison-strata-g/) - (Afternoon tea pics 2077.7: Ultradent Forma | Garrison Dental Solutions - North America Strata-G) Second case using Ultradent Forma with a proprietary blend of zirconia and ytterbium fluoride nanoparticles that convey optimized mechanical and optical properties. The supreme sculptability is also a treat. Strata-G was utliized in this case as even the largest of Quad - [Class I composite resin with Clearfil Majesty ES-2 Universal](https://www.clarencetam.co.nz/class-i-composite-resin-with-clearfil-majesty-es-2-universal/) - Class I amalgam replacement with the U variant of Clearfil Majesty ES-2 Universal. Vitals: Compressive strength: 348MPa (enamel 384MPa, dentin 297MPa) Flexural strength: 110MPa (dentin 165.5MPa) #KurarayNoritakeDental #ClassIresinesthetics - [Kerr Simplishade and Garrison Quad Restorative Synergy](https://www.clarencetam.co.nz/kerr-simplishade-and-garrison-quad-restorative-synergy/) - Seamless synergy with this Class II case featuring the Quad Matrix and the cloud-shaded chameleon composite Simplishade. Contact area strength is always predictably high with this system. #GarrisonQuadMatrix #KerrSimplishade - [Core reconstruction under an old crown using Rebilda DC Fluorescent](https://www.clarencetam.co.nz/core-reconstruction-under-an-old-crown-using-rebilda-dc-fluorescent/) - Afternoon tea pics 2074.4: Crown replacement | Ever-X | Rebilda DC Fluorescent) Reconstruction of this severely-decayed crown substructure using a combination of microlayered low shrinkage-stress composite, SFRC (Ever-X) and dual cure fluorescent core material (#Voco #RebildaDCfluor). Thanks to Shin as ever for the lithium disilicate esthetics. #TSE #Crownreplacementworkflow #Corereconstruction #IPSemax - [Class V bangers courtesy of Essentia U](https://www.clarencetam.co.nz/class-v-bangers-courtesy-of-essentia-u-2/) - Class V bangers with Essentia U to wake it up #GCEssentiaU #ClassVbangers - [GC Essentia U used in Class V restoration cases](https://www.clarencetam.co.nz/gc-essentia-u-used-in-class-v-restoration-cases/) - Class V bangers restored using #GCEssentiaU - [Restoration repairs can be transformative](https://www.clarencetam.co.nz/restoration-repairs-can-be-transformative/) - (Afternoon tea pics 2071.3: Voco Amaris) #VocoAmaris #CompositeBonding #dentalrealism - [Bonding Composite to Implant Access Closures](https://www.clarencetam.co.nz/bonding-composite-to-implant-access-closures/) - (Afternoon tea pics 2070.1: Voco Amaris) Zirconia crown fused to a custom milled titanium abutment (Atlantis, DentsplySirona). Bonding to both Ti and Zr require the use of the 10-MDP monomer in Blatz's APC technique. Restorative: deep layers: XL2 Herculite Ultra flowable (Kerr) Superficial layers: Voco Amaris O3 #Implantaccessbondedclosures VOCO GmbH - The Dentalists - [Garrison Firm Bands | Kerr Simplishade](https://www.clarencetam.co.nz/garrison-firm-bands-kerr-simplishade/) - (Afternoon tea pics 2069.3: Kerr Simplishade | Garrison Firm Band) Complex composite reconstruction of #2 and 3 with a multistage restoration guided by CDD (Kuraray Noritake) featuring deep margin elevation prior to contact development using the Garrison Firm Bands. Restorative: Kerr Simplishade Medium Matrix: Omnimatrix (Green), Garrison Firm Bands #kerrsimplishade #garrisonfirmbands - [Garrison Quad Matrix back to back Class II restorations](https://www.clarencetam.co.nz/garrison-quad-matrix-back-to-back-class-ii-restorations/) - S E Q U E N C E #GarrisonQuadmatrix #BacktoBackClassII #KerrSimplishade - [GC Essentia U and G-aenial Flo X in cervical restorations](https://www.clarencetam.co.nz/gc-essentia-u-and-g-aenial-flo-x-in-cervical-restorations/) - Restorations of the cervical aspects of this single incisor and first bicuspid to replace an old filling with marginal leakage and eliminate the root color differential due to stained demineralization. Microlayers completed using A2 Flo-X prior to Essentia U as the freehand sculpted final layer. #GCFloX #GCEssentiaU - [Peg lateral incisors corrected non-invasively](https://www.clarencetam.co.nz/peg-lateral-incisors-corrected-non-invasively/) - (Afternoon tea pics 2066.8: Voco Amaris Composite Veneers | Peg Laterals) Direct DSD-guided stratified composite veneers to correct the spacing and shape of these peg lateral incisors on this lovely 14 year old female who unfortunately could not tolerate absolute isolation, hence the use of relative isolation as a compromise. Restorative #VocoAmaris Shades: OBleach, O1, - [DMG Resin Infiltration](https://www.clarencetam.co.nz/dmg-resin-infiltration/) - Streak-no-more // A stunning result using a non-invasive approach to eliminate enamel hypocalcifications on this 15 year old male using both whitening and resin infiltration in a staged approach. The transillumination result speaks for itself with optical resolution of these salient streaks. #DMGIconResinInfiltration - [DME featuring the Quad Wedge and Strata-G system](https://www.clarencetam.co.nz/dme-featuring-the-quad-wedge-and-strata-g-system/) - (Afternoon tea pics 2064.4: DME feat. Quad Wedge | Strata-G system | Kerr Simplishade Dark) A challenging case with subgingivally-extending caries requiring DME. This was accomplished successfully using the Quad wedge as the bifid design ensures intimate cavosurface margin adaptation and minimal overhangs. The axial transition to the contact point region was unable to be - [Garrison Quad Matrix replacement to close the open contact of this amalgam restoration](https://www.clarencetam.co.nz/garrison-quad-matrix-replacement-to-close-the-open-contact-of-this-amalgam-restoration/) - A breath-by-breath treatise on this Class II reconstruction. // Features ^ Bevelled cavosurface margins, increasing in intensity closer to cusp tips ^ Substrate Optimization using @aquacare 29 micron Al2O3 powder ^ Garrison Quad Matrix featuring deadsoft bands and the bifurcated wedge ^ Garrison Universal tension ring with driver tip located between the bifurcation for maximal - [Replacement of composite veneers with lifelike versions](https://www.clarencetam.co.nz/replacement-of-composite-veneers-with-lifelike-versions/) - Composite veneer replacement referral for the central incisors, preserving a smaller midline diastema for this lovely 21 year old female. #VocoAmaris - [Direct Resin Artistry with Simplishade and color tints to highlight anatomy](https://www.clarencetam.co.nz/direct-resin-artistry-with-simplishade-and-color-tints-to-highlight-anatomy/) - Class I direct magic, triangular ridge and fissure tints courtesy of #Voco #FinalTouch #KerrSimplishadeMedium - [Chameleon Effect by the supercomposite bulk fill Voco Grandio SO Unlimited](https://www.clarencetam.co.nz/chameleon-effect-by-the-supercomposite-bulk-fill-voco-grandio-so-unlimited/) - Multi-surface direct reconstruction demonstrating that shape is superior over shade, although the latter's chameleon effect definitely helps. Stats: 900% Al radiopacity Compressive strength: 333MPa Filler load: 91% wt Shrinkage Stress: 1.44MPa Shade coverage: A2 = A2, B2. #VocoGrandioSOUnlimited - [Deep caries dentin base neutralized in brightness prior to restoration](https://www.clarencetam.co.nz/deep-caries-dentin-base-neutralized-in-brightness-prior-to-restoration/) - Some bombed out caries on this lovely patient from Whitianga restored with a microlayered base of A2 G-aenial Flo X prior to a white conitrast flowable layer to increase the brightness of the base prior to using Essentia Universal to complete the oblique sequential lobes to compose the occlusal surface with the occlusal designs and - [Freehand restorative alignment using composite](https://www.clarencetam.co.nz/freehand-restorative-alignment-using-composite/) - A fun case of freehand restorative alignment on these tilted lower central incisors for this lovely 85 year old using stratified composite to give him the even lower incisal curve he had been wanting for years. As patients age, the enamel not only becomes thinner, but appears greyer due to decreased opalesence and increased translucency. - [The threshold depth for restoration of cervical abrasion lesions](https://www.clarencetam.co.nz/the-threshold-depth-for-restoration-of-cervical-abrasion-lesions/) - Class V situation with an unmatched chameleon effect using #GCEssentiaU, which is essentially (haha) a 50:50 ratio of A2:A3. The threshold for conservative restorative treatment is when the lesion is equal or >1.5mm, as the lost pericervical enamel and dentin suffer significant increases in strain when this depth of cervical abrasion is present. Du JK, - [Class I composite artistry](https://www.clarencetam.co.nz/class-i-composite-artistry/) - Class I "fissure sealant" turned definitive restorative depth - you really don't know what you're going to uncover when you remove a leaky fissure sealant. Restorative: Kerr Simplishade Light Adhesive: Kerr Optibond Solo Plus #ClassIdirect #compositeartistry - [Can I Eat My Favorite Foods with Dentures?](https://www.clarencetam.co.nz/can-i-eat-my-favorite-foods-with-dentures/) - Our Auckland dentist details the benefits of implant dentures like All-on-4 over traditional dentures, such as the ability to eat tough, chewy, or sticky foods. - [Garrison Quad Matrix in Action using Simplishade Bulk](https://www.clarencetam.co.nz/garrison-quad-matrix-in-action-using-simplishade-bulk/) - #KerrSimplishade #GarrisonQuadMatrix #amalgamreplacement - [DMG Resin infiltration and edge bonding](https://www.clarencetam.co.nz/dmg-resin-infiltration-and-edge-bonding/) - #ResinInfiltration on #7-10 (target really was #8-9) #ResinBonding to restore #9FI using shades O1, TL, HT from #VocoAmaris - [Kerr Simplishade Bulk Compressive and Flexural Strength](https://www.clarencetam.co.nz/kerr-simplishade-bulk-compressive-and-flexural-strength/) - Class I direct resin esthetics. A single shade to cover all 16 Vita shades with low shrinkage stress due to ART3 Ternary Adaptive Response Technology Vitals: Compressive strength: 406MPa (enamel 384MPa, dentin 297MPa0 Flexural strength: 129MPa (dentin 165.6MPa) #KerrSimplishadeBulk - [Use of DSD and the aesthetic pre-evaluative technique](https://www.clarencetam.co.nz/use-of-dsd-and-the-aesthetic-pre-evaluative-technique/) - (Afternoon tea pics 2052.6: IPS e-max | Closed Flap Transsulcular Crown Lengthening) This lovely 78 year old patient presented with pre-existing incisal plane and gingival plane cants which he was not overly concerned with. Marginal leakage paired with supragingival margins, however, were plaguing the existing crown restorations, and after some consideration, he elected to replace - [Composite Veneer Replacement Voco Amaris](https://www.clarencetam.co.nz/composite-veneer-replacement-voco-amaris/) - Replacement of old composite restorations on #8 and 9 status post dental trauma when this 16 year old female was 8. In addition to having unacceptable symmetry and esthetic integration, the psychological trepidation was a huge factor in executing this case. The final result was achieved using a custom blend of shades to match the - [Voco Grandio SO Unlimited Chameleon effect demonstration](https://www.clarencetam.co.nz/voco-grandio-so-unlimited-chameleon-effect-demonstration/) - (Afternoon tea pics 2050.4: Voco Grandio SO Unlimited | Garrison Firm Band) Class III replacement with marginal ridge reconstruction using a simple Garrison Firm Band and fin wedge without need for a tension ring for a solid contact. Restorative: Voco Grandio SO Unlimited A3.5 with Final Touch Brown. Vitals: Shrinkage stress: 1.44MPa Compressive strength: 333MPa - [Invisible Composite Direct Restorations Auckland](https://www.clarencetam.co.nz/invisible-composite-direct-restorations-auckland/) - (Afternoon tea pics 2049.3: Kerr Simplishade Medium | Clearfil Majesty Flow) Class I action featuring substrate optimization using 29 micron aluminum oxide #aquacare, a microlayered base to properly hybridize dentin using #clearfilmajestyflow prior to a lobe-by-lobe reconstruction using #Simplishade Medium. Vitals: Compressive strength: 366MPa Flexural strength: 140MPa Kuraray Noritake Dental - US Kuraray Noritake Kuraray - [Adding Anatomy to Restorations Increases Chewing Efficiency](https://www.clarencetam.co.nz/adding-anatomy-to-restorations-increases-chewing-efficiency/) - Access to this wisdom tooth was definitely challenging, but the result made it worth it. Teeth restored featuring functional anatomy increase the chewing efficiency and effectiveness to close of that of control groups. In this study, non-anatomic teeth/partial dentures increased the muscle activity of the temporalis and masseters, which was not seen in groups featuring - [Voco Amaris Composite Veneers to Blend with Hypomineralization](https://www.clarencetam.co.nz/voco-amaris-composite-veneers-to-blend-with-hypomineralization/) - (Afternoon tea pics 2047.2: Voco Amaris composite veneers | 2 week reassessment) Spot the difference. The patient's upper right lateral incisor and lower left central incisor both were status-post trauma with internal bleaching attempted once before on the upper lateral incisor with a still-persistent grey hue and shape discrepancies relative to the contralateral tooth. The - [Matrix in Matrix technique | Voco Grandio SO Unlimited | Garrison Quad Matrix](https://www.clarencetam.co.nz/matrix-in-matrix-technique-voco-grandio-so-unlimited-garrison-quad-matrix/) - (Afternoon tea pics 2046.6: Voco Grandio SO Unlimited | Garrison Quad Matrix) Cracking back into the swing of things with a B2B2B case with marginal ridge reconstruction using the Garrison Quad Matrix alone and in conjunction with a matrix-in-matrix approach using the Ultradent Omnimatrix. Dentin substrate color value neutralization completed using thin microlayers of XL2 - [Garrison Quad Matrix back to back Class II simultaneously](https://www.clarencetam.co.nz/garrison-quad-matrix-back-to-back-class-ii-simultaneously/) - Flexing the Garrison Quad in the way it was meant to be used - back to back Class II situations with marginal ridges completed simultaneously with the bifurcated wedge. The cavosurface adaptation was remarkable, and the tension ring allowed placement coronal to the position of the rubber dam clamp. This was also my first run - [Inserting maverick effects into a layered composite veneer](https://www.clarencetam.co.nz/inserting-maverick-effects-into-a-layered-composite-veneer/) - Replacement of this old composite veneer on this lovely teenager's tooth 24/3.1 as the patient requested matching the maverick effects to her adjacent teeth. The result is reasonable, and the patient was pleased with the outcome. Shades used: Voco Amaris O1, OBleach, TL, HT, white tint (Final Touch) Dehydrated immediate post-operative result. Reassessment in 2 - [Simplishade Occlusal Layering](https://www.clarencetam.co.nz/simplishade-occlusal-layering/) - Classic Class I using XL2 microlayers to lift the brightness of the dentin substrate prior to a C-factor reduced layering protocol to finish the occlusals. #KerrSimplishade #HerculiteUltraflowXL2 - [Garrison Quad Matrix | Simplishade Medium](https://www.clarencetam.co.nz/garrison-quad-matrix-simplishade-medium/) - (Afternoon tea pics 2042.2: Garrison Quad | Kerr Simplishade | Matrix in Matrix) Restoring a massive carious lesion in a back to back fashion in these two bicuspids using the initial matrix (Omnimatrix) to DME prior to slipping a Garrison Firm Band in order to complete the rest of the marginal ridge on the first - [The Garrison Quad Matrix bifurcated wedge](https://www.clarencetam.co.nz/the-garrison-quad-matrix-bifurcated-wedge/) - Marginal failure plagued this lower first bicuspid with the added complication of a lingualized second premolar which complicated the placement of the matrix assembly. Nonetheless, the Garrison Quad system shone here with the bifid wedge able to wrap and adapt the metal band intimately against the cavosurface margin with virtually zero finishing in the cervical - [Considerations for Partial Replacement Composite Restorations](https://www.clarencetam.co.nz/considerations-for-partial-replacement-composite-restorations/) - My rule with partial replacement restorations is that these are only acceptable if: i) you have placed the restoration yourself previously, and ii) it passes the air particle abrasion test. If the margins light up during abrasion, the powder has thus infiltrated the junction between restorative and tooth and the old restoration should be removed. - [Chameleon effect demonstration Clearfil Majesty ES-2 Classic](https://www.clarencetam.co.nz/chameleon-effect-demonstration-clearfil-majesty-es-2-classic/) - Chameleon effect demonstration using a single shade of A2 Clearfil Majesty ES-2 Classic to restore the abrasion lesion on this retained primary second molar. #ClearfilMajestyES2 #ChameleonEffectDemonstration - [Voco Grandio SO Unlimited A3](https://www.clarencetam.co.nz/voco-grandio-so-unlimited-a3-2/) - Unlimited esthetics and optimal strength with #VocoGrandioSOUnlimited. - [Using a supercomposite to create a canine bicuspid tooth](https://www.clarencetam.co.nz/using-a-supercomposite-to-create-a-canine-bicuspid-tooth/) - This lower right canine exhibited moderate to severe attrition paired with incisal erosion which happened to abut an old amalgam restoration. As there was no occlusal space to build the original height and shape of the cuspid, we decided to create something new, something strange, like out of American Horror Story: a cuspidbicuspid hybrid. It - [Voco Grandio SO Unlimited A3](https://www.clarencetam.co.nz/voco-grandio-so-unlimited-a3/) - Class V and separate facial amalgam removal and restoration using a single shade of the cloud-shaded A3 shade from Grandio SO Unlimited. Featuring a compressive strength of 333MPa (enamel 384MPa, dentin 297MPa), it features a very dentinomimetic elastic modulus of 15.7GPa and a shrinkage stress of 1.44MPa, safe to place in layers up to 4mm - [Implant Access Closure with Composite Sequence](https://www.clarencetam.co.nz/implant-access-closure-with-composite-sequence/) - Zirconia Implant Access Closures // Considerations: ^ Both phosphates from saliva as well as phosphoric acid contaminate zirconia preventing any form of adhesive attachments. ^^ Modes of phosphate removal: i) Air particle abrasion (27-29 micron Al2Cl3) ii) Katana Cleaner (MDP-salt based solution that magnetically attracts phosphates) iii) Ivoclean (supercharged Zr particles in solution that also - [Ultradent Forma Composite Veneers Zirconia Nanohybrid](https://www.clarencetam.co.nz/ultradent-forma-composite-veneers-zirconia-nanohybrid/) - First taste of Ultradent Forma in Australasia with this new zirconia nanohybrid composite. The goals of treatment were to replace old partial coverage composite restorations we placed 11 years ago. As these teeth were status-post trauma, one can appreciate how the entire facial surface has suffered from a decrease in value and intensification of chroma. - [Grandio SO Unlimited used with the Garrison Quad Matrix](https://www.clarencetam.co.nz/grandio-so-unlimited-used-with-the-garrison-quad-matrix/) - (Afternoon tea pics 2033.5: Voco Grandio SO Unlimited) Okay guys, here's the rundown on the brand spanking new Grandio SO Unlimited. Shrinkage stress (for a packable curable in 4mm layers as a bulk fill application): 1.44MPa Radiopacity: 900% Al (up from 300% Al) Filler content: 91% by wt (!!!) Amazing. Cloud shaded/Cluster shaded: 10 second - [Voco Grandio SO Matrix in Matrix Restoration](https://www.clarencetam.co.nz/voco-grandio-so-matrix-in-matrix-restoration/) - #VocoGrandioSO - [Voco Supercomposite Long Term Function](https://www.clarencetam.co.nz/voco-supercomposite-long-term-function/) - The closest thing that you will get to a ceramic inlay, and in my experience, the original material that outperforms inlay margins over time. 89% filled brilliance. #VocoGrandioSO #Supercomposite - [Majesty ES-2 Universal used in conjunction with Garrison Quad Matrix](https://www.clarencetam.co.nz/majesty-es-2-universal-used-in-conjunction-with-garrison-quad-matrix/) - (Afternoon tea pics 2030.2: Garrison Dental Solutions - North America Quad Matrix | Kuraray Noritake Dental - US Majesty ES-2 Universal U) A complex Class II restoration was completed on this first bicuspid with the following challenges: ^ deep cervical margin requiring DME (#Ultradent Omnimatrix) ^ atypical outline form of old restoration ^ deficient contact - [Microlayered 8 e-max veneers on a tetracycline base](https://www.clarencetam.co.nz/microlayered-8-e-max-veneers-on-a-tetracycline-base/) - (Afternoon tea pics 2029.9: IPS e-max Ceram) The Microlayered Social 8 on tetracycline-stained teeth. 24 hour post-operative reassessment - gingival settling yet to occur. #TSE #Ivoclar #emaxCeram #lithiumdisilicate Ivoclar Shinichiro Tsuji - [Garrison Quad Matrix and Voco Grandio SO](https://www.clarencetam.co.nz/garrison-quad-matrix-and-voco-grandio-so/) - (Afternoon tea pics 2028.4: Garrison Dental Solutions - North America | VOCO VOCO GmbH - The Dentalists) One of the new advantages of the Quad's extreme cervical adaptation is usually a zero overhang or margin finish situation, as demonstrated in this case. Subtrate Optimization: #AquaCare 29 micron Al2O3 Restorative: Voco Grandio SO | GC Ever-X - [Substrate Optimization for a Class III dental restoration](https://www.clarencetam.co.nz/substrate-optimization-for-a-class-iii-dental-restoration/) - Buccal access was achieved with a micro diamond bur to limit the preparation size of this Class III carious lesion. Reproduction of the primary anatomy was key to making this restoration disappear. Happy Friday peeps. Substrate optimization: @aquacare Restorative: @kuraraynoritake Clearfil Majesty ES-2 U - [Garrison Quad Matrix system in Class II restorative situation](https://www.clarencetam.co.nz/garrison-quad-matrix-system-in-class-ii-restorative-situation/) - First test drive of the Garrison Quad Matrix system, which is perfect for both complex back to back Class II scenarios as well as conventional single tooth Class II restorations. The bifurcated wedge acts to firmly and intimately adapt the matrix to the cavosurface with virtually zero finishing post-operatively. Restorative: Voco Grandio SO A3 #GarrisonQuad - [Unbeatable Class II restorative solution with Grandio SO and Garrison](https://www.clarencetam.co.nz/unbeatable-class-ii-restorative-solution-with-grandio-so-and-garrison/) - Getting into the swing of things with the unbeatable duo #GrandioSO #GarrisonCompositight in this Class II replacement direct restoration. Light fissure staining courtesy of #FinalTouch #Voco Have an amazing day guys. - [Large Complex Composite in Voco Grandio SO](https://www.clarencetam.co.nz/large-complex-composite-in-voco-grandio-so/) - Freehand DO reconstruction of this tooth #15/2.7 with the Biobase completed with multiple microlayers of Majesty Flow. The distal marginal ridge was freehanded and occlusal anatomy layered via a lobe-by-lobe approach with the OG supercomposite #VocoGrandioSO Vitals: Compressive strength: 439MPa (enamel 384MPa, dentin 297MPa) Flexural strength: 187MPa (dentin 165.6MPa) - [Class V restoration restored using Essentia U](https://www.clarencetam.co.nz/class-v-restoration-restored-using-essentia-u/) - Class V banger blended seamlessly using the chameleon #GC Essentia U - [Complex Reconstruction in Composite Resin](https://www.clarencetam.co.nz/complex-reconstruction-in-composite-resin-2/) - (Afternoon tea pics 2022.5: Kerr Simplishade | Garrison Dental Solutions - North America | Ultradent Products, Inc. Omnimatrix, Peak Universal Bond, Dermadam) The threshold for requiring bonded indirect porcelain restorations to bolster/restore the coronal stiffness or elastic modulus of a tooth is when 65% of the surface area is restored or greater. Certainly, this threshold - [Direct Composite Bonding to Repair extensive enamel fractures](https://www.clarencetam.co.nz/direct-composite-bonding-to-repair-extensive-enamel-fractures/) - (Afternoon tea pics 2021.3: Voco Amaris) This patient had some severe enamel fractures following a table-versus-central incisors situation when moving furniture in the house. Both facial and lingual aspects were involved, along with pre-existing attrition against the palatoincisal line angle which was of increasing concern. The focus on this was primary and secondary anatomy #shapeisking - [Creating Seamless Natural Composite Restorations](https://www.clarencetam.co.nz/creating-seamless-natural-composite-restorations/) - Direct Resin #blendtonoend #KerrSimplishade #GarrisonCompositight - [Near exact flexural strength match with dentin using A'Chord](https://www.clarencetam.co.nz/near-exact-flexural-strength-match-with-dentin-using-achord/) - Class V banger to protect the exposed dentin from cervical abrasion on tooth #12/2.4. Single shade chameleon effect demonstration with A'Chord which features a near-exact biomimetic match with the flexural strength of dentin at 168MPa (dentin = 165.5MPa). #GC #GaenialAchord - [Occlusal embrasure and line angle formation in composite](https://www.clarencetam.co.nz/occlusal-embrasure-and-line-angle-formation-in-composite/) - Fissures reflect the emotion of the soul. Guess this first molar's got a bit going on. Occlusal line angles and embrasures are an underrated part of posterior marginal ridge anatomy. They too represent a height of contour that force food via mastication into the embrasure space as a sluiceway for the bolus to escape. Restorative: - [Omnimatrix used in Class II situations with root proximity](https://www.clarencetam.co.nz/omnimatrix-used-in-class-ii-situations-with-root-proximity/) - The time when the Ultradent Omnimatrix comes in clutch. The dilemma // Root proximity between misaligned/rotated molars prevents placement of an anatomically-contoured sectional matrix band without prepping more cervically to gain interdental clearance. // Prepping more = removal of healthy tooth structure // Use of a circumferential matrix (non-contoured) allows placement past the cavosurface margin, - [Voco Amaris Stratified Natural Appearance Composite Restorations](https://www.clarencetam.co.nz/voco-amaris-stratified-natural-appearance-composite-restorations/) - We had a special time restoring natural shade complexity and maverick effects to teeth #7 and 8 on this lovely 16 year old male. The old restoration lacked proper proportion, polychromaticity, primary anatomy and incisal window development, all corrected with a direct multi-shade, stratified composite resin approach. Confidence restored. #VocoAmaris #VocoFinalTouch #naturalcompositeveneers - [Composite Replacements that look like nature](https://www.clarencetam.co.nz/composite-replacements-that-look-like-nature/) - Class I direct resin for a primo first day of the week. #KerrSimplishade - [Garrison Wide Prep Ring in Direct Complex Composites](https://www.clarencetam.co.nz/garrison-wide-prep-ring-in-direct-complex-composites/) - Large complex reconstruction on tooth #21DOFL/3.4DOBL. Hairline cracks dissected with thin residual cusps overlaid on the facial and with a heavy occlusal bevel on the lingual. Matrix // Garrison Compositight Wide Prep ring - allows for stable matrix placement when a line angle is missing. Restorative // Kerr Simplishade Medium. Compressive strength 366MPa, Flexural strength - [Routine composite restorations made to look like nature](https://www.clarencetam.co.nz/routine-composite-restorations-made-to-look-like-nature/) - A morning of directs makes for pure happiness. Partial replacement is always favored with a conservative approach. One can chemically bond to old composite via the silica content using a trusted silane coupling agent. Garrison Compositight was utilized for proximoaxial re-creation. Happy Humps! #KerrSimplishade #VocoFinalTouch #GarrisonCompositight - [Cavity discovered under old fissure sealant](https://www.clarencetam.co.nz/cavity-discovered-under-old-fissure-sealant/) - Often, old fissure sealants that were not placed with absolute isolation are more prone to microleakage, which if left unchecked, can develop into carious feeding features that can ambush even the most fastidious patient. Restorative: Kerr Simplishade Medium #FinalTouch #Voco #KerrSimplishade - [Sculpting Clean Natural Anatomy with Simplishade](https://www.clarencetam.co.nz/sculpting-clean-natural-anatomy-with-simplishade/) - (Afternoon tea pics 2011.4: Kerr Simplishade Medium) Clean, skulpted form using a single shaded chameleon composite from #KerrSimplishade Medium, tinted with Voco Final Touch Brown. Shade reference: Light = A1, B1, B2, C1 and D2; Medium = A2, A3, C2, D3, and D4; Dark = A3.5, A4, B3, B4, C3, and C4 KaVo Dental - [Class V banger to restore toothbrush abrasion](https://www.clarencetam.co.nz/class-v-banger-to-restore-toothbrush-abrasion/) - Class V banger to restore cervical abrasion from aggressive toothbrushing. Courtesy of GC G-aenial A'Chord A3. - [Initial Caries and Crack Removal and stabilization with composite resin](https://www.clarencetam.co.nz/initial-caries-and-crack-removal-and-stabilization-with-composite-resin/) - Sectional removal of old composite restorations in conjunction with caries and hairline cracks as part of a Phase I stabilization phase using only composite. Due to the proportion of composite exceeding 65% of the surface area of the tooth, a bonded porcelain overlay will be required in due course for long-term support. #Garrison #MatrixinMatrix #DirectComposite - [Class I direct resin with Clearfil Majesty ES2](https://www.clarencetam.co.nz/class-i-direct-resin-with-clearfil-majesty-es2/) - Class I direct esthetics with #ClearfilMajestyES2 #KurarayNoritake - [Chameleon Composite action with Essentia U](https://www.clarencetam.co.nz/chameleon-composite-action-with-essentia-u/) - Chameleon composite replacements with #GCEssentiaU for these #ClassVbangers. Featuring a 50:50 ratio of A2:A3, the versatility of this composite is undeniable for all virtually all restoration classes except for Class IV, VI and composite veneer situations. - [Class I composite replacement with Majesty ES2 Universal](https://www.clarencetam.co.nz/class-i-composite-replacement-with-majesty-es2-universal/) - #ClassI #DirectResin #ClearfilMajestyES2U #MajestyFlow #Microlayers - [Supercomposite in Action | Voco Grandio SO](https://www.clarencetam.co.nz/supercomposite-in-action-voco-grandio-so/) - Flexing the OG supercomposite, #VocoGrandioSO in this large Class I restorative situation. Compressive strength: 439MPa (enamel 384MPa, dentin 297MPa) Flexural strength: 187MPa (158MPa after 5000 thermocycles) (dentin 165.6MPa) - [Class IV Invisible Composite Restoration](https://www.clarencetam.co.nz/class-iv-invisible-composite-restoration/) - The BRIEF // Class IV replacement to blend seamlessly with the tooth in this lovely 13 year old female. RESTORATIVE // Voco Amaris | Shades: OBleach, O1, TL (trans light), HT (high trans) and white tint (Final Touch, Voco) #VocoDental #CompositeRestoration #InvisibleDentistry #ClassIVesthetics #AACD #freehanddentistry - [Class I replacement using direct composite](https://www.clarencetam.co.nz/class-i-replacement-using-direct-composite/) - Direct Class I replacement due to recurrent caries. Single shade chameleon effect demonstration by #ClearfilMajestyES2UniversalU Vitals: Compressive strength: 348MPa Flexural strength: 110MPa - [Incisor Hypomineralization Composite Veneer](https://www.clarencetam.co.nz/incisor-hypomineralization-composite-veneer/) - A fun case of esthetic biomimicry on a right central incisor on a young female featuring incisor hypomineralization showing both sequence and pre-and-post-operative views. Many thanks to my right hand, Olivia McGlone for the superb teamwork. Restorative: #VocoAmaris Shades: O2, TN, HT, white tint (Final Touch White) #AACDAccredited - [Single Central Asymmetry](https://www.clarencetam.co.nz/single-central-asymmetry/) - Afternoon tea(m), This lovely patient presented with a chief concern about asymmetry between her central incisors. She was status-post dental trauma to tooth #9 with an ill-fitting and proportioned indirect restoration on a root-treated base. We were able to create a better sense of symmetry with this single microlayered zirconia crown. #IPSemax #TSE #Ivoclar - [Challenging DO restoration on a first molar due to position](https://www.clarencetam.co.nz/challenging-do-restoration-on-a-first-molar-due-to-position/) - Large Class II replacement with a previous direct pulp cap by the last dentist - decided to leave a portion of the calcium silicate liner behind as not to irritate the pulp. The Garrison Compositight 3D Fusion system was used after DME using the Omnimatrix system to recreate the contact. #ClearfilMajestyES2Universal - [Restoration of lost palatal enamel in an acid erosion case](https://www.clarencetam.co.nz/restoration-of-lost-palatal-enamel-in-an-acid-erosion-case/) - Rectification and restoration of acid erosion of the palatal enamel using a layered approach with #GrandioSO and #FinalTouchBrown for subtle anatomy and to bolster the residual flexural strength of the tooth. Vitals: Compressive strength: 439MPa, Flexural strength: 187MPa, 211MHV Micro Vickers Hardness. 16.65GPa Modulus of Elasticity Acid reflux: pH = 4 Bulimia: pH = 1 - [Band in band matrix technique for back to back Class II restorations](https://www.clarencetam.co.nz/band-in-band-matrix-technique-for-back-to-back-class-ii-restorations/) - Matrix-in-Matrix | Class II | Quadrant Dentistry #ClearfilMajestyES2Universal #ClearfilUniversalBondQuick2 #OriginalMDP #directcomposite - [Recreating Nature with Direct Composite](https://www.clarencetam.co.nz/recreating-nature-with-direct-composite/) - Recreating Nature with #ClearfilMajestyES2Universal #Aquacare - [Invisible Composite Restorations using Clearfil Majesty](https://www.clarencetam.co.nz/invisible-composite-restorations-using-clearfil-majesty/) - Creating clean lines, invisible margins and functional anatomy using: ^^ Garrison Compositight ^^ Matrix in Matrix for distal end of last tooth in arch (Omnimatrix, Ultradent Products and internal Garrison Firm Band) ^^ Kerr Herculite Ultra flowable XL2 shade (microlayered) ^^ Clearfil Majesty ES-2 Universal U (restorative) ^^ Clearfil Universal Bond Quick 2 #GarrisonCompositight #MatrixinMatrix - [Slot Restorations with Garrison Compositight 3D Fusion](https://www.clarencetam.co.nz/slot-restorations-with-garrison-compositight-3d-fusion/) - Kicking off Monday Morning at the slots. #slotprep #garrisoncompositight #kerrsimplishade - [Matrix in Matrix used in a B2B Class II composite restoration](https://www.clarencetam.co.nz/matrix-in-matrix-used-in-a-b2b-class-ii-composite-restoration/) - Marathon Fridays #kerrsimplishade | #garrisoncompositight | #matrixinmatrix - [Composite restorations mimicking nature](https://www.clarencetam.co.nz/composite-restorations-mimicking-nature/) - Class I direct composite using #ClearfilMajestyES2Universal Vitals: Compressive strength: 348MPa Flexural strength: 110MPa Chameleon effect modality: Refractive index match between inorganic filler and organic matrix relative to both enamel and dentin refractive indices. #KurarayNoritake - [Kerr Simplishade replacement restoration](https://www.clarencetam.co.nz/kerr-simplishade-replacement-restoration/) - Hitting this large OP replacement for a lovely woman with a single shade of Kerr Simplishade Medium, with fissure anatomy detailed using #VocoFinalTouch brown. - [Class II restoration invisibility with composite resin](https://www.clarencetam.co.nz/class-ii-restoration-invisibility-with-composite-resin/) - Welcome to the team Meadow =) #KerrSimplishade #GarrisonCompositight - [Using two vertically stacked wedges to achieve a good cervical seal](https://www.clarencetam.co.nz/using-two-vertically-stacked-wedges-to-achieve-a-good-cervical-seal/) - We saw this lovely gentleman to replace a failing ceramic onlay for tooth #3DOL/1.6DOP. With very little recurrent caries discovered under the restoration, which nearly instantaneously debonded with vibration from the preparation, care was taken to establish a well-bonded and coupled hybrid layer. The pulpal floor was microlayered and the dark stain from the past - [Simplishade Medium used to replace old composite restorations](https://www.clarencetam.co.nz/simplishade-medium-used-to-replace-old-composite-restorations/) - Direct Resin #KerrSimplishade - [Naturomimetic composite replacement restorations](https://www.clarencetam.co.nz/naturomimetic-composite-replacement-restorations/) - Replacing composites completed in California 2 years ago (yikes) with a naturomimetic approach. Restorative: Kerr Simplishade Compressive: 366MPa Flexural: 140MPa Tint: Voco Final Touch Brown - [Incisal Window Details with Composite Resin](https://www.clarencetam.co.nz/incisal-window-details-with-composite-resin/) - The incisal window and specifically the halo effect, incisal translucency and maverick effects were all in play in this enamel fracture reconstruction. Nature is Queen. Restorative system: #VocoAmaris #incisalwindowcomposite - [Class V lesions restored with GC Essentia U](https://www.clarencetam.co.nz/class-v-lesions-restored-with-gc-essentia-u/) - I have been using this material in Class V situations for ~10 years now with lesions restored in 2014 virtually identical-looking to lesions restored in 2024. #GCEssentiaU - [Class V composite restorations to restore form](https://www.clarencetam.co.nz/class-v-composite-restorations-to-restore-form/) - Class V bangers are amongst the most satisfying lesions for me to treat. A'Chord has an impressively high flexural strength and when paired with its outstanding wear resistance, makes this my material of choice for cervical abrasion lesions. #AChord #GCAmerica #Class5bangers - [Fissure sealants that don't seal are a problem](https://www.clarencetam.co.nz/fissure-sealants-that-dont-seal-are-a-problem/) - Here's the problem with fissure sealants that actually don't seal. The patient can't clean properly underneath it, nor can you or the hygiene team, leading to a situation of perpetual angst and recurrent caries. Okay, maybe not perpetual angst. For most people. Replaced using gold standard adhesive techniques utilizing #KerrSimplishade Compressive strength: 366MPa Flexural strength: - [Neutralizing a dark dentin base in fillings](https://www.clarencetam.co.nz/neutralizing-a-dark-dentin-base-in-fillings/) - CANCEL THE DARK Moderate Class II amalgam removal on this second bicuspid involved both a conversion to a Class I restoration as well as base value neutralization using microlayers of XL2 Herculite Ultra flowable. The packable composite used was Kerr #SimplishadeDark which shows an outstanding chameleon effect. - [Class I composite replacement restorations](https://www.clarencetam.co.nz/class-i-composite-replacement-restorations/) - Restoration replacements for these broad, shallow old composites with marginal leakage were completed. Micro particle abrasion is crucial to ensure both maximal surface area for bonding and for optimal biofilm/smear layer removal prior to application of adhesive agents, especially if one is using a selective etch/self-etch approach. A single shade of A2 G-aenial A'Chord was - [Class V bangers with Essentia U](https://www.clarencetam.co.nz/class-v-bangers-with-essentia-u-3/) - Three-pack of cervical abrasion restored predictably using a combination of GC G-aenial Flo X and Essentia U. The latter is Essentia-lly a 50:50 ratio of A2:A3 G-aenial Posterior. Excellent for universal application due to an outstanding chameleon effect. #GCEssentia U #ChameleonKing - [Black Triangle Reduction in Triangular Teeth](https://www.clarencetam.co.nz/black-triangle-reduction-in-triangular-teeth/) - T R I A N G U L A R T E E T H // the key is to increase the cervicoproximal emergence without making the tooth shapes too dissimilar from the adjacent teeth. Garrison Dental Solutions - North America Varistrips used for the mesiocervical augmentation // increase the contact area in order to - [Matrix in Matrix used in a complex composite restoration](https://www.clarencetam.co.nz/matrix-in-matrix-used-in-a-complex-composite-restoration/) - A breath-by-breath treatise on the reconstruction of this compromised #18/3.7MODB. The matrix-in-matrix approach was utilized to fashion the free end extension distal marginal ridge with the Omnimatrix useful on the mesial aspect for deep marginal elevation. The assembly was removed prior to setting the internal Garrison sectional matrix on the mesial aspect with the blue - [Class 5 bangers with GC G-aenial A'Chord](https://www.clarencetam.co.nz/class-5-bangers-with-gc-g-aenial-achord/) - Kicking off the New Year with a quadruple Class V banger set using the hyperfilled supercomposite with exceptional wear resistance and a great chameleon effect to boot. #GC #GaenialAchord - [Subtleties in staining](https://www.clarencetam.co.nz/subtleties-in-staining/) - Subtleties in staining are critical for the overall realism of any restorative case. Qualities that determine success: // Defined fissure pattern // Extreme low viscosity of staining/tinting agent allowing the agent to bleed through the system Final Touch Brown was used in this small restoration to bring out the lobes and fissure detail. The restorative - [Overcontoured composite restoration correction](https://www.clarencetam.co.nz/overcontoured-composite-restoration-correction/) - This overcontoured restoration featured a distal marginal ridge hairline fracture and was difficult to floss resulting in gross debris impaction as seen in the intraoperative second slide. The contact was maintained in a more central-to-apical position allowing the floss to pass easily through the larger, more natural incisal embrasure and restored with a single shade - [Occlusal composite artistry in a molar](https://www.clarencetam.co.nz/occlusal-composite-artistry-in-a-molar/) - Using the DARK variant of the chameleon heavyweight #ClearfilMajestyES2Universal Vitals: Compressive strength: 348MPa (enamel 384MPa, dentin 297MPa) Flexural strength: 110MPa (dentin 165.6MPa) - [Auckland Dentist Explains the Differences Between Porcelain Veneers and Composite Veneers](https://www.clarencetam.co.nz/auckland-dentist-explains-the-differences-between-porcelain-veneers-and-composite-veneers/) - Dr Clarence Tam can fix chips, gaps, cracks, and discoloration with composite and porcelain veneers at our Auckland practice. Learn the difference here. - [Conversion of Class II into a Class I](https://www.clarencetam.co.nz/conversion-of-class-ii-into-a-class-i/) - (Afternoon tea pics 1974.9: Kerr Simplishade | Garrison Dental Solutions - North America) CONVERSION to a CLASS I // Localized treatment of this first molar pre-Christmas due to mechanical discomfort when flossing on the mesial aspect secondary to an enamel fracture overlying caries. The treatment plan involved all three teeth, but as Christmas would have - [Class V bangers courtesy of Essentia U](https://www.clarencetam.co.nz/class-v-bangers-courtesy-of-essentia-u/) - Class V bangers courtesy of #EssentiaU #GC A chameleon effect exhibiting a 50:50 ratio of A2:A3. - [Vertical hairline fractures seed secondary caries](https://www.clarencetam.co.nz/vertical-hairline-fractures-seed-secondary-caries/) - Quadrant dentistry was planned on this lovely lady, however, with a recent diagnosis of Ramsay-Hunt Syndrome resulted in weak musculature and reduced opening stamina. As a result, even though the first molar looks dire and has been treatment planned, only #20DO/35DO was completed today due to time restraints- one can see how a vertical hairline - [Resin Infiltration in Auckland](https://www.clarencetam.co.nz/resin-infiltration-in-auckland/) - I am finding greater and greater predictability when using Icon in more severe cases of incisor hypomineralization. 1 week reassessment on tooth 25/4.1. #DMGIcon #ResinInfiltration #CosmeticDentistry - [Line angle reconstruction in direct composite with Garrison Wide Prep Ring](https://www.clarencetam.co.nz/line-angle-reconstruction-in-direct-composite-with-garrison-wide-prep-ring/) - Garrison Wide Prep Ring | Kerr Simplishade Mesiolingual line angle and simultaneous distal marginal ridge reconstruction using Garrison's Green Wide Prep Ring. The preparation was opaqued using microlayers of Kerr Herculite Ultra flowable XL2 prior to Kerr Simplishade Medium. #GarrisonWidePrep #KerrSimplishade #NaturomimeticRestoration #DirectResin - [Class V bangers | GC Essentia U](https://www.clarencetam.co.nz/class-v-bangers-gc-essentia-u/) - Class V bangers #GCEssentiaU - [Garrison Compositight and Kerr Simplishade Slot Restoration](https://www.clarencetam.co.nz/garrison-compositight-and-kerr-simplishade-slot-restoration/) - A very predictable combination in direct restorative. #Garrison #KerrSimplishade - [Composite Veneers and Tissue Recontouring with Gemini Evo](https://www.clarencetam.co.nz/composite-veneers-and-tissue-recontouring-with-gemini-evo/) - (Afternoon tea pics 1967.7: Ultradent Southeast Asia Ultradent Products, Inc. Gemini Evo | Opalesence | Ivoclar Empress Direct) //DSD #SmileDesignerPro //Custom Nightguard Whitening #Opalesence //Enameloplasty of Central Incisors //Gingival Recontouring #GeminiEvo #UltradentProducts //Stratified Composite Veneers #7 and 10 using #EmpressDirect and #EmpressColor #ivoclar - [ZirCAD Cantilever Bridge](https://www.clarencetam.co.nz/zircad-cantilever-bridge/) - A bonded ZirCAD Prime cantilever bridge solution for this lovely lady's post-orthodontic situation where the orthodontist was not able to attain ideal spacing for a full-sized pontic/implant. #ZirCADPrime #TSE #Ivoclar #cantileverbridge - [DSD-guided anterior esthetics](https://www.clarencetam.co.nz/dsd-guided-anterior-esthetics/) - DSD-driven proportion changes involving both soft tissue with crestal osseous resection as well as hard tissue proportion changes. Time to send good vibes to those papillae for full regeneration. #TSE #Ivoclar #emaxHT #emaxCeram - [Cervical abrasion restorations to restore aged transitional bonding](https://www.clarencetam.co.nz/cervical-abrasion-restorations-to-restore-aged-transitional-bonding/) - (Afternoon tea pics 1964.7: GC Essentia U | G-MultiPrimer) #ClassVbangers completed to protect cervical abrasion on the radicular surface underneath old transitional bonding from 7 years ago. #GCEssentiaU #GMultiPrimer GC Australasia GC America - [Deep margin elevation with Garrison Firm Bands](https://www.clarencetam.co.nz/deep-margin-elevation-with-garrison-firm-bands/) - Hi Tea(m), This tooth featured an old restoration with marginal leakage. After excavation, caries was noted tracking apicoproximally on the mesial aspect cervical to the level of the old restoration. The Garrison extended molar Firm Band allowed simultaneous contour re-establishment and deep margin elevation with great efficiency. A single shade of Kerr Simplishade Medium was - [Partial reconstruction of a complex composite restoration](https://www.clarencetam.co.nz/partial-reconstruction-of-a-complex-composite-restoration/) - Old restoration on the DO of this second bicuspid suffered a vertical and occlusal shear fracture of this lady's complex composite restoration. We completed partial replacement of the restoration with a slight buccal overlay simultaneously. Restorative: Clearfil Majesty Flow, Clearfil Majesty ES-2 Universal Dark (UD) Matrix: Garrison Compositight 3D Fusion #ClearfilMajesty #GarrisonCompositight #partialcompositereplacement - [Class V abrasion lesions restored with A'Chord](https://www.clarencetam.co.nz/class-v-abrasion-lesions-restored-with-achord/) - Hot little Class V action on this blistering summer day. Compressive strength: 389MPa Flexural strength: 168MPa #ClassVbangers #GCGaenialAChord - [Resin Infiltration Tips](https://www.clarencetam.co.nz/resin-infiltration-tips/) - (Afternoon tea pics 1960.3: DMG Icon Resin Infiltration | Clearfil Majesty Flow) N.B. The post-infiltrated surface was sealed with a thin layer of Clearfil Majesty Flow. It is always recommended to re-etch (33% H3PO4 (aq)), bond before applying composite as this results in the highest microtensile bond strength to the infiltrated surface. #DMG #Icon #Resininfiltration - [Matrix in Matrix to create free end axial contours](https://www.clarencetam.co.nz/matrix-in-matrix-to-create-free-end-axial-contours/) - Matrix in Matrix used on the mesial of this first bicuspid, paired with the use of a conventional Garrison Compositight on the distal. As this required a greater curvature, the Strata-G system would have been ideal for use to recreate the distoaxial wall/curvature. The base was masked using XL2 from Kerr Herculite Ultra flow before - [Bonding to Old Resin Protocol](https://www.clarencetam.co.nz/bonding-to-old-resin-protocol/) - BONDING TO RESIN Worn restoration on #31/4.7 requiring augmentation. Keys: ^Bevelled margins ^Total Etch ^ Silane Coupling Agent ^Bond ^Microlayers before definitive packable composite #BondingtoResin - [Class V action with Flo X and A'Chord](https://www.clarencetam.co.nz/class-v-action-with-flo-x-and-achord/) - Class V action to kick things off using a single shade of GC G-aenial A'Chord after microlayering with G-aenial Flo X. #GCGaenial #Class5Bangers - [Can I Get Rid of Tetracycline Stains?](https://www.clarencetam.co.nz/can-i-get-rid-of-tetracycline-stains/) - Our Auckland cosmetic dentist reveals conservative solutions to get rid of deep discoloration and tetracycline stains, such as porcelain veneers. - [Class III contour with Garrison Varistrip](https://www.clarencetam.co.nz/class-iii-contour-with-garrison-varistrip/) - #Simplishade Dark #ChameleonEffect #GarrisonVaristrip - [Voco Amaris to restore an invisible Class IV fracture](https://www.clarencetam.co.nz/voco-amaris-to-restore-an-invisible-class-iv-fracture/) - Hypocalcified teeth have a whole constellation of detail that is challenging to reproduce. Certainly not perfect here, but much closer to the virgin #8. Have a blessed Thanksgiving and a lovely weekend ahead. #VocoAmaris - [Voco Amaris composite veneers](https://www.clarencetam.co.nz/voco-amaris-composite-veneers-2/) - 1 week reassessment of composite veneers completed using Voco Amaris. Note that pre-prosthetic whitening had been completed prior to the restorations. #VocoAmaris - [Class III restorations with Voco Grandio SO](https://www.clarencetam.co.nz/class-iii-restorations-with-voco-grandio-so/) - Small Class IIIs looking for the cloak of invisibility. #VocoGrandioSO - [Re-creation of a marginal ridge using Clearfil Majesty](https://www.clarencetam.co.nz/re-creation-of-a-marginal-ridge-using-clearfil-majesty/) - Re-creation of what was there. It is still a shame that a slot prep occlusal-down is the only way to access these lesions. Contours reconstructed using the Garrison Compositight 3D Fusion system and a single shade of Clearfil Majesty ES-2 Universal U with microlayers of Majesty Flow against the bonded interface. #GarrisonCompositight #ClearfilMajesty0 - [Anterior redesign and reconstruction of Lumineers](https://www.clarencetam.co.nz/anterior-redesign-and-reconstruction-of-lumineers/) - This lovely patient had Lumineers completed overseas and presented in this challenging state. After initial restorative stability was gained relative to caries and periodontal stability ensured, the patient completed a course of clear aligner therapy with the goals of better supporting the buccal corridors in the smile. DSD was completed and a 3D anatomic wax-up - [Enamel Crack Stabilization](https://www.clarencetam.co.nz/enamel-crack-stabilization/) - Hairline fractures in enamel are typically benign and are self-arresting due to the modulus of elasticity mismatch between enamel and dentin. Ones that are more comminuted or stained indicate a "superhighway" of penetration into the deeper enamel or DEJ which has the opportunity to seed not only secondary caries but also induce further propagation, which - [Crown replacement workflow](https://www.clarencetam.co.nz/crown-replacement-workflow-4/) - #Crownreplacement #Biobase #IPSemax #TSE - [Stratified Composite Veneers | Facial Augmentation](https://www.clarencetam.co.nz/stratified-composite-veneers-facial-augmentation/) - This lovely patient presented on referral from another practice where the restorations had been overreduced in an effort to create contour and exhibited a conspicuous join line. Note that tooth #9 has previously been endodontically-treated, and was also in slight palatoversion/linguoversion. Dehydration of the adjacent teeth is obviously in play. Shades used: Voco #Amaris: OBleach, - [Voco Amaris used in Restorative Orthodontics](https://www.clarencetam.co.nz/voco-amaris-used-in-restorative-orthodontics/) - (Afternoon tea pics 1946.1: Composite Veneers | Voco Amaris) A lovely dentist requested stratified composite veneer solutions for teeth #7-10 to: 1) Reduce enamel craze appearances 2) Idealize proportion, shape but maintain the spirit of the original design 3) Minimize the rotations present "restorative orthodontics" Shades used: Voco Amaris O2, TL, HT, white tint (Final - [Adhesive Dental Overlay Design](https://www.clarencetam.co.nz/adhesive-dental-overlay-design/) - The adhesive overlay preparation for this tooth #15/2.7 is driven by the location of the defects or existing restorations on the tooth. For the facial aspect, as the wall was thinner than 3mm, occlusal reduction of 2mm was completed and the margin fashioned with a sloping bevel in order to create a compression dome effect - [G-aenial A'Chord compressive and flexural strength](https://www.clarencetam.co.nz/g-aenial-achord-compressive-and-flexural-strength/) - Just showing this cute second bicuspid some love with with an amazing high wear resistance supercomposite. Compressive strength: 389MPa (enamel 384MPa) Flexural strength: 168MPa #GCGaenialAchord #wear resistance - [Rubberdamology Class V edition](https://www.clarencetam.co.nz/rubberdamology-class-v-edition/) - #HuFriedy #ClearfilMajestyES2 #KurarayNoritake #ClassV #rubberdamology #isolation - [Amalgam and overhang removal](https://www.clarencetam.co.nz/amalgam-and-overhang-removal/) - Amalgam and overhang removal on #2MOP/1.7MOP #DirectResin #GarrisonCompositight3DFusion #ClearfilMajestyES2Universal - [Clearfil Majesty ES-2 Universal](https://www.clarencetam.co.nz/clearfil-majesty-es-2-universal-3/) - (Afternoon tea pics 1941.3: Clearfil Majesty ES-2 Universal) Exercising some variant anatomy on this Class I restoration. Compressive strength: 348MPa Flexural strength: 118MPa Volumetric shrinkage 1.9% (excellent for a composite) - for reference, an ORMOCER, Voco Admira Fusion shrinks 1.25%. #ClearfilMajestyES2Universal Kuraray Noritake Dental - US Kuraray Noritake Dental Europe Kuraray Noritake Polska Kuraray Noritake - [Chameleon Composite in Action](https://www.clarencetam.co.nz/chameleon-composite-in-action/) - (Afternoon tea pics 1940.2: Clearfil Majesty ES-2 XW) This lower left centrtal incisor exhibited a vertical shear enamel fracture causing the patient esthetic discomfort. Augmentation of this region in addition to contact lengthening via slight cervicoproximal positive contouring is invisible using the chameleon composite from Kuraray featuring Light Diffusion Technology, a situation where the refractive - [Supercomposite Ultradent Transcend in action](https://www.clarencetam.co.nz/supercomposite-ultradent-transcend-in-action/) - (Afternoon tea pics 1939.1: Ultradent Southeast Asia Transcend UB) Classic Class I caries restored with a single shade supercomposite #UltradentTranscendUB Compressive strength: 450MPa (enamel 384MPa, dentin 297MPa) Flexural strength: 156MPa (dentin 165.6MPa) Bonding system: Ultradent Peak Universal Bond. - [Simplishade Medium to restore a crush fracture on tooth #18](https://www.clarencetam.co.nz/simplishade-medium-to-restore-a-crush-fracture-on-tooth-18/) - Freehand Class II restoration on #18/3.7DO using a single shade of #KerrSimplishadeMedium and #FinalTouch tints - [Extreme Class 5 restorations](https://www.clarencetam.co.nz/extreme-class-5-restorations/) - Extreme Class V action (not abfraction) restored with GC's G-aenial Flo-X and G-aenial A'Chord. #Supercomposite #ClassVbangers - [Butterfly Matrix in a Class III situation](https://www.clarencetam.co.nz/butterfly-matrix-in-a-class-iii-situation/) - I finally had the chance to try the long-awaited Butterfly matrix for this Class III repair in conjunction with a composite facial Class IV restoration. This matrix is special in that it is super flexible, acts as both a PTFE strip as well as separating wedge (each side has a different size wedge that you - [Complex reconstruction of a molar using direct composite](https://www.clarencetam.co.nz/complex-reconstruction-of-a-molar-using-direct-composite/) - (Afternoon tea pics 1935.5: Kerr Simplishade Medium | Garrison Dental Solutions - North America | GC Australasia Ever-X Flow | Ultradent Products, Inc. Omnimatrix | VOCO Final Touch tints) An extreme ambush of a case where the peripheral seal zone was well and truly challenging to achieve. An intentional violation of biologic width was required - [Crown replacement workflow](https://www.clarencetam.co.nz/crown-replacement-workflow-3/) - (Afternoon tea pics 1934.7: IPS e-max crown replacement workflow) This lovely patient required full coverage but also wanted the teeth to match with each other. There are actually situations where full "crowns" are the ideal solution, but of course we always strive for bonded partial coverage indirects whenever possible. Ivoclar - [Small composite restorations with difficult esthetic integration](https://www.clarencetam.co.nz/small-composite-restorations-with-difficult-esthetic-integration/) - (Afternoon tea pics 1933.3: Voco Amaris) The small things are hardest for me relative to esthetic integration. A simple combination of an opaque, a translucent, an ultra-translucent and a dash of white accent rejuvenated this tooth on this lovely dentist from North America. #VocoAmaris #ClassIVmagic VOCO GmbH - The Dentalists - [Supercomposite for large dose direct composite restorations](https://www.clarencetam.co.nz/supercomposite-for-large-dose-direct-composite-restorations/) - First phase restorative stabilization to buy some time for this patient before an indirect overlay is sought. Ultradent Transcend UB stats Compressive strength 450MPa Flexural strength 156MPa #GarrisonCompositight #UltradentTranscend #largedosecompositefillings - [Ultradent Transcend UB and GC Ever-X Flow SFRC](https://www.clarencetam.co.nz/ultradent-transcend-ub-and-gc-ever-x-flow-sfrc/) - (Afternoon tea pics 1931.4: Ultradent Southeast Asia Transcend | Ever-X Flow) #TranscendUB #UltradentProducts GC Australasia GC America - [Treating secondary caries under fissure sealants with Simplishade](https://www.clarencetam.co.nz/treating-secondary-caries-under-fissure-sealants-with-simplishade/) - Class I secondary caries under old fissure sealants which were clearly not sealing. Restored using the cloud-shaded composite #KerrSimplishadeLight #VocoFinalTouchtints - [Smile Design Auckland](https://www.clarencetam.co.nz/smile-design-auckland/) - Using a facially-driven protocol when designing your anterior maxillary esthetics is key for success. Key elements of the smile that are desired such as central dominance can be not only maintained, but refined to create a more balanced result. Eight units of lithium disilicate were completed here to reinforced structurally-compromised teeth and improve esthetics simultaneously. - [Use of a chameleon supercomposite G-aenial A'Chord](https://www.clarencetam.co.nz/use-of-a-chameleon-supercomposite-g-aenial-achord/) - Class II caries with dramatic existing occlusal anatomy restored with a single shade of A3 G-aenial A'Chord. Vital stats: Compressive strength: 389MPa (enamel 384MPa) Flexural strength: 168MPa (dentin 165.6MPa) Full silanated technology allows for these high physical properties in addition to exceptional wear resistance. #GC #GaenialAchord - [Smile Design Post Trauma with Composite Veneers](https://www.clarencetam.co.nz/smile-design-post-trauma-with-composite-veneers/) - 1 week reassessment - smile and confidence redefined. #VocoAmaris - [Composite Veneers to correct enamel dysplasia](https://www.clarencetam.co.nz/composite-veneers-to-correct-enamel-dysplasia/) - (Afternoon tea pics 1926.8: Composite Veneers | Clearfil Majesty ES-2 Premium) Lifting confidence with uber-natural stratified DSD-driven composite veneers on this 15 year old female exhibiting incisor hypomineralization and enamel dysplasia. Shades used: WD, WE, Clear, white tint #DSD #SmileDesignerPro #ClearfilMajestyES2 #VocoFinalTouchtints Kuraray Noritake Dental - US Kuraray Noritake Kuraray Noritake Dental Europe Kuraray Noritake - [Considerations for Bonding to Molar Hypomineralization](https://www.clarencetam.co.nz/considerations-for-bonding-to-molar-hypomineralization/) - Molar hypomin presents a situation of compromised flexural/tensional resistance in posterior teeth and often hairline fractures can feed an already susceptible base, inducing rapid caries formation. Interestingly, self-etching/MDP-based adhesive monomers did not show a significant advantage over etch-and-rinse adhesives. To enhance bonding further, sodium hypochlorite can be applied to the surface "after etching" to enhance - [Replacing a leaking restoration with Kerr Simplishade](https://www.clarencetam.co.nz/replacing-a-leaking-restoration-with-kerr-simplishade/) - (Afternoon tea pics 1924.4: Garrison Dental Solutions - North America | Kerr Simplishade) Cracking into Mondays like. #GarrisonCompositight #KerrSimplishade KaVo Dental - [Combination Class II stacked ring case with Garrison Compositight](https://www.clarencetam.co.nz/combination-class-ii-stacked-ring-case-with-garrison-compositight/) - Class II combination case featuring stacked ring magic with #KerrSimplishade | #GarrisonCompositight - [Class V cervical abrasion lesions deep](https://www.clarencetam.co.nz/class-v-cervical-abrasion-lesions-deep/) - A couple of deep cervical toothbrush abrasion lesions restored with the chameleon king, #Essentia U - [A filling is not as simple as just a filling](https://www.clarencetam.co.nz/a-filling-is-not-as-simple-as-just-a-filling/) - Is a small filling just a filling? It's about restoring as close to possible the compressive and flexural strengths of the innate tooth substance and bonding the restoration to the preparation at a shear bond strength that enamel bonds to dentin in nature. Compressive strength: 348MPa Flexural strength: 140MPa #KerrSimplishadeMedium - [Orthodontic extrusion and crown lengthening to repair a fractured tooth](https://www.clarencetam.co.nz/orthodontic-extrusion-and-crown-lengthening-to-repair-a-fractured-tooth/) - (Afternoon tea pics 1920.2: Voco Amaris | Ultradent Southeast Asia Gemini Evo) This lovely 24 year old gentleman presented status post dental trauma to teeth #7-9 with all three teeth requiring endodontic treatment. The fracture extent was significant on tooth #7 with a subgingival fracture margin detectable 1.5mm subgingivally on the palatal aspect. Instructions to - [Class V banger with GC Essentia U](https://www.clarencetam.co.nz/class-v-banger-with-gc-essentia-u/) - (Afternoon tea pics 1919.1: GC Essentia U) Seamless Class V banger using one of my favorite chameleons. #ClassV #GCEssentiaU #classvbangers - [Optimizing Proximal Axial Contours with Garrison](https://www.clarencetam.co.nz/optimizing-proximal-axial-contours-with-garrison/) - An exploration into proximoaxial contour idealization Part II along with post-operative bitewing radiograph. #GarrisonCompositight3DFusion #VocoGrandioSO - [Proximal contact anatomy with composite resin](https://www.clarencetam.co.nz/proximal-contact-anatomy-with-composite-resin/) - Axial surface recreation exhibits features that are as important as each other. A broad, stable contact point precludes occlusal impaction of food and limits lateral impaction. An occlusal embrasure allows a sluiceway for food to escape during mastication and also for ease of flossing. Restoration completed using a single shade of A2 Grandio SO and - [Ultradent Gemini used in balancing pink esthetics](https://www.clarencetam.co.nz/ultradent-gemini-used-in-balancing-pink-esthetics/) - (Afternoon tea pics 1916.7: Ultradent Gemini Evo | GC TempSmart | IPS e-max) This lovely woman presented with old restorations that exhibited marginal failure, disproportionate dimensions and poor esthetics. The case was designed in 2D using Smile Designer Pro and calibrated before the 3D diagnostic wax-up was derived from this. Following removal of the old - [Indirect Full Coverage Clinical Workflow](https://www.clarencetam.co.nz/indirect-full-coverage-clinical-workflow/) - Full coverage indirect workflow on a compromised lower second molar. Provisional fabricated using OpalDam with pre-lubrication of the Biobase below #TSE #Ivoclar #emaxMT - [Supercomposite Class I on a second molar](https://www.clarencetam.co.nz/supercomposite-class-i-on-a-second-molar/) - Warm up Class I with the OG supercomposite #VocoGrandioSO Compressive strength: 439MPa Flexural strength: 187MPa - [What if I'm Missing Most of My Teeth?](https://www.clarencetam.co.nz/what-if-im-missing-most-of-my-teeth/) - Whether you’re missing one or several teeth, our Auckland dentist offers advanced solutions to restore functionality, including implants, dentures, and bridges. - [The Universal Light variant of Majesty ES-2 Universal in use](https://www.clarencetam.co.nz/the-universal-light-variant-of-majesty-es-2-universal-in-use/) - The Universal Light (UL) variant of #ClearfilMajestyES2Universal for this lovely lady, one of the faves in the practice. As always, the #hufriedy W3 is a perfect fit. - [Voco Rebilda DC use in reconstructing a hopeless tooth](https://www.clarencetam.co.nz/voco-rebilda-dc-use-in-reconstructing-a-hopeless-tooth/) - This lovely patient exhibited a near complete coronal fracture of a veneered and previously endodontically-treated tooth #10/2.2. The current veneers were 13 years of age and had been planned for replacement. As an emergency measure, after confirming intimate adaptation of the cohesively-fractured component (veneer and facioproximal enamel/dentin) and after removal of caries, the gingiva was - [Class II Direct Composite with Garrison Compositight](https://www.clarencetam.co.nz/class-ii-direct-composite-with-garrison-compositight/) - Class II composite direct completed using #Simplishade Medium from Kerr. #Garrison Compositight as always. - [Back to back composite restorations](https://www.clarencetam.co.nz/back-to-back-composite-restorations/) - Stats: Compressive strength 366MPa (enamel 384MPa) Flexural strength: 140MPa (dentin 165.6MPa) #KerrSimplishade #GarrisonCompositight - [Redesigning contact areas to be less food retentive](https://www.clarencetam.co.nz/redesigning-contact-areas-to-be-less-food-retentive/) - A narrow contact area can often suffer from significant lateral impaction of food debris. With the presence of hypomineralization, this is a carious lesion that can rapidly seed and progress. Every effort was made to broaden the contact area on the distal of this molar to mitigate the above concerns. #KerrSimplishade #GarrisonCompositight - [Composite Veneers for Canine Substitution Case](https://www.clarencetam.co.nz/composite-veneers-for-canine-substitution-case/) - One week reassessment of this canine subsitution camoflage case using minimally-invasive composite veneers. #VocoAmaris #CompositeVeneers - [Recontouring an adjacent restoration to idealize contact point anatomy](https://www.clarencetam.co.nz/recontouring-an-adjacent-restoration-to-idealize-contact-point-anatomy/) - Caries removed from this case with a grossly overcontoured composite restoration on the adjacent tooth. Preparation was completed before idealizing the space required for passive fit of the the Garrison Firm Band by recontouring the adjacent tooth. A single shade chameleon effect is demonstrated by the Clearfil Majesty ES-2 Universal used in this case. #ClearfilMajestyES2 - [Clearfil Majesty ES-2 Universal Class I composite](https://www.clarencetam.co.nz/clearfil-majesty-es-2-universal-class-i-composite/) - #ClassIcaries #ClearfilMajestyES2Universal - [Re-restoring an old composite on a first bicuspid](https://www.clarencetam.co.nz/re-restoring-an-old-composite-on-a-first-bicuspid/) - (Afternoon tea pics 1905.6: Clearfil Majesty ES-2 Universal | Garrison Dental Solutions - North America) Re-restoring an old composite on this first bicuspid on a lovely patient. #ClearfilMajestyES2Universal #garrisoncompositight - [Class I composite replacement on a second molar](https://www.clarencetam.co.nz/class-i-composite-replacement-on-a-second-molar/) - Class I replacement with variant occlusal anatomy #VocoGrandioSO - [Class I restoration replacement on tooth #15](https://www.clarencetam.co.nz/class-i-restoration-replacement-on-tooth-15/) - #VocoGrandioSO #ClassIreplacement - [Ovate Pontic Surgical Site Development](https://www.clarencetam.co.nz/ovate-pontic-surgical-site-development/) - Ovate Pontic site development is a bit like orthodontics. A little addition a little of a time can develop your site into something that will esthetically integrate much better than a modified ridge lap for your proposed Maryland bridge. #SayNotoModifiedRidgeLaps - [Class 5 bangers with Essentia U](https://www.clarencetam.co.nz/class-5-bangers-with-essentia-u/) - Class V bangers in the 4th quadrant for this lovely American. #GCEssentiaU - [Dehydration and Edge Bonding Considerations](https://www.clarencetam.co.nz/dehydration-and-edge-bonding-considerations/) - (Afternoon tea pics 1900.3: Edge Bonding | Dehydration | Voco Amaris) With partial coverage composite or porcelain restorations, it is imperative to select the intended shade prior to isolation, as the refractive index of enamel changes with water content loss during dehydration. It is critical not to vary from your original selection and be tempted - [Composite replacement due to marginal leakage](https://www.clarencetam.co.nz/composite-replacement-due-to-marginal-leakage/) - Replacing the worst of a bad lot as first phase treatment. #KerrSimplishade #GarrisonCompositight - [Cerasmart inlay replaced by Kerr Simplishade](https://www.clarencetam.co.nz/cerasmart-inlay-replaced-by-kerr-simplishade/) - This lovely patient exhibited pain on biting the occlusal aspect of this relatively new Cerasmart inlay completed by a dentist in Rotorua. The restoration was removed and a microlayered base was placed before lobe-by-lobe reconstruction of the occlusal anatomy using a single shade of Kerr Simplishade Light. #KerrSimplishade #Cerasmartreplacement - [Kerr Simplishade](https://www.clarencetam.co.nz/kerr-simplishade-3/) - #ClassIdirect #KerrSimplishadeLight Flexural strength: 140MPa Compressive strength: 366MPa - [DSD guided composite veneers with gum recontouring](https://www.clarencetam.co.nz/dsd-guided-composite-veneers-with-gum-recontouring/) - (Afternoon tea pics 1896.7: Voco Amaris | Ultradent Gemini Evo | Smile Designer Pro | Walking Bleach) This DSD-guided case was completed utilizing a minimally-invasive approach to camoflage congenitally-missing lateral incisors. The orthodontist had mesialized both canines with asymmetrical spacing. Of the canines, tooth #11 was endodontically-treated previously with a darkened crown-root complex. This necessitated - [Marginal failure on Palatal restorations replaced](https://www.clarencetam.co.nz/marginal-failure-on-palatal-restorations-replaced/) - #ClearfilMajestyES2Universal - [Invisible Fillings are Possible](https://www.clarencetam.co.nz/invisible-fillings-are-possible/) - A simple crooked before and after for your enjoyment during my recovery. =) #ClearfilMajestyES2Universal - [Class II caries restored with direct chameleon composite resin](https://www.clarencetam.co.nz/class-ii-caries-restored-with-direct-chameleon-composite-resin/) - Seamless Class II restoration using a layered, single shade chameleon composite and the trusted Garrison Compositight matrix system. Compressive strength: 347MPa Flexural strength: 118MPa #ClearfilMajestyES2Universal #GarrisonCompositight - [How to Fix a Damaged Tooth](https://www.clarencetam.co.nz/how-to-fix-a-damaged-tooth/) - Our Auckland dentists provide many solutions to rebuild damaged teeth, such as crowns, veneers, full mouth reconstruction, and more. Learn options. - [Complex Reconstruction on Molars](https://www.clarencetam.co.nz/complex-reconstruction-on-molars/) - Complex Reconstruction Workflow #IPSemax #fullcoverageindirect #TSE - [Hypomineralized teeth are more susceptible to caries](https://www.clarencetam.co.nz/hypomineralized-teeth-are-more-susceptible-to-caries/) - Hypomineralized teeth are more permeable and susceptible to caries, but this chameleon composite is a vibe. #ClearfilMajestyES2Universal #GarrisonCompositight3DFusion - [Leakage under Sealants](https://www.clarencetam.co.nz/leakage-under-sealants/) - Caries is unpredictable especially when old restorations do not seal the peripheral rim properly. #ClearfilMajestyES2Universal - [Class V restorative solution with a low wear composite](https://www.clarencetam.co.nz/class-v-restorative-solution-with-a-low-wear-composite/) - Large Class V restorations for this lovely man from a long, long way away. Chameleon effect courtesy of #GaenialAchord #GCAmerica - [Restoration of radicular abrasion lesions](https://www.clarencetam.co.nz/restoration-of-radicular-abrasion-lesions/) - Class V bangers. Restorations to insulate dentin, improve esthetics and protect against continued abrasion. #GCEssentiaU #radicularabrasion - [Complex premolar direct reconstruction with Voco Grandio SO supercomposite](https://www.clarencetam.co.nz/complex-premolar-direct-reconstruction-with-voco-grandio-so-supercomposite/) - Complex freehand reconstruction of this ferrule-less premolar just as a stand-in to distribute occlusal forces for this terminal dentition. Single shade A3.25GA restoration with the OG Supercomposite #VocoGrandioSO Isolation with #HuFriedyBlackline - [Edge Bonding with Clearfil Majesty ES-2 Premium](https://www.clarencetam.co.nz/edge-bonding-with-clearfil-majesty-es-2-premium/) - Edge Bonding and non-invasive redesign of these fractured central incisors on this lovely 16 year old male. #ClearfilMajestyES2Premium #EdgeBonding - [Shape control in composite veneer placement](https://www.clarencetam.co.nz/shape-control-in-composite-veneer-placement/) - SHAPE is KING. Composite veneer freshly placed to replace an ancient fractured composite restoration. #ClearfilMajestyES2Premium #shapecontrolcompositeveneer - [Hu-Friedy B4 Blackline Clamp](https://www.clarencetam.co.nz/hu-friedy-b4-blackline-clamp/) - Absolute isolation with the gold standard Hu-Friedy B4 Blackline Clamp. Restored using A3 G-aenial A'Chord. #GCGaenialAchord #HuFriedyB4 - [Fissure sealants that leak and why a hermetic seal is important](https://www.clarencetam.co.nz/fissure-sealants-that-leak-and-why-a-hermetic-seal-is-important/) - We removed some "fissure sealants" that did not violate enamel radiographically, and you can see how subsurface fissure patterns are at risk if you have marginal leakage. Brushing won't do anything without a hermetic seal. Restorative: Clearfil Majesty ES2 Universal #KurarayNoritake - [Deep recurrent caries treated with Clearfil Majesty ES-2](https://www.clarencetam.co.nz/deep-recurrent-caries-treated-with-clearfil-majesty-es-2/) - Ambushed by tortuous recurrent caries penetrating pulpally on this UR7. Not shown is a massive DB extending the height of the clinical crown and finishing mid-distally. I still believe this is more conservative treatment than a full coverage restoration for the time being. Lovely patient with the highest levels of patience. Chameleon effect demonstration with - [Full Coverage Ceramic Crowns for structurally compromised teeth](https://www.clarencetam.co.nz/full-coverage-ceramic-crowns-for-structurally-compromised-teeth/) - Massive traditional indirect full coverage restorations for these severely broken down teeth. TBF, the use of a XL2 flowable was not required and a SFRC would have been a sound alternative. #TSE #IPSemax - [Occlusal Effect Caries treated with Clearfil Majesty](https://www.clarencetam.co.nz/occlusal-effect-caries-treated-with-clearfil-majesty/) - OCCLUSAL EFFECT CARIES - can occur when an unbonded large restoration allows the tooth to flex and places the mesial and distal marginal ridge under functional tensional stress eventually leading to a hairline fracture. This crack acts as a superhighway for bacterial transmission deeper into the tooth and voila. This tooth exhibited a poorly sealed - [Matrix in matrix application with Clearfil Majesty ES2](https://www.clarencetam.co.nz/matrix-in-matrix-application-with-clearfil-majesty-es2/) - Combination second molar and second biscuspid case for a lovely gentleman. #ClearfilMajestyES2 #MatrixinMatrix - [Clearfil Majesty ES-2 Long Fissure](https://www.clarencetam.co.nz/clearfil-majesty-es-2-long-fissure/) - Who doesn't like a long fissure from the land of the long white cloud #aotearoa #ClearfilMajestyES2Universal - [Composite Artistry and Texture](https://www.clarencetam.co.nz/composite-artistry-and-texture/) - (Afternoon tea pics 1877.1: Clearfil Majesty ES-2 Premium) NB: Fixed lingual retainer from 7-10. Texture plays a large part in realism, but ultimately shape is king. #ClearfilMajestyES2Premium #CompositeArtistry Kuraray Noritake Dental - US Kuraray Noritake Kuraray Noritake Dental Europe Kuraray Noritake Australia & New Zealand Dan Clementino - [Conservative Dentistry Class II style](https://www.clarencetam.co.nz/conservative-dentistry-class-ii-style/) - I'm having a ball keeping it small. LOL. Do I have potential as a poet? 50/50. #ConservativeDentistry #ClassII #DirectResin #ClearfilMajesty #Garrison - [HuFriedy Peppermint Rubber Dam GC AChord](https://www.clarencetam.co.nz/hufriedy-peppermint-rubber-dam-gc-achord/) - New rubber dam *alert* - Peppermint flavor, non-latex super flossable goodness by #HuFriedy The GC supercomposite with versatility, sculpting potention and polish retention is a go-to for any class of restoration. It's cloud shaded and simple. Compressive strength: 389MPa Flexural strength: 133MPa Shrinkage stress: 1.27MPa Radiopacity: 318% Al (amazing) #GCaustralasia #gaenialAchord - [Majesty ES-2 Classic Class V](https://www.clarencetam.co.nz/majesty-es-2-classic-class-v/) - A3 Shade #ClearfilMajestyES2Classic, such a beautiful material to work with. - [Hypomineralized enamel with deep sub fissure caries](https://www.clarencetam.co.nz/hypomineralized-enamel-with-deep-sub-fissure-caries/) - (Afternoon tea pics 1873.7: Clearfil Majesty ES-2 Universal U | Garrison Dental Solutions - North America Compositight) Class II surprise with a deep occlusal fissure caries surprise, which is not really a surprise in teeth affected by enamel dysplasias. Restorative: Clearfil Majesty ES-2 Universal U (chameleon composite) Compressive strength: 347MPa Flexural strength: 118MPa #GarrisonCompositight #ClearfilMajestyES2Universal - [Crown replacement workflow](https://www.clarencetam.co.nz/crown-replacement-workflow-2/) - This week it's all about workflows... #Crownreplacement #TSE #IPSemax - [Back to back matrix with Garrison Compositight](https://www.clarencetam.co.nz/back-to-back-matrix-with-garrison-compositight/) - The first molar is next for an indirect. Often I don't like to do "back to back" matrix set-ups as the interproximal contour is harder to control and there is a slight compromise if you are not able to perfect the axial contour of one tooth before closing the contact with the contour of the - [Clearfil Majesty ES-2 Universal Chameleon Effect](https://www.clarencetam.co.nz/clearfil-majesty-es-2-universal-chameleon-effect/) - #Chameleoneffect #ClearfilMajestyES2UniversalU - [Semi-Freehand composite peg lateral restorations](https://www.clarencetam.co.nz/semi-freehand-composite-peg-lateral-restorations/) - (Afternoon tea pics 1867.9: Voco Amaris | Garrison Dental Solutions - North America Slick band) NB: full rubber dam isolation not possible as fixed lingual retainer from 8-9 in place. Freehand emergence profile completed using the Garrison Slick band utilized in the conventional orientation on the distal aspects. Garrison Slick band used in an end-down - [Four wraparound veneers to support and reproportion incisors](https://www.clarencetam.co.nz/four-wraparound-veneers-to-support-and-reproportion-incisors/) - I normally find myself completing 4, 8, 10 or 12 veneers instead of 6 as the canines will dictate the buccal corridor in a balanced smile. #TSE #sequence #finalshotstocome #fourveneers - [Supercomposite Restoration on a second molar for ideal strength](https://www.clarencetam.co.nz/supercomposite-restoration-on-a-second-molar-for-ideal-strength/) - Marginal and mechanical failure of old composite on tooth #2DO. Freehand reconstruction of the distal marginal ridge after microlayering to maximize dentin hybrid layer strength before a lobe-by-lobe restoration of the occlusal surface. Fortunately minimal adjustments to reach occlusal conformity. Compressive strength: 439MPa Flexural strength: 187MPa Vickers MicroHardness: 211MHV #VocoGrandioSO - [Combination Case with Ultradent Gemini and Voco Amaris](https://www.clarencetam.co.nz/combination-case-with-ultradent-gemini-and-voco-amaris/) - Digital Smile Design-guided restorative alignment and balancing of proportion of teeth 7-10 (1.2-2.2) with composite restorations. A dual-wavelength Superpulsed diode laser (Gemini, Ultradent Products) was utilized at 1.2W and crestal distance from new gingival margin confirmed by way of sounding. Restorative shades used: O1 (OBleach was far too bright in value), TL (Translucent Light), HT - [Extreme Class V banger](https://www.clarencetam.co.nz/extreme-class-v-banger/) - (Afternoon tea pics 1862.3: Extreme Class V banger | G-aenial A'Chord) Extreme freehand Class V banger for breakfast. #GaenialAchord #GC GC America GC Australasia - [How to Bond to a Porcelain Fused to Metal Crown](https://www.clarencetam.co.nz/how-to-bond-to-a-porcelain-fused-to-metal-crown/) - (Afternoon tea pics 1861.2: How to bond to an old PFM) This lovely 76 year old female presented with a clinically intact, yet esthetically-unacceptable dark root display of tooth #5B. Bonding to a PFM involves a few steps: 1) Air particle abrasion (29 micron) #Aquacare 2) 5% hydrofluoric acid for 1 minute on the feldspathic - [Garrison Varistrip how to use](https://www.clarencetam.co.nz/garrison-varistrip-how-to-use/) - A very predictable recreation of a previously missing contact point with the use of Garrison's pre-curved variable height tinted Mylar strip. Restoration finessed using #VocoGrandioSO and #FinalTouch #Varistrip - [Hu-Friedy Black Rubber Dam | Clearfil Majesty ES-2 Premium](https://www.clarencetam.co.nz/hu-friedy-black-rubber-dam-clearfil-majesty-es-2-premium/) - For all the latex lovers, there is a new player in the room, Hu-Friedy Latex Black Edition. Some lingual and buccal edge bonding was completed for this lovely patient to decrease the translucency in the incisal window which she did not like, and also to regularize the outline form of the tooth. Restorative: Clearfil Majesty - [Ovate site development](https://www.clarencetam.co.nz/ovate-site-development/) - Missing lateral incisor. Surgical ovate pontic development using the Kois Surgical System. Pontic modification on acrylic partial denture. 12 week healing period before cantilever zirconia Maryland bridge on this lovely 16 year old. #ovatepontic #koiskats - [GC G-aenial A'Chord reasons for Class V restorative](https://www.clarencetam.co.nz/gc-g-aenial-achord-reasons-for-class-v-restorative/) - Why I like this material for Class V bangers... ^ Low wear resistance due to full silanated technology (each filler particle is individually silanated ^ Excellent cloud-based chameleon effect (A3 used in this case can cover A3, B3, C2, C3, D4) ^ Biomimetic enamel compressive strength 389MPa (enamel 384MPa) A'Chord flexural strength 133MPa (dentin 165.6MPa). - [Class I composite replacement](https://www.clarencetam.co.nz/class-i-composite-replacement-3/) - Class I composite replacement due to marginal failure. Restored with the single shade universal composite #ClearfilMajestyES2Universal - [Partial Composite Replacement Restoration](https://www.clarencetam.co.nz/partial-composite-replacement-restoration/) - Partial replacement restoration for this lovely patient referral. We were dubious as to whether there would be occlusal space to create an anatomic replacement so were pleasantly surprised. Freehand construction of the D and P aspects before occlusal layering with a single shade of Clearfil Majesty ES-2 Universal #KurarayNoritake #Partialreplacementrestoration - [Clearfil Universal Bond Quick MDP 3 second application](https://www.clarencetam.co.nz/clearfil-universal-bond-quick-mdp-3-second-application/) - The bond used in this case was Clearfil Universal Bond Quick, a novel MDP-based multimodal adhesive that features an initially very hydrophilic amide monomer that when air thinned and cured actually becomes more hydrophobic and features an intrinsic flexural strength of the bond layer of 120MPa. It features a 3 second application time. #ClearfilUniversalBondQuick #ClearfilMajestyFlow - [Direct Restorative Saga using Ultradent Transcend UB](https://www.clarencetam.co.nz/direct-restorative-saga-using-ultradent-transcend-ub/) - (Afternoon tea pics 1853.9: Ultradent Southeast Asia Transcend UB) And the direct saga continues... This tooth #14/2.8 featured severely advanced caries to the level of the mesial pulphorns. A PSZ was established with the help of caries detector. The clamp would not allow placement of the matrix assembly past the gingival cavosurface margin, and thus - [Supercomposite placed under absolute isolation](https://www.clarencetam.co.nz/supercomposite-placed-under-absolute-isolation/) - Supercomposites like Voco placed under absolute isolation have an amazing clinical lifespan. #VocoGrandioSO - [Removable Prosthodontics Complete Dentures Auckland](https://www.clarencetam.co.nz/removable-prosthodontics-complete-dentures-auckland/) - (Afternoon tea pics 1851.1: Removable Prosthodontics) Today has been a fun day dedicated to seeing the results of removable prosthodontics. Often, dentists shy away from these procedures, but it is important to realize that every step reinforces and reflects what we do in complex occlusal rehabilitations. This case will be converted into bar-retained overdentures. To - [Freehand rejuvenation of chipped teeth with Voco Amaris](https://www.clarencetam.co.nz/freehand-rejuvenation-of-chipped-teeth-with-voco-amaris/) - Freehand anterior sextant rejuvenation with #VocoAmaris - [Simplishade Dark restoration crack removal restoration](https://www.clarencetam.co.nz/simplishade-dark-restoration-crack-removal-restoration/) - Removal of the amalgam and mesial marginal ridge vertical hairline fracture revealed a heavily-stained dentin base. Recontouring of the indirect ceramic restoration mesial to the second molar was required to optimize the contact shape and strength. A single shade of Simplishade Dark (Kerr) was utilized after microlayers of XL2 Herculite Ultra flowable to result in - [Ultradent Transcend Compressive and Flexural Strength](https://www.clarencetam.co.nz/ultradent-transcend-compressive-and-flexural-strength/) - Dabbling with Ultradent's supercomposite, Transcend. This lovely composite is very sculptable with a compressive strength at 450MPa and a very dentinomimetic flexural strength at 156MPa. #UltradentTranscend - [Overlay workflow using lithium disilicate](https://www.clarencetam.co.nz/overlay-workflow-using-lithium-disilicate/) - (Afternoon tea pics 1847.1: Overlay Workflow) GC Ever-X Flow used for endocore construction Fracture toughness 2.88MPa.m/0.5 #ceramicoverlay #workflow - [Large Class V composite replacements G-aenial A'Chord](https://www.clarencetam.co.nz/large-class-v-composite-replacements-g-aenial-achord/) - Cloud shaded chameleon monochromatic composites are ubiquitous. One of my favorites for small to large volume replacement is G-aenial A'Chord. Flexural strength: 168MPa (Dentin 165.6MPa) Shrinkage stress: 1.34MPa #GaenialAchord #largeClassVreplacement #ClassVbangers - [Difficult access Class 5 restorations restored with Essentia U](https://www.clarencetam.co.nz/difficult-access-class-5-restorations-restored-with-essentia-u/) - Crazy difficult access Class V restoration replacements. #GCEssentiaU - [Molar Hypomineralization restored with Voco Grandio SO](https://www.clarencetam.co.nz/molar-hypomineralization-restored-with-voco-grandio-so/) - Molar hypomineralization is a condition characterized by patches of high-organic content and impaired mineralization, often leading to greater susceptibility to both functional fractures and secondary caries. This tooth was affected with both recurrent caries as well as failing primary restorations. Restorative: #VocoGrandioSO Matrix system: #GarrisonCompositight - [Screw Access Channel Restoration Tips](https://www.clarencetam.co.nz/screw-access-channel-restoration-tips/) - (Afternoon tea pics 1843.7: Voco Amaris) Always remember to take a photograph of your screw access channels before restorations are placed. #VocoAmaris #Astratech #ScrewAccessChannel VOCO GmbH - The Dentalists VOCO - [Multiple Class V lesions restored seamlessly](https://www.clarencetam.co.nz/multiple-class-v-lesions-restored-seamlessly/) - Mass Class V casualities mitigated with A4 G-aenial A'Chord with microlayers of Majesty Flow (81% filled (wt)) Compressive strength of Majesty Flow: 329MPa (enamel 384MPa) Flexural strength of Majesty Flow: 145MPa (dentin 165.6MPa) #ClearfilMajestyFlow #GCGaenialAchord - [Simplishade and Garrison Combination in Composite Restorations](https://www.clarencetam.co.nz/simplishade-and-garrison-combination-in-composite-restorations/) - Class II restorative action. Tint: Final Touch Brown (Voco) #KerrSimplishadeLight #GarrisonCompositight #VocoFinalTouch - [Clearfil Katana Cleaner Quick Restorative tips and tricks](https://www.clarencetam.co.nz/clearfil-katana-cleaner-quick-restorative-tips-and-tricks/) - Demonstration of a new workflow that has the ability to maximize shear bond strengths to dentin for selective/self-etching approaches. Features: Katana Cleaner: 10-MDP based cleaner that can be used extraorally and INTRAORALLY. Game changer as higher shear bond strength recovery relative to Ivoclean. Does not require shaking, and only 10 second rub application time before - [Third molar composite resin restoration](https://www.clarencetam.co.nz/third-molar-composite-resin-restoration/) - Class I in a mesially-tipped third molar. Always fun for a Humpday. =) Restorative: Kerr Simplishade Vitals: Compressive: 366MPa, Flexural strength 110MPa #KerrSimplishade - [Recurrent cavities under old composite resin fillings](https://www.clarencetam.co.nz/recurrent-cavities-under-old-composite-resin-fillings/) - Deep recurrent caries in two locations under this old #14/2.6MO restoration. A fissurotomy was completed on tooth #15O for obvious reasons. #vocoGrandioSO #ClassIImagic #directresin #resinacomposta - [GC G-aenial A'chord flexural strength and low wear resistance](https://www.clarencetam.co.nz/gc-g-aenial-achord-flexural-strength-and-low-wear-resistance/) - This supercomposite was chosen for its ability to blend in a layered, single shade application technique as well as exhibit ultra-low wear resistance. Flexural strength: 138MPa (dentin = 165.6MPa) Have a lovely Tuesday. #GC #GaenialAchord - [Small fillings with ultimate detail](https://www.clarencetam.co.nz/small-fillings-with-ultimate-detail/) - Putting emotion into the small things can grow greater LOVE for the game. #DirectResinArtistry #KerrSimplishade #Smallerballer - [DMG Resin Infiltration used on a moderate hypomin case](https://www.clarencetam.co.nz/dmg-resin-infiltration-used-on-a-moderate-hypomin-case/) - Localized moderate incisor hypomineralization on tooth #10 treated with a combination of Aquacare and DMG Resin Infiltration with a TEGDMA-based monomer. A light skin of Voco Amaris TL was utilized to restore regularity to the pitted surface. No anesthesia was required. Etiology: Perinatal Difficulties Antibiotic Use Fevers Chicken Pox Incidence: 16% in the Northern European - [Occlusal Effect Caries due to Attrition](https://www.clarencetam.co.nz/occlusal-effect-caries-due-to-attrition/) - (Afternoon tea pics 1834.4: Voco Grandio SO | Occlusal Effect Caries | Garrison Dental Solutions - North America ) Marginal ridge fractures or peripheral rim fractures can happen as a result of occlusal effect caries according to my mentor Graeme Milicich with cyclical compression on the buccal cusp which if extreme enough and even in - [Direct-Indirect Composite Foundational Workflows](https://www.clarencetam.co.nz/direct-indirect-composite-foundational-workflows/) - DIRECT - INDIRECT workflow with these severely-affected molars. Removal of all old composite restorative material. Decided to do DME and simultaneous distal marginal ridge fabrication with the #UltradentOmnimatrix, but this necessitated axial contouring and shaping prior to full coverage preparation on the second molar. Despite burnishing aggressively, the matrix system was unable to establish a - [Average Value Composites for Class 5 restorations](https://www.clarencetam.co.nz/average-value-composites-for-class-5-restorations/) - Average value composites can be used from end to end for Class I, II, III and V restorations as demonstrated here using Clearfil Majesty ES-2 Universal. #ClearfilMajestyES2Universal #SimplifiedComposites #DirectResin #ClassVbangers - [How to use Voco Amaris Gingiva and Layered Composite](https://www.clarencetam.co.nz/how-to-use-voco-amaris-gingiva-and-layered-composite/) - (Afternoon tea pics 1831.1: Clearfil Majesty ES-2 Premium | Voco Amaris Gingiva) This is a re-restoration of a tooth situated in buccoversion to the arch featuring a diastema that was restored years earlier using a combination of both stratified esthetic and PINK composite. The tooth had had always had a gingival zenith that was more - [Fine Fissure Detail with Voco Grandio SO](https://www.clarencetam.co.nz/fine-fissure-detail-with-voco-grandio-so/) - (Afternoon tea pics 1830.2: Voco Grandio SO) Fine Fissure Detail on this little one. Supercomposite chameleon effect on display with #VocoGrandioSO VOCO VOCO GmbH - The Dentalists #finefissurecomposite - [Posterior Composite Artistry](https://www.clarencetam.co.nz/posterior-composite-artistry/) - Direct posterior composite artistry. #KerrSimplishade #GarrisonCompositight #AACDAccedited - [Addressing recurrent caries on the root with new composite](https://www.clarencetam.co.nz/addressing-recurrent-caries-on-the-root-with-new-composite/) - A full MOD on this old MOD with recurrent caries noted cervically and a partial replacement restoration on the second molar. A protocol prioritizing linking the old silica in the composite to the new bond and composite was executed with a stress-reduced layering protocol. Restorative: Kerr Simplishade Medium Matrix: Garrison Compositight #KerrSimplishadeMedium #GarrisonCompositight3D Fusion - [Palatal enamel hypomineralization](https://www.clarencetam.co.nz/palatal-enamel-hypomineralization/) - Extensive palatal molar surface hypomineralization on #2. B3 clamp used for isolation and tissue retraction. Single shade restorative solution with #ClearfilMajestyES2Universal - [Biobase Reconstruction under a compromised crown](https://www.clarencetam.co.nz/biobase-reconstruction-under-a-compromised-crown/) - BRING the B B B B (bio)BASE. //Caries Removal : Caries Detector Dye #KurarayNoritake leading to removal end points //Micro Particle Abrasion #BelieveinClean #Aquacare //IDS : Total etch adhesive protocol using #UltradentPeakUniversal and //Resin Coat: Clearfil Majesty Flow 81% filled #KurarayNoritake //Microlayers: Clearfil Majesty Flow //Short Fiber Reinforced Composite : GC Ever-X Flow Dentin shade - [Are There Any Eating Restrictions with Braces?](https://www.clarencetam.co.nz/are-there-any-eating-restrictions-with-braces/) - Our Auckland cosmetic dentist outlines dietary limitations associated with braces. Learn about how clear aligners eliminate the need for eating restrictions. - [Voco Grandio SO used in Class III and V situations](https://www.clarencetam.co.nz/voco-grandio-so-used-in-class-iii-and-v-situations/) - A single shade of a universal supercomposite like Grandio SO can be used for all applications, Class III, Class V's without the need for an opaquer usually. #VocoGrandioSO - [Reconstruction of a premolar using a Supercomposite](https://www.clarencetam.co.nz/reconstruction-of-a-premolar-using-a-supercomposite/) - Reconstruction of this badly broken down bicuspid. Even though the lingual wall was <3mm thickness from the base, I decided to use an aggressive bevel on the cavosurface instead of conventional "overlaying". I'm curious to see the performance over time. This supercomposite and gold standard adhesive techniques have a good chance of seeing this guy - [Reinforcement using direct composite of a wisdom tooth](https://www.clarencetam.co.nz/reinforcement-using-direct-composite-of-a-wisdom-tooth/) - (Afternoon tea pics 1823.7: Voco Grandio SO) Showing this third molar some love because the patient still has some functional contact on it and cannot bear to say goodbye. Restored with the standard. Mistake: the white opaquer was placed too coronally up the wall resulting in what appears to be white line fever. Get an - [The Braced Thimble Technique in Indirect Dentistry](https://www.clarencetam.co.nz/the-braced-thimble-technique-in-indirect-dentistry/) - (Afternoon tea pics 1822.2: IPS e-max | Braced Thimble Technique) Quadrant reconstruction with provisionals completed via the BTT (Braced Thimble Technique) #BTT #IPSemax #TheShinEffect Shinichiro Tsuji Ivoclar - [Class II slot restoration progression pictures](https://www.clarencetam.co.nz/class-ii-slot-restoration-progression-pictures/) - Class II direct. On occasion, if the pre-existing tooth suffers from attrition a "fuller" occlusal embrasure may not always be possible #Garrison #Voco - [Chameleon composite demonstration using Grandio SO](https://www.clarencetam.co.nz/chameleon-composite-demonstration-using-grandio-so/) - #VocoGrandioSO chameleon effect demonstration. With the 187MPa flexural strength, this is truly the supercomposite. - [Class II direct solution using Grandio SO and Garrison](https://www.clarencetam.co.nz/class-ii-direct-solution-using-grandio-so-and-garrison/) - Class II solution again with Voco Grandio SO and Garrison Dental Solutions. A match made in #resinheaven. #VocoGrandioSO #GarrisonDental - [Class II direct composite solution](https://www.clarencetam.co.nz/class-ii-direct-composite-solution/) - (Afternoon tea pics 1818.1: Voco Grandio SO | Garrison Dental Solutions - North America) The Voco Grandio SO - Garrison Compositight focus series continues with yet another Class II slot. This old restoration was repaired due to ongoing biting tenderness with the region. #VocoGrandioSO #Garrison #ClassIIsolution #directrestoration VOCO GmbH - The Dentalists VOCO - [Voco Grandio SO and Garrison used together in Class II reconstruction](https://www.clarencetam.co.nz/voco-grandio-so-and-garrison-used-together-in-class-ii-reconstruction/) - (Afternoon tea pics 1817.2: Voco Grandio SO | Garrison Dental Solutions - North America ) #VocoGrandioSO #GarrisonCompositight3DFusion VOCO VOCO GmbH - The Dentalists - [Class II slot restoration due to hairline cracks](https://www.clarencetam.co.nz/class-ii-slot-restoration-due-to-hairline-cracks/) - Class II slot integration #Voco #GrandioSO #GarrisonCompositight - [Large Class I Restoration with Amalgam removal](https://www.clarencetam.co.nz/large-class-i-restoration-with-amalgam-removal/) - Large Class I core replacement in preparation for a full coverage restoration in due course. #VocoGrandioSO #largeamalgamrestorationremoval - [Slot Precision Restorations with Voco](https://www.clarencetam.co.nz/slot-precision-restorations-with-voco/) - Invisible dentistry courtesy of the heavyweights. Tinting completed using Final Touch Brown #Voco #Garrison - [Class V Bangers with GC Gaenial Achord](https://www.clarencetam.co.nz/class-v-bangers-with-gc-gaenial-achord-2/) - Class V bangers #GCGaenialAchord - [Direct Complex Reconstruction using a Supercomposite Grandio SO](https://www.clarencetam.co.nz/direct-complex-reconstruction-using-a-supercomposite-grandio-so/) - #VocoGrandioSO #GarrisonCompositight - [Direct Composite MOD with Kerr Simplishade and Garrison](https://www.clarencetam.co.nz/direct-composite-mod-with-kerr-simplishade-and-garrison/) - Direct Restoration - reason for retreatment - new restoration from other dentist resulting in constant pain with biting pressure/positive to ToothSlooth on the distal aspect of tooth #4/1.5. #SimplishadeMedium #GarrisonCompositight - [Optibond Universal used with Simplishade Medium and Garrison Compositight Matrix System](https://www.clarencetam.co.nz/optibond-universal-used-with-simplishade-medium-and-garrison-compositight-matrix-system/) - (Afternoon tea pics 1810.3: Kerr Simplishade | Optibond Universal | Garrison Dental Solutions - North America ) Replacement of this old composite due to recurrent caries in the cervical cavosurface region, the #1 region for undercured composite as well as low shear bond strength due to excessive increment size and subsequent polymerization contraction. Restorative: Kerr - [Absolute Isolation is not always possible due to mechanical restrictions](https://www.clarencetam.co.nz/absolute-isolation-is-not-always-possible-due-to-mechanical-restrictions/) - Full isolation was "impossible" with this upper left third molar due to mechanical access from the zygomatic arch. Still possible to show it some love, despite it being in a different area code. #thirdmolarlove #KerrSimplishadeMedium - [Endocore and Crown Replacement Workflow](https://www.clarencetam.co.nz/endocore-and-crown-replacement-workflow/) - (Afternoon tea pics 1808.2: Crown Replacement Workflow | EndoCore) Crown replacement workflow due to an open margin/recurrent caries affecting the mesial aspect of this upper second molar. The third molar was unclampable due to the proximity of the zygomatic Lash Architect during opening, so we had to clamp the tooth we were working on and - [Discolored centrals restored with emax and Variolink Esthetic cement](https://www.clarencetam.co.nz/discolored-centrals-restored-with-emax-and-variolink-esthetic-cement/) - Reassessment of this lovely story of two discolored centrals and a diastema cemented using Variolink Esthetic LC Neutral and IPS e-max HT ingot with e-max Ceram microlayering. #TSE #Ivoclar #NaturalEsthetics #emax #Variolink - [Kerr Simplishade | Optibond Universal](https://www.clarencetam.co.nz/kerr-simplishade-optibond-universal/) - Ripping the bandaid off with a difficult access on tooth #16/2.8 as an unplanned part of a medley of full coverage preparations in the quadrant. Restored using a total etch approach using a single shade of Simplishade Medium. #SimplishadeMedium #KerrOptibondUniversal #DirectRestoration - [Indirect Dental Crown Workflow under Isolation](https://www.clarencetam.co.nz/indirect-dental-crown-workflow-under-isolation/) - INDIRECT WORKFLOW. #Ivoclar #TSE #BelieveinClean #Aquacare - [GC Essentia U Chameleon Effect](https://www.clarencetam.co.nz/gc-essentia-u-chameleon-effect/) - Class V lesion and restoration replacement using the 50:50 ratio beauty of #GCEssentiaU - [EasyPen Fissure Instrument and HuFriedy TNTAM in action](https://www.clarencetam.co.nz/easypen-fissure-instrument-and-hufriedy-tntam-in-action/) - (Afternoon tea pics 1803.3: EasyPen | VOCO Grandio SO | HuFriedyGroup TNTAMKIT) I had the opportunity to trial the EasyPen on this third molar (#16/2.8) and it worked really well into my workflow. As a more flexible, thinner version of the Hu-Friedy TNTAM1 and Fissura, it works well against pre-cured lobes in my hands to - [Complex reconstruction using EasyPen and HuFriedy TNTAMKIT](https://www.clarencetam.co.nz/complex-reconstruction-using-easypen-and-hufriedy-tntamkit/) - This lovely psychotherapist suffered from generalized advanced attrition and erosion in past years and is awaiting deprogramming and creation of a new CRO. In the meantime, we are laying down foundational restorations. The base of the preparations were microlayered before a lobe by lobe approach utilizing both the HuFriedy and EasyPen systems to create anatomy - [Supercomposite used in a Class I restoration replacement](https://www.clarencetam.co.nz/supercomposite-used-in-a-class-i-restoration-replacement/) - In love with the OG Supercomposite still. Compressive: 439MPa (enamel 384MPa, dentin 297MPa) #VocoGrandioSO #FinalTouch #HuFriedy - [Voco Amaris Smile Design on Upper Incisors](https://www.clarencetam.co.nz/voco-amaris-smile-design-on-upper-incisors/) - DSD-guided composite veneer placement to reproportion and close black triangles on 7-10. 1 week reassessment. #Voc oAmaris - [Complex Direct Restorations with Voco Grandio SO](https://www.clarencetam.co.nz/complex-direct-restorations-with-voco-grandio-so/) - Extensive MOD lesions staged with the matrix-in-matrix approach utilizing a simultaneous M and D marginal ridge reconstruction using two separate (curved) Firm bands inside the Omnimatrix circumferential band for tooth #30 before using conventional sectional matrix setups for the first molar. #Garrison #MatrixinMatrix #Omnimatrix #DirectRestoration - [Voco Grandio SO and Garrison Compositight super combination](https://www.clarencetam.co.nz/voco-grandio-so-and-garrison-compositight-super-combination/) - Proximal caries restored with the simple, SUPER combination of the Garrison Compositight system and Voco Grandio SO. #VocoGrandioSO #Garrison - [Provisional Solution for Overlay and Full Workflow with IPS e-max](https://www.clarencetam.co.nz/provisional-solution-for-overlay-and-full-workflow-with-ips-e-max/) - (Afternoon tea pics 1797.1: IPS e-max MT Overlay Workflow from start to finish | Ultradent Opaldam) Indirect Overlay workflow for tooth #2 using IPS e-max. #OverlayWorkflow #TemporizationSolution #AbsoluteIsolation Ivoclar Shinichiro Tsuji Ultradent Southeast Asia Ultradent Products, Inc. - [Nictone rubber dam absolute isolation with Variolink Esthetic](https://www.clarencetam.co.nz/nictone-rubber-dam-absolute-isolation-with-variolink-esthetic/) - Absolute isolation to bond two wrap-around veneers to close a small diastema and reinforce facial axial cracks on 8 and 9. #VariolinkEstheticLC #NicToneRubberDam - [Restorative Derotation of Teeth and closure of black triangles](https://www.clarencetam.co.nz/restorative-derotation-of-teeth-and-closure-of-black-triangles/) - Restorative-derotation and minimization of black triangles on heavily-restored teeth 7-10. Shades: Voco Amaris O3, O4, TD, HT, white tint (Final Touch) #VocoAmaris #CompositeAugmentation #BlackTriangleClosure #GarrisonCompositight - [Class IV replacement restoration with Majesty ES-2 Premium](https://www.clarencetam.co.nz/class-iv-replacement-restoration-with-majesty-es-2-premium/) - Small Class IV replacement for what the patient described as a monochromatic restoration that was initially done when there was an accident with tooth #26/4.2MIBL. Restorative: Clearfil Majesty ES-2 Premium WD, WE, Clear, white tint. #ClearfilMajestyES2 - [Class II Direct Restoration Replacement with Majesty ES-2](https://www.clarencetam.co.nz/class-ii-direct-restoration-replacement-with-majesty-es-2/) - Class II replacement for this first bicuspid - we are choosing to complete the fissure for the M half next week as it never feels or looks as big and dark as it does clinically. #ClassIIDirect #GarrisonCompositight #ClearfilMajestyES2 Kuraray Noritake USA Kuraray Noritake Kuraray Noritake Dental Europe Kuraray Noritake Polska Kuraray Noritake Australia & New - [Comparison of in situ esthetics of two composite resin systems](https://www.clarencetam.co.nz/comparison-of-in-situ-esthetics-of-two-composite-resin-systems/) - As you can see, the old extensive composite restoration was completed by myself years ago. This patient exhibited caries on the M of this molar, which was accessed via a slot preparation. The Garrison Compositight 3D Fusion system appeals to me as the footprint of the blue tension ring is small and "stackable" if you - [Clearfil Majesty ES-2 Universal Dark Variant](https://www.clarencetam.co.nz/clearfil-majesty-es-2-universal-dark-variant/) - Excavation and restoration of fragile hypomineralization lesion on this lovely 40 year old lady. Upon removing one side of the lesion the entire affected region of the cusp detached intact. Single shade chameleon effect demonstration using #ClearfilMajestyES2UniversalUDark - [Send the Blend with Clearfil Majesty LDT technology](https://www.clarencetam.co.nz/send-the-blend-with-clearfil-majesty-ldt-technology/) - // SEND THE BLEND // Esthetic integration demonstration using the Majesty ES-2 LDT chameleon effect. #ES2Universal #SendtheBlend - [Additive composite dentistry](https://www.clarencetam.co.nz/additive-composite-dentistry/) - Small Class IV invisible direct resin restoration on #9MIB. Integration seamless. Shades: A2D, A2E, Clear, white tint (Kerr Kolor) #KerrHarmonize #GlosslikeaBoss - [Combination Composite and Ceramic Restorative Case](https://www.clarencetam.co.nz/combination-composite-and-ceramic-restorative-case/) - (Afternoon tea pics 1788.2: Voco Amaris | IPS e-max) Simple 3 tooth combination direct-indirect restorations on teeth #7, 8 and 9 with pre-prosthetic surgical crown lengthening. The latter two were completed using Voco Amaris. #IPSemax #VocoAmaris #TSE Ivoclar VOCO VOCO GmbH - The Dentalists Shinichiro Tsuji - [Large Class II Direct Restoration Grandio SO High Compressive Strength](https://www.clarencetam.co.nz/large-class-ii-direct-restoration-grandio-so-high-compressive-strength/) - Case 2 today on a killer of a day. Let's keep captions skinny. #VocoGrandioSO - [Biomimicry using Voco Grandio SO](https://www.clarencetam.co.nz/biomimicry-using-voco-grandio-so/) - (Afternoon tea pics 1786.1: Voco Grandio SO | Ever-X Flow) Starting the morning off with a BOOM. Microlayer/Biobase using Majesty Flow and Ever-X Flow Dentin shade. #VocoGrandioSO VOCO VOCO GmbH - The Dentalists GC Australasia GC America - [GC G-aenial A'Chord](https://www.clarencetam.co.nz/gc-g-aenial-achord-3/) - Class V action today with these last three teeth restored using G-aenial A'Chord. #GCGAenialAchord - [Class 5 root protection with Clearfil Majesty ES-2 Universal](https://www.clarencetam.co.nz/class-5-root-protection-with-clearfil-majesty-es-2-universal/) - (Afternoon tea pics 1784.2: Clearfil Majesty ES-2 Universal) Class V root protection in an erosion and abrasion-prone mouth using Clearfil Majesty ES-2 Universal for an invisible finish. Substrate optimization completed with Aquacare 29 micron Al2O3 #keepitclean #ClearfilMajestyES2Universal #NictoneRubberDam Kuraray Noritake USA Kuraray Noritake Kuraray Noritake Dental Europe Kuraray Noritake Australia & New Zealand Kuraray Noritake - [Garrison Varistrip used with Voco Grandio SO](https://www.clarencetam.co.nz/garrison-varistrip-used-with-voco-grandio-so/) - Class III action using the OG Supercomposite. Contact point recreated using the Varistrip (pre-curved Mylar strip) from Garrison. #Varistrip #Garrison #Voco - [Direct Restorations on Hypomineralized Teeth](https://www.clarencetam.co.nz/direct-restorations-on-hypomineralized-teeth/) - Hypomineralization fissure sealants are not always successful. If there is marginal leakage, often the recurrent decay is able to track aggressively through the tooth, and there is nothing the patient can do about it, as they remain diligent in brushing and flossing. It is our responsibility to recognize when there is marginal failure and mitigate - [Balancing Symmetry using Clearfil Majesty ES-2 Premium](https://www.clarencetam.co.nz/balancing-symmetry-using-clearfil-majesty-es-2-premium/) - This lovely 13 year old girl had completed orthodontics and a round of whitening which rendered the old composite veneer that I had completed for her as a result of an uncomplicated fracture years ago too chromatic. Split dam was indicated as she had a fixed Brazilian lingual retainer from #6-11. Using the actual Vita-approved - [Novel technique for Minimally Invasive Gold Onlay Placement](https://www.clarencetam.co.nz/novel-technique-for-minimally-invasive-gold-onlay-placement/) - #newtechniques for minimally invasive Gold indirects. This dentist had a long-standing gold inlay that subsequently fractured off his lingual cusps on tooth #30. He was insistent on a gold onlay that did not compromise the buccal cusps at all, much less use them for resistance form, so that posed a bit of a problem. Substrate - [GC TempSmart Provisional Veneers Characterized using Optiglaze Color](https://www.clarencetam.co.nz/gc-tempsmart-provisional-veneers-characterized-using-optiglaze-color/) - Workflow from Preps to Provisionals only. Final indirects to be seated in 2 weeks' time. *When closing diastemas, a prep through technique to the lingual is necessary - drop the margin subgingivally 0.5mm to 1mm to allow for a smooth emergence profile in order to close any black triangles. *Your provisionals are the key to - [Clearfil Majesty ES-2 Universal Chameleon Effect LDT](https://www.clarencetam.co.nz/clearfil-majesty-es-2-universal-chameleon-effect-ldt/) - Complex composite restoration with underlying base opacification using the Universal shade of Clearfil Majesty ES-2 Universal. This material features LDT technology in which the inorganic filler and cured organic resin matrix refractive indices are closely matched to each other and in the realm of both enamel and dentin indices. As such, only a minimal of - [Emax preparation design for overlay in erosion case](https://www.clarencetam.co.nz/emax-preparation-design-for-overlay-in-erosion-case/) - (Afternoon tea pics 1777.2: IPS e-max) This patient had a long history with acid erosion against both the occlusal and palatal aspects of her upper posterior teeth (she had a grapefruit tree in her backyard). The preparation design features a sloping bevel on the facial and more traditional chamfer on the lingual aspect. Time to - [Lower First Molar Anatomy Variation with Grandio SO](https://www.clarencetam.co.nz/lower-first-molar-anatomy-variation-with-grandio-so/) - Direct First Molar Variations with #VocoGrandioSO - [Light Diffusion Technology in Clearfil Majesty ES-2](https://www.clarencetam.co.nz/light-diffusion-technology-in-clearfil-majesty-es-2/) - This composite has a lovely LDT (Light Diffusion Technology) that has a close match between inorganic filler refractive index and that of the cured resin matrix (ideally between 1.47 to 1.52 RI). If these parameters are too dissimilar the restoration will look more opaque. #ClearfilMajestyES2 #LDTechnology - [Indirect Overlay Provisional Restoration Solution](https://www.clarencetam.co.nz/indirect-overlay-provisional-restoration-solution/) - Indirect workflow demonstration with the use of Opaldam as a provisional measure with arms to brace mesially and distally, still allowing for ease of home-based interdental cleaning with proxabrushes. The first molar was prepared traditionally on the faciocervical as it exhibited a deep cervical abrasion lesion that was to be incorporated into the restorative solution. - [Class V bangers with Gaenial AChord](https://www.clarencetam.co.nz/class-v-bangers-with-gaenial-achord/) - Class V bangers. Hope you're hungry. #GCGaenialAchord - [Voco Grandio SO and Garrison Dental Matrix Techniques](https://www.clarencetam.co.nz/voco-grandio-so-and-garrison-dental-matrix-techniques/) - Extreme Class II action. Or so I thought. #VocoGrandioSO #GarrisonTechniques - [Rapid Sequence Layering using a Supercomposite by Voco](https://www.clarencetam.co.nz/rapid-sequence-layering-using-a-supercomposite-by-voco/) - Monday morning rapid sequence layering using the 89% filled extreme supercomposite, #VocoGrandioSO - [Class I artistry with Clearfil Majesty ES-2](https://www.clarencetam.co.nz/class-i-artistry-with-clearfil-majesty-es-2/) - Love a fun Class I on a Friday. #ClearfilMajestyES2UniversalU - [Clearfil AP-X ES-2 Esthetics Universal Dark](https://www.clarencetam.co.nz/clearfil-ap-x-es-2-esthetics-universal-dark/) - I can't believe I was not allowed to extract this #1. #ClearfilMajesty #ES2UniversalDark - [Class II wide preparation ring with Garrison](https://www.clarencetam.co.nz/class-ii-wide-preparation-ring-with-garrison/) - Class II replacement using the OG Supercomposite. #VocoGrandioSO #GarrisonWidePrepRing - [Special Shade Voco Grandio SO](https://www.clarencetam.co.nz/special-shade-voco-grandio-so/) - (Afternoon tea pics 1767.8: Voco Grandio SO GA3.25) Chameleon effect of this special Supercomposite shade, midway between A3 and A3.5. Vital stats: Filler content: 89% (wt). Compressive strength: 439MPa Flexural strength: 187MPa Vickers MicroHardness: 211mHV #specialshades #VocoGrandioSO VOCO VOCO GmbH - The Dentalists - [Cervical Abrasion Lesions on Root Surface](https://www.clarencetam.co.nz/cervical-abrasion-lesions-on-root-surface/) - The further apical the root abrasion, the more difficult the mechanical access in my hands. A single shade of A3 G-aenial A'Chord was used and you can see that the root abrasion abutting the old PFM crown on the second bicuspid will not be matched without a "hyperopaque" composite. #GCGaenialAchord #ClassVabrasion #rootabrasionrestorations - [Isodam HD Heavy Dam and Voco Grandio SO](https://www.clarencetam.co.nz/isodam-hd-heavy-dam-and-voco-grandio-so/) - Two of my fave materials: // Isolation: #Isodam HD Heavy // Restorative: #Voco #GrandioSO A3 shade // No adjustments required. - [Amalgam replacement with Clearfil Majesty](https://www.clarencetam.co.nz/amalgam-replacement-with-clearfil-majesty/) - Recurrent caries in two locations under this seamingly "conservative" amalgam. The trouble is, with undercuts, the actual size of these preps belie their surface appearance. Substrate Optimization steps: // Beveling: the closer to a cusp, the more aggressively you need to bevel // Micro particle abrasion: 29 micron AlOx (Aquacare) at 30-40psi/2-3bar // Selective Etch: - [GC Essentia U used in cervical abrasion cases](https://www.clarencetam.co.nz/gc-essentia-u-used-in-cervical-abrasion-cases/) - Class V banger on this lone standing #6. #GCEssentiaU - [GC Essentia U used in Class V situations](https://www.clarencetam.co.nz/gc-essentia-u-used-in-class-v-situations/) - A pair of Class V bangers for your entree. #GCEssentiaU #ChameleonEffect #ShapeisKing - [Implant Screw Access closure with Voco Amaris](https://www.clarencetam.co.nz/implant-screw-access-closure-with-voco-amaris/) - Often a single shade of dentin composite can be used to match Zr in implant screw access channels. Utilizing the APC technique, the Astratech screw was torqued to prescribed value before covering said screw with PTFE. Micro particle abrasion was utilized (Aquacare AlOx, 29 micron) prior to surface treatment using a MDP primer. The restorative - [Ultradent Transcend Flexural Strength 156MPa](https://www.clarencetam.co.nz/ultradent-transcend-flexural-strength-156mpa-2/) - Ok, access was nuts on this wisdom tooth, and the obvious extraction alternative declined, but thank God for this B2. Here we are literally flexing Isodam Medium way back in the mouth and restored the tooth using a Garrison Wide Prep Ring (Green). Compressive: 450MPa Flexural strength: 156MPa #UltradentTranscend #GarrisonWidePrepRing - [Clearfil Majesty ES-2 Universal and Ever-X Flow](https://www.clarencetam.co.nz/clearfil-majesty-es-2-universal-and-ever-x-flow/) - (Afternoon tea pics 1759.9: Partial Composite Replacement | Clearfil Majesty ES-2 | Garrison Compositight | Ever-X Flow) Partial direct reconstruction of this upper first molar due to a mesial marginal ridge crack and secondary caries. There was nothing really "wrong" with the DOP aspect other than esthetics, so we just decided to leave that guy - [Garrison Varistrip and Majesty ES-2 Universal Dark](https://www.clarencetam.co.nz/garrison-varistrip-and-majesty-es-2-universal-dark/) - Class III back to back restorations using the Varistrip and Majesty ES-2 Universal Dark. Tinting: dark brown: #VocoFinalTouch #GarrisonVaristrip #ClearfilMajestyES2 #Isodam - [Second Molar Clearfil Majesty ES-2 Universal Dark](https://www.clarencetam.co.nz/second-molar-clearfil-majesty-es-2-universal-dark/) - The Universal Dark variant of #ClearfilMajestyES2Universal in action on this lower second molar. - [Clearfil Majesty ES-2 Premium Composite Veneers](https://www.clarencetam.co.nz/clearfil-majesty-es-2-premium-composite-veneers/) - 1M review of layered composite veneers on 8 and 9 using a Vita-approved composite system. #ClearfilMajestyES2Premium - [Palatal Pit Reconstruction with Clearfil Majesty](https://www.clarencetam.co.nz/palatal-pit-reconstruction-with-clearfil-majesty/) - Subtleties in the palatal pit reconstruction of this lovely 17 year old's #2. Hey, a 17 year old's 1.7. Restored with a microlayered approach using Majesty ES-2 Universal #KurarayNoritake #ClearfilMajestyES2 - [Esthetic Rehabilitation | Smile Makeover Auckland](https://www.clarencetam.co.nz/esthetic-rehabilitation-smile-makeover-auckland/) - #EstheticRehabilitation #CosmeticDentistryAuckland #RefinedEsthetics #StartWiththeEndinMind #TSE - [Overerupted Premolar Restorative Tips](https://www.clarencetam.co.nz/overerupted-premolar-restorative-tips/) - This interesting case featured a second bicuspid with distal-facing caries due to the imbrication in the region and overeruption. Restoring it was challenging requiring initial cervical band placement, then coronal displacement of the band to restore the marginal ridge up to the target height. The occlusal embrasure is an area that is often overlooked, but - [Amalgam Removal and Replacement Auckland](https://www.clarencetam.co.nz/amalgam-removal-and-replacement-auckland/) - Class II amalgam replacement feat. the rubber dam rip (!). Restored with the Universal shade of #ClearfilMajestyES2Universal Compressive strength: 348MPa Flexural Strength: 118MPa Filler (wt.%): 78%. - [Class V Banger with GC G-aenial A'Chord](https://www.clarencetam.co.nz/class-v-banger-with-gc-g-aenial-achord/) - Class V banger just in case you wanted a snack. Stats Dentin flexural strength: 165.6MPa A'Chord flexural strength: 168MPa #GCGaenialA'Chord - [Implant Composite Screw Access Closures](https://www.clarencetam.co.nz/implant-composite-screw-access-closures/) - Zr cemented to custom milled Ti-base with screw access closure. Remember to always take an occlusal view of your screw access positions. A: Air particle abrasion: 27-29 micron aluminum oxide at 2-3 bar, 30-40 psi P: MDP primer (10-MDP is an acidic functional monomer) - bonds to Zr C: Composite (i.e. bond, layer composite): XL2 - [Workflow for Complex Dental Makeover](https://www.clarencetam.co.nz/workflow-for-complex-dental-makeover/) - (Afternoon tea pics 1749.8: Smile Designer Pro | IPS e-max) DSD-guided complex esthetic rehabilitation with proportion idealization and buccal corridor support. Pretty intense for the first day back, but hey. Implants restored in the #5 and 3 positions with 3Y Zr fused to custom milled titanium bases. #SmileDesignerPro #TSE #ipsemax - [ZirCAD Prime](https://www.clarencetam.co.nz/zircad-prime-2/) - #ZirCADPrime #NictoneSynthetic #TSE - [Clearfil Majesty ES-2 Universal | Garrison Compositight](https://www.clarencetam.co.nz/clearfil-majesty-es-2-universal-garrison-compositight/) - HERO trio. #MajestyES2Universal #GarrisonCompositight #Nictone - [Voco Grandio SO Compressive Strength 439MPa](https://www.clarencetam.co.nz/voco-grandio-so-compressive-strength-439mpa/) - Deep Class III apically with recurrent caries. Restored using the Garrison Varistrip and A3.5 Grandio SO. #VocoGrandioSO #Garrison - [Clearfil Majesty ES-2 Universal Flexural strength 118MPa](https://www.clarencetam.co.nz/clearfil-majesty-es-2-universal-flexural-strength-118mpa-2/) - Yes, it's only a D2 enamel carious lesion, and we don't treat until D3 however this patient was chronically having food trapped in this region, and so the risk:benefit ratio was worth it. #ClearfilMajestyES2Universal - [Clearfil Majesty ES-2 Premium 347MPa compressive](https://www.clarencetam.co.nz/clearfil-majesty-es-2-premium-347mpa-compressive/) - Composite veneers placed on #8 and 9 to correct old restorative work featuring incorrect primary anatomy, overhangs and marginal staining. Translucency and maverick effects were recreated successfully. Restorative: Clearfil Majesty ES-2 Premium WD, WE, Clear, white tint. #ClearfilMajestyES2 #garrisoncompositight - [Workflow for crown replacement and complex restoration support](https://www.clarencetam.co.nz/workflow-for-crown-replacement-and-complex-restoration-support/) - Workflow for crown nad amalgam removal, core reinforcement and crown replacement. - [Ultradent Transcend Class VI restoration](https://www.clarencetam.co.nz/ultradent-transcend-class-vi-restoration/) - Class IV/VI restoration completed on #8 using #ultradenttranscend Compressive strength: 450MPa Flexural strength: 156MPa - [Clearfil Majesty ES-2 Universal Flexural strength 118MPa](https://www.clarencetam.co.nz/clearfil-majesty-es-2-universal-flexural-strength-118mpa/) - Posterior skulpting courtesy of #ClearfilAPXES2UniversalU #makethathashtagyournewpassword - [Clearfil AP-X ES-2 Compressive strength 347MPa](https://www.clarencetam.co.nz/clearfil-ap-x-es-2-compressive-strength-347mpa/) - Some slick slot work completed using microlayering (Clearfil AP-X Esthetics flow) and AP-X ES-2 Universal U in conjunction with the Garrison Compositight 3D system on a Oral Design Member's daughter. #GarrisonCompositight #KurarayNoritake #ClearfilMajesty #ClearfilAPX #ConservativeDentistry #MID - [How to recontour gingiva using Ultradent Gemini diode laser](https://www.clarencetam.co.nz/how-to-recontour-gingiva-using-ultradent-gemini-diode-laser/) - The ultimate in conservative tissue recontouring. SOFT tissue mods: Ultradent Gemini dual wavelength Superpulsed diode laser (810nm, 980nm) HARD tissue mods: if the biotype allows and the cortical plate is thin enough, a Wedelstaedt chisel can be utilized to move the crest, re-establishing biologic width. 2 week reassessment photograph. #UltradentGemini #KoisCenter #KoisKats - [Microlayered Kerr Simplishade 358MPa](https://www.clarencetam.co.nz/microlayered-kerr-simplishade-358mpa/) - M I C R O L A Y E R I N G // both in a horizontal pattern initially to hybridize the dentin during the DWT 5 minute period followed by lobe-by-lobe replacement to conform to the original anatomy of the teeth. Try to keep as many "compression dome" landmarks as possible during your - [Kerr Simplishade Medium Flexural Strength 110MPa](https://www.clarencetam.co.nz/kerr-simplishade-medium-flexural-strength-110mpa/) - #KerrSimplishadeMedium #GarrisonCompositight3DFusion Vitals: Kerr Simplishade Compressive strength: 358MPa Flexural strength: 110MPa Filler content 81% wt. - [Short Fiber Reinforced Composite Endodontic Access Restoration](https://www.clarencetam.co.nz/short-fiber-reinforced-composite-endodontic-access-restoration/) - Post-RCT access restored with a combination of SFRC GC Ever-X flow layered and Kerr Simplishade Medium. Full coverage indirect restoration required to create a compression dome a la Milicich, Alleman. #EverXFlow #FractureToughness #SFRC #KerrSimplishade - [Ultradent Transcend Resin Particle Match System](https://www.clarencetam.co.nz/ultradent-transcend-resin-particle-match-system/) - (Afternoon tea pics 1735.1: Ultradent Transcend) Today was a slightly tricker and stickier day with the new muse. Still a pretty decent chameleon effect though. Started out really firm, and then became quite soft when applied. #UltradentTranscend Ultradent Southeast Asia Ultradent Products, Inc. #resinparticlematchsystem - [Class III with a composite featuring 187MPa flexural strength](https://www.clarencetam.co.nz/class-iii-with-a-composite-featuring-187mpa-flexural-strength/) - Class III with an A3 from #GrandioSO #Voco - [Lingual groove reconstruction with Ultradent Transcend](https://www.clarencetam.co.nz/lingual-groove-reconstruction-with-ultradent-transcend/) - (Afternoon tea pics 1733.8: Ultradent Transcend) Creating the palatal groove after removal of caries with the UB shade of Transcend #Ultradent Ultradent Products, Inc. - [Ultradent Transcend Flexural Strength 156MPa](https://www.clarencetam.co.nz/ultradent-transcend-flexural-strength-156mpa/) - (Afternoon tea pics 1732.2: Ultradent Transcend UB shade) WHITE LINE FEVER: do you see where I beveled inadequately? #UltradentTranscend #TipsandTricks #Failureequalsprogress #Garrisoncompositight Ultradent Southeast Asia Ultradent Products, Inc. Ultradent ANZ - [Ultradent Transcend Compressive strength 450MPa](https://www.clarencetam.co.nz/ultradent-transcend-compressive-strength-450mpa-2/) - Quick and clean Class I restorations. #UltradentTranscend - [GC G-aenial A'Chord](https://www.clarencetam.co.nz/gc-g-aenial-achord-2/) - Extremely deep tortuous peri-pulpal abrasion lesion restored with microlayers of A3 Majesty Esthetic flowable prior to GC G-aenial A'Chord A3.5. #GCGaenialAchord #ClearfilMajestyflow - [Ultradent Transcend Composite Veneer](https://www.clarencetam.co.nz/ultradent-transcend-composite-veneer/) - Composite Layering to recreate ultimate incisal detail using the new #UltradentTranscend system. Shades used: A1D, EW, EN, Trans Clear and white tint. Dam: Nictone Medium Latex #compositeveneer #compositelayering #directveneer #resinacomposta - [Ultradent Transcend Compressive Strength 450MPa](https://www.clarencetam.co.nz/ultradent-transcend-compressive-strength-450mpa/) - #UltradentTranscend #ClassIreplacement #Recurrentcaries #nictone - [Replacement workflow for old e-max crown](https://www.clarencetam.co.nz/replacement-workflow-for-old-e-max-crown/) - Replacement of old e-max crown on tooth #30. #IPSemax #TSE #Nictone - [Nictone Synthetic Rubber Dam](https://www.clarencetam.co.nz/nictone-synthetic-rubber-dam/) - I know I just got in this morning, but I was keen to try out the Nictone Synthetic dam that I got whilst I was in Guadalajara. I needed to remove the occlusal support "tag" from the PFM cantilever bridge from the first molar-second bicuspid (pontic) before the dam could easily be flossed down. The - [Reverse rubber dam isolation for an implant crown](https://www.clarencetam.co.nz/reverse-rubber-dam-isolation-for-an-implant-crown/) - (Afternoon tea pics 1725.8: Voco Amaris | Rubber Dam Tips for Distal Implant Isolation) Afternoon folks, The rubber dam set-up was reversed as this implant on molar #14 (3.6) was a free end extension/last tooth in the arch. The old Garrison Compositight ring was secured coronal to the position of the reverse-clamped tooth to manage - [Clearfil Majesty ES-2 Universal U](https://www.clarencetam.co.nz/clearfil-majesty-es-2-universal-u/) - #ClearfilMajestyES2 #MatrixinMatrix #ClearfilAPX #DirectPosteriors - [Clearfil AP-X ES-2 Universal | Third molar love](https://www.clarencetam.co.nz/clearfil-ap-x-es-2-universal-third-molar-love/) - Everyone wants to save their third molars, whether they are in function or not. This third molar was heavily-decayed. A microlayered base of Clearfil AP-X Esthetics Flow was utilized before the use of a short fiber reinforced base (Ever-X Flow, GC America) featuring 6micron diameter barium fibers an average of 140microns long. Not quite the - [Direct composite with isolation on a difficult third molar](https://www.clarencetam.co.nz/direct-composite-with-isolation-on-a-difficult-third-molar/) - Sometimes, third molars are exquisitely difficult to isolate and manage, especially if the patient has trismus and a limited opening. Despite the presence of periodontal disease, often some patients just wish to retain the wisdom teeth as they feel generally wiser with them. This case was completed using a single shade of Clearfil Majesty ES-2 - [GC G-aenial A'Chord Class V restoration](https://www.clarencetam.co.nz/gc-g-aenial-achord-class-v-restoration/) - Direct using G-aenial A'Chord A3 #GCAmerica - [Ultradent Transcend Chameleon Effect](https://www.clarencetam.co.nz/ultradent-transcend-chameleon-effect/) - (Afternoon tea pics 1720.5: Ultradent Products, Inc. Transcend) Flexing this new supercomposite which seems to hold its own re: chameleon effect under virtually all circumstances, even stained dentin bases and bleached enamel. Vitals: Compressive strength 450MPa (enamel 384MPa) Flexural strength 156MPa (dentin 165.6MPa) Filler content: 81% #UltradentTranscend #SupercompositeChameleon Ultradent Southeast Asia Ultradent ANZ - [Complex Direct Composite Kerr Simplishade](https://www.clarencetam.co.nz/complex-direct-composite-kerr-simplishade/) - Large complex Class II restoration on this compromised bicuspid restored using a single shade of Simplishade Dark. #GarrisonCompositight #KerrSimplishade #ComplexDirectRestoration - [Class V with Clearfil AP-X ES-2 Universal U](https://www.clarencetam.co.nz/class-v-with-clearfil-ap-x-es-2-universal-u/) - Vitals: Compressive strength: 348MPa Flexural strength: 118MPa #classvmayhem #class5bangers #clearfilapxes2 - [Radicular caries restored with Clearfil AP-X ES-2 Universal](https://www.clarencetam.co.nz/radicular-caries-restored-with-clearfil-ap-x-es-2-universal/) - Bombed out radicular caries on the D aspect of tooth #13 (2.5) with separate contact point caries on both mesial and distal. DME was completed using the Omnimatrix, apologies for not flipping the dam back over - got engrossed. Microlayers completed using AP-X Esthetics flowable (Majesty) and coronal layering completed using a single shade approach - [Class V restorations using GC G-aenial A'Chord](https://www.clarencetam.co.nz/class-v-restorations-using-gc-g-aenial-achord/) - Class V bangers are always very predictable using GC G-aenial A'Chord. #GCAustralasia #Achord #ClassVbangers #Abrasionreversalrestorations - [Ultradent Transcend Class II restoration](https://www.clarencetam.co.nz/ultradent-transcend-class-ii-restoration/) - How's this new chameleon supercomposite? Ultradent Transcend Compressive strength: 450MPa Flexural strength: 156MPa Shade: single Base bolstered with Ever-X Flow to impart greater fracture toughness, although Transcend's instructions report that no color-neutralizing base is required. Axial wall restored with Garrison's Compositight 3D Fusion as per usual. #UltradentTranscend #GarrisonCompositight3DFusion #EverXFlow - [Cervical caries post-pregnancy can be restored to eliminate sensitivity](https://www.clarencetam.co.nz/cervical-caries-post-pregnancy-can-be-restored-to-eliminate-sensitivity/) - This lovely 30 year old lady experienced sensitivity post-pregnancy as a result of cervical hypomineralization and incipient caries on #19, 20 and 21 - the lesions were excavated, the margins beveled and restored via a total etch approach using a single shade of GC Essentia U. For those uninitiated, this is a proprietary blend of - [Smile Design translates to predictable clinical results](https://www.clarencetam.co.nz/smile-design-translates-to-predictable-clinical-results/) - Starting with the end in mind allows for clinical predictability and confidence for both clinician and patient. #IPSemax #SmileDesignerPro - [Esthetic Challenges with a single central incisor](https://www.clarencetam.co.nz/esthetic-challenges-with-a-single-central-incisor/) - CHALLENGES OF A SINGLE CENTRAL INCISOR *Usually Freehand *Dehydration *Positional discrepancies with the contralateral *Dimensional excesses - a very thick tooth in this case Restorative: Voco Amaris Shades O2, TN The beauty of Amaris is in its value-shaded gradient in both enamel and dentin shades. Each shade is separated in color space by 3deltaE, so - [Supercomposite Flowable Class V](https://www.clarencetam.co.nz/supercomposite-flowable-class-v/) - (Afternoon tea pics 1706.2: Clearfil Majesty) 81% filled superflowable #ClearfilMajesty #SmallClassVs #absoluteisolation #nictone Kuraray Noritake Kuraray Noritake USA Kuraray Noritake Dental Europe Kuraray Noritake Australia & New Zealand Kuraray Noritake Polska - [Playing with Dental Proportions](https://www.clarencetam.co.nz/playing-with-dental-proportions/) - 1 week reassessment of BPRs on #7-11. #DSD #CrownLengthening #FrametheSmile #CosmeticDentistry - [Simplishade Dark Class II Reconstruction](https://www.clarencetam.co.nz/simplishade-dark-class-ii-reconstruction/) - #KerrSimplishade Dark #GarrisonCompositight #GCEverX #SFRC #KerrHerculiteUltraXL2 - [Supercomposite Partial Coverage Direct Restoration](https://www.clarencetam.co.nz/supercomposite-partial-coverage-direct-restoration/) - Supercomposites are not made the same. Some have strong esthetic features but compromised physical properties. This one is my go-to for very particular dentist-patients as its ability to withstand masticatory function, chipping and staining is remarkable over a 10+ year recall period at this practice. Vitals: Compressive: 439MPa Flexural strength: 187MPa (after thermocycling 5000 cycles - [Class V Mayhem with GC Gaenial Achord](https://www.clarencetam.co.nz/class-v-mayhem-with-gc-gaenial-achord/) - Cervical hypomineralization secondary to past pharmacy-induced xerostomia and rampant caries. #GCGaenialAChord - [Direct Class I Composite](https://www.clarencetam.co.nz/direct-class-i-composite/) - #GrandioSO #ClassIDirect #Voco - [Workflow for rebuilding a cracked second molar](https://www.clarencetam.co.nz/workflow-for-rebuilding-a-cracked-second-molar/) - (Afternoon tea pics 1700.2: Kerr Dental Simplishade | XL2 Herculite Ultra | GC Ever-X Flow | Garrison Firm Band Garrison Dental Solutions - North America | Ultradent Products, Inc. Omnimatrix) Completing a distal free end Class II restoration is difficult at the best of times due to access, but often a matrix-in-matrix setup can help - [Reducing Buccal Exostoses and Improving Smiles](https://www.clarencetam.co.nz/reducing-buccal-exostoses-and-improving-smiles/) - Gummy smiles are not always desirable by patients as a multitude of sins can be on display: ^ Exostoses ^ Uneven gingival margins and relative gingival zenith heights ^ Dental irregularity of alignment. This case features: ^ DSD-guided Osseous recontouring to reduce the exostoses-generated gingival contour irregularity ^ Crown Lengthening and a 6M healing period - [Minimum occlusal clearance values for Lithium Disilicate Ceramics](https://www.clarencetam.co.nz/minimum-occlusal-clearance-values-for-lithium-disilicate-ceramics/) - (Afternoon tea pics 1698.8: Minimum Occlusal Clearance values for LiSi) A simple replacement of a fractured old CAD/CAM lithium disilicate crown placed at another practice. It is interesting how Prof. Markus Blatz's research showed a similar fracture toughness with preparations featuring occlusal clearance of 1.2mm and 1.6mm. Generally, the minimum clearance required for LiSi is - [Cracks from Amalgam Restorations](https://www.clarencetam.co.nz/cracks-from-amalgam-restorations/) - We all recognize that amalgam in large doses has a very destructive effect on residual tooth structure due to an incompatible coefficient of thermal expansion. In some cases, a full crown is indicated due to the extent of fractured/compromised enamel, which is very rarely visible on a radiograph. #IPSemax #BondedCeramicRestorations - [Simplishade Dark Class II Replacement](https://www.clarencetam.co.nz/simplishade-dark-class-ii-replacement/) - (Afternoon tea pics 1698.8: Garrison Dental Solutions - North America Kerr Dental MX Kerr Dental Kerr Dental UK Kerr Dental Nordic & Baltic) Replacement of an old Class II restoration with a single shade of Simplishade Dark. The shades covered by this cloud shaded system in DARK mode: A3.5, A4, B3, B4, C3, C4. Total - [Crown Replacement Workflow](https://www.clarencetam.co.nz/crown-replacement-workflow/) - Hey Happy Tuesday, What did you have for breakfast? Me? I had some bread and butter crownwork. #IPSemax - [Complex Coronal Reconstruction with an ORMOCER](https://www.clarencetam.co.nz/complex-coronal-reconstruction-with-an-ormocer/) - Yes, it is a public/bank holiday here, but a close friend's mother had a bothersome tooth that she really wanted restored before she went overseas. Ideally indirect ceramic would have been employed, but with temporal restrictions, we opted for an all-ceramic organically-modified composite (i.e. ORMOCER) with a 3.7MPa shrinkage stress. The U/Universal shade on #VocoAdmiraFusion - [Class I dental cavity intricate anatomy](https://www.clarencetam.co.nz/class-i-dental-cavity-intricate-anatomy/) - CLASS 1 MAGIC Developed with #SkoolToolz from #HuFriedy. Restorative: Kerr Simplishade Dark (compressive strength 366MPa, flexural strength 140MPa). #kerrdental - [Crown Lengthening and Composite Veneers](https://www.clarencetam.co.nz/crown-lengthening-and-composite-veneers/) - (Afternoon tea pics 1691.1: Clearfil Majesty ES-2 Premium) Digital Smile Design was completed twice for this case: once to determine the degree of crown lengthening, and once post-crown lengthening to modify the proportions of the teeth. Crown lengthening needed to be an open flap approach due to significant buccal exostoses. 3 months' healing was allotted - [Preparations to Provisionals Workflow](https://www.clarencetam.co.nz/preparations-to-provisionals-workflow/) - PROVISIONAL WORKFLOW | (Afternoon tea pics 1690.3: GC TempSmart | Optiglaze) | Preps2Provisionals workflow // Start with the End in Mind (not finals) | Elements: Digital Smile Design Bioemulation e-Lab 18% neutral grey card Shading using both 3D Master and A-D ingot shade guides TrialSmile, Provisional Critique and APT Crown Lengthening (Diode + Wedelstaedt) Preparation - [Skulpting Skool 101 Composite Workshop Skills](https://www.clarencetam.co.nz/skulpting-skool-101-composite-workshop-skills/) - Case completed using A2 G-aenial A'Chord and Ever-X Flow (Dentin) as a minilayered base. Microlayers below this with A2 AP-X Esthetic Flow. #GCAustralasia #EverXFlow #AChord #APXEsthetic - [Non Invasive Resin Infiltration on a 13 year old female](https://www.clarencetam.co.nz/non-invasive-resin-infiltration-on-a-13-year-old-female/) - (Afternoon tea pics 1688.2: DMG Icon Full Workflow) FULL Icon infiltration protocol on a 13 year old female moderate to advanced incisor hypomineralization case with pre-and-post infiltration transillumination for reference. #DMGIcon #resininfiltration #noninvasivedentistry DMG American Academy of Cosmetic Dentistry American Academy of Esthetic Dentistry - [GC Supercomposite Focus](https://www.clarencetam.co.nz/gc-supercomposite-focus/) - Vitals: Flexural strength 168MPa Shrinkage stress 1.34MPa (GUI for comparison 1.0MPa). Resin matrix component: bis-MEPP with FSC (full silanated coating technology) #AChord #GCGaenial - [Chameleon Composite Functionality](https://www.clarencetam.co.nz/chameleon-composite-functionality/) - In all honesty the Dark variant of Simplishade should have been utilized in this case as it is a little high in value. The saving grace: *Beveling increases the surface area for bonding and also esthetic transition, so a win-win. *Chameleon effect composites refract light at an optimal ratio (RI: 1.52-1.53 ideally) and area able - [AP-X ES-2 Universal chameleon effect demonstration](https://www.clarencetam.co.nz/ap-x-es-2-universal-chameleon-effect-demonstration/) - (Afternoon tea pics 1685.5: Clearfil AP-X ES-2 Universal Dark) A combination of Majesty/AP-X Esthetics flow used to establish an early chameleon effect before AP-X ES-2 Universal Dark was used to skulpt the respective restorations to full and final form. #ClearfilAPXEsthetics #ClearfilAPXES2Universal Kuraray Noritake Kuraray Noritake USA Kuraray Noritake Dental Europe Kuraray Noritake Australia & New - [Extensive abrasion base restored on tooth 6](https://www.clarencetam.co.nz/extensive-abrasion-base-restored-on-tooth-6/) - A wide extensive abrasion base on this canine restored with #GCEssentiaU with a very acceptable chameleon effect. - [Preparations and Provisionals for an 8 unit porcelain dental makeover](https://www.clarencetam.co.nz/preparations-and-provisionals-for-an-8-unit-porcelain-dental-makeover/) - (Afternoon tea pics 1683.5: TempSmart | Optiglaze Color) From Preps to Provisionals utilizing the APT technique by Gurel. *An extensive case of preparations for indirect restorations on teeth 5-12. Provisionals allow a test drive of your definitive restorations relative to speech, function and esthetic show. In this case, the UR1 was slightly wider than the - [Class 3 GC G-aenial A'Chord](https://www.clarencetam.co.nz/class-3-gc-g-aenial-achord/) - Class III magic. #Varistrip from #GarrisonDentalSolutions as the restorative matrix. Garrison fin wedge. No "wedging force" to separate really required. #GC G-aenial A'Chord A3 - single shade. Check out that chameleon. Fissure placed to restore OG anatomy. - [Partial Additions to Short Lateral Incisors](https://www.clarencetam.co.nz/partial-additions-to-short-lateral-incisors/) - Visual derotation and length was desired by this lovely 19 year old on her rounded lateral incisors. Full isolation was attempted but was aborted as ligatures would not seat within the sulcus stably and without significant cervical coverage by the dam (NicTone Medium). A combination of shades were utilized to create a pair of seamless - [DSD Guided Workflow to Provisional Restorations](https://www.clarencetam.co.nz/dsd-guided-workflow-to-provisional-restorations/) - DSD-guided workflow Smile Designer Pro // 7-10 to Provisionalization Stage *Shade selection using both 3D Master and A-D ingot shade guide Ivoclar under polarized and unpolarized lighting with e-Lab protocol. *Open flap osseous recontouring and laser diode gingivectomy *Removal of lithium disilicate restorations *Core Replacement on 8 and 9 *Confirmation of adequate mesiodistal reduction of - [Small Occlusal Composite Restorations](https://www.clarencetam.co.nz/small-occlusal-composite-restorations/) - Tips for occlusal restorations and the avoidance of white line fever Small occlusal restorations are hard to technically layer, but depending on their position relative to a cusp tip, may require different degrees of cavosurface beveling. *The rule of thumb is that you can bond to the ends of enamel rods better than to the - [How to Fix a Chipped or Damaged Tooth](https://www.clarencetam.co.nz/how-to-fix-a-chipped-or-damaged-tooth/) - Struggling with tooth damage? Our Auckland dentist offers dental crowns, veneers, bonding, and other solutions to repair chips and cracks in your smile. - [Dr Clarence Tam Interviewed About Effective Whitening Techniques on Newstalk ZB 89.4 FM](https://www.clarencetam.co.nz/dr-clarence-tam-interviewed-about-effective-whitening-techniques-on-newstalk-zb-89-4-fm/) - Our Auckland dentist was recently interviewed on Newstalk ZB about teeth whitening. Learn whether supermarket products and charcoal can bleach teeth here. - [Class II direct composite workflow with Ever-X and Garrison](https://www.clarencetam.co.nz/class-ii-direct-composite-workflow-with-ever-x-and-garrison/) - (Afternoon tea pics 1678.1: Garrison Dental Solutions - North America | Kerr Simplishade | GC Ever-X Flow) Class II replacement due to marginal failure. Last case of the year folks. Thank you for following my work! I am blessed to have each and every one of you in my life. Wishing you all a meaningful, - [Deep Margin Elevation Tip](https://www.clarencetam.co.nz/deep-margin-elevation-tip/) - This case was insane and such a struggle to DME the distal aspect with the dam on. The B2 was removed completely after multiple (multiple) attempts to entrap the DME matrix within the tines to no avail, and the Omnimatrix with internal Garrison Firm band (matrix-in-matrix) was utilized as both matrix and retainer. Following creation - [Amalgam Replacement | Ever-X | Garrison | Kerr Simplishade](https://www.clarencetam.co.nz/amalgam-replacement-ever-x-garrison-kerr-simplishade/) - This was a fun start to the morning with DME completed first using an Omnimatrix band from Ultradent. Substrate value neutralization using XL2 flow from Kerr Herculite Ultra and fracture toughness addition using GC Ever-X Flow #KerrSimplishade #GarrisonCompositight #DME #GCEverXFlow - [Digital Smile Design-driven Esthetic reconstruction](https://www.clarencetam.co.nz/digital-smile-design-driven-esthetic-reconstruction/) - (Afternoon tea pics 1675.6: Esthetic Reconstruction Immediate Post-Cementation) Transforming lives, one smile at a time. Sure, the requested value of the upper restored teeth don't match the lowers. But for this lovely man, the lowers don't match the gleam from his eyes. Soft and hard tissue modification to balance both pink and white. Big ups - [Building up a Bicuspid with composite resin](https://www.clarencetam.co.nz/building-up-a-bicuspid-with-composite-resin/) - There is no such thing as simple. In such a small area such as an interproximal slot, there are a host of features that one strives to recreate from the distal pit elements to the marginal ridge and occlusal embrasure. It all counts. What about light hypomineralized detail which becomes exaggerated with dehydration during the - [Fracture toughness injection into composite restorations](https://www.clarencetam.co.nz/fracture-toughness-injection-into-composite-restorations/) - A raw, real life situation. Rubber dam gets abraded. Deep peripulpal composite is often left if the margins do not "light up" with dry air abrasion and bonded to using a silane coupling agent (better if you have a 10-MDP/silane coupling agent product as the latter is stabilized chemically by the former). Matrix in matrix - [Fissure caries can be quite deep](https://www.clarencetam.co.nz/fissure-caries-can-be-quite-deep/) - I know, I'm sorry. Easter isn't even until April. #HotCrossBunKillMe #ClearfilMajestyES2Classic #aquacare #believeinclean - [Additive Direct Resin to block out mamelons](https://www.clarencetam.co.nz/additive-direct-resin-to-block-out-mamelons/) - When a 16 year old female hates her mamelons Part Deux. #ClearfilMajestyES2Premium #AdditiveDentistry #BelieveinClean #Aquacare - [Building a Biobase on minimal residual structure](https://www.clarencetam.co.nz/building-a-biobase-on-minimal-residual-structure/) - An ambush is never the exception and quite predictably the rule when you remove an old PFM crown with marginal defects. You almost know what you are going to find and need to rebuild. In this case, CDD was utilized in conjunction with the Komet Ceraburs which magically only seem to remove outer infected dentin - [Proportion Modification to Blend a Crowned Central Incisor](https://www.clarencetam.co.nz/proportion-modification-to-blend-a-crowned-central-incisor/) - Swipe to the end to see the delivered final restoration on this UR central incisor. Proportions modified with the superpulsed dual-wavelength diode from Ultradent and crestal modifications with a Wedelstaedt chisel. Thanks as ever for your artistry, Shin. #TSE #WhyIUltradent #EstheticDentistry #TDG - [Fissure anatomy on a lower second molar](https://www.clarencetam.co.nz/fissure-anatomy-on-a-lower-second-molar/) - Slight variation in fissure anatomy for this case. We decided not to breach/extend on the B aspect of the second molar as the hairline fracture did not penetrate to the level of the DEJ, so a watch is the order of the day. #ClearfilMajestyES2UniversalU - [Deep Class II cavity requiring DME and rubber dam clamp change](https://www.clarencetam.co.nz/deep-class-ii-cavity-requiring-dme-and-rubber-dam-clamp-change/) - Had to switch from a 12A clamp to a B3 to narrow the A-P footprint on tooth #15/2.7 in order to complete DME for this case with unusually apically-positioned caries. The first molar was more straightforward. Monday morning, how fun. Shade: Clearfil Majesty ES-2 Universal Light #KurarayNoritake - [Unique composite shade Grandio SO](https://www.clarencetam.co.nz/unique-composite-shade-grandio-so/) - (Afternoon tea pics 1666.6: Voco Grandio SO GA3.25 | Garrison Dental Solutions - North America Varistrips) There's a unique shade that is the midpoint between an A3 and A3.5 called GA3.25. Worked a charm in this Class III case. Off for le weekend. Stay cool till after school. #VocoGmbH #GarrisonVaristrips VOCO VOCO GmbH - The - [Amalgam replacement and dentin replacement with Ever-X Flow](https://www.clarencetam.co.nz/amalgam-replacement-and-dentin-replacement-with-ever-x-flow/) - (Afternoon tea pics 1665.1: Kerr Simplishade | GC Ever-X Flow) This lovely dentist presented for replacement of an old failed amalgam restoration with recurrent caries. Amalgams as a general rule induce crack formation due to an incompatible coefficient of thermal expansion. Sometimes, the apical extent of these stretch beyond the gingival margin and one has - [G-aenial A'Chord Incisor Rejuvenation](https://www.clarencetam.co.nz/g-aenial-achord-incisor-rejuvenation/) - (Afternoon tea pics 1664.4: GC G-aenial A'Chord) Incisor esthetic enhancement using G-aenial A'Chord shades AO3, A3, IE, JE. Might have gone overboard on the rosebud bur texturization. #GCAustralasia GC Australasia GC America - [Composites on Color Autopilot](https://www.clarencetam.co.nz/composites-on-color-autopilot/) - Flexing the chameleon effect of this beautiful material. #ClearfilMajestyES2Universal #GarrisonCompositight3DFusion - [Rinse and Repeat - a protocol for restoring shear bond strength with last minute dental whitening](https://www.clarencetam.co.nz/rinse-and-repeat-a-protocol-for-restoring-shear-bond-strength-with-last-minute-dental-whitening/) - RINSE & REPEAT This lovely dentist exhibited multiple Class V NCCL lesions that were becoming sensitive. She had inadvertently bleached in the last 24 hours (ideally we wait 10-14 days for the O2+ radicals to dissipate from the tooth structure), but rescheduling was not an option. We utilized a 10% sodium ascorbate solution as a - [Surgical Crown Lengthening to Improve Proportions](https://www.clarencetam.co.nz/surgical-crown-lengthening-to-improve-proportions/) - Start with the End in Mind. A youthful width:height ratio for central incisors ranges from 75:100 to 80:100. We were successful in modifying both gingival and osseous parameters based on a DSD-based protocol. #KoisKats #SurgicalCrownLengthening #StartwiththeEndinMind - [Pediatric Dental Trauma and conservative composite layering](https://www.clarencetam.co.nz/pediatric-dental-trauma-and-conservative-composite-layering/) - Pediatric trauma is one of those clinical scenarios that induces the most angst. The sub-10 year old maxillary central incisor reconstruction is fraught with patient anxiety, emotional/stamina-based difficulty, with partially-erupted/emerged centrals with the cingulum often still a few millimeters subgingival. This makes the placement of ligatures nearly impossible. Both these freehand direct cases were isolated - [Black Triangle Minimization](https://www.clarencetam.co.nz/black-triangle-minimization/) - Triangular no more. Black triangle minimization completed on #8 and 9 with the Varistrips from Garrison and a single shade of A2 G-aenial A'Chord from GC #GCGaenial #GarrisonDentalSolutions - [Onlay Workflow](https://www.clarencetam.co.nz/onlay-workflow/) - #onlayworkflow #IPSemax - [Slot Preps restored with a chameleon supercomposite](https://www.clarencetam.co.nz/slot-preps-restored-with-a-chameleon-supercomposite/) - #MatrixinMatrix #SlotMachine #GaenialAchord - [GC Gaenial Achord and Ever-X Flow synergy in biomimetic dentistry](https://www.clarencetam.co.nz/gc-gaenial-achord-and-ever-x-flow-synergy-in-biomimetic-dentistry/) - Deep Class I caries and layered restorations. Stratification: Deep: FloX A2 x 4 microlayers Stratification: Mid: Ever-X Flow Dentin shade featuring anisotropic properties when curing Stratification: Superficial: G-aenial A'Chord A2 Why did I have to write stratification 3 times? Question of the hour. #G-aenialAchord #GCAmerica #GCAustralasia #EverX #BiomimeticDentin - [Building up a MOD restoration on a bicuspid](https://www.clarencetam.co.nz/building-up-a-mod-restoration-on-a-bicuspid/) - Bicuspid bits. #KerrSimplishade #DirectResin - [Layering of Partial Composite Veneers to derotate teeth](https://www.clarencetam.co.nz/layering-of-partial-composite-veneers-to-derotate-teeth/) - (Afternoon tea pics 1654.5: Partial Composite Veneers | Kuraray Clearfil Majesty ES-2 Premium) Virtually no mamelons were harmed in the creation of these freehand partial coverage composite veneer restorations. A bit of a corkscrew session, with the initial request being only that the mamelons were undesirable on this 18 year old female. When the appointment - [Crown Leakage and Replacement with new bonded porcelain crown](https://www.clarencetam.co.nz/crown-leakage-and-replacement-with-new-bonded-porcelain-crown/) - Lascivious. #IPSemax #bondedporcelainrestorations - [Complex Composite Restorations with Seamless Transitions](https://www.clarencetam.co.nz/complex-composite-restorations-with-seamless-transitions/) - (Afternoon tea pics 1652.3: Kuraray Clearfil Majesty ES-2 Premium) We had the opportunity to provide a seamless restoration replacement for this lovely dentist (split dam isolation was the only option due to the presence of a fixed lingual retainer) with a primary etiology of incisor hypomineralization. A variety of shades were used, but broadly XWE - [Dehydration and Rehydration Effects in a Composite Veneer case](https://www.clarencetam.co.nz/dehydration-and-rehydration-effects-in-a-composite-veneer-case/) - (Afternoon tea pics 1651.3: Kuraray Majesty ES-2 Premium | Dehydration) Rehydration coming in CLUTCH at the reassessment. Dehydration can occur within minutes, changing the reflective property of enamel by dropping the refractive index through the loss of water. The difference between the value of the treated tooth on the penultimate and last slide is remarkable. - [Class V bangers using Clearfil Majesty ES-2 Classic](https://www.clarencetam.co.nz/class-v-bangers-using-clearfil-majesty-es-2-classic/) - (Afternoon tea pics 1650.0: Kuraray Majesty ES-2 Classic) Banging out some Class V bangers using Majesty ES-2 Classic A3. Substrate optimization courtesy of #aquacare #ClearfilMajestyES2 Kuraray Noritake Kuraray Noritake Australia & New Zealand Kuraray Noritake USA Kuraray Noritake Dental Europe - [Class II direct resin workflow](https://www.clarencetam.co.nz/class-ii-direct-resin-workflow/) - (Afternoon tea pics 1649.9: Clearfil Majesty ES-2 Universal U | Garrison Dental Solutions - North America) Prep | Matrix | Restore | Score. Maybe not always the last part. #ClearfilMajestyES2Universal #GarrisonCompositight #Class2Workflow #DirectResin Kuraray Noritake Kuraray Noritake USA Kuraray Noritake Dental Europe Kuraray Noritake Australia & New Zealand - [Composite Layering Protocol for Lower Second Molar](https://www.clarencetam.co.nz/composite-layering-protocol-for-lower-second-molar/) - LAYER WITH ME. A small late cancellation this morning allowed us the chance to execute a breath-by-breath treatise of this occlusal restoration on tooth #4.7/31. Surface preparation: cavosurface bevels and Aquacare 29 micron aluminum oxide air particle abrasion Total etch adhesive: Peak Universal Bond Resin Coat: Clearfil Majesty Esthetic flowable A2 x 4 microlayers Opaque - [Poisson Effect and Peripheral Rim Fractures](https://www.clarencetam.co.nz/poisson-effect-and-peripheral-rim-fractures/) - (Afternoon tea pics 1647.7: Kuraray Clearfil Majesty ES-2 Universal U) Peripheral rim fractures are often seen as a part of the Poisson effect, where solids can seemingly compress and exhibit elastic deformation, according to my mentor Dr. Graeme Milicich. Amalgam restorations do not bond to the peripheral walls and as such do not contribute any - [Aquacare Dental Air Abrasion and Sylc Protocol](https://www.clarencetam.co.nz/aquacare-dental-air-abrasion-and-sylc-protocol/) - (Afternoon tea pics 1646.1: Aquacare Protocol with and without calcium phosphosilicate) 1) Typically, 29 micron aluminum oxide is applied with a water solution containing 17.5% ethanol. 2) For a selective etch mode, application of Sylc (calcium phosphosilicate) allows occlusion of open dentinal tubules and provides another substrate for the 10-MDP in self-etching adhesive monomers to - [Multiaxial composite resin incisor reconstruction](https://www.clarencetam.co.nz/multiaxial-composite-resin-incisor-reconstruction/) - (Afternoon tea pics 1645.5: Clearfil Majesty ES-2 Premium) A 14y.o. male presented to the practice status-post trauma to tooth 1.1/#8. Non-reduced lateral and buccoapical luxation resulted in a tooth exhibiting buccoversion. Recontouring was completed of the tooth prior to a freehand layered composite restoration incorporating the horizontal maverick effects present in the pre-dehydration control view. - [Class V banger Kerr Simplishade Light](https://www.clarencetam.co.nz/class-v-banger-kerr-simplishade-light/) - Hitting it and quitting for the weekend. Excellent Class V banger chameleon effect courtesy of #KerrSimplishadeLight on this lovely patient who hugged me so hard I think I can see backwards. #ClassVbangers - [Veneer margin design and position | Duchenne smile](https://www.clarencetam.co.nz/veneer-margin-design-and-position-duchenne-smile/) - Final reassessment of supragingival veneer margins on #6-13/1.3-2.5 with intentional maintenance of the midline diastema. Always test the Duchenne smile (maximum ugly lip dynamic potential) and if the gingival margin remains hidden, a supragingival finish line will give you a better chance of keeping your margins within enamel. #TSE #veneerprepdesign - [Chasing Cracks in Amalgam-filled teeth](https://www.clarencetam.co.nz/chasing-cracks-in-amalgam-filled-teeth/) - (Afternoon tea pics 1642.3: Chasing Cracks) Fighting Crack and Crime in Gotham City. #19 and 20. //CariesDetectorDye //MicroAirAbrasion used dry can light up residual crack lines and you can decide how far to chase them //Matrix in Matrix system used for predictable proximoaxial contour re-creation on the second bicuspid #TSE #Ivoclar #biomimeticrestorativedentistry #VocoGrandioSO VOCO VOCO - [Provisionals are the key to Prosthodontic Predictability](https://www.clarencetam.co.nz/provisionals-are-the-key-to-prosthodontic-predictability/) - "If the eyes are the window to the soul, and the smile the key to the heart, then the provisional is the precursor to prosthetic success." This yet-to-be-completed case combined a risky "day of surgery" transsulcular ostectomy and gingival recontouring (Dual wavelength 810nm, 980nm Superpulsed diode 1.2W, Gemini, Ultradent Products) in conjunction with removal of - [Rapid Sequence Cementation | Absolute Isolation](https://www.clarencetam.co.nz/rapid-sequence-cementation-absolute-isolation/) - (Afternoon tea pics 1640.8: Rapid Sequence Cementation | Absolute Isolation) RAPID SEQUENCE CEMENTATION // Absolute Isolation This gentleman ideally would benefit from indirect restorations from 6-11 especially given the attrition on the canines. He declined this, citing that finances were better helping the poor, so I am cool with that. A compromise in design, but - [Lithium disilicate is lit](https://www.clarencetam.co.nz/lithium-disilicate-is-lit/) - PFM crowns are gross. #lithiumdisilicateislit #ivoclar - [Rebuilding the Biobase after removing a gold crown](https://www.clarencetam.co.nz/rebuilding-the-biobase-after-removing-a-gold-crown/) - (Afternoon tea pics 1638.9: Clearfil Panavia SA Universal | GC Ever-X Flow) What do you normally find under gold crowns like these? In this case, a combination of GIC and amalgam was the saveur du jour. To keep thing minimally-invasive, micro air abrasion, IDS and a resin coat were performed with multiple microlayers. Ever-X Flowable - [Redesign of a Smile using Porcelain and Zirconia Restorations](https://www.clarencetam.co.nz/redesign-of-a-smile-using-porcelain-and-zirconia-restorations/) - Huge partial reconstruction case with many obstacles and ambushes. A fluid mix of lithium disilicate and zirconia restorations. Many thanks to Shin for your delicate artistry. #TheShinEffect #Ivoclar #AstratechImplants - [Direct Complex Crown reconstruction in composite resin](https://www.clarencetam.co.nz/direct-complex-crown-reconstruction-in-composite-resin/) - We started from the bottom now we're here. Literally. A coronally-decimated unopposed tooth desperately in need of a bonded porcelain restoration. Unfortunately, due to financial constraints, this lovely woman opted for a direct complex composite overlay. Looks the part, but remember, "...composite seals the tooth; it does not protect the tooth." ~ Kois #KerrSimplishade #MatrixinMatrix - [Adhesive Cementation of Veneers under Absolute Isolation](https://www.clarencetam.co.nz/adhesive-cementation-of-veneers-under-absolute-isolation/) - #CementationWorkflow #CosmeticDentistry #TheShinEffect #Ivoclar #EmaxCeram - [Class V restorations under rubber dam with primary and secondary clamps](https://www.clarencetam.co.nz/class-v-restorations-under-rubber-dam-with-primary-and-secondary-clamps/) - #ClassVbanger #ClassVsequence #GCEssentiaU #Aquacare #HuFriedy - [Partial Dental Composite Restoration Replacement Workflow](https://www.clarencetam.co.nz/partial-dental-composite-restoration-replacement-workflow/) - Partial composite replacement therapy ** Margins beveled ** Micro particle abrasion (29 micron aluminum oxide) ** Etch ** Silane coupling agent with MDP (G-MultiPrimer | Clearfil Ceramic Primer) ** 2% CHX (aq) scrub for 30 seconds ** Bond ** Microlayers of Clearfil Majesty Esthetic flowable ** Lobe by lobe recontruction #KerrSimplishade #VocoFinalTouchtints #DirectComposite #clearfilceramicprimer #gmultiprimer - [Absolute Isolation for Adhesive Cementation of Veneers](https://www.clarencetam.co.nz/absolute-isolation-for-adhesive-cementation-of-veneers/) - (Afternoon tea pics 1632.2: Adhesive Cementation Workflow for Veneers) Absolute isolation utilized for adhesive bonding of veneers from #6-11. Primary/stabilizing clamp: Brinker B2 Secondary/retracting clamp: Brinker B4 Cement: Ivoclar Variolink Esthetic LC Neutral Dam: Nictone Medium latex #Veneercementationworkflow #Ivoclar Ivoclar #TSE - [A Biobase strengthens the dentin-resin bond over time](https://www.clarencetam.co.nz/a-biobase-strengthens-the-dentin-resin-bond-over-time/) - Personally, I like to stay away from occlusal indirect ceramic overlay margins for this reason. This case was indicated for retreatment due to interproximal recurrent caries. It's really amazing how completing IDS and a resin coat can decontaminate and insulate against post-op sensitivity, optimize dentin shear bond strengths over time even with loads of dentin - [Smile Reconstruction with Pre-Prosthetic Orthodontics](https://www.clarencetam.co.nz/smile-reconstruction-with-pre-prosthetic-orthodontics/) - Final staged post-operative integration check Multi-staged esthetic reconstruction with a pre-existing implant in the #9 position. Suresmile orthodontics was completed to resolve anterior crossbite and idealize buccal corridors, OB and OJ as much as possible. DSD was completed to plan proportions relative to the face A combination of lithium disilicate and polychromatic Y-ZTP ranging from - [White Fillings that look Invisible](https://www.clarencetam.co.nz/white-fillings-that-look-invisible/) - Recurrent caries on the MO aspect of #3 and deep caries on #2O. The Compositight 3D Fusion system coming in clutch for predictable re-creation of contact anatomy and strength. Final Touch brown tint used for subtle characterization. #VocoGrandioSO #GarrisonCompositight3DFusion - [Clearfil Majesty ES-2 Classic cervical abrasion lesion](https://www.clarencetam.co.nz/clearfil-majesty-es-2-classic-cervical-abrasion-lesion/) - Dual abrasion lesions in this second bicuspid dealt with effectively using a single shade of Clearfil Majesty ES-2 Classic. Polishing was completed via a three stage procedure consisting of a pre-polisher, and ASAP diamond brushes all polished wet as per my preference. #ClearfilMajestyES2Classic #CliniciansChoiceASAP - [Isolation for a deep carious margin](https://www.clarencetam.co.nz/isolation-for-a-deep-carious-margin/) - The combination of the ligature and Teflon here really saved the day on this near-crestal-level margin. #IPSemax #TheShinEffect - [Majesty ES-2 Universal in a Class V situation](https://www.clarencetam.co.nz/majesty-es-2-universal-in-a-class-v-situation/) - (Afternoon tea pics 1626.6: Kuraray Clearfil Majesty ES-2 Universal U) This chameleon composite is so buttery you don't need to moisturize. #legsfordays #classvbangers - [Clearfil Majesty ES2 Universal Matrix in Matrix technique](https://www.clarencetam.co.nz/clearfil-majesty-es2-universal-matrix-in-matrix-technique/) - This tooth was sensitive to the TOOTHSLEUTH/FRACFINDER and exhibited recurrent caries in addition to a M-D transverse crack that was chased until the air abrasion didn't "light up the crack" anymore. A tip is to use the abrasion unit dry and if it lights up the fracture margin, follow it as a guide until the - [Variant anatomy on a first molar with composite](https://www.clarencetam.co.nz/variant-anatomy-on-a-first-molar-with-composite/) - Molar with rizz. Past exposures were re-exposed when removing the deficient restorations, and thankfully the pulp was self-hemostatic after a 2 minute soak with 2% CHX (aq). A resin modified calcium silicate, Theracal LC was placed and light cured. A Biobase was microlayered on top consisting of Majesty Esthetic flowable and superficial layers of Ever-X - [Designing Anatomy for a heavily restored molar in composite resin](https://www.clarencetam.co.nz/designing-anatomy-for-a-heavily-restored-molar-in-composite-resin/) - (Afternoon tea pics 1623.5: Kerr Simplishade | Garrison Compositight 3D Fusion) Last restorative appointment for the day, very deep gingivally, but very gratifying. Layering: typically my compass point is the MB cusp - if the shape of this is correct, generally you will be able to "see" the rest of the composition. Rubber dam: you - [Aquacare used in minimally-invasive composite bonding](https://www.clarencetam.co.nz/aquacare-used-in-minimally-invasive-composite-bonding/) - This dentition was really crowded with adaptive occlusal attrition prior to orthodontic alignment with Suresmile. A minimally-invasive approach was utilized with a simple trilaminar technique to rebuild form and function into these little minions. Shades used: Voco Amaris TN (trans neutral), O2 (Opaque Value 2), HT (High Trans flow) not in that order of course. - [Biomimetic Reconstruction of a broken down tooth](https://www.clarencetam.co.nz/biomimetic-reconstruction-of-a-broken-down-tooth/) - FROM GO TO WHOA // Extensive caries that compromises a line angle is always fun. *Rubber dam (Nictone Medium - Heavy with a ligature would have been better methinks) *Caries detector dye (Kuraray) *Cerabur excavation of caries (Komet) *Surface preparation/micro particle abrasion (Aquacare) *Adhesive bonding (Peak Universal, Ultradent) *Resin coat (Kuraray Clearfil Majesty Esthetic flowable) - [Aquacare Micro particle abrasion system](https://www.clarencetam.co.nz/aquacare-micro-particle-abrasion-system/) - The features I like best: // 29 micron aluminum oxide with simultaneous water spray // 3-graded foot pedal: air, air/water, air/water/abrasion // Calcium phosphosilicate surface treatment at a turn of a dial. Enjoy this action shot. Almost looks like there is kickback at 2-3bar. Maybe. I just need to work out. - [Class V bangers with Essentia U](https://www.clarencetam.co.nz/class-v-bangers-with-essentia-u-2/) - Class V bangers with #GCEssentiaU - [Composite Veneer to Derotate a Tooth](https://www.clarencetam.co.nz/composite-veneer-to-derotate-a-tooth/) - L A Y E R S // DErotate // Caries #vocoamaris #GarrisonDentalSolutions - [Biomimetic composite resin GC G-aenial A'Chord](https://www.clarencetam.co.nz/biomimetic-composite-resin-gc-g-aenial-achord/) - Loving on this composite as it has a virtually identical flexural strength to native dentin. G-aenial A'Chord: 168MPa Dentin: 165.6MPa. #biomimeticdentistry #directcompositeartistry #GCAustralasia - [Dental Heroics Ferrule increase via crown lengthening on a bicuspid](https://www.clarencetam.co.nz/dental-heroics-ferrule-increase-via-crown-lengthening-on-a-bicuspid/) - Heroics to restore a coronally-decimated endodontically-treated second bicuspid. The patient wished to crown lengthen and retain the root for one last attempt at the use of his natural tooth. The post-operative bitewing shows apicalization of the restorative margin in order to regain ferrule as well as apical saucerization of the crest. #crownlengthening #savingteeth #IPSemax - [APT Technique for Controlled Preparations](https://www.clarencetam.co.nz/apt-technique-for-controlled-preparations/) - (Afternoon tea pics 1615.1: APT Workflow) A.P.T. was still used in this case despite an existing full coverage PFM crown and complex restorations on the #9 (vital) and 8 (non-vital), respectively. A large diastema existed in the midline, thus requiring margin positions of 0.5mm subgingivally to allow "running room" for the emergence profile in an - [Chasing cracks and caries when reconstructing teeth](https://www.clarencetam.co.nz/chasing-cracks-and-caries-when-reconstructing-teeth/) - The S T R U G G L E is real. // Recurrent caries // Ringbarked dental caries around proximofacial aspect of #19. // Variant coefficient of thermal expansion between amalgam and enamel/dentin // Vertical hairline fractures // Sclerotic, stained dentin base // Caries on #20DOB Slide 5 shows how we anchored the Brinker to - [Social Six Smile Makeover](https://www.clarencetam.co.nz/social-six-smile-makeover/) - S O C I A L S I X. I rarely get away with "just doing six." Normally, combinations are 2, 4, 8 or 10 in a given arch. Here we used a florid mix of veneers, crowns and an implant with microlayering with e-max Ceram. Thanks to #TSE for your artistry as ever. #emax - [Using the Ceramic Rosebud Komet Burs to remove caries](https://www.clarencetam.co.nz/using-the-ceramic-rosebud-komet-burs-to-remove-caries/) - #KerrSimplishade #GarrisonCompositight #HuFriedy #nictone #BicuspidBisous - [Shallow Simple Class I](https://www.clarencetam.co.nz/shallow-simple-class-i/) - Simple shallow Class I #KerrSimplishade - [Using the matrix in matrix assembly on a clamped tooth](https://www.clarencetam.co.nz/using-the-matrix-in-matrix-assembly-on-a-clamped-tooth/) - The difficulty and fun with this case was the sheer depth of the free-end extension Class II on the actual clamped tooth. An Omnimatrix was utilized to retain the Garrison Firm Band and driven apically with finger pressure trapping said assembly within the confines of the tines. Hey, that rhymes. #GarrisonFirmBand #MatrixinMatrix #KerrSimplishade - [Complex Direct Layering using a Supercomposite material](https://www.clarencetam.co.nz/complex-direct-layering-using-a-supercomposite-material/) - Marginal failure in multiple regions on this first molar called for a staged layering approach using a Supercomposite. The palatal aspect was freehanded, converting the OP into a proper Class I before occlusal layering. #VocoGrandioSO #VocoFinalTouch - [Reconstruction within a dental reconstruction](https://www.clarencetam.co.nz/reconstruction-within-a-dental-reconstruction/) - Who doesn't like a little AMBUSH in an esthetic rehabilitation case, with many sins hidden by the sheer white radiographic glare of a PFM. Tooth #4 - well, with the cast post/core intact for now, what are you going to do, dig it out? Tooth #5 exhibited bombed out caries on the distal aspect nearly - [Amalgam incompatibility with tooth structure](https://www.clarencetam.co.nz/amalgam-incompatibility-with-tooth-structure/) - (Afternoon tea pics 1607.2: Clearfil Majesty ES-2 Universal U) Interesting demonstration of the thermal incompatibility of an amalgam restoration over time. Not only does amalgam not bond to enamel or dentin, it also has a greater coefficient of thermal expansion, which when paired with tensile forces focused in the palatal concavities wreaks havoc. Isolation semi-compromised - [Bonding Composite Adjacent to Ceramic](https://www.clarencetam.co.nz/bonding-composite-adjacent-to-ceramic/) - First case off the block on a consult-heavy day. Long-standing sensitivity to #3P secondary to standard cervical abrasion. Just able to sneak the B4 tine apical to the subgingival margin. Single shade chameleon effect demonstration using #ClearfilMajestyES2Classic - [Preparation and Gingivectomy Workflow](https://www.clarencetam.co.nz/preparation-and-gingivectomy-workflow/) - (Afternoon tea pics 1605.1: Prep and Gingivectomy Workflow) START with the END in mind. Gingival recontouring was completed with the Ultradent Gemini diode on Superpulsed mode (810nm, 980nm) simultaneously with veneer preparations in this case. Crestal sounding confirmed that osseous recontouring was not indicated. Normal crest position: 85% of the time High crest position: 2% - [small simple composite layered restorations](https://www.clarencetam.co.nz/small-simple-composite-layered-restorations/) - (Afternoon tea pics 1604.4: Voco Amaris) small | SIMPLicity #VocoAmaris VOCO GmbH - The Dentalists #okayitneedssecondaryanatomy - [Class V restoration to eliminate abrasion and tetracycline-based hypoplasia](https://www.clarencetam.co.nz/class-v-restoration-to-eliminate-abrasion-and-tetracycline-based-hypoplasia/) - Class V banger on this first patient who insisted on no anesthesia. Stressed me out more than her for sure. #GCEssentiaU #tetracyclinehypoplasia - [Sectional Replacement of old restoration | Voco Grandio SO](https://www.clarencetam.co.nz/sectional-replacement-of-old-restoration-voco-grandio-so/) - I apologize, I had to restore the occlusal of the first molar even though I was leaving the old DO and MO alone just to make it look a little more realistic. #VocoGrandioSO #GarrisonCompositight3DFusion - [Caries under old fissure sealants](https://www.clarencetam.co.nz/caries-under-old-fissure-sealants/) - More surprise/supplice fissurotomy action. Chameleon effect exhibited by #KerrSimplishadeMedium. "Just because it's there, doesn't mean it hasn't failed and in some cases may be the main etiological factor behind recurrent decay. We must re-examine our definition of clinical success." - [Fissurotomies which turn into definitive caries](https://www.clarencetam.co.nz/fissurotomies-which-turn-into-definitive-caries/) - In French class Lundi soir dernier, I learned the harsh difference between "C'est une surprise" which sounds remarkably like "C'est une supplice," the latter which means torture. This fissurotomy case wasn't really as much torture as it was a surprise. #KerrSimplishade #ClassIdeepfissurotomies - [Alignment and Intrusion with Suresmile Orthodontics](https://www.clarencetam.co.nz/alignment-and-intrusion-with-suresmile-orthodontics/) - Intrusion, alignment and restoration of confidence. Time: 6 months. #SuresmileOrtho - [Class V bangers with a chameleon composite](https://www.clarencetam.co.nz/class-v-bangers-with-a-chameleon-composite/) - Class V bangers with the one and only A2:A3 50:50 ratio blend. #GCEssentiaU - [Brasseler Crown Spreader use | Crown Workflow](https://www.clarencetam.co.nz/brasseler-crown-spreader-use-crown-workflow/) - This old PFM crown exhibited interproximal recurrent caries noted radiographically. The instrument used to section the crown is a CRSPR instrument from Brasseler. The core buildup was completed using a combination of Majesty Esthetic flowable and Ever-X Flow. Between digital and analog I still marginally favor the latter due to predictability of fit for minimal - [Vita approved composite resin system](https://www.clarencetam.co.nz/vita-approved-composite-resin-system/) - Subtle additions to minimize sensitivity on this molar using the only Vita-approved composite shading system. #MajestyES2 #ClassVadditiveresin - [Short fiber reinforced composite restoration](https://www.clarencetam.co.nz/short-fiber-reinforced-composite-restoration/) - Range of opening 25mm. But wide enough for limited excavation of hairline fractures before placing a short fiber-reinforced composite microlayered base. Restored with the chameleon composite A'Chord A2 which features a flexural strength of 168MPa which is nearly exactly dentin. An indirect overlay is planned for the near future. #SFRC #GaenialAchord #GCEverXFlow - [Locator abutment-retained complete dentures](https://www.clarencetam.co.nz/locator-abutment-retained-complete-dentures/) - Removable prosthodontics is a passion as it revisits first principles of functional-esthetic rehabilitation at its heart and in its procedural progression. This case features a simple upper complete removable prosthesis and the complete lower denture is retained by 2 x Locator abutments. A whole different person and feistiness has emerged! #RemovableImplantDentureProsthetics - [Additive Composite Resin](https://www.clarencetam.co.nz/additive-composite-resin/) - Good thing my parents made me take Kumon when I was young a consequence of which gave me a passion for additive solutions. Like this case eliminating marred old resin, cervical abrasion simultaneously. #GCGaenialAchord #AdditiveDentistry - [Subtle resin additions to even out enamel texture](https://www.clarencetam.co.nz/subtle-resin-additions-to-even-out-enamel-texture/) - Limited surface additions to "regularize" the topography of the enamel, which somehow drove the patient mad. Are you a regular? #ClearfilMajestyES2Classic - [Class V chameleon magic with G-aenial A'Chord](https://www.clarencetam.co.nz/class-v-chameleon-magic-with-g-aenial-achord/) - Straight in with two Class V bangers restored with the G-aenial A'chord system, a cloud-shaded composite system. The shade utilized here, A3, covers A3, B3, C2, C3, D4. #GaenialAchord #chameleoncomposites #classVbangers - [APC Technique in Zirconia Bonding for Implant Screw Access Closures](https://www.clarencetam.co.nz/apc-technique-in-zirconia-bonding-for-implant-screw-access-closures/) - A.P.C. is one of my favorite brands, but also happens to be one of the keystone techniques for bonding to Zr. The secret sauce is 10-MDP, an acidic monomer which is able to chemically bond to metal oxides. There is no silica in Zr, so the fact that silane is stabilized by MDP is just - [Fracture Toughness recovery using Ever-X Flow](https://www.clarencetam.co.nz/fracture-toughness-recovery-using-ever-x-flow/) - An old crown was removed and planned for replacement on this lovely 82 year old female due to recurrent caries on the radicular surface. The rubber dam was affixed and a floss ligature dragged circumferentially focusing on D axial wall exposure with PTFE. The core was replaced using a combination of Ever-X Flow and Clearfil - [Small Composite Additions are the Hardest](https://www.clarencetam.co.nz/small-composite-additions-are-the-hardest/) - The small things relative to the incisal window make these lesions actually some of the hardest to restore seamlessly. As you can tell it is far from perfect, but a good friend once said, "Perfection is impossible, but if you chase it, you might catch excellence." Some considerations: - The presence and balance of opacity - [Black Triangle Closure using Garrison Varistrips](https://www.clarencetam.co.nz/black-triangle-closure-using-garrison-varistrips/) - An extensive black triangle case to challenge the morning, in actuality in the same patient as yesterday's case. Restored using a combination of Clearfil Majesty Esthetic flowable and A2 Grandio SO with #GarrisonVariStrips - [Supercomposite use in black triangle closure](https://www.clarencetam.co.nz/supercomposite-use-in-black-triangle-closure/) - Decided to use the Garrison Varistrips as an alternative to the Slick bands for subgingival adaptation simply as this "black triangle" was virtually almost a diastema closure with coronal extent. A single shade of Voco Grandio SO was utilized. This Supercomposite features a compressive strength of 439MPa (enamel = 384MPa, Dentin = 297MPa) and an - [Balancing Pink and White Esthetics in Preparations](https://www.clarencetam.co.nz/balancing-pink-and-white-esthetics-in-preparations/) - (Afternoon tea pics 1385.5: Planning for improvements in pink and white symmetry) Happy Tuesday, and back to the grind. This patient was a lovely beekeeper who is status-post enamel-dentin uncomplicated fractures as a teenager. *The existing overprepared PFM crowns have been with him since and it is only until recently that he wanted to attempt - [Social Six dentistry to enhance the smile with a limited budget](https://www.clarencetam.co.nz/social-six-dentistry-to-enhance-the-smile-with-a-limited-budget/) - Space reproportioning and a drastically brighter color were the demands of this lovely lady. But limited to the upper social six only for now due to financial constraints. Angulated Screw Channel with a Medentika TiBase worked well on this Astratech Osseospeed EV implant. #TSE #SocialSixReconstruction - [Bonding to Zirconia using Blatz APC technique](https://www.clarencetam.co.nz/bonding-to-zirconia-using-blatz-apc-technique/) - (Afternoon tea pics 1583.7: APC Technique Blatz) Implant Screw Access Closure on this crazy Friday on the same tooth in two separate clinical cases using the #Blatz #APCtechnique #VocoAmaris Markus B. Blatz VOCO GmbH - The Dentalists - [DMG Resin Infiltration - no drill no fill](https://www.clarencetam.co.nz/dmg-resin-infiltration-no-drill-no-fill/) - No drill, no fill. #DMG #ResinInfiltration #noninvasivedentistry - [Class V bangers with GC Gaenial A'Chord](https://www.clarencetam.co.nz/class-v-bangers-with-gc-gaenial-achord/) - #GC #GaenialAchord - [Bespoke Microlayered Porcelain Veneers Auckland](https://www.clarencetam.co.nz/bespoke-microlayered-porcelain-veneers-auckland/) - Feldspathic-microlayered e-max indirect restorations to correct and balance this lovely lady's Social 8. I really dislike the "quick and dirty" monolithic lithium disilicate milled restorations with simple stain and glazing. #Social8SmileDesign #SmileDesignerPro #BespokePorcelainVeneers - [Voco Amaris](https://www.clarencetam.co.nz/voco-amaris/) - 4 day post-operative reassessment of a freehand Voco Amaris multistratified composite veneer with no preparation of her peg lateral incisor. #freehand #peglateral #VocoAmaris - [Conservative Crown for a Broken Down Molar](https://www.clarencetam.co.nz/conservative-crown-for-a-broken-down-molar/) - Conservative full coverage to support this fractured and heavily restored tooth using lithium disilicate as a bonded ceramic restorative. #IPSemax #TSE #conservativedentistry - [Matrix in matrix technique using Simplishade and Garrison Compositight](https://www.clarencetam.co.nz/matrix-in-matrix-technique-using-simplishade-and-garrison-compositight/) - Matrix in Matrix with #Simplishade and #Compositight3DFusion - [Caries on tooth #15](https://www.clarencetam.co.nz/caries-on-tooth-15/) - A simple Class I carious lesion restored with the cloud-shaded #Simplishade Medium from #KerrDental - [Peg Lateral Incisor Composite Layering](https://www.clarencetam.co.nz/peg-lateral-incisor-composite-layering/) - Freehand direct peg lateral layered composite veneer completed with #VocoAmaris #ValueBasedShadedComposites #peglateralcomposite - [Implant Screw Access Direct Composite Closures](https://www.clarencetam.co.nz/implant-screw-access-direct-composite-closures/) - Sometimes, try to use a slightly lighter color to allow visual recognition of composite vs. zirconia. Here Amaris O2 was utilized with a little Final Touch brown tint in the fissure system for elevated realism. Often the rubber dam clamp is quite uncomfortable around a distal implant anchor tooth. Here a Kerr Soft Clamp was - [Slot Prep Precision Restoration](https://www.clarencetam.co.nz/slot-prep-precision-restoration/) - Slot preps are all about the small details. #VocoGrandioSO #FinalTouchtints - [Simple back to back Class I and Class II direct restoration](https://www.clarencetam.co.nz/simple-back-to-back-class-i-and-class-ii-direct-restoration/) - Keeping things simple. #KerrSimplishade #KISS - [Gaenial Achord used in Class 5 restorations](https://www.clarencetam.co.nz/gaenial-achord-used-in-class-5-restorations/) - Extensive Class V stained cervical hypocalcification secondary to a prolonged period of poor oral hygiene and salivary flow on this lovely woman. A ringbarking pattern is evident intraorally. As she has whitened previously, a single shade of A2 G-aenial A'Chord was utilized for this restoration. #GaenialAchord #ClassVhypomineralizationlesions - [Extensive Class 5 banger quadrant dentistry](https://www.clarencetam.co.nz/extensive-class-5-banger-quadrant-dentistry/) - Extensive quadrant Class V bangers restored using the A2:A3 blend #GCEssentiaU composite demonstrating the intense chameleon ability of this material. - [Generating translucency and window effects in a composite veneer](https://www.clarencetam.co.nz/generating-translucency-and-window-effects-in-a-composite-veneer/) - GREY MATTER: This patient desired a no-preparation augmentation of this grey lateral incisor. The attempt at extreme "irregular" translucency with a halo effect. Less halo than desired, slightly excessive trans especially in the dehydrated shot. #VocoAmaris - [Large extended root wear restorations](https://www.clarencetam.co.nz/large-extended-root-wear-restorations/) - Extended Class V restorations with a single shade of #GCEssentiaU - [Preprosthetic dental whitening](https://www.clarencetam.co.nz/preprosthetic-dental-whitening/) - PRE-PROSTHETIC whitening on this 7 year old shows the beauty of slow and steady - 2 week interim bleaching result with 10% carbamide peroxide (Opalesence, Ultradent Products) in well-sealed custom bleaching trays can also have an adjunct bactericidal effect reducing gingival margin inflammation and setting things up nicely for replacement of old composite restorations on - [Voco Amaris Incisor Repair with Multiple Layers](https://www.clarencetam.co.nz/voco-amaris-incisor-repair-with-multiple-layers/) - Repair of #9MIBP using a multilayered approach using #VocoAmaris - [Kerr Simplishade](https://www.clarencetam.co.nz/kerr-simplishade-2/) - #Simplishade #ClassIDirectEsthetics - [Class III supercomposite restoration](https://www.clarencetam.co.nz/class-iii-supercomposite-restoration/) - Class III on the DL of this lower canine made the afternoon fun. #VocoGrandioSO #ClassIIIintegration #Supercompositeresto - [Voco Grandio SO Class 2 restoration](https://www.clarencetam.co.nz/voco-grandio-so-class-2-restoration/) - #EstheticIntegration #VocoGrandioSO - [Layered Composite Partial Veneer with Voco Amaris](https://www.clarencetam.co.nz/layered-composite-partial-veneer-with-voco-amaris/) - STRATIFICATION of artistically layered composite additions to balance symmetry of these central incisors. Some dehydration on #9 exists but based on the pre-operative shot the reassessment should be smick. #VocoAmaris - [Garrison Wide Prep Ring with Voco Supercomposite](https://www.clarencetam.co.nz/garrison-wide-prep-ring-with-voco-supercomposite/) - Extended Class II with lingual extension. Normally, to secure a normal matrix one would need supragingival margins for the tines to purchase against or an intact line angle. Without these, one would have to freehand/circumferential/matrix in matrix technique build the line angle before a sectional matrix was able to be secured. The wide prep ring - [Clearfil Majesty ES-2 Class V restorations](https://www.clarencetam.co.nz/clearfil-majesty-es-2-class-v-restorations/) - Subgingival abrasion lesions with sensitive dentin exposure restored with a single shade of A2 #ClearfilMajestyES2Classic - [Supercomposite Skulpting](https://www.clarencetam.co.nz/supercomposite-skulpting/) - Extended Class I Supercomposite replacements with #VocoGrandioSO - [Slow Dentistry Class II restoration](https://www.clarencetam.co.nz/slow-dentistry-class-ii-restoration/) - Slow-mo caries removal on #12/2.4DO restored using a single shade of A2 Grandio SO and Final Touch Brown using the Garrison Compositight 3D Fusion system. #GrandioSO #VocoDental #GarrisonCompositight #SlowDentistry #Dermadam - [Complex carefully layered quadrant composite restorations](https://www.clarencetam.co.nz/complex-carefully-layered-quadrant-composite-restorations/) - Matrix-in-matrix and traditional Garrison Compositight 3D Fusion action used sequentially in this quadrant dentistry case. Restorative #KerrSimplishade Bond #KerrOptibondSoloPlus Compressive strength: 366MPa Flexural strength: 140MPa - [Boosting your smile with natural dental esthetics](https://www.clarencetam.co.nz/boosting-your-smile-with-natural-dental-esthetics/) - Smile Design can boost confidence and change lives. DSD-guided Smile Design on #5-12 with the view to include #13 in the near future on this lovely lady #TSE #Ivoclar #SmileDesignerPro #DSD #PorcelainVeneersAuckland #NaturalDentalEsthetics - [Indirect DSD-guided Smile Makeover Workflow](https://www.clarencetam.co.nz/indirect-dsd-guided-smile-makeover-workflow/) - DSD-guided workflow with APT 4.2 Astratech Osseospeed EV in #8 site Non-vital #9-10 Rampant caries and need for interproximal preparations Conversion of #11 into a full coverage restoration Final impressions taken using Heraeus Flexitime - [Amalgam Removal Services Auckland](https://www.clarencetam.co.nz/amalgam-removal-services-auckland/) - Amalgam replacement with a single shade of #GrandioSO #Voco #FinalTouch. - [Bevels to reduce white lines around composite resin](https://www.clarencetam.co.nz/bevels-to-reduce-white-lines-around-composite-resin/) - Let's talk about B E V E L S . It is difficult to bond to the sides of enamel rods, rather it is better to bond to the ends. This means that if your occlusal isthmus is narrow you need very little beveling but as your cavosurface margin becomes closer to a cusp tip - [Voco Grandio SO Class V restoration](https://www.clarencetam.co.nz/voco-grandio-so-class-v-restoration/) - One of my few trials of Voco Grandio SO in a Class V situation. The reason I have steered away from using this Supercomposite in this indication is that it is a little tougher/stiffer, which I really like for occlusals, but prefer Class V composites to be a bit softer. I think it did quite - [Direct composite MOD restoration Voco Grandio SO](https://www.clarencetam.co.nz/direct-composite-mod-restoration-voco-grandio-so/) - Ambushed by caries on the mesial on this first bicuspid. #VocoGrandioSO #GarrisonCompositight - [Voco Grandio SO Superinvisibility](https://www.clarencetam.co.nz/voco-grandio-so-superinvisibility/) - Super-invisible with a Supercomposite: #VocoGrandioSO. Subtle tinting executed using Final Touch brown also by Voco. - [Sculpting natural fissures with composite resin](https://www.clarencetam.co.nz/sculpting-natural-fissures-with-composite-resin/) - Skulpting our way to a very naturomimetic result with the "uber-nice handling" Kerr Simplishade with contours provided courtesy of the #GarrisonCompositight3DFusion. #Simplishade #Compositight3DFusion #PosteriorDirectEsthetics #PosteriorRestoration - [Invisible Layered Composite Restorations](https://www.clarencetam.co.nz/invisible-layered-composite-restorations/) - 1 week reassessment of direct stratified composite restorations on #8 and 9. #CompositeVeneers #InvisibleClassIV #AACD #CaseType4 - [Subtleties with Supercomposite](https://www.clarencetam.co.nz/subtleties-with-supercomposite/) - Supercomposite Subtleties to start the morning. #VocoGrandioSO #439MPacompressivestrength - [Voco Grandio SO Supercomposite in Action](https://www.clarencetam.co.nz/voco-grandio-so-supercomposite-in-action/) - #VocoGrandioSO #GarrisonCompositight - [Rebonding new composite to old composite](https://www.clarencetam.co.nz/rebonding-new-composite-to-old-composite/) - Sometimes I don't know why some dentists are allergic to indirect restorations - we tried to restore a vertical shear fracture on this old Rhondium OVC overlay M marginal ridge using a dovetailed approach with chemical bonding courtesy of GC MultiPrimer/silane coupling agent when an indirect restoration would clearly have a better prognosis. A single - [Clearfil Majesty ES-2 Universal](https://www.clarencetam.co.nz/clearfil-majesty-es-2-universal-2/) - #ClearfilMajestyES2Universal #GarrisonCompositight - [Smile Design that Changes The Personality of your Face](https://www.clarencetam.co.nz/smile-design-that-changes-the-personality-of-your-face/) - A cohesive, pleasing and natural appearing smile opens doors like you wouldn't believe. #SmileDesign #LifeHacks #CosmeticDentistry #PorcelainVeneers - [Invisible composite restorations to repair incisor fractures](https://www.clarencetam.co.nz/invisible-composite-restorations-to-repair-incisor-fractures/) - Symmetrical Class IV attrition lesions restored seamlessly with incisal window characterization comprising translucency, maverick effects, halo effect, variant dentin depths. Restorative: Voco Amaris O3, TL, HT, white tint (Final Touch). #VocoAmaris #CosmeticDentistry #CompositeArtistry - [Crown Workflow with Core Partial Replacement](https://www.clarencetam.co.nz/crown-workflow-with-core-partial-replacement/) - A typical workflow for a full coverage partial core replacement situation. #IPSemax #TSE #dentalceramicworkflow - [Fissure Sealant created with nature in mind](https://www.clarencetam.co.nz/fissure-sealant-created-with-nature-in-mind/) - A deep Fissurotomy and corresponding direct restoration. #Simplishade #Deepfissuresealant - [Avia Pervia the art of making something complicated look simple](https://www.clarencetam.co.nz/avia-pervia-the-art-of-making-something-complicated-look-simple/) - A buccal restoration is not just a buccal. It is a sluiceway for masticated food to escape in the chewing cycle. Avia pervia. #aviapervia #VocoGrandioSO - [Tricks to restore a rotated tooth with composite](https://www.clarencetam.co.nz/tricks-to-restore-a-rotated-tooth-with-composite/) - Working some magic on this rotated bicuspid with deep recurrent decay. The Garrison Wide Prep ring was utilized successfully in this challenging case. Direct chameleon effect courtesy of #KerrSimplishade #Compressivestrength366MPa - [Reducing White Lines on Composite Restorations](https://www.clarencetam.co.nz/reducing-white-lines-on-composite-restorations/) - White Line Fever // The cause of this is tearing of the interfacial surfaces between composite and enamel during polymerization contraction of the increment, often exaggerated if a section of enamel has not been beveled adequately. In this case, the corresponding region on the pre-operative view is clear, and this area of "white line fever" - [Smile Makeover Auckland with Bonded Porcelain Layered Art](https://www.clarencetam.co.nz/smile-makeover-auckland-with-bonded-porcelain-layered-art/) - POV APT driven preparations and cementation of the Social Eight. #APTGurel #IPSemax #TheShinEffect #PorcelainVeneersAuckland #CosmeticDentistryAuckland - [Matrix in Matrix used in quadrant biomimetic dentistry](https://www.clarencetam.co.nz/matrix-in-matrix-used-in-quadrant-biomimetic-dentistry/) - Back to back Class II quadrant dentistry using the matrix-in-matrix technique and a single shade of #KerrSimplishadeMedium Compressive strength: 366MPa (enamel 384MPa) Flexural strength: 110MPa (dentin 165.6MPa) - [Pre-prosthetic Suresmile Ortho and Smile Designer Pro](https://www.clarencetam.co.nz/pre-prosthetic-suresmile-ortho-and-smile-designer-pro/) - This case was set up nicely within 1 year as part of pre-prosthetic orthodontics using Suresmile and glass fiber-reinforced composite Maryland bridge in the #7 position (inadequate root uprighting occurred for an implant-supported solution) before a Digital Smile Design-guided protocol was used to deliver bonded indirect porcelain restorations in the #5-12 positions. The Maryland bridge - [Partial composite veneers](https://www.clarencetam.co.nz/partial-composite-veneers/) - Extensive Class V's are like partial composite veneers. Three dimensional form is critical. #GCEssentiaU - [Subtleties with composite resin make all the difference in smile design](https://www.clarencetam.co.nz/subtleties-with-composite-resin-make-all-the-difference-in-smile-design/) - (Afternoon tea pics 1532.2: Voco Amaris | Grandio SO) Subtleties to refine the shapes on these anterior teeth 7, 8 and10 using a combination of shades from #VocoAmaris and #VocoGrandioSO - [Atlantis custom abutment implant screw access closure](https://www.clarencetam.co.nz/atlantis-custom-abutment-implant-screw-access-closure/) - Atlantis custom gold-shaded Ti abutment cemented to Zr suprastructure on this #4-5P anterior-facing cantilever implant bridge. A 4.2 EV Osseospeed fixture was utilized in this case. The screw access was restored using the APC approach according to Blatz utilizing micro particle abrasion, MDP primer and composite of course. Don't forget that Zr loves phosphates so - [Preserving Tooth Structure in a Crown Preparation Design](https://www.clarencetam.co.nz/preserving-tooth-structure-in-a-crown-preparation-design/) - Intentional buccal overhang to plan for coverage of the extensive buccal composite restroration with bonded ceramic - by creating this intentional overhang, your path of insertion is now linguoapically and you must create draw on the LO line angle, which is far more conservative than removing the BO line angle bulk. #LessisMore #TSE #Ivoclaremax - [Crack Removal and Root Insulation with Composite Resin](https://www.clarencetam.co.nz/crack-removal-and-root-insulation-with-composite-resin/) - Crack removal and root insulation direct restorative procedures, microlayered with the best: both Clearfil Majesty Esthetic flowable and ES-2 Classic. #ClearfilMajesty - [Suresmile Orthodontics and Predictable Movements](https://www.clarencetam.co.nz/suresmile-orthodontics-and-predictable-movements/) - Loving the predictability of #SuresmileOrtho in this 55 year old male. Enamel fractures in the lower anterior sextant were pre-existing and will be planned for treatment after vital bleaching. - [Clearfil Majesty ES 2 Universal](https://www.clarencetam.co.nz/clearfil-majesty-es-2-universal/) - #KurarayMajestyES2Universal - [Kuraray Clearfil Majesty ES-2 Universal](https://www.clarencetam.co.nz/kuraray-clearfil-majesty-es-2-universal/) - #ClearfilMajestyES2Universal - [Partial restoration replacement](https://www.clarencetam.co.nz/partial-restoration-replacement-2/) - Partial restoration replacement on #14 and 15/2.6 and 2.7 #Chameleoncomposite #KurarayMajestyES2Universal - [Mimicking Incisor Hypomineralization with Composite Veneers](https://www.clarencetam.co.nz/mimicking-incisor-hypomineralization-with-composite-veneers/) - Invisible Composite Veneers on #8 and 9 mimicking hypomineralization. Pre-prosthetic resin infiltration and whitening completed as part of treatment. Courtesy of #KurarayMajestyES2Premium - [Atlantis Custom Zirconia Crown Ti Abutment Access Closure](https://www.clarencetam.co.nz/atlantis-custom-zirconia-crown-ti-abutment-access-closure/) - Atlantis custom Ti abutment cemented to Zr crown with screw access closed using the #MDP approach by #Blatz. A single of #VocoAmaris O2 was utilized with Final Touch tints. - [Class V bangers with Essentia U](https://www.clarencetam.co.nz/class-v-bangers-with-essentia-u/) - Class V bangers #GCEssentiaU - [How to use Bioceramic sealer in a dental pulpotomy](https://www.clarencetam.co.nz/how-to-use-bioceramic-sealer-in-a-dental-pulpotomy/) - This old amalgam on the upper left wisdom tooth was covering a large Cavit plug against a direct pulp cap with radiating hairline fractures. The patient had recently started to have sensitivity to cold (A-delta fibers) with the tooth and when exodontia was advised, asked whether it was possible at all to save the tooth. - [Treating Invasive Hypomineralization](https://www.clarencetam.co.nz/treating-invasive-hypomineralization/) - What would you do? // Sometimes, hypomineralization ringbarks around a tooth, and it is up to the clinician to determine what is a good endpoint for preparation extension. For me, normally facially positioned hypomin is a more accessible location for patients to maintain with a remineralization regime. The tooth was treated in this case due - [Clearfil Majesty ES-2 Universal replacement of amalgam](https://www.clarencetam.co.nz/clearfil-majesty-es-2-universal-replacement-of-amalgam/) - Amalgam removals and replacement using a single Universal/U shade of #ClearfilMajestyES2UniversalU - [Garrison Compositight 3D Fusion](https://www.clarencetam.co.nz/garrison-compositight-3d-fusion/) - Working out Class II problems with my favorite matrix system: Garrison Compositight 3D Fusion for "limited interproximal axial clearance between teeth Garrison Strata-G: for large spaces and more aggressive emergence profiles to close larger spaces. #VocoGrandioSO #GarrisonCompositight #GarrisonStrataG - [Conservative Zirconia Crown](https://www.clarencetam.co.nz/conservative-zirconia-crown/) - Conservative full coverage to support compromised tooth structure and replace old composite restorations on tooth #21/3.4. #ZirCADPrime #Ivoclar #TSE - [Supercomposite restoration of a crack compromised tooth](https://www.clarencetam.co.nz/supercomposite-restoration-of-a-crack-compromised-tooth/) - Poussin effect (occlusal effect) marginal ridge and buccolingual vertical hairline fractures reduced and the tooth #18/3.7 MODBL supported using a microlayered bonded supercomposite restoration with carefully dialled in occlusion. 12 years later, #VocoGrandioSO is still a top choice. #VocoSupercomposites #SkulptingSkool101 - [Porcelain Veneer Workflow](https://www.clarencetam.co.nz/porcelain-veneer-workflow/) - (Afternoon tea pics 1515.1: IPS e-max) POV workflow from APT controlled reduction to provisionalization to seating a beautiful 8 unit case with IPS emax with a value higher than Vita 0M1. #TSE #NailedIt #SmileMakeoverAuckland #PorcelainVeneers #AACDAccredited Ivoclar Shinichiro Tsuji - [Rejuvenating old composite veneers](https://www.clarencetam.co.nz/rejuvenating-old-composite-veneers/) - Afternoon tea pics 1514.5: Kuraray Majesty ES-2 Premium) Restoring previously restored #8 and 9 using a combination of shades from #KurarayMajestyES2Premium and of course cured predictably with the lovely #ValoX. XWE, WD, Clear and white tint used for this case featuring generalized moderate to advanced fluorosis. Kuraray Noritake Dental Europe Kuraray Noritake Dental Europe Kuraray - [Garrison Strata-G | Kerr Simplishade](https://www.clarencetam.co.nz/garrison-strata-g-kerr-simplishade/) - #KerrSimplishade #GarrisonStrataG - [Voco Grandio SO Complex Reconstruction](https://www.clarencetam.co.nz/voco-grandio-so-complex-reconstruction/) - Direct reconstruction (full coverage indirect ideal but rejected) of tooth #2 on a patient with trismus. Proximal contouring was a sheer joy, one can imagine. #VocoGrandioSO #GarrisonCompositight - [Dental protection for the hard brushing individuals](https://www.clarencetam.co.nz/dental-protection-for-the-hard-brushing-individuals/) - Dental protection for the hard brushing peeps. Chameleon effect en pointe. #GCEssentiaU #hardbrushers - [Garrison Compositight and Voco Grandio SO](https://www.clarencetam.co.nz/garrison-compositight-and-voco-grandio-so/) - One of my favorite combinations in action. #VocoGrandioSO #GarrisonCompositight3DFusion #biomimeticdentistry #dentistrymimickingnature - [IPS e-max bonded to virtually no ferrule](https://www.clarencetam.co.nz/ips-e-max-bonded-to-virtually-no-ferrule/) - Full coverage replacement for a relatively new full coverage crown completed at another practice. Always challenging when you have virtually no ferrule. #IPSemax #BondedCeramics - [Implant screw access closure on a zirconia crown](https://www.clarencetam.co.nz/implant-screw-access-closure-on-a-zirconia-crown/) - Implant access closure on a zirconia-cemented-to-Ti base crown on tooth #30. #APC + #Amaris = a match made in heaven. - [Endodontic Closure layering sequence](https://www.clarencetam.co.nz/endodontic-closure-layering-sequence/) - Endodontic access closure using the #APC technique on this old zirconia crown. Buccal lobes are layered first before the lingual. #VocoAmaris used for recreating a virtually virgin tooth. - [Gum recontouring with the Ultradent Gemini laser](https://www.clarencetam.co.nz/gum-recontouring-with-the-ultradent-gemini-laser/) - Gingival recontouring completed on this lovely 20 year old female to better balance #5-12 using the dual-wavelength Superpulsed diode laser from Ultradent #Gemini working at both 810nm and 980nm, the former with a specific affinity for hemoglobin so an effective hemostasis wavelength, and the latter for water, which works well in photobiomodulation modalities, all pulsed - [Making dental cervical abrasion a thing of the past](https://www.clarencetam.co.nz/making-dental-cervical-abrasion-a-thing-of-the-past/) - Class V bangers with a single shade of A3 from GC #GaenialAchord. A light subsurface orange:brown tint was applied to the E before the final layer in order to impart greater chroma on this tooth. #GC #GaenialAchord #cervicalabrasion - [Using the Garrison Wide Prep Ring with Voco Grandio SO](https://www.clarencetam.co.nz/using-the-garrison-wide-prep-ring-with-voco-grandio-so/) - (Afternoon tea pics 1504.6: Voco Grandio SO | Garrison Compositight 3D Fusion) D I R E C T | Large dose composite action. #Voco #GrandioSO #GarrisonWidePrepRing #MatrixinMatrix #Compositight3DFusion - [Voco Amaris used to close Atlantis Angled Screw Channel](https://www.clarencetam.co.nz/voco-amaris-used-to-close-atlantis-angled-screw-channel/) - Implant closure following the APC technique by Prof. Markus Blatz. A single shade of #VocoAmaris O2 was used after microlayering the base with a white tint. - [Closing large gaps between teeth with Strata-G](https://www.clarencetam.co.nz/closing-large-gaps-between-teeth-with-strata-g/) - Partial replacement of old composite on the second bicuspid with mesial axial addition to improve the "straight" axial contour, with complete replacement of the restoration on the first bicuspid. Garrison's Strata-G worked brilliantly here where the spacing of the teeth was fairly extreme and required aggressive burnishing and a more aggressive axial contour in order - [Supercomposite use in large enamel and dentin structural defects](https://www.clarencetam.co.nz/supercomposite-use-in-large-enamel-and-dentin-structural-defects/) - (Afternoon tea pics 1501.2: Voco Grandio SO | Final Touch) Is your composite a supercomposite? With a compressive strength of 439MPa, #VocoGrandioSO exceeds that of enamel (384MPa) and dentin (297MPa). Its flexural strength only drops from 187MPa to 158MPa after 5000 thermocycles (dentin = 165.6MPa). What does your composite flexural strength look like after 5000 - [When to use Garrison Strata G and Compositight 3D Fusion](https://www.clarencetam.co.nz/when-to-use-garrison-strata-g-and-compositight-3d-fusion/) - T A K E A W A Y S #KerrSimplishadeMedium is the shade to select for Vita A2. #GarrisonCompositight3DFusion was used here although #GarrisonStrataG would have been a better choice due to its more aggressive axial contour/curve. - [Orthodontics and Veneers with a Maryland Bridge design](https://www.clarencetam.co.nz/orthodontics-and-veneers-with-a-maryland-bridge-design/) - This lovely lady exhibited: Missing upper right lateral incisor, mesialized canine, peg upper left lateral incisor, asymmetrical spaces. Digital Smile Design and pre-prosthetic orthodontic planning and execution was completed to idealize the positions of the coronal aspects - ideally I would have wanted an implant in the #7 position but the patient's patience had run - [Class 5 protection with GC Dental](https://www.clarencetam.co.nz/class-5-protection-with-gc-dental/) - Class V protection #GCGaenialAchord - [Replacement Composite Restorations in a trauma case](https://www.clarencetam.co.nz/replacement-composite-restorations-in-a-trauma-case/) - Re-restorations of traumatized teeth #8 and 9 with intact chromatic core material. Shades: Voco Amaris O1, TL, HT, white tint. #VocoAmaris #CompositeLayering #FreehandEsthetics - [Redesigning a smile with porcelain replacement veneers](https://www.clarencetam.co.nz/redesigning-a-smile-with-porcelain-replacement-veneers/) - Do you notice the differences? Subtleties in porcelain esthetic rehabilitation redefined with this DSD-driven microlayered lithium disilicate solution. #IPSemax #ThankstoTSE - [Erosive Damage Restored using Composite Resin](https://www.clarencetam.co.nz/erosive-damage-restored-using-composite-resin/) - Erosion can leave "old composite" alone but dissolve everything below it. This extreme case was on a lower left wisdom tooth and represents one of the last chances to save it as full indirect bonded porcelain on this tooth may not be favorable re: cost:benefit ratio. Pour restorative love and effort into every tooth, no - [How to make a Maryland Bridge and Veneer Blend with Nature](https://www.clarencetam.co.nz/how-to-make-a-maryland-bridge-and-veneer-blend-with-nature/) - (Afternoon tea pics 1494.4: IPS e-max Maryland Bridge) Ovate pontic site in the #10 position created using the Kois Surgical protocol for site development with immediate provisionalization. Final view shows "papillae" formation just 2 days post-operatively. Pontic connector dimensions should ideally be 4mm in height and 3mm in thickness for lithium disilicate; 3mm in height, - [Restoring Fractures and restoring confidence with composite layering](https://www.clarencetam.co.nz/restoring-fractures-and-restoring-confidence-with-composite-layering/) - (Afternoon tea pics 1493.6: Kuraray Majesty ES-2 Premium) Just casually restoring confidence to this brilliant young 9 year old man after his soccer head-vs-teeth accident. #KurarayMajestyES2Premium - [Class III Supercomposite](https://www.clarencetam.co.nz/class-iii-supercomposite/) - Class III on tooth #10 with a supercomposite. What a rush on a Thursday morning =) #VocoGrandioSO - [Full Crown Workflow](https://www.clarencetam.co.nz/full-crown-workflow/) - Some teeth really require full coverage for function and esthetics. I like to be conservative but also have some mechanical resistance form on the teeth whilst preserving as much bulk of residual tooth structure as possible. Lingual margin is mid-coronal in position. #TSE #Ivoclar #Crownworkflow - [Biomimetic composite in the cervical third](https://www.clarencetam.co.nz/biomimetic-composite-in-the-cervical-third/) - My favorite Vita-shaded material for Class V applications. Reasons: 1.34MPa shrinkage stress Flexural strength: 168MPa (dentin is rated at 165.6MPa) so with the paucity of enamel in the cervical aspect this dentin-centric composite works really biomimetically both functionally and esthetically. #GCGaenialAchord #biomimeticcomposite - [Using the Garrison Compositight matrix system](https://www.clarencetam.co.nz/using-the-garrison-compositight-matrix-system/) - My go-to sectional matrix for efficient Class II's. Voco Grandio SO used here in a single shade technique. #GarrisonDentalSolutions #Compositight3DFusion - [Amalgam removal and replacement with a Supercomposite](https://www.clarencetam.co.nz/amalgam-removal-and-replacement-with-a-supercomposite/) - Simple amalgam removal and replacement using the gold standard supercomposite #VocoGrandioSO #439MPacompressivestrength #sanctuaryrubberdam #amtechdental - [Stabilizing teeth with cracks caused by dental amalgams](https://www.clarencetam.co.nz/stabilizing-teeth-with-cracks-caused-by-dental-amalgams/) - Amalgams cause cracks part II. What is your solution for apically extending hairline fractures which if dissected out may mean the end of the tooth? Full crowns decimate residual tooth structure and do not prevent the propagation of cracks. Restorative: Kerr Simplishade Medium Cloud-shaded chameleon composite Base: microlayered Kerr Herculite Ultra flowable XL2 shade #KerrSimplishadeMedium - [Did you know that Dental Amalgam induces crack formation](https://www.clarencetam.co.nz/did-you-know-that-dental-amalgam-induces-crack-formation/) - I really don't like amalgam restorations. This was restored with a single shade of #SimplishadeMedium #GarrisonCompositight #AmalgamsCauseCracksPSA - [Lightening exposed root surfaces](https://www.clarencetam.co.nz/lightening-exposed-root-surfaces/) - Class V banger replacement using a single shade of #KurarayMajestyES2Classic #Chameleoncomposite - [The Matrix in Matrix technique in dental restorations](https://www.clarencetam.co.nz/the-matrix-in-matrix-technique-in-dental-restorations/) - // Matrix in Matrix // Garrison Compositight 3D Fusion // Cracks in Teeth Removed #KerrSimplishadeMedium #GarrisonDentalSolutions - [Supercomposite in small doses](https://www.clarencetam.co.nz/supercomposite-in-small-doses/) - Making teeth look untouched is one of the joys of coming to work. Using a proven supercomposite to ensure long term performance is another privilege. #VocoGrandioSO - [Complex Composite Reconstruction of a tooth post trauma](https://www.clarencetam.co.nz/complex-composite-reconstruction-of-a-tooth-post-trauma/) - Restoration of MIDBP near-complicated enamel-dentin fractures on this lovely 9 year old boy with shape design freehanded but guided by old photographs. Shades used: A2D, A2E, Clear #MajestyES2Premium with white tint from #VocoFinalTouch. Halo is a 9:1 ratio of white:orange. #ACC #Trauma #InvisibleDentistry #ComplexCompositeRestoration - [Revirginization of Teeth with Bonded Composite](https://www.clarencetam.co.nz/revirginization-of-teeth-with-bonded-composite/) - Re-virginization is a thing. #MajestyES2Classic #ClassVbangers #InvisibleDentistry - [Garrison Strata-G used for its more aggressive curvature](https://www.clarencetam.co.nz/garrison-strata-g-used-for-its-more-aggressive-curvature/) - (Afternoon tea pics 1480.2: Kerr Simplishade | Garrison Strata-G) The greater curvature of the axial contour of Strata-G was beneficial here in re-establishing: 1) Firm contact 2) Occlusal embrasure form Kerr Simplishade is perfect for: non-tacky, full control skulpting #skulptingskool #GarrisonStrataG #KerrSimplishade #UltradentDermadam Garrison Dental Solutions Garrison Dental Solutions - North America Kerr Dental MX - [Simplicity and Strength in Posterior Composites with Voco](https://www.clarencetam.co.nz/simplicity-and-strength-in-posterior-composites-with-voco/) - #VocoGrandioSO - [Matrix in a matrix technique in Class II restorations](https://www.clarencetam.co.nz/matrix-in-a-matrix-technique-in-class-ii-restorations/) - #MatrixinMatrix #PartialReplacementTherapy #ClassIIbacktoback #KerrSimplishade #GarrisonCompositight3DFusion - [Amalgams induce crack formation in teeth](https://www.clarencetam.co.nz/amalgams-induce-crack-formation-in-teeth/) - It's no secret that amalgam restorations induce cracks in teeth from their vastly different coefficient of thermal expansion. It is still a priority to retain a maximum volume of tooth structure (a.k.a. crowning a tooth does not strengthen an anterior tooth as it depends on flexural resistance which comes from pericervical enamel and dentin) and - [Essentia U blends with tetracycline stained teeth](https://www.clarencetam.co.nz/essentia-u-blends-with-tetracycline-stained-teeth/) - This shade had a great chameleon effect with the cervical aspect of these tetracycline-affected teeth. #invisibledentistry #ClassVbanger #GCEssentia #Bioemulation - [Reducing Functional Strain in Class V abrasion situations](https://www.clarencetam.co.nz/reducing-functional-strain-in-class-v-abrasion-situations/) - (Afternoon tea pics 1475.1: Kuraray Majesty ES-2 Classic) Class V lesions 1.5mm or greater showed unacceptable/detrimental functional/chewing strain to the margins over time, but this effect was reversed to control values when restored. Du JK, Wu JH, Chen PH, Ho PS, Chen KK. Influence of cavity depth and restoration of non-carious cervical root lesions on - [Composite Class II restoration replacement](https://www.clarencetam.co.nz/composite-class-ii-restoration-replacement/) - Class II replacement with #VocoGrandioSO #MatrixinMatrixtechnique - [Voco Amaris Composite Veneers](https://www.clarencetam.co.nz/voco-amaris-composite-veneers/) - A series of 3 composite veneers, two completed on #8 and 9 (1.1/2.1) and one completed on #23/3.2 with Voco Amaris. Shades: O2, TL, HT, white tint. #VocoAmaris #Compositeveneers - [Porcelain Overlays that Blend into tooth structure](https://www.clarencetam.co.nz/porcelain-overlays-that-blend-into-tooth-structure/) - How to make a supragingival margin blend: 1) Choosing the right ingot 2) Stump shade communication (ND shade guide = Ivoclar) 3) Margin design #IPSemax #TheShinEffect #HTingot - [Replacing CEREC with Composite](https://www.clarencetam.co.nz/replacing-cerec-with-composite/) - I find Cerec and indirect occlusal margins to not perform as well as composite over time. Hence I will never complete an indirect ceramic inlay, I will use composite for this end until which time it is time to overlay. #VocoGrandioSO #HerculiteUltraflowableXL2 #KerrANZ - [Flat Occlusion with anatomic detail](https://www.clarencetam.co.nz/flat-occlusion-with-anatomic-detail/) - Keeping it flat when replacing old restorations in a patient with generalized moderate attrition. #VocoGrandioSO #FlatOcclusion - [Matrix in a Matrix approach to rebuilding a free end Class II situation](https://www.clarencetam.co.nz/matrix-in-a-matrix-approach-to-rebuilding-a-free-end-class-ii-situation/) - #VocoGrandioSO #MatrixinMatrix #GarrisonFirmBand - [Voco Grandio SO in a complex composite restoration](https://www.clarencetam.co.nz/voco-grandio-so-in-a-complex-composite-restoration/) - #VocoGrandioSO #MatrixinMatrix #GarrisonFirmBand - [Cracks can act as superhighways for dental cavities](https://www.clarencetam.co.nz/cracks-can-act-as-superhighways-for-dental-cavities/) - Do you like how cracks can act as superhighways to seed secondary caries? Intentional overhang removed from M concavity region of #5. #GarrisonCompositight3DFusion #VocoGrandioSO #sanctuaryrubberdam #amtechdental - [How to use Garrison Strata-G sectional matrix](https://www.clarencetam.co.nz/how-to-use-garrison-strata-g-sectional-matrix/) - The MOD restoration was replaced on #4 as the contacts were loose and irregular. We took the opportunity to spruce up the occlusal anatomy simultaneously. The Garrison Strata-G sectional matrix was utilized as this features a more aggressive axial curve which is perfect for these situations. #GarrisonStrataGmatrix #VocoGrandioSO #Dermadam - [Cervical abrasion repairs and replacements](https://www.clarencetam.co.nz/cervical-abrasion-repairs-and-replacements/) - Class V restoration repairs and replacements completed using a single shade of #GCEssentiaU - [Esthetics of Simplishade in a Slot Composite Restoration](https://www.clarencetam.co.nz/esthetics-of-simplishade-in-a-slot-composite-restoration/) - Ever wished to see how this material esthetically integrates in a slot situation? Wish no more for here is your wish granted. You're welcome. #KerrSimplishade #SanctuaryDentalrubberdam #AmtechDentalNZ - [Simplishade result in a Class V restoration](https://www.clarencetam.co.nz/simplishade-result-in-a-class-v-restoration/) - Using Simplishade Medium for this Class V extended restoration. The handling of this material is perfectly tuned to my preference. #KerrSimplishade #ClassVbangers - [Rebuilding a mesially drifted bicuspid with composite](https://www.clarencetam.co.nz/rebuilding-a-mesially-drifted-bicuspid-with-composite/) - Without tinting to match hypocalcified streak detail, this restorative material still is very acceptable. Tooth #4 was allowed to drift into #5D over a long period of time so needed to be recontoured before the sectional matrix was fitted. #GarrisonCompositight #KerrSimplishade - [Sectional Caries Removed](https://www.clarencetam.co.nz/sectional-caries-removed/) - Sectional caries removed on tooth #19 and restored with a single shade of Simplishade. Simple and clean. #KerrSimplishade #CleanDentistry #SanctuaryDentaldam #AmtechDental - [Kerr Simplishade in large Class II restoration](https://www.clarencetam.co.nz/kerr-simplishade-in-large-class-ii-restoration/) - I know I have been flogging this system all day long but I just want to show its versatility in different situations with different restoration replacements. Let's continue (BTW, there was no lunch today). #KerrSimplishadeMedium #SanctuaryDentalLatexDam #AmtechDental - [Caries Ambush and Partial Restoration Replacement](https://www.clarencetam.co.nz/caries-ambush-and-partial-restoration-replacement/) - #KerrSimplishade #DifficultAccess - [Class I invisible replacements with Kerr Simplishade composite](https://www.clarencetam.co.nz/class-i-invisible-replacements-with-kerr-simplishade-composite/) - Class I restorations for this lovely patient on tooth #1 and 3. #KerrSimplishade #SanctuaryDentalrubberdam #AmtechDental - [Restoring Amalgam-Filled Teeth and a Surprise Crack](https://www.clarencetam.co.nz/restoring-amalgam-filled-teeth-and-a-surprise-crack/) - Unexpected distal extension to this MO on this lower right second molar. Needed to remove the vertical hairline fracture in this region as it penetrated past the DEJ in a caries-prone site. Preparation was completed against the third molar without breaking the contact. The Garrison Compositight 3D Fusion matrix was used on the mesial, whereas - [How to Starburst Section Bonded Ceramic Crowns](https://www.clarencetam.co.nz/how-to-starburst-section-bonded-ceramic-crowns/) - These old crowns were replaced due to deficient marginal integrity. Thanks #OralArtNZ #IPSemax #Starburstsection - [Amalgam replacement with Supercomposite restoration](https://www.clarencetam.co.nz/amalgam-replacement-with-supercomposite-restoration/) - This restoration was replaced on request by the patient, who wanted to be amalgam-free. Removing old amalgams with dissection of internal hairline fractures always ends up as a larger restoration. A microlayered base of white tint and Grandio SO flowable set the stage for facial layered restorations with #VocoGrandioSO #VocoFinalTouchtint - [Reconstruction of an Extensively Broken down Bicuspid](https://www.clarencetam.co.nz/reconstruction-of-an-extensively-broken-down-bicuspid/) - Large Class II restorations with linguoaxial line angle compromise require reconstruction of this area first before placing a sectional matrix system. A matrix-in-matrix technique was utilized here with the Garrison Firm Band skewed towards the lingual of tooth #29. A minimum wall thickness of 3mm at the base was established before the Compositight 3D Fusion - [Cloud shaded direct composite restoration](https://www.clarencetam.co.nz/cloud-shaded-direct-composite-restoration/) - This is one of my favorite Cloud shaded composites, simply for its amazing handling. Nothing sticks to it and its non-tacky nature makes it a breeze to sculpt. #ClassIIaction #KerrSimplishade - [Auckland Smile Makeover with 8 Porcelain Veneers](https://www.clarencetam.co.nz/smile-makeover-with-8-porcelain-veneers/) - Smile design involving 8 microlayered lithium disilicate veneers to broaden the arch, level out the smile line and provide better proportionality and visibility of the teeth. #TSE #IPSemax #SmileDesign #CosmeticDentistryAuckland - [Cervical abrasion lesion on a root restored with composite](https://www.clarencetam.co.nz/cervical-abrasion-lesion-on-a-root-restored-with-composite/) - Class V banger action to insulate the radicular surface of this abrasion lesion. #KurarayMajestyES2Classic #CleanDentistry - [How to use the new Garrison Dental Solutions matrix to close large gaps](https://www.clarencetam.co.nz/how-to-use-the-new-garrison-dental-solutions-matrix-to-close-large-gaps/) - Sectional matrix systems are not built the same, especially when it comes to trying to close large diastemas between teeth. The Compositight 3D Fusion and Palodent were unsuccessful in establishing a passive curvature touching the proximoaxial wall of the adjacent tooth, but this is a situation where the new Garrison Strata-G shines. The marginal ridge - [Making Dark Composite Fillings Disappear with Supercomposite material](https://www.clarencetam.co.nz/making-dark-composite-fillings-disappear-with-supercomposite-material/) - Class III extended replacements on #23MB and 24DB completed using a single layered shade of the supercomposite Voco Grandio SO. With a MicroHardness Vickers of 211MHV it is the hardest composite I have ever worked with and will perform excellently in this region. Chameleon effect speaks for itself. #VocoGrandioSO #Extended ClassIII - [Extreme Class V banger composite](https://www.clarencetam.co.nz/extreme-class-v-banger-composite/) - Extremely extensive restoration and recurrent caries on tooth #11/2.3. Single shade restoration using A3 G-aenial A'Chord #GCAchord #extremeclassVbanger - [Isolating a Peg Molar for a Dental Cavity](https://www.clarencetam.co.nz/isolating-a-peg-molar-for-a-dental-cavity/) - Ever tried to isolate an upper peg third molar for a Class II restoration? It's zfun. Garrison Firm Band used with wooden wedge for separation purposes. Occlusal detail and anatomy achieved using the TNTAMKIT from HuFriedy #VocoGrandioSO #GarrisonFirmBand #TNTAMKIT #StyleSkulptTAM #HuFriedy - [Slot composite restoration using a supercomposite](https://www.clarencetam.co.nz/slot-composite-restoration-using-a-supercomposite/) - Slot restoration treating primary caries. Always room for anatomic improvements, but this material is hard to improve on in terms of physical properties. #VocoGrandioSO #GarrisonCompositight3DFusion - [Kuraray Majesty ES2 Universal and DC Core Plus used together](https://www.clarencetam.co.nz/kuraray-majesty-es2-universal-and-dc-core-plus-used-together/) - Complex Class II composite and amalgam hybrid restoration replacement with Kuraray's Majesty ES-2 Universal U. The stained dentin base was restored first via microlayering using Majesty Esthetic flowable, then brightened using Clearfil DC Core Plus (white), sealed off using Majesty ES-2 flowable XW followed by capping composite lobe-by-lobe action using Majesty ES-2 Universal U. #Kuraray - [Conservative Class V restorations](https://www.clarencetam.co.nz/conservative-class-v-restorations/) - Class V conservative banger to protect exposed radicular/root dentin. #KurarayMajestyES2Classic - [Mimicking Nature even with conservative composite resin](https://www.clarencetam.co.nz/mimicking-nature-even-with-conservative-composite-resin/) - "Mimic nature; try to do her justice even in the small things." #VocoGrandioSO #ConservativeBiomimeticDentistry - [Suresmile PreProsthetic Alignment](https://www.clarencetam.co.nz/suresmile-preprosthetic-alignment/) - Six month reassessment status-post Suresmile and Voco Amaris composite smile design in a heavy bruxer and tea drinker. #VocoAmaris #Bruxer #Suresmile #PreProstheticOrthodontics - [Supercomposite use to insulate exposed dentin](https://www.clarencetam.co.nz/supercomposite-use-to-insulate-exposed-dentin/) - A minimal direct multisurface coronal supercomposite restoration to insulate exposed dentin in this lovely 65 year old man. Transitional bonding was turned down as the patient has multiple periodontally-involved teeth and also fractured implant crowns, so we are in a holding pattern until something "more severe" happens. Sometimes, that's the way things are. #VocoGrandioSO #439MPacompressivestrength - [Class V restoration using Kuraray Majesty ES-2 Universal U](https://www.clarencetam.co.nz/class-v-restoration-using-kuraray-majesty-es-2-universal-u/) - The hardest thing to do was to try not to squint with this polish. #MajestyES2UniversalU #ClassVbangers - [Chameleon Composite using ART Technology](https://www.clarencetam.co.nz/chameleon-composite-using-art-technology/) - (Afternoon tea pics 1439.1: Kerr Simplishade Medium | ART Technology) How does it work? The A.R.T. filler system here allows an adaptive color technology to do the chameleon hard yakka for you. I used a single shade of Kerr Simplishade Medium and as you can tell the handling is a definite benefit in addition to - [Class 5 bangers with GC Essentia U](https://www.clarencetam.co.nz/class-5-bangers-with-gc-essentia-u/) - Aggressive Class V caries with an extent of mesial wrap on tooth #6. Otherwise, tooth #22 features just straight buccal decay, restored simply using a single shade of the 50:50 ratio A2:A3 GC Essentia U, one of my favorite Class V chameleons. #chameleoneffectcomposite #GCEssentiaU - [GC G-aenial A'Chord | Garrison Compositight 3D Fusion](https://www.clarencetam.co.nz/gc-g-aenial-achord-garrison-compositight-3d-fusion/) - GC's new formulation of supercomposite is here. If it is as tough as it feels, looks like it can be used predictably in any indication. #GarrisonCompositight3DFusion #GCGaenialAchord - [Restoration of Molar Hypomineralization and old Amalgam](https://www.clarencetam.co.nz/restoration-of-molar-hypomineralization-and-old-amalgam/) - #30O hypomineralized lesion with volume loss and separate B lesion restored simultaneously with a single layer of a supercomposite. Always try to minimize lateral excursive load as composites are weaker in tension. #VocoGrandioSO #dialinocclusion - [Fissurotomy and Restoration Replacement on a Molar](https://www.clarencetam.co.nz/fissurotomy-and-restoration-replacement-on-a-molar/) - Simple fissurotomy and sealant using an A2 shade of Voco Grandio SO flowable and Voco Grandio SO paired with some Final Touch brown fissure tint. #VocoGrandioSO #GrandioSOflow #FinalTouchtint - [Class 5 banger with GC Essentia U](https://www.clarencetam.co.nz/class-5-banger-with-gc-essentia-u/) - #ClassVBangers #GCEssentiaU - [Crown Replacement using IPS e-max](https://www.clarencetam.co.nz/crown-replacement-using-ips-e-max/) - Crown replacements with bonded lithium disilicate. #emax #LiSi2 #TSE - [Posterior Molar Esthetics](https://www.clarencetam.co.nz/posterior-molar-esthetics/) - #VocoGrandioSO #VocoFinalTouch - [Making Molars look natural with composite](https://www.clarencetam.co.nz/making-molars-look-natural-with-composite/) - A bit heavy on that tint #coffeedrinkeresthetic #VocoGrandioSO - [Composite Maintenance Partial Replacement Restoration](https://www.clarencetam.co.nz/composite-maintenance-partial-replacement-restoration/) - Combination maintenance of an old composite restoration with marginal erosive breakdown and caries on the D aspect. Bonding to both the silica component and resin components of the old composite courtesy of silane/MDTP. Single shade Voco Grandio SO utilized with Final Touch tints. #VocoGrandioSO #FinalTouch #CompositeMaintenance - [How to use GC Optiglaze to balance opacity](https://www.clarencetam.co.nz/how-to-use-gc-optiglaze-to-balance-opacity/) - Removing the last amalgam in this lovely woman's mouth brought her so much joy. What brought me joy was the subtle use of Grey Optiglaze Color to tone down the opaquing layer before layering with Voco Grandio SO. Final simple fissure tint completed using Final Touch Brown. #OptiglazeColor #VocoGrandioSO #VocoFinalTouch - [Linguoverted bicuspids heavily restored with amalgams revitalized](https://www.clarencetam.co.nz/linguoverted-bicuspids-heavily-restored-with-amalgams-revitalized/) - The linguoverted position of #28 and 29 (4.4/4.5) along with a marked Curve of Spee prevented ease of seating of the Garrison Strata-G matrix, but we got there in the end. Probably the hardest case I have done in a long time. Completely done with indirect vision, so that was fun. #VocoGrandioSO #GarrisonStrataG - [Fissurotomy driven caries removal](https://www.clarencetam.co.nz/fissurotomy-driven-caries-removal/) - #Followthefissurotomy #MinimallyInvasiveDentistry #VocoGrandioSO - [GC G-aenial A'Chord New Formulation Anterior Composite](https://www.clarencetam.co.nz/gc-g-aenial-achord-new-formulation-anterior-composite/) - GC G-aenial A'Chord's new buttery formulation is firm but still very workable. This extended monoshade facial restoration (some might call it a veneer) with no internal shades or maverick tints restored the integrity of the facial surface and a vertical axial craze line was created in the position of the underlying craze line for increased - [Tricks to Matching a Single Porcelain Veneer](https://www.clarencetam.co.nz/tricks-to-matching-a-single-porcelain-veneer/) - 1 week reassessment of a microlayer cutback technique IPS e-max veneer. Excessive grey stain was utilized dropping the perceived value, so air particle abrasion was utilized before refinishing using the Ultradent Jiffy Zr/LiSi2 polishing kit. #UltradentJiffy #LiSi2polishing #estheticintegration - [Back to back composite restorations with Voco Grandio SO](https://www.clarencetam.co.nz/back-to-back-composite-restorations-with-voco-grandio-so/) - Back to back Class II and Class I situation. Single shade A2 Grandio SO with Final Touch brown tints. #VocoGrandioSO #Supercompositerestorations - [Layered Composite Veneer in the Esthetic Zone](https://www.clarencetam.co.nz/layered-composite-veneer-in-the-esthetic-zone/) - One week fully rehydrated reassessment of this multistratified composite veneer on #9 using #VocoAmaris, one of the most "porcelain-like" shade palettes out there imho - [Recontouring root surfaces with composite resin](https://www.clarencetam.co.nz/recontouring-root-surfaces-with-composite-resin/) - Single shade of A3 G-aenial A'Chord used for this cervical reconstruction in back to back lesions. #GCGaenialAchord #ClassVbangers - [How to treat Vertical Cracks in a front tooth](https://www.clarencetam.co.nz/how-to-treat-vertical-cracks-in-a-front-tooth/) - Sometimes the enamel fold in the vertical mid-axial plane on central incisors actually develops into a proper crack with penetration into dentin as was the case displayed here. Restorative treatment involved a total etch adhesive approach using layered composite to blend and support the area of defect with the surrounding tissues. Shades used: Amaris O4, - [How to Design Root Composite Restorations](https://www.clarencetam.co.nz/how-to-design-root-composite-restorations/) - Recreating the cervical abraded aspect of this first molar also involved recreating the undulations to respect radicular anatomy. Remember that the bond strength to healthy cementum is 80% that of native/normal dentin. #GCEssentiaU #RootRestorations - [Edge Bonding with Composite Resin](https://www.clarencetam.co.nz/edge-bonding-with-composite-resin/) - Layered composite edge bonding using #VocoAmaris to rejuvenate this lovely man's smile. - [https://www.clarencetam.co.nz/How Supercomposite fillings look](https://www.clarencetam.co.nz/https-www-clarencetam-co-nz-how-supercomposite-fillings-look/) - Supercomposites have both beauty and brawn. Compressive strength: 439MPa (enamel = 384MPa, dentin 297MPa). #VocoGrandioSO #howsupercompositesstackup - [How to Design Class V root composite restorations](https://www.clarencetam.co.nz/how-to-design-class-v-root-composite-restorations/) - Class V's on molar roots require redefining a barrel-shaped concavity to allow for ease of cleaning and lack of plaque retention in the furcal region. #GCEssentiaU #rootcompositerestorations - [Supercomposite Class I restoration](https://www.clarencetam.co.nz/supercomposite-class-i-restoration/) - #VocoGrandioSO #ClassIreplacement #directcomposite #supercompositerestorations - [Admira Fusion X-tra U](https://www.clarencetam.co.nz/admira-fusion-x-tra-u/) - Thanks be to Kirsten for assisting when both assistants are MIA. #Voco #AdmiraFusionXtraU - [Single porcelain veneer to match natural teeth](https://www.clarencetam.co.nz/single-porcelain-veneer-to-match-natural-teeth/) - The hardest thing to match is a single unit in a sea of natural teeth or a sea of teeth restored with a different material. A bit of length variation as the gingival zenith was more coronal in position than the contralateral tooth. We managed to keep the fixed lingual retainer intact after removing the - [Implant Screw Access Closure using Composite Resin](https://www.clarencetam.co.nz/implant-screw-access-closure-using-composite-resin/) - Atlantis custom zirconia crown on Ti base closed using a combination of PTFE and bonded Voco Amaris O2. #VocoAmaris #ImplantScrewAccessClosure - [Using Garrison Strata-G over Compositight 3D Fusion](https://www.clarencetam.co.nz/using-garrison-strata-g-over-compositight-3d-fusion/) - This was a situation where the "old" Garrison Compositight did not work so well - a case where a significant axial bulge was required to re-establish the contact. Strata-G was able to contour things nicely for the distals of both bicuspids. #VocoGrandioSO #GarrisonStrataG - [Molar Hypomineralization exhibiting caries](https://www.clarencetam.co.nz/molar-hypomineralization-exhibiting-caries/) - After lunch fun with this #3O single shade restoration. #VocoGrandioSO #DirectCompositeArt #molarhypomin - [When a fissurotomy turns into caries](https://www.clarencetam.co.nz/when-a-fissurotomy-turns-into-caries/) - What fissurotomy? Class I caries with conservative fissure exploration completed as part of this single shade restoration. Tinted with brown from Final Touch. Make the small things count. #noshortcuts #Vocodental #GrandioSO #FinalTouch - [Class V banger | New formulation | GC G-aenial A'Chord](https://www.clarencetam.co.nz/class-v-banger-new-formulation-gc-g-aenial-achord/) - (Afternoon tea pics 1410.5: GC G-aenial A'chord) This material is so smooth and buttery, it works perfectly for Class V bangers. New formulation. #GC #GaenialAchord #ClassVbanger GC Australasia - [Full crown support for a broken down tooth](https://www.clarencetam.co.nz/full-crown-support-for-a-broken-down-tooth/) - Even teeth with attachment loss deserve to live their best life. Full coronal indirect restoration on this lower right second bicuspid with bonded e-max. #TheShinEffect #IPSemax #goodlookingcrown - [Amalgam restorations replaced with invisible composite](https://www.clarencetam.co.nz/amalgam-restorations-replaced-with-invisible-composite/) - Marginal ridge hairline fractures and open contacts were addressed in the replacement of these old amalgam restorations. Some occlusal adjustment was required, but not excessively, so that brings a smile on Monday morning. The Garrison Compositight 3D Fusion and Matrix-in-Matrix approach was used to ascertain well sealed cervical margins. #VocoGrandioSO #MatrixinMatrix #GarrisonCompositight3DFusion #biomimeticdentistrynz - [Voco Admira Fusion X-tra U chameleon](https://www.clarencetam.co.nz/voco-admira-fusion-x-tra-u-chameleon/) - Single shade universal chameleon in action on tooth #32/4.8. Took a solid 20 minutes to get the dam on due to the zygomatic arch. #VocoAdmiraFusionXtraU #chameleoneffectcomposites - [Voco Admira Fusion X-tra U#VocoAdmiraFusionXtraU](https://www.clarencetam.co.nz/voco-admira-fusion-x-tra-uvocoadmirafusionxtrau/) - #VocoAdmiraFusionXtraU - [Cosmetic Treatment of Incisor Hypomineralization](https://www.clarencetam.co.nz/cosmetic-treatment-of-incisor-hypomineralization/) - #IncisorHypomineralization with cavitated surface treated with direct layered composite to blend seamlessly with the contralateral central incisor. Restorative: Voco Amaris Shades: OBleach, TL, HT, white tint (Final Touch, Voco America) #VocoAmaris #DirectResinArtistry #CosmeticCompositeDentistry - [Conservative Abrasion Restorations](https://www.clarencetam.co.nz/conservative-abrasion-restorations/) - Conservative Class V. #KurarayMajestyES2Classic - [ZirCAD Prime](https://www.clarencetam.co.nz/zircad-prime/) - #ZirCADPrime - [Suresmile Orthodontics | Align Bleach Bond | Voco Amaris](https://www.clarencetam.co.nz/suresmile-orthodontics-align-bleach-bond-voco-amaris/) - Gotta love yourself a bit of Align-Bleach-Bond with #SuresmileOrthodontics and #VocoAmaris #ConservativeDentistry - [Voco Admira Fusion X-tra U bulk fill composite](https://www.clarencetam.co.nz/voco-admira-fusion-x-tra-u-bulk-fill-composite/) - Flexing the U (Universal) shade of the Voco bulk fill, Admira Fusion X-tra on this OP replacement for a lovely patient. Tinting as usual using Final Touch (Voco) which brings all the feels. #Voco #AdmiraFusionXtra #FinalTouch - [Covering up discolored roots with composite resin](https://www.clarencetam.co.nz/covering-up-discolored-roots-with-composite-resin/) - Couple of Class V bangers completed with the A2:A3 blend of GC Essentia U. #GCEssentiaU #ClassVbangers - [Precision Class V restoration to desensitize root](https://www.clarencetam.co.nz/precision-class-v-restoration-to-desensitize-root/) - Sometimes the best way to desensitize the radicular surface is with a precision Class V restoration. #KurarayMajestyES2Classic #rootdesensitization - [Composite Restorations with Invisibility](https://www.clarencetam.co.nz/composite-restorations-with-invisibility/) - The power combination for peak prognosis. #Voco #GrandioSO #Garrison #Compositight3DFusion - [Voco Amaris Class IV restoration](https://www.clarencetam.co.nz/voco-amaris-class-iv-restoration/) - #ClassIVrestoration #VocoAmaris #NonInvasiveDentistry #Noenamelwasharmed #InvisibleDentistry #VocoFinalTouch - [Matrix in Matrix Composite Reconstruction of Second Molar](https://www.clarencetam.co.nz/matrix-in-matrix-composite-reconstruction-of-second-molar/) - Hello there, Please find attached the revised composite restoration for tooth #15/2.7 DOB retaining the mesial wall. A single shade of A3 Voco Grandio SO was used with the matrix in matrix system in place on the DOB and is slated to perform well in this high load region due to its intrinsic compressive strength - [Invisible Class I composite restoration](https://www.clarencetam.co.nz/invisible-class-i-composite-restoration/) - #ClassIreplacement #DirectComposite #voco #GrandioSO #InvisibleDentistry #SlowDentistry - [Garrison Strata-G Matrix | Voco Grandio SO](https://www.clarencetam.co.nz/garrison-strata-g-matrix-voco-grandio-so/) - #Voco #GrandioSO #Garrison #StrataGmatrix #MatrixinMatrix - [Deep Cracks from Amalgam Fillings](https://www.clarencetam.co.nz/deep-cracks-from-amalgam-fillings/) - We could not fully remove the vertical hairline fracture on the mesial aspect of this endodontically-treated tooth. It remains a mystery whether the the nerve necrosed as a result of the hairline fracture or the extremely deep amalgam restoration. Single shade A2 Voco Grandio SO restoration with Final Touch tints. #Voco #GrandioSO #DeepCracks - [Layered Edge Bonding with Composite Resin](https://www.clarencetam.co.nz/layered-edge-bonding-with-composite-resin/) - Layered edge bonding to add shape back to tooth after orthodontics. This lovely 55 year old female suffered localized mild attrition due to tooth positioning prior to orthodontics and functional wear. Following derotation and alignment of teeth, layered resin was added to rejuvenate the shapes of her central incisors. #KurarayMajestyES2Premium #layerededgebondingwithcompositeresin - [When to Use Partial Composite Layered Veneer](https://www.clarencetam.co.nz/when-to-use-partial-composite-layered-veneer/) - Class IV fracture restoration. Shades used: Majesty ES-2 Premium A1D, A1E, Clear, white tint. #KurarayMajestyES2Premium #DirectResinBonding #LayeredResinPartialVeneer - [Complex Reconstruction in Composite Resin](https://www.clarencetam.co.nz/complex-reconstruction-in-composite-resin/) - Extremely complex ringbarked caries resulting a MODBL direct composite for both the #2 and 3. Matrix-in-Matrix system showcased here exhibiting hermetic seal for simple, anatomic axial wall reconstruction before closing contacts the conventional method using the Garrison Compositight 3D Fusion system. Restoration microlayered with A2 Grandio SO flowable before using Ever-X Flow (fiber-reinforced composite resin) - [Replacing an old leaking composite filling](https://www.clarencetam.co.nz/replacing-an-old-leaking-composite-filling/) - (Afternoon tea pics 1389.9: Voco Grandio SO) Class I restoration replacement using a single shade of Voco Grandio SO. #VocoGrandioSO #keepupwiththeneighbors VOCO GmbH - The Dentalists - [Difficult unclampable teeth](https://www.clarencetam.co.nz/difficult-unclampable-teeth/) - Cases that start off your day like this #1 which is unclampable due to the dynamic proximity of the zygomatic arch upon opening and feature a small mouth are frustrating and take a million years. Simple anatomy courtesy of #VocoGrandioSO - [Conservative Crown Preparation](https://www.clarencetam.co.nz/conservative-crown-preparation/) - Full coverage indirect restoration design can be very conservative whilst maintaining the need for preparation draw. Gremlins can change back into Ewoks. #PreparationDesign #FullCrownCoverage #ConservativeCrown - [How to Use Voco Grandio SO's GA3.25 shade](https://www.clarencetam.co.nz/how-to-use-voco-grandio-sos-ga3-25-shade/) - (Afternoon tea pics 1386.6: Voco Grandio SO GA3.25 | Final Touch) Unique shade from the OG supercomposite used here. The GA3.25 fits really nicely into areas where an additional punch of chroma is desired. Tooth #11 (2.3) DIP completed here with singular fissure created and tinted using Final Touch Brown. #VocoGrandioSO #SeamlessClassIIIrestorations #InvisibleDentistry #FinalTouchtints - [Do not Scrub the gumline with your toothbrush](https://www.clarencetam.co.nz/do-not-scrub-the-gumline-with-your-toothbrush/) - A pair of Class V bangers. #GCEssentiaU - [Efficient Placement of Class II Restorations](https://www.clarencetam.co.nz/efficient-placement-of-class-ii-restorations/) - Relatively efficient placement of these back to back Class II restorations: working time 1 hour once rubber dam placed. #VocoGrandioSO #MatrixinMatrix - [Resin Infiltration Removes White Spots on Teeth](https://www.clarencetam.co.nz/resin-infiltration-removes-white-spots-on-teeth/) - 9 year old female: Incisor Hypomineralization addressed virtually completely using a custom resin infiltration protocol "Wow! I can't believe it", P.T. It's patients like this that remind us that what we do, albeit seemingly small is really special and can alter the course of confidence for an individual. #DMGIcon #ResinInfiltration #IncisorHypomineralization #D3G - [Cervical Augmentation Non Invasive Composite Restorations](https://www.clarencetam.co.nz/cervical-augmentation-non-invasive-composite-restorations/) - Augmentation and root coverage restorations in this case featured significant proximofacial extensions. #GCEssentiaU #noninvasivedentistry - [Creating beauty restoring fissure sealants](https://www.clarencetam.co.nz/creating-beauty-restoring-fissure-sealants/) - Infuse emotion into everything you do, even fissure sealants, because why not. You will never have this moment again to create beauty. #VocoGrandioSO #FinalTouch - [Decimated structure supported by crown](https://www.clarencetam.co.nz/decimated-structure-supported-by-crown/) - Version 2. Slightly brighter in value. #IPSemax #NothingLeft - [Extreme core buildups](https://www.clarencetam.co.nz/extreme-core-buildups/) - When you have virtually nothing left from a ferrule standpoint and crown lengtheing is not really an option, a microlayered bonded core and indirect restoration gives you the best chance of success. #IPSemax #corebuildups - [Supercomposite blending effect unparalleled](https://www.clarencetam.co.nz/supercomposite-blending-effect-unparalleled/) - The last vestiges of liner were micro air abraded away after this intraoperative view was taken. Again, launching the supercomposite #VocoGrandioSO at everything these days with remarkable chameleon effect results. #VocoGrandioSO #chameleoneffectcomposites #DirectComposite #PosteriorComposites - [Fissure Sealant Treatment Plan becomes Caries](https://www.clarencetam.co.nz/fissure-sealant-treatment-plan-becomes-caries/) - When fissurotomies are deeper than expected. No anesthesia required on this one. Single shade restoration: #VocoGrandioSO - [Garrison Strata-G Sectional Matrix System](https://www.clarencetam.co.nz/garrison-strata-g-sectional-matrix-system/) - A casual MOD Class II using the Garrison Strata-G matrix system and a single shade of Voco Grandio SO to partially replace this old Class II restoration. #VocoGrandioSO #PartialReplacementTherapy #GarrisonStrataG - [Garrison Strata-G Sectional Matrix](https://www.clarencetam.co.nz/garrison-strata-g-sectional-matrix/) - Restorations completed using the new Strata-G sectional matrix system by Garrison. Single shade supercomposite direct restorative using Grandio SO A2. #VocoGrandioSO #GarrisonStrataG - [Supercomposite without tinting](https://www.clarencetam.co.nz/supercomposite-without-tinting/) - Supercomposite in action. No tinting on this one. #VocoGrandioSO - [Restoring smiles affected by Amelogenesis Imperfecta](https://www.clarencetam.co.nz/restoring-smiles-affected-by-amelogenesis-imperfecta/) - 1 week reassessment of this lovely 14 year old female with Amelogenesis Imperfecta. Composite layering like this can really change lives through elevating confidence. #ClearfilMajestyES2Premium #Kuraray #amelogenesisimperfecta #cosmeticdentistry - [Buccal groove restoration using Clearfil Majesty ES-2 Universal](https://www.clarencetam.co.nz/buccal-groove-restoration-using-clearfil-majesty-es-2-universal/) - Small buccal restorations are still important. The presence of a buccal groove allows for stress-reduction during the curing cycle. #KurarayClearfilMajestyES2Universal - [How to Restore a Tooth with Cracks on Both Sides](https://www.clarencetam.co.nz/how-to-restore-a-tooth-with-cracks-on-both-sides/) - (Afternoon tea pics 1371.1: Clearfil Majesty ES-2 Universal U | Garrison Compositight | Matrix in Matrix | Voco Final Touch) Complex reconstruction of tooth #18MODB featuring M and D marginal ridge vertical hairline fractures and secondary caries. Matrix-in-Matrix system used for the efficient reconstruction of the D marginal ridge. The M ridge was restored using - [Slot Restoration | Grade D3 caries](https://www.clarencetam.co.nz/slot-restoration-grade-d3-caries/) - #post_excerptSlot Restoration | Grade D3 caries - [Kerr Simplishade Medium](https://www.clarencetam.co.nz/kerr-simplishade-medium/) - #KerrSimplishadeMedium - [Voco Grandio SO Premolar](https://www.clarencetam.co.nz/voco-grandio-so-premolar/) - Skulpting one out with #VocoGrandioSO - [Kerr Simplishade Medium | Garrison Compositight 3D Fusion](https://www.clarencetam.co.nz/kerr-simplishade-medium-garrison-compositight-3d-fusion/) - #KerrSimplishadeMedium #GarrisonDentalSolutions #Compositight3DFusion - [Sequential Matrix use for Class II composites](https://www.clarencetam.co.nz/sequential-matrix-use-for-class-ii-composites/) - Matrix in Matrix - first wall. Garrison Compositight 3D Fusion transition - second and third walls Kerr Simplishade | Herculite Ultra XL2 Occlusal embrasure underdeveloped. #KerrSimplishadeMedium - [Amalgam Removal on a Distally Tipped Second Molar](https://www.clarencetam.co.nz/amalgam-removal-on-a-distally-tipped-second-molar/) - Amalgam removal on this distally tipped second molar. Lucky me. #KerrSimplishade #CloudShading #DirectRestoration #EstheticPosteriorTeeth - [Matrix in Matrix Premolar Direct Restoration](https://www.clarencetam.co.nz/matrix-in-matrix-premolar-direct-restoration/) - #KurarayMajestyES2Universal #GarrisonCompositight3DFusion #MatrixinMatrix #OmnimatrixFirmBandCombo #UltradentDermadam - [Trampoline dental accidents](https://www.clarencetam.co.nz/trampoline-dental-accidents/) - Trampoline dental fractures restored with a combination of enamel and dentin composite from #KurarayMajestyES2Premium - [Digital Smile Design Guided Composite Veneers](https://www.clarencetam.co.nz/digital-smile-design-guided-composite-veneers/) - Digital Smile Design guided case for this 14 year old female initially involving 8 teeth but reduced to 4 anterior teeth due to patient preference. Laser gingivectomy completed using a Superpulsed dual wavelength diode laser (810nm, 980nm) (Ultradent Gemini) set at 1.2W. Crown lengthening completed using a closed flap technique utilizing the Kois Wedelstaedt chisel - [Palodent 360 Matrix in action](https://www.clarencetam.co.nz/palodent-360-matrix-in-action/) - Sometimes, the axial "bulge" or contour emanating from the adjacent tooth to a Class II you are completing is just excessive. Despite limited enameloplasty, the sectional matrix band simply does not go down without crimping. In these situations the Palodent 360 matrix gives you the best chance to close the contact with an anatomically-contoured 360 - [Multisubstrate dental adhesion](https://www.clarencetam.co.nz/multisubstrate-dental-adhesion/) - #post_excerptMultisubstrate dental adhesion - [Reconstructing a Broken Down Molar](https://www.clarencetam.co.nz/reconstructing-a-broken-down-molar/) - (Afternoon tea pics 1359.3: IPS e-max) AMBUSH #2. Needs less "orange" and more "brown" for the fissure tint temperature. I'd be down with that. #IPSemax Oralart Dental Ceramics NZ David De Wet - [Complex Molar Crown Reconstruction](https://www.clarencetam.co.nz/complex-molar-crown-reconstruction/) - Massive AMBUSH // IDS/Biobase reconstructions before bonded e-max indirect full crowns to replace existing old PFM crowns. #IPSemax #ComplexReconstructions #MoMoMoMoooolars - [Invisible Composite Restoration](https://www.clarencetam.co.nz/invisible-composite-restoration/) - #KurarayMajestyES2Classic #InvisibleDentistry - [Amalgam Removal Safely with Rubber Dam](https://www.clarencetam.co.nz/amalgam-removal-safely-with-rubber-dam/) - Opacity of certain materials allows for value increase and neutralization of stained dentin underneath old amalgam restorations. XL2 flowable from Kerr allows me to do this predictably. A layered "capping" composite arrangement was positioned on this neutralized base layer (composed of microlayers, of course). A bientot. #KerrSimplishadeMedium #CloudChameleonComposites #DirectRestoration #AmalgamRemoval #HerculiteUltraXL2 - [Bicuspid Reconstruction using Garrison Dental Solution Wide Prep Ring](https://www.clarencetam.co.nz/bicuspid-reconstruction-using-garrison-dental-solution-wide-prep-ring/) - One of my favorite teeth to work on; a second bicuspid. It's neither here nor there, but is more symmetrical than the first bicuspid. Garrison Compositight Green Wide Prep ring used here successfully to simultaneously rebuild the missing DB line angle and the D marginal ridge. Unexpected caries noted on the M aspect excavated intraoperatively. - [Variant anatomy on a second molar](https://www.clarencetam.co.nz/variant-anatomy-on-a-second-molar/) - Trying some variant anatomy on tooth #15/2.7 in a very very small mouth. #funnotfun #KurarayMajestyES2UniversalU - [Flexural modulus recovery using bonded indirect ceramics](https://www.clarencetam.co.nz/flexural-modulus-recovery-using-bonded-indirect-ceramics/) - Workflow for that indirect full coverage option to recover flexural modulus. #IPSemax #reverseengineering - [Supercomposite Class II direct composite](https://www.clarencetam.co.nz/supercomposite-class-ii-direct-composite/) - Gotta love that Class III action. =) Spanking it with the OG supercomposite. #VocoGrandioSO #FinalTouch #supercompositerestoration - [Refacing a tooth using composite resin](https://www.clarencetam.co.nz/refacing-a-tooth-using-composite-resin/) - Refacing this lateral incisor for a lovely beekeeper. Single shade restoration using #GCGaenialAchordl A3. - [Garrison Compositight Action on a Rotated Bicuspid](https://www.clarencetam.co.nz/garrison-compositight-action-on-a-rotated-bicuspid/) - Complex composite reconstruction of this rotated tooth with recurrent caries cervically. Garrison Compositight 3D Fusion system used separately mesially and distally to reconstruct the marginal ridge. Mid-occlusal microlayers were completed using a layered A2 Admira Fusion flowable (1.25% volumetric shrinkage, 3.77MPa shrinkage stress) as it also opaques the preparation floor to a decent extent. Occlusal - [Panavia Veneer LC Cementation of a single veneer](https://www.clarencetam.co.nz/panavia-veneer-lc-cementation-of-a-single-veneer/) - (Afternoon tea pics 1349.2: Panavia Veneer LC) Replacement of an original feldspathic porcelain veneer on tooth #8/1.1 (tooth 2.1 is virgin facially) that I completed for the patient 15 years ago. Both central incisors had been internally bleached as they suffered trauma from a young age. Cemented using Panavia Veneer LC Clear. Perfectly runny but - [Covering Roots, Enhancing Smiles](https://www.clarencetam.co.nz/covering-roots-enhancing-smiles/) - Class V maintenance on tooth #5 and a fresh restoration on #6 to spruce up this patient's smile. A base opaquing microlayer was placed before layering with GC Essentia U. #ClassVbangers #InvisibleDentistry - [Partial Replacement Restoration](https://www.clarencetam.co.nz/partial-replacement-restoration/) - Limited OP restoration on the first molar and fissurotomy/sealant on the second molar to keep things conservative. Don't love the MOP on the first molar but it is clinically sound atm so we will watch it over time. #VocoGrandioSO #VocoFinalTouch - [Kuraray Majesty ES-2 Classic Class V bangers](https://www.clarencetam.co.nz/kuraray-majesty-es-2-classic-class-v-bangers/) - #KurarayMajestyES2ClassicA1 #ClassVbangers - [Majesty ES-2 Universal Light](https://www.clarencetam.co.nz/majesty-es-2-universal-light/) - Shade UL: Universal Light. System: #KurarayMajestyES2Universal - [Thermal Cycling and Dental Crack Formation](https://www.clarencetam.co.nz/thermal-cycling-and-dental-crack-formation/) - Large Class II situation brought about by the Poisson Effect and flexural fatigue of the thin mesial marginal ridge secondary to cyclic thermal cycling over this tooth's lifetime. The MP hairline fracture did not penetrate through to dentin, so the leading edge was simply removed and restored for strength. A single shade restorative approach was - [Composite Replacement due to Recurrent Caries](https://www.clarencetam.co.nz/composite-replacement-due-to-recurrent-caries/) - Replacement of an old DO restoration featuring recurrent caries at the proximocervical margin (the most common place for Class II composites to fail). Remember to microlayer in this region for maximal light penetration and monomer conversion. #KurarayMajestyES2Universal #ClassIItipsandtricks #GarrisonCompositight3DFusion - [Matrix in Matrix | Back to back Class II](https://www.clarencetam.co.nz/matrix-in-matrix-back-to-back-class-ii/) - #post_excerptMatrix in Matrix | Back to back Class II - [Rebuilding Posterior Teeth](https://www.clarencetam.co.nz/rebuilding-posterior-teeth/) - Switching up to another chameleon composite today, this time Majesty ES-2 Universal shade U. Some of you have asked why I don't stack rings and complete the MO and DO aspect simultaneously in double ended Class II situations. The truth is that when I do this often there is a loose contact on one of - [Back to back bicuspids |Garrison Compositight 3D Fusion](https://www.clarencetam.co.nz/back-to-back-bicuspids-garrison-compositight-3d-fusion/) - Replacement of old composite restorations due to marginal breakdown and recurrent caries cervically. Matrix-in-matrix technique demonstrated here first on the second bicuspid building up the M marginal ridge before switching the Garrison sectional band to the distal aspect with the Compositight 3D tension ring. Following completion of this tooth, a fresh Garrison sectional matrix assembly - [Exposed dentin restored to full form with composite](https://www.clarencetam.co.nz/exposed-dentin-restored-to-full-form-with-composite/) - Dentin exposed is 6 times softer than enamel and wears 4 times as fast. Single shade A3 technique #KurarayMajestyES2Classic - [Making Root Cavities Invisible](https://www.clarencetam.co.nz/making-root-cavities-invisible/) - I guess when it rains, it pours. I guess we can think of this as a core day at the gym. #ClassVday #ClassVbangers #GCGaenialAchord - [Kuraray Majesty ES-2 Classic Class V restorations](https://www.clarencetam.co.nz/kuraray-majesty-es-2-classic-class-v-restorations/) - Class V restorations using A3 from #KurarayMajestyES2Classic - [Class 5 bangers](https://www.clarencetam.co.nz/class-5-bangers-3/) - A pair of Class V bangers to enhance the esthetics of this lovely woman's #5 and 6. #GCEssentiaU #ClassVbangers - [Slot Restoration](https://www.clarencetam.co.nz/slot-restoration/) - Class II slot restoration. #VocoGrandioSO #VocoFinalTouch - [IPS e-max bonded ceramic crown](https://www.clarencetam.co.nz/ips-e-max-bonded-ceramic-crown/) - #IPSemax #fullcoverage - [Composite Veneer to Enhance Appearance Deciduous Canine](https://www.clarencetam.co.nz/composite-veneer-to-enhance-appearance-deciduous-canine/) - A retained deciduous tooth with obvious microrhizy but ankylosis lost a significant part of its structure in a biting accident (food, not people). The surface was micro air abraded before a total etch approach using Peak Universal Bond. The hybrid layer was microlayered before restored using Voco Amaris shades O4, TN, O3. Just a pretty - [Root Coverage Composite Restorations](https://www.clarencetam.co.nz/root-coverage-composite-restorations/) - Class I root coverage restorations using a single shade of A3 #GCGaenialAchord - [Class I composite skulpting](https://www.clarencetam.co.nz/class-i-composite-skulpting/) - Shallow Class I replacement for this lovely 17 year old. #KerrSimplishade - [Amalgam Removal Safely](https://www.clarencetam.co.nz/amalgam-removal-safely/) - #KerrSimplishade #Medium #Cloudshadedcompositesystem - [Vertical Hairline Fractures on an amalgam filled wisdom tooth](https://www.clarencetam.co.nz/vertical-hairline-fractures-on-an-amalgam-filled-wisdom-tooth/) - You wouldn't believe me if I told you this lady had trismus with an ROM of 25mm. Tooth #32MOL/48MOL. Need a drink. Need cake. STAT. HBD to my main #LJ. #VocoGrandioSO #GarrisonCompositight3DFusion. - [Deep Amalgam Restorations | Ever-X Flow](https://www.clarencetam.co.nz/deep-amalgam-restorations-ever-x-flow/) - Extremely deep existing amalgams are fun. #deepamalgams #VocoGrandioSO #EverXFlow #GCAustralasia - [Composite Veneers and Gum Recontouring](https://www.clarencetam.co.nz/composite-veneers-and-gum-recontouring/) - This lovely 30 year old had decided against completing bonded composite restorations on 6 teeth and instead just decided to focus on her pet peeve laterals, which had caused her significant distress throughout her life. Part freehand, part putty-guided composition with realistic internal layering, maverick effects and enamel texture in conjunction with gingivoosseous recontouring make - [Shallow Partial Composite Replacement](https://www.clarencetam.co.nz/shallow-partial-composite-replacement/) - (Afternoon tea pics 1326.9: Voco Grandio SO | Kerr Herculite Ultra flowable XL2) Shallow partial replacement restoration taking care to use 10-MPS (silane coupling agent) to establish a link from residual composite silica/glass to the new resin matrix. Single shade chameleon effect demonstration by the OG Supercomposite, Voco Grandio SO. Compressive strength 439MPa, Flexural strength - [Engineering Fracture Toughness into a Decimated Tooth](https://www.clarencetam.co.nz/engineering-fracture-toughness-into-a-decimated-tooth/) - (Afternoon tea pics 1325.8: GC Ever-X Flow | Fracture Toughness) A M B U S H. Microlayers essential before maximum 2mm increments of Ever-X Flow. Why this material? Fracture toughness of this material (2.88MPa/m(0.5)) exceeds native dentin (2.51MPa/m(0.5)) due to the barium glass fiber particles and is invaluable in situations where you wish a dentin - [Reconstructing Cracked Teeth with Direct Composite](https://www.clarencetam.co.nz/reconstructing-cracked-teeth-with-direct-composite/) - Q U A D R A N T action | This lovely 40 year old man has a long-standing history of TMJ dysfunction with advanced parafunction with the sequelae of traumatic fracture of the posterior teeth in the first quadrant. He is currently being set up for orthodontic intervention to align the anterior and posterior - [Depth Grooves | Crown Preparation](https://www.clarencetam.co.nz/depth-grooves-crown-preparation/) - GROOVY | Depth cuts made allow for precise reduction of any surface, and of course can be applied to the Gurel Aesthetic Pre-Evaluative Technique (APT) when a DSD-driven diagnostic wax-up is present. Control is key. Yes, that distal reduction was a little riskay as I could not clamp the third molar due to the position - [Class V lesions restored conservatively](https://www.clarencetam.co.nz/class-v-lesions-restored-conservatively/) - Subgingival Class V lesions restored using a single shade of Essentia U. #EssentiaU #GC #ClassVlesions - [Composite Veneer to Change Shape of Lateral Incisor](https://www.clarencetam.co.nz/composite-veneer-to-change-shape-of-lateral-incisor/) - Composite veneer on tooth #7 to remove interproximal incipient caries and augment the cervicoproximofacial aspects to give the illusion of a larger, more proportionate tooth. The enamel fracture on the DI aspect was restored concomitantly. Shades used: Kuraray Majesty ES-2 Premium: XL1 Enamel, A1 Dentin, Trans Clear, white tint. #KurarayMajestyES2Premium #LayeredComposite #Naturomimeticdentistry - [Dental Crown over Root Canaled Tooth](https://www.clarencetam.co.nz/dental-crown-over-root-canaled-tooth/) - Full coverage conserving the bulk of the palatal aspect for this endodontically-treated first bicuspid. #IPSemax #OralArtNZ - [Erosive and Attritive Lesion Restorations](https://www.clarencetam.co.nz/erosive-and-attritive-lesion-restorations/) - Attempting conservative erosive/attritive lesion coverage in conjunction with replacement of old composite restorations on this first and second molar. Occlusal adjustments are what they are. #sigh =) #DentalErosionDamage #DentalAttrition #ConservativeRestorations #KerrSimplishadeMedium - [Bonded Crown workflow](https://www.clarencetam.co.nz/bonded-crown-workflow/) - Lithium disilicate crowns for #29 and 30 on this lovely woman. #emaxMT #staybonded - [Voco Grandio SO GA3.25 Special Shade](https://www.clarencetam.co.nz/voco-grandio-so-ga3-25-special-shade/) - Special shade GA3.25 which is 50% of the way between... you guessed it. A3 and A3.5. #VocoGrandioSO #GA3.25composite #CoutureComposites - [Kerr Simplishade Class I composite](https://www.clarencetam.co.nz/kerr-simplishade-class-i-composite-2/) - (Afternoon tea 1316.2: Kerr Simplishade Light) #KerrSimplishade #Classic Kerr - [Resin Infiltration | Minimally Invasive Dentistry](https://www.clarencetam.co.nz/resin-infiltration-minimally-invasive-dentistry/) - (Afternoon tea pics 1315.6: DMG Icon | Ultradent Opalesence) M I N I M A L L Y | Invasive M A X I M A L L Y | Esthetic Ready now to replace old composite restorations on 7 and 10. #VitalNightguardBleaching #Microabrasion #ResinInfiltration #DMGIcon #CosmeticDentistry #MinimallyInvasiveDentistryAuckland #Nodrilling DMG - [Supercomposite Predictability in Direct Dental Restorations](https://www.clarencetam.co.nz/supercomposite-predictability-in-direct-dental-restorations/) - Replacement of an old composite restoration using a single shade direct approach with an impressive chameleon effect from this OG Supercomposite. In all honesty, clinical performance over a decade of using this material has been very predictable. #VocoGrandioSO #CompositesthatPerform #Supercompositerestoration - [Skulpting Palatal Restorations](https://www.clarencetam.co.nz/skulpting-palatal-restorations/) - Palatal and Class III caries restored conservatively using a single shade of A2 Grandio SO. #VocoGrandioSO #FinalTouch - [Invisible Dentistry with Composite Resin](https://www.clarencetam.co.nz/invisible-dentistry-with-composite-resin/) - Clean bicuspid Class II action to remove a marginal ridge hairline fracture. Single shade of Light Simplishade used along with the Garrison Compositight 3D Fusion system, which grips the canine/first bicuspiod region perfectly. #GarrisonCompositight #KerrSimplishadeClassII #Bicuspidlove #Directrestoration - [Root caries is a consideration with exposed radicular dentin](https://www.clarencetam.co.nz/root-caries-is-a-consideration-with-exposed-radicular-dentin/) - Single shade A3 restoration as part of the A'Chord Cloud-shaded family. A3 covers: A3, B3, C2, C3, D4. #GaenialAchord #GCAustralasia #ClassVbangers #Volumereplacementrestorations #CosmeticDentistry #DirectRestoration - [Matching Fissure Styles in Composite Restorations](https://www.clarencetam.co.nz/matching-fissure-styles-in-composite-restorations/) - Trying to match the "straight" fissure anatomy in the adjacent bicuspid. #KerrSimplishadeLight #VocoFinalTouchBrown #GarrisonCompositight3DFusion - [Voco Grandio SO Partial Replacement Therapy](https://www.clarencetam.co.nz/voco-grandio-so-partial-replacement-therapy/) - #VocoGrandioSO #VocoFinalTouch #SimpleLayeringConcept - [Class V chameleon restoration](https://www.clarencetam.co.nz/class-v-chameleon-restoration/) - #ClassVbanger using a single shaded approach of #KurarayMajestyES2Classic - [Microlayered Composite Restoration](https://www.clarencetam.co.nz/microlayered-composite-restoration/) - #MicrolayeredCompositeRestoration #VocoGrandioSO #VocoFinalTouch - [Conservative Composite Restorations](https://www.clarencetam.co.nz/conservative-composite-restorations-2/) - Amalgam replacement for this lovely gentleman. Single shade technique using A2 Grandio SO and some Final Touch Brown. #ConservativeClassIreplacement #VocoGrandioSO #VocoFinalTouch - [Voco Grandio SO Class II](https://www.clarencetam.co.nz/voco-grandio-so-class-ii/) - It is fortunate that this patient had a posterior open bite so there were zero occlusal adjustments. See you all in Sydney. #VocoGrandioSO #ClassII - [Minimal preparation porcelain crowns](https://www.clarencetam.co.nz/minimal-preparation-porcelain-crowns/) - Slightly brighter value of this first molar in preparation for a brighter future. I don't use the self-adhesive (SA) mode of this SA cement and instead use a total etch approach using a dual-cured total etch adhesive (Photobond DC). #KurarayPanaviaSAUniversal #PhotobondDC - [Dental Amalgam Removed along with caries](https://www.clarencetam.co.nz/dental-amalgam-removed-along-with-caries/) - Amalgam and caries removal along with some affected hypomineralized tissue in the region. #VocoGrandioSO #VocoFinalTouch - [Invisible Slot Restoration](https://www.clarencetam.co.nz/invisible-slot-restoration-2/) - INVISIBILITY | Slot preps within an old Class II be like. #VocoGrandioSO #InvisibleDentistry #GarrisonCompositight3DFusion - [Extreme Class V cervical abrasion lesions](https://www.clarencetam.co.nz/extreme-class-v-cervical-abrasion-lesions/) - Had a 7:45am patient with these "extreme" Class V bangers this morning and incipient caries on tooth #25/4.1. The shade used was A3.5 from GC G-aenial A'Chord which features flexural strength of 168MPa (dentin = 165.6MPa) and shrinkage stress of 1.34MPa. #GCGaenialAchord - [Conservative Full Coverage Indirect Restorations](https://www.clarencetam.co.nz/conservative-full-coverage-indirect-restorations/) - (Afternoon tea pics 1300.1: Voco Grandio SO) The typical margin for any circumferential case above the equator of the tooth is a long bevel, as the occlusofacial and occlusolingual line angles are usually rounded and reduced quite significantly during tooth preparation. This case depicts a situation where we are "just" below the equator of the - [Replacing Part of an old Dental Composite Restoration](https://www.clarencetam.co.nz/replacing-part-of-an-old-dental-composite-restoration/) - #VocoGrandioSO #PartialReplacementRestoration #GarrisonDental #MatrixinMatrix This case featured a partial replacement on the first molar as the distal was intact for the most part and the patient's primary concern was around food trapping in this region and mesial of the second bicuspid. Chemical bonding was completed via a silane coupling agent to the old silica in - [Restoring Large Dental Caries](https://www.clarencetam.co.nz/restoring-large-dental-caries/) - Caries ambush on this first bicuspid with a mesial extension. The contact on tooth #6D needed to be plastied slightly in order for passive fit of the Garrison sectional matrix system, as often contact points can impinge in the ideal position and anatomy of a contact. A single shade of Voco Grandio SO was utilized - [Cervical Abrasion can be aggravated by erosion](https://www.clarencetam.co.nz/cervical-abrasion-can-be-aggravated-by-erosion/) - Retraction cord is my preferred method of isolating Class V's, especially those with subgingival extensions. Visibility is just supreme, and there is minimal discomfort whereas often when I use Brinker B4's there is limited, incomplete access and more significant patient reaction. This case was completed using a single shade of the A2:A3 Essentia Universal. It - [Ormocer composites suitable for use in cervical abfraction cases](https://www.clarencetam.co.nz/ormocer-composites-suitable-for-use-in-cervical-abfraction-cases/) - (Afternoon tea pics 1296.3: Voco Admira Fusion | Class V bangers) Utilizing the ORMOCER-based Admira Fusion system for this trio of Class V abrasion lesions. This material features a compressive strength of 307MPa and a flexural strength of 132MPa along with a lower modulus of elasticity (9.8GPa - suited for deep dentin) which makes it - [Cloud Shaded Composites and Shade Precision in matching](https://www.clarencetam.co.nz/cloud-shaded-composites-and-shade-precision-in-matching/) - Cloud shaded composites are adequate at shade matching but are not "exact" in many cases, as it depends on chameleon effect. This is a Class III case where the darkest cloud shade "Simplishade Dark" was selected, but still failed to perfectly integrate with the chromatic tooth structure, which is approximately an A4 shade. #KerrSimplishade #CloudShadedCompositeReality - [Chasing Hairline Fractures in Molars](https://www.clarencetam.co.nz/chasing-hairline-fractures-in-molars/) - Chasing cracks in this Class I turned Class II recurrent caries situation. Excavation completed using the #KometCeraBur kit. Restored using #KerrSimplishadeLight and the #GarrisonCompositight3DFusion system. - [Cracks are conduits for bacteria to enter teeth](https://www.clarencetam.co.nz/cracks-are-conduits-for-bacteria-to-enter-teeth/) - Et tu, Class II. Cracks are superhighways. #VocoGrandioSO #VocoFinalTouch - [Supercomposite use in a Class III situation](https://www.clarencetam.co.nz/supercomposite-use-in-a-class-iii-situation/) - Ahh, the supercomposite being super in this Class III sitch. #VocoGrandioSO #VocoFinalTouch - [GC Class V composite restoration](https://www.clarencetam.co.nz/gc-class-v-composite-restoration/) - Class V banger with partial replacement of old composite and extension of restoration to area of cervical abrasion. Restored with a single shade of A3 G-aenial A' Chord. #GaenialAchord #ChameleonComposite #ClassVbanger - [Replacing an old dental crown after rebuilding the internals](https://www.clarencetam.co.nz/replacing-an-old-dental-crown-after-rebuilding-the-internals/) - Crown replacement workflow. Bonded core buildup to replace missing dentin always, allowing bonded silicate ceramics to replace missing enamel and composite to replace dentin, as this is the most closely matched set-up in respect of biomimetic layering. #Crownreplacement - [Making Dental Composites Disappear](https://www.clarencetam.co.nz/making-dental-composites-disappear/) - #post_excerptMaking Dental Composites Disappear - [Ormocer base for a complex composite restoration](https://www.clarencetam.co.nz/ormocer-base-for-a-complex-composite-restoration/) - M A S S I V E direct reconstruction of this subgingivally-fractured tooth which was slated for extraction by the emergency dentist. The Omnimatrix photograph shows you what a defect this really was. Subgingival aspects restored using Voco Admira Fusion flowable as Ormocers have been proven to have less bacterial adhesion relative to composites derived - [Deep complex cavities restored biomimetically](https://www.clarencetam.co.nz/deep-complex-cavities-restored-biomimetically/) - Let's talk about deeping it. DME completed using the Omnimatrix before switching to the Garrison Compositight 3D Fusion as normal. Pre-and-post-op radiographs taken. Near pulp exposure. #KerrSimplishade #biomimeticdentistryauckland - [Large Class V lesions with multiple bonding substrates](https://www.clarencetam.co.nz/large-class-v-lesions-with-multiple-bonding-substrates/) - Gnarly Class Vs with proximal extension. Multi-substrate adhesive bonding protocol required as bonding to dentin, enamel, cementum, lithium disilicate. The LiSi2-composite bond is much weaker and over time one will normally notice a "ledge" with flexural failure of the thinner segments. #GCGaenialAchord #ClassVbangers - [Building up Acid Eroded Tooth Structure Presurgically](https://www.clarencetam.co.nz/building-up-acid-eroded-tooth-structure-presurgically/) - This young gentleman will be undergoing a LeFort I osteotomy to advance the maxilla and a bilateral sagittal split osteotomy to retrude a Skeletal Class III very soon. The goals of this pre-surgical prosthetic phase was to restore the palatal aspects without removing the fixed appliances so that ideal anteroposterior positioning of the osteotomy sections - [Dental Expert to Freehand Composite Restorations](https://www.clarencetam.co.nz/dental-expert-to-freehand-composite-restorations/) - F R E E H A N D | Complex Composite Restorations Voco Amaris Composite shades used: O3, TN, HT Voco Final Touch Tint: white This lovely 62 year old female desired direct restorative replacements for the old lost restorations on #25 and 26. Voco Amaris comes with a "real composite" pre-cured shade guide so - [Smile Makeover Auckland | Cosmetic Dentistry](https://www.clarencetam.co.nz/smile-makeover-auckland-cosmetic-dentistry/) - DSD-driven prosthetic replacements for this combination of veneers and crowns first completed in 1997. Smile Designer Pro was utilized to visualize and plan the improved proportions. Thanks again to #TSE for a case well done. Critique: 11MB gingival angle relative to 21MB, but fortunately this area is not displayed upon the full smile. #TSE #IvoclarEmax - [Subgingival clefts and food traps](https://www.clarencetam.co.nz/subgingival-clefts-and-food-traps/) - Subgingival clefts are also areas where you can find fossils. #factfile #GCEssentiaU #SingleShadeRestoration - [Subtleties in Adhesive Bonding Make all the Difference](https://www.clarencetam.co.nz/subtleties-in-adhesive-bonding-make-all-the-difference/) - Subtleties are adhesive bonding's best friends. The cervical abrasion was only restored as it was sensitive to tactile exploration, otherwise, lesion depths of - [Composite Veneer Repair Step by Step](https://www.clarencetam.co.nz/composite-veneer-repair-step-by-step/) - #post_excerptComposite Veneer Repair Step by Step - [Implant Composite Closure for Screw Access](https://www.clarencetam.co.nz/implant-composite-closure-for-screw-access/) - Implant access closures completed using the APC Technique #Blatz prior to microlayering using XL2 Herculite Ultra flowable and surface layering using Harmonize XL2 Dentin. Definitely take a pre-closure radiograph for future reference if re-access is required. #KerrHarmonize #KerrHerculiteUltraflowable #ImplantClosureTips - [Invisible Composite Restorations are Possible](https://www.clarencetam.co.nz/invisible-composite-restorations-are-possible/) - Elements of this case Matrix in matrix | Back to Back | Twisted Teeth | Marginal failure and sensitivity | Proper contact strength | Natural Dental Anatomy #KerrSimplishadeLight #MatrixinMatrix #GarrisonCompositight3DFusion - [Insulating exposed dentin in cervical abrasion lesions](https://www.clarencetam.co.nz/insulating-exposed-dentin-in-cervical-abrasion-lesions/) - Yes there is a hairline crack but that was not my kaupapa today. Let's get those Class V bangers! Thanks as ever to the trusty Tayla. #GCEssentiaU #ClassVbangers - [Simple Invisible Composite with Fissure Details](https://www.clarencetam.co.nz/simple-invisible-composite-with-fissure-details/) - Many of you have asked what shade I use the most in the Simplishade range. As 80% of my practice is comprised of A2 and A3 posteriorly, I use Simplishade Medium, which covers A2, A3, B2, C2, D3 and D4. Simple Class I replacement for tooth #5O. #SimplishadeMedium #CloudComposites #KerrSimplishade - [Matrix in Matrix Complex Composite Reconstruction](https://www.clarencetam.co.nz/matrix-in-matrix-complex-composite-reconstruction/) - Back to Back large Class II action restored sequentially using the Matrix-in-Matrix featuring an external Omnimatrix and an internal Garrison Firm (contoured) band) as the mechanism to achieve ideal proximoaxial contours efficiently on tooth one. The Garrison Compositight 3D Fusion system is then installed in position for the contact point reconstruction on the adjacent tooth. - [GC G-aenial A'Chord](https://www.clarencetam.co.nz/gc-g-aenial-achord/) - Moving from one to the other. Bicuspid completed with a single shade of A2 G-aenial A'Chord. #GCGaenialAchord - [Horizontal Brush Technique Damage](https://www.clarencetam.co.nz/horizontal-brush-technique-damage/) - #ClassVbangers to rebuild the lost contour of the #20 and 21. #GCGaenialAchord #A2shadecomposite - [Toothbrush Aggressive Scrubbing Damage Reversed](https://www.clarencetam.co.nz/toothbrush-aggressive-scrubbing-damage-reversed/) - (Afternoon tea pics 1271.3: GC G-aenial A'Chord) #ClassVbangers on this lovely 70 year old man to protect exposed dentin in these cervical abrasion lesions. Shade A3 G-aenial A'Chord. #GCGaenialAChord GC Australasia - [Kuraray Majesty ES-2 Universal U](https://www.clarencetam.co.nz/kuraray-majesty-es-2-universal-u/) - Back to back caries. Restorative material: Kuraray Majesty ES-2 Universal Liner: Kuraray Majesty Esthetic flowable Matrix system: matrix-in-matrix (Omnimatrix/Garrison Firm Band) and Garrison Compositight 3D Fusion. #GarrisonCompositight #MatrixinMatrix #KurarayMajestyES2Universal - [Removing Amalgams Invisibly](https://www.clarencetam.co.nz/removing-amalgams-invisibly/) - #post_excerptRemoving Amalgams Invisibly - [Simple Shade Selection Composite Resin | Kerr Simplishade](https://www.clarencetam.co.nz/simple-shade-selection-composite-resin-kerr-simplishade/) - Keeping these back to back Class IIs simple with a single chameleon shade of Simplishade Light. Compressive strength 366MPa and flexural strength at 140MPa. #KerrSimplishadeLight #simpleshadeselection - [Safe Amalgam Removal and Biomimetic Restoration](https://www.clarencetam.co.nz/safe-amalgam-removal-and-biomimetic-restoration/) - (Afternoon tea pics 1267.7: Voco Amaris | Final Touch White and Brown) Conservative amalgam removal and replacement with an ALL-CERAMIC composite system. The organically modified ORMOCER system of Voco Amaris allows zero leaching of monomers with hydrolytic degration seen in conventional composite systems. Compressive strength: 375MPa (enamel 386MPa, dentin 297MPa) Flexural strength: 120MPa (dentin 165.6MPa) - [Class V bangers](https://www.clarencetam.co.nz/class-v-bangers-7/) - #ClassVbangers - [Dentin Exposure leads to Caries Susceptibility](https://www.clarencetam.co.nz/dentin-exposure-leads-to-caries-susceptibility/) - Trying to restore the cervical caries affecting an old crown margin and abrasion in that mesiofacial region at the same time on the second bicuspid. Incipient caries due to exposed dentin restored on the first bicuspid. #GCEssentiaU #DentinExposureisBad #CariesSusceptibility - [Scrubbing Teeth Too Hard can Result in Abrasion Lesions](https://www.clarencetam.co.nz/scrubbing-teeth-too-hard-can-result-in-abrasion-lesions/) - Class V banger action to spice up the afternoon after a morning of yawns. #GCGaenialAchord #ClassVbangers #spacefluff - [Class 5 bangers | Class V bangers](https://www.clarencetam.co.nz/class-5-bangers-class-v-bangers/) - Class V bangers #GC #EssentiaU0 - [Cervical Abrasion Lesions](https://www.clarencetam.co.nz/cervical-abrasion-lesions-3/) - #post_excerptCervical Abrasion Lesions - [Closing Tooth Spaces that have opened up](https://www.clarencetam.co.nz/closing-tooth-spaces-that-have-opened-up/) - #post_excerptClosing Tooth Spaces that have opened up - [Porcelain Bonded Crowns Auckland](https://www.clarencetam.co.nz/porcelain-bonded-crowns-auckland/) - (Afternoon tea pics 1860.6: IPS e-max MT) Full coverage indirects to bolster residual tooth structure. Kois had an interesting point that he taught: sometimes more is more. If you can identify a mode of failure, whether occlusal caries or proximal caries susceptibility, design your restoration to eliminate/minimize that risk and your need to replace those - [Invisible Composite Fillings](https://www.clarencetam.co.nz/invisible-composite-fillings/) - #Voco #AdmiraFusionXtra #AllCeramicComposite - [Class I with a dark dentin base](https://www.clarencetam.co.nz/class-i-with-a-dark-dentin-base/) - Admira Fusion X-tra used in a 49 year old male. A "white opaque liner" of Voco Final Touch white was used to mostly neutralize the darkness within. #AdmiraFusionXtra #DarkClassI - [Class II restorations | Admira Fusion](https://www.clarencetam.co.nz/class-ii-restorations-admira-fusion/) - A single shade all-ceramic composite used for Class II restorations in this lovely 21 year old female. #Voco #AdmiraFusionXtra - [Class 5 banger | GC Essentia U](https://www.clarencetam.co.nz/class-5-banger-gc-essentia-u/) - Deep and tortuous cervical abrasion made invisible using #GC #EssentiaU. - [Resin Laminates | Composite Veneers Auckland](https://www.clarencetam.co.nz/resin-laminates-composite-veneers-auckland/) - Digital Smile Design-guided stratified composite veneers using the Voco Amaris system and only conservative recontouring pre-operatively. #DSD #compositeveneers #SmileDesignerPro #VocoAmaris #CosmeticDentistAuckland #resinacomposta - [Matrix in Matrix strategy for Class II reconstructions](https://www.clarencetam.co.nz/matrix-in-matrix-strategy-for-class-ii-reconstructions/) - Back to back Class II composites completed individually using Matrix-in-Matrix system initially to control proximoaxial contour on the first bicuspid before conventional Garrison sectional assembly placement to finish the second tooth off. #GarrisonCompositight #Omnimatrix #UltradentProducts #VocoAdmiraFusion - [Matrix in Matrix assembly for complex dental fillings](https://www.clarencetam.co.nz/matrix-in-matrix-assembly-for-complex-dental-fillings/) - #post_excerptMatrix in Matrix assembly for complex dental fillings - [Voco Admira Fusion X-tra](https://www.clarencetam.co.nz/voco-admira-fusion-x-tra/) - Class II amalgam removal. The proximoaxial contour of the restoration behind was concave and irregular. Following an adhesive protocol to bond to old composite, this area was additively reshaped before the matrix assemblies were installed to construct M and D marginal ridges. The occlusal aspect was layered using Admira Fusion X-tra U (curable in up - [Slot Restorations | Voco Admira Fusion](https://www.clarencetam.co.nz/slot-restorations-voco-admira-fusion/) - #post_excerptSlot Restorations | Voco Admira Fusion - [Small ceramic composite restorations](https://www.clarencetam.co.nz/small-ceramic-composite-restorations/) - Palatal restoration restored with a single shade of A2 Admira Fusion. #VocoAdmiraFusion #smallceramicrestorations - [Class 5 composite restorations](https://www.clarencetam.co.nz/class-5-composite-restorations/) - Lovely hanging out with a fellow South Island colleague and restoring some Class V bangers concomitantly. Single shade chameleon effect: GC G-aenial A'Chord A2 Microlayers: A2 Kuraray Majesty Esthetic flowable #KurarayMajesty #GCGaenialAchord #ClassVbangers - [All Ceramic Composite no BPA](https://www.clarencetam.co.nz/all-ceramic-composite-no-bpa/) - #post_excerptAll Ceramic Composite no BPA - [Rebuilding Lost Tooth Structure](https://www.clarencetam.co.nz/rebuilding-lost-tooth-structure/) - #post_excerptRebuilding Lost Tooth Structure - [Class V banger | Glass 5 banger](https://www.clarencetam.co.nz/class-v-banger-glass-5-banger/) - #ClassVbanger or should I say #Glass5banger =) #GCGaenialAchord - [Class II Challenge in tooth 28](https://www.clarencetam.co.nz/class-ii-challenge-in-tooth-28/) - A challenging Class II replacing an old composite featuring marginal failure and recurrent decay using the wide-prep ring by Garrison. This green ring allows for arbitrary maintenance of a "line angle" during Class II marginal ridge formation. A single cloud shaded approach was successful here using Medium by Simplishade. #KerrSimplishade #CloudComposites #ClassIITricks #GarrisonCompositightWidePrep - [Root surface sensitivity resolved](https://www.clarencetam.co.nz/root-surface-sensitivity-resolved/) - Sensitivity can come in all forms and depths of cervical abrasion lesions. Additive dentistry is such a turn on! #GCEssentiaU #ClassVbangers #rootsensitivity #rootsurfaceabrasion - [Canine Substitution Composite Restorations](https://www.clarencetam.co.nz/canine-substitution-composite-restorations/) - (Afternoon tea pics 1843.5: Voco Amaris) It's difficult to create the illusion of lateral incisors from mesialized canines as part of a substitution strategy for congenitally missing upper lateral incisors. Pre-prosthetic nightguard bleaching was completed before a multistratified approach was taken to lend more balance to the smile and composition. A minimally invasive and minimally - [Class III esthetics with Voco Grandio SO](https://www.clarencetam.co.nz/class-iii-esthetics-with-voco-grandio-so/) - #post_excerptClass III esthetics with Voco Grandio SO - [Class V Abrasion Fine Restorations](https://www.clarencetam.co.nz/class-v-abrasion-fine-restorations/) - #post_excerptClass V Abrasion Fine Restorations - [Toothbrush Damage to Teeth Restored](https://www.clarencetam.co.nz/toothbrush-damage-to-teeth-restored/) - #post_excerptToothbrush Damage to Teeth Restored - [Auckland Dentist Employs Cutting-Edge Dental Technology to Visualize Potential Smile Results](https://www.clarencetam.co.nz/auckland-dentist-employs-cutting-edge-dental-technology-to-visualize-potential-smile-results/) - Our Auckland dentist can give you a virtual preview of your potential treatment results using Digital Smile Design and other advanced technology. Learn more. - [Partial Replacement Preserving Deep Composite](https://www.clarencetam.co.nz/partial-replacement-preserving-deep-composite/) - Class I near complete replacement leaving pulpal aspect of composite intact. This is possible if there is no evidence of microleakage with micro particle abrasion. A silane coupling agent needs to be used to link the silica in the old composite with the resin matrix of the new. #VocoGrandioSO #VocoFinalTouch - [Freehand Resin Bonded Composite Bridge | Voco GrandTEC](https://www.clarencetam.co.nz/freehand-resin-bonded-composite-bridge-voco-grandtec/) - Freehand Direct Resin-Impregnated glass fiber NO PREP single winged Maryland bridge. GrandTEC fiber used and buttered into place before freehand placement of Amaris layers O4, O3, HT, white tint, TN. #VocoGrandTEC #VocoAmaris #ResinBondedDirectBridge - [Supporting Buccal Corridors with Composite Veneers](https://www.clarencetam.co.nz/supporting-buccal-corridors-with-composite-veneers/) - (Afternoon tea pics 1837.3: Clinicians Choice Evanesce) Pure additive composite veneers to augment the bicuspid to better support the buccal corridor. Right side. #CliniciansChoiceEvanesce #DirectCompositeVeneers - [Composite Veneers to Reduce Buccal Corridor](https://www.clarencetam.co.nz/composite-veneers-to-reduce-buccal-corridor/) - (Afternoon tea pics 1836.6: Clinicians Choice Evanesce) Pure additive composite veneer to augment the bicuspid to better support the buccal corridor. Left side. #CliniciansChoiceEvanesce #DirectCompositeVeneers - [Composite Canine Substitution Layering](https://www.clarencetam.co.nz/composite-canine-substitution-layering/) - Canine substitution direct resin stratification using Voco Amaris. Shades used: Enamel: TL Dentin: O1, OBleach Effects: White, Final Touch, HT. #VocoAmaris #Caninesubstitution #CompositeVeneer #Resinstratification #Compositelayering #CosmeticDentistry - [Amalgams Replaced with White Restorations](https://www.clarencetam.co.nz/amalgams-replaced-with-white-restorations/) - Large amalgam replacement with the composite that is most ceramic-like in performance. Single shade restoration with Final Touch tints. A Grand finish. #VocoFinalTouch #VocoGrandioSO - [Extreme Dental | Smile Makeover](https://www.clarencetam.co.nz/extreme-dental-smile-makeover/) - #post_excerptExtreme Dental | Smile Makeover - [Class II Composite Partial Replacement](https://www.clarencetam.co.nz/class-ii-composite-partial-replacement/) - #post_excerptClass II Composite Partial Replacement - [Bonded porcelain overlays](https://www.clarencetam.co.nz/bonded-porcelain-overlays/) - Apologies for the quick and "dirty" post-op view - Third and second molar lithium disilicate overlays for this lovely patient. Minimal anatomy due to interocclusal space restrictions. #Ivoclar #emaxMT #porcelainoverlays - [Invisible Composite Layering](https://www.clarencetam.co.nz/invisible-composite-layering/) - #post_excerptInvisible Composite Layering - [Restoring Marginal Leakage in Composite Fillings](https://www.clarencetam.co.nz/restoring-marginal-leakage-in-composite-fillings/) - Don't let marginal leakage ruin your holiday this Christmas. Voco Grandio SO was utilized for performance that is projected to last many, many, many Christmases. #VocoGrandioSO #ChristmasComposite - [Saving Near Hopeless Teeth](https://www.clarencetam.co.nz/saving-near-hopeless-teeth-2/) - #post_excerptSaving Near Hopeless Teeth - [Voco Grandio SO | Garrison Wide Prep](https://www.clarencetam.co.nz/voco-grandio-so-garrison-wide-prep/) - Due to the rotation of this bicuspid, the Garrison Wide Prep ring was employed to effortlessly recreate the missing line angle. A single shade of A2 Voco Grandio SO (the OG supercomposite) was used to restore the tooth to full contour. With a compressive strength of 439MPa, the composite has a higher compressive strength than Voco Grandio SO | Garrison Wide Prep - [Exploratory fissurotomy | Kerr Simplishade](https://www.clarencetam.co.nz/exploratory-fissurotomy-kerr-simplishade/) - Exploratory fissurotomies hold surprises sometimes. I don't like surprises. #KerrSimplishade #exploratoryfissurotomy - [Straumann Angulated Screw Channel](https://www.clarencetam.co.nz/straumann-angulated-screw-channel/) - It is possible to come close to matching with different substrates. #StraumannASC #Ivoclaremax #ImplantVeneercombination #TSE - [Esthetic Management of Incisor Hypomineralization](https://www.clarencetam.co.nz/esthetic-management-of-incisor-hypomineralization/) - A complex incisor hypomineralization case where a combination of whitening, resin infiltration, microabrasion and composite layering were employed (the latter only on the lateral incisors). #incisorhypomineralization #compositelayering #resininfiltration #compositeveneers - [Matrix in Matrix Technique | Class II composite](https://www.clarencetam.co.nz/matrix-in-matrix-technique-class-ii-composite/) - Class II featuring matrix-in-matrix on the D aspect to idealize emergence and axial contours and traditional Garrison Compositight 3D Fusion on the M aspect. #SimplishadeMedium #GarrisonCompositight #MatrixinMatrix #KerrDental #Envista - [Replacing Unsightly Amalgam and Stabilizing Cracks](https://www.clarencetam.co.nz/replacing-unsightly-amalgam-and-stabilizing-cracks/) - Class I with lingual crack extension dissected a reasonable amount apically, restored using a single shade of Simplishade Medium. People don't know that amalgam doesn't support tooth structure and actually causes cyclic fatigue/flexion over time leading to cracks, which are occasionally catastrophic for teeth. #KerrSimplishade #KeepItSimplishade - [Palatal Root Canal Access Restoration](https://www.clarencetam.co.nz/palatal-root-canal-access-restoration/) - Kuraray Majesty ES-2 Universal White for this patient after inside-outside bleaching (10 day standdown). #KurarayMajestyES2UniversalWhite #VocoFinalTouchBrown - [Class 5 bangers](https://www.clarencetam.co.nz/class-5-bangers-2/) - #post_excerptClass 5 bangers - [Kerr Simplishade Cavity Restoration](https://www.clarencetam.co.nz/kerr-simplishade-cavity-restoration/) - A simple Class I for this lovely woman. Great that the shading system is Simpl(ishade) too. #KerrSimplishade #dentalcaries #simplifiedshadingsystem #dentalcomposites - [Digital Smile Design Driven Porcelain Veneer Makeover](https://www.clarencetam.co.nz/digital-smile-design-driven-porcelain-veneer-makeover/) - #APT Technique in action on this 10 unit case. #Ivoclar #SmileDesign #CosmeticDentistry #PorcelainVeneers #WiderBrighterSmile #ExtremeMakeover - [Class 5 bangers](https://www.clarencetam.co.nz/class-5-bangers/) - (Afternoon tea pics 1817.9: GC G-aenial A'Chord) SWIPE | Multiple carious lesions and cervical abrasion in the upper anterior sextant restored with extensive, stratified composite. Single shade technique: G-aenial A'Chord (GC) A3. #ClassVbangers #GaenialAchord #GCAustralasia #Class5bangers - [Resin Infiltration and Composite Layering](https://www.clarencetam.co.nz/resin-infiltration-and-composite-layering/) - Combination Limited Resin Infiltration and Composite Layering in this 15 year old female to address esthetic issues with severe incisor hypomineralization #DMGIcon #VocoAmaris #SevereIncisorHypomin #D3Group #CompositeLayering #MinimallyInvasiveDentistry - [Composite Veneer for Incisor Hypomineralization](https://www.clarencetam.co.nz/composite-veneer-for-incisor-hypomineralization/) - (Afternoon tea pics 1815.5: Voco Amaris | Voco Final Touch) Here is a case where resin infiltration is not indicated. Surface breakdown renders that technique ineffective. Conservative reduction and composite layering is the most conservative approach. Voco Amaris was utilized in a stratified fashion to create internal detail and simultaneously lift the value of the - [SureSmile Orthodontics and Composite Veneers](https://www.clarencetam.co.nz/suresmile-orthodontics-and-composite-veneers/) - Reassessment of the post-orthodontic case enhanced with whitening and conservative bonding to close black triangles and optimize shapes. #Opalesence #VocoAmaris #SmileMore #CosmeticDentistry #NonInvasiveDentistry #CompositeBonding #CompositeVeneers - [Black Triangle Composite Resin Closure](https://www.clarencetam.co.nz/black-triangle-composite-resin-closure/) - #VocoAmaris #BlackTriangleClosure #ConservativeEsthetics - [Closing Black Triangles in the Esthetic Zone with Composite](https://www.clarencetam.co.nz/closing-black-triangles-in-the-esthetic-zone-with-composite/) - F R E E H A N D | Closure of black triangles in the esthetic zone. Shades: Voco Amaris O2, TL, HT, white tint (Final Touch) #VocoAmaris #BlackTriangleClosure #DirectResinEsthetics #NonInvasiveDentistry - [Conservative Composite Restorations](https://www.clarencetam.co.nz/conservative-composite-restorations/) - #post_excerptConservative Composite Restorations - [Complex Composite Restoration](https://www.clarencetam.co.nz/complex-composite-restoration/) - Last case for the week. Friyay vibes with this large composite replacement on #14 and an unexpected occlusal on #15. Single shade chameleon effect using Kerr Simplishade. Proximoaxial contours courtesy of Garrison Compositight 3D Fusion. #KerrSimplishade #envista #garrisondental #compositight #classIIesthetics #directresinartistry - [Invisible Composite Replacement](https://www.clarencetam.co.nz/invisible-composite-replacement/) - #8 limited BIP replacement completed using a stratified approach using #VocoAmaris - [Amalgam Replacement using Complex Composite](https://www.clarencetam.co.nz/amalgam-replacement-using-complex-composite/) - MONSTER Class II action feat. Matrix in Matrix for the initial wall (with Omnimatrix surrounding Garrison Firm Bands for ideal proximoaxial contour) before conversion to regular Garrison sectional matrix set-ups for contact formation. Restorative material: Deep: Majesty Esthetic flowable Mid-deep: Kerr Herculite Ultra flowable XL2 Coronal dentin: GC Ever-X flowable Capping composite: Kerr Simplishade Medium - [Crack stabilization in a front tooth](https://www.clarencetam.co.nz/crack-stabilization-in-a-front-tooth/) - #post_excerptCrack stabilization in a front tooth - [DentsplySirona CeramX Spectra ST](https://www.clarencetam.co.nz/dentsplysirona-ceramx-spectra-st/) - SLOT | Action using Dentsply's Ceram.X Spectra ST.HV #EstheticIntegration #DentsplyCeramXSpectra - [Kerr Simplishade | Class I composite](https://www.clarencetam.co.nz/kerr-simplishade-class-i-composite/) - Old Class I restorations featuring marginal failure replaced with a single shade of Simplishade Light. #KerrSimplishade #ClassIreplacement #CloudComposites - [Class V banger | Resin Esthetics](https://www.clarencetam.co.nz/class-v-banger-resin-esthetics/) - Class V esthetic integration made easy using this A2:A3 blend Universal composite from GC. #EssentiaU #GCEssentia #GCJapan #ClassVbanger #EstheticResinIntegration - [Class II Restorative Solution | Simplishade](https://www.clarencetam.co.nz/class-ii-restorative-solution-simplishade/) - Amalgam and caries removal. Single shade Simplishade Medium restorative solution. #KerrSimplishade #ClassIIsolution - [Composite Veneer | Voco Amaris](https://www.clarencetam.co.nz/composite-veneer-voco-amaris/) - Fractured restoration on #8BIL. Significant intraoperative dehydration anticipated. Pre-operative shade selection: Voco Amaris: TL, O2, HT Voco Final Touch: white. #VocoAmaris #CompositeLayering #CosmeticDentistry #CompositeVeneerAuckland - [Class I Kerr Simplishade](https://www.clarencetam.co.nz/class-i-kerr-simplishade/) - Class I finesse. #resinrestorations #compositeartistry #simplicityistheultimatesophistication #cosmeticrestorations #kerranz #kerrsimplishade #envista - [Variant Class I resin anatomy](https://www.clarencetam.co.nz/variant-class-i-resin-anatomy/) - Variant anatomy for a Class I. #KerrSimplishadeLight - [Shallow Class II composite restoration](https://www.clarencetam.co.nz/shallow-class-ii-composite-restoration/) - Shallow Class II, boo. #KerrSimplishade #VocoFinalTouch - [Replacing a single anterior crown to blend](https://www.clarencetam.co.nz/replacing-a-single-anterior-crown-to-blend/) - Single crown replacement using a medium translucency ingot following core opacification to generate more internal light reflection. The zenith of #9 was always slightly higher than #8. #IPSemaxMT #theshineffect #cosmeticdentistry #singlecrownreplacementtoblend - [Conservative Composite Restoration](https://www.clarencetam.co.nz/conservative-composite-restoration/) - Conservative Class I. #KerrSimplishade #conservativedentistry - [Complex extensive Class II direct restorations](https://www.clarencetam.co.nz/complex-extensive-class-ii-direct-restorations/) - #post_excerptComplex extensive Class II direct restorations - [Making Grey Teeth Whiter](https://www.clarencetam.co.nz/making-grey-teeth-whiter/) - Monday morning's surprises dealt with swiftly using #VocoGrandioSOA3. Single shade technique with a supercomposite. #VocoGrandioSO #makinggreyteethwhiter - [Deep caries in a teenage male](https://www.clarencetam.co.nz/deep-caries-in-a-teenage-male/) - A TRIBUTE to those cases that no rubber dam clamp will stay on. #KerrSimplishadeLight - [Saving Near Unrestorable Teeth](https://www.clarencetam.co.nz/saving-near-unrestorable-teeth/) - This case was a stretch with a sparkly provisional phase. #heroicdentistry #IPSemax #Ivoclar - [Chameleon Composites](https://www.clarencetam.co.nz/chameleon-composites-2/) - (Afternoon tea pics 1791.1: GC Essentia U) Chameleons aren't perfect but they're close. #GCEssentiaU GC Australasia - [Class I cavities with dark base](https://www.clarencetam.co.nz/class-i-cavities-with-dark-base/) - Block out of dark substrate achieved using microlayers of XL2 Herculite Ultra flowable prior to Kerr Simplishade Medium. #HerculiteUltra #BlockingOutDarkTeeth #KerrSimplishade - [Cavities between the teeth](https://www.clarencetam.co.nz/cavities-between-the-teeth/) - #KerrSimplishadeMedium #ClassIICloudComposites - [Class V Banger](https://www.clarencetam.co.nz/class-v-banger/) - Class V banger to kick off Humpday. #GCEssentiaU - [Kerr Simplishade Medium | Herculite XL2](https://www.clarencetam.co.nz/kerr-simplishade-medium-herculite-xl2/) - #post_excerptKerr Simplishade Medium | Herculite XL2 - [Class II Esthetics Matrix in Matrix](https://www.clarencetam.co.nz/class-ii-esthetics-matrix-in-matrix/) - #post_excerptClass II Esthetics Matrix in Matrix - [Class III Voco Grandio SO | Invisible Dentistry](https://www.clarencetam.co.nz/class-iii-voco-grandio-so-invisible-dentistry/) - The OG of Chameleon Body shaded composites in a Class III situation. #VocoGrandioSO #InvisibleDentistry - [Aesthetic PreEvaluative Technique](https://www.clarencetam.co.nz/aesthetic-preevaluative-technique/) - Esthetic Rehabilitation APT Workflow #APT #GalipGurel #RestorativeResultDrivenPreparation - [Provisional Crown Emergence Capture | Dental Implants](https://www.clarencetam.co.nz/provisional-crown-emergence-capture-dental-implants/) - P R E C I S I O N Tissue Control | Opaldam used to capture the gingival profile from a fine-tuned implant provisional crown on an implant replica before transferring this to the implant pick-up for control. #Straumann #customimplantfixtureabutment - [Fractured marginal ridge reconstruction](https://www.clarencetam.co.nz/fractured-marginal-ridge-reconstruction/) - Gingival overgrowth into a fractured D marginal ridge situation on tooth #18/3.7 requiring laser diode resection (Gemini, Ultradent). Omnimatrix and Teflon isolation for reconstruction of the D wall. *Apologies for the dam: 3rd dam on for this patient - the last photo - the tightness of his external oblique ridge obviated the position of the - [Dental Crown Auckland](https://www.clarencetam.co.nz/dental-crown-auckland/) - #post_excerptDental Crown Auckland - [Immediate Post operative Result | Veneers Auckland](https://www.clarencetam.co.nz/immediate-post-operative-result-veneers-auckland/) - Veneer replacements for 17 year old ones that featured hairline cracks and marginal failure. #Theshineffect #IPSemax #Ivoclar #SmileDesignerPro #CosmeticDentistryAuckland #VeneersAuckland - [Composite Resin Artistry | Cosmetic Dentist Auckland](https://www.clarencetam.co.nz/composite-resin-artistry-cosmetic-dentist-auckland/) - Large Class II with an unexpected distal enamel carious extension that required removal without compromising the contact. A simple serrated strip was used to restore that region before converting other Class II boxes into Class I situations. A single shade of Kerr Simplishade Light was utilized for this case. Compressive strength: 358MPa, Flexural strength: 110MPa - [Smile Design with 5 porcelain veneers](https://www.clarencetam.co.nz/smile-design-with-5-porcelain-veneers/) - #post_excerptSmile Design with 5 porcelain veneers - [Class III resin esthetic integration](https://www.clarencetam.co.nz/class-iii-resin-esthetic-integration/) - (Afternoon tea pics 1777.8: Voco Grandio SO) Class III Mayhem. Correct contact strengths restored. #VocoGrandioSO #luxecomposites #ClassIIIrestoration #estheticresinintegration - [The luxury composite resin material](https://www.clarencetam.co.nz/the-luxury-composite-resin-material/) - (Afternoon tea pics 1776.3: Voco Grandio SO) MONDAY Matrix-in-Matrix | back to back Class II action with chameleon effect demonstration from the couture composite, #VocoGrandioSO #luxurycomposite VOCO GmbH - The Dentalists - [Resin composite esthetics molar](https://www.clarencetam.co.nz/resin-composite-esthetics-molar/) - #post_excerptResin composite esthetics molar ## Pages - [Home](https://www.clarencetam.co.nz/) - Welcome to Tam Dental Group! Our Auckland cosmetic and general dentists offer teeth whitening, porcelain veneers, dental implants, and other treatments. - [About Our Practice](https://www.clarencetam.co.nz/about-the-practice/) - Our Auckland dental team includes hygienists, technicians, and extensively trained staff dedicated to your dental needs and goals. Read about them here. - [Advanced Care](https://www.clarencetam.co.nz/advanced-care/) - Advanced dental services at our Auckland practice include laser dentistry, sleep apnoea treatment, snore guards, tooth extractions, and more. Click here. - [Laser Dentistry](https://www.clarencetam.co.nz/advanced-care/laser-dentistry/) - Laser therapy at our Auckland practice can remove bacteria, clean the gums, eliminate cold sores, and reshape the gumline without bleeding or major downtime. - [Laser Gum Recontouring](https://www.clarencetam.co.nz/advanced-care/laser-gum-recontouring/) - Do you have a gummy smile? Learn how our cosmetic dentist in Auckland can help you reduce excess gum tissue with virtually painless laser dentistry treatments. - [Contact](https://www.clarencetam.co.nz/contact/) - Find hours, directions, and contact information for Tam Dental Group in Auckland. Dr Clarence Tam and our team can help you achieve your smile goals. - [Lectures and Workshops](https://www.clarencetam.co.nz/about-the-practice/lectures-and-workshops/) - Learn more about the dental workshops and lectures in which our Auckland dentists participate and book a seat at the next session. Click here for more information. - [Composite Veneers](https://www.clarencetam.co.nz/cosmetic/composite-veneers/) - Composite veneers are an alternative to porcelain veneers that can help you achieve your smile goals. Our Auckland dentist explains benefits and cost here. - [Dental Bridges](https://www.clarencetam.co.nz/restorative/dental-bridges/) - Bridges from our Auckland cosmetic dentist can replace missing teeth without surgery. Discover benefits, candidates, treatment details, and costs here. - [Cosmetic Dentistry Treatments](https://www.clarencetam.co.nz/cosmetic/) - Find out about our Auckland dental practice’s cosmetic treatments, including porcelain veneers, teeth whitening, laser dentistry, and Invisalign. - [Online Reviews](https://www.clarencetam.co.nz/about-the-practice/online-reviews/) - Explore online reviews written by real Auckland patients at Tam Dental Group to discover our elevated levels of patient satisfaction and compassionate care. - [All-on-4® Secure Dentures](https://www.clarencetam.co.nz/restorative/all-on-4/) - Smile suffering from a lack of teeth? All-on-4 from our Auckland dentist can restore your smile with beautiful results and lasting comfort. Find out more here - [Full Mouth Reconstruction – Regaining Function](https://www.clarencetam.co.nz/restorative/full-mouth-reconstruction/) - Full mouth reconstruction from our Auckland dentist is designed to restore your smile when you have more than one dental concern. Missing teeth, damage, or more? We can help. - [Our Dream Team](https://www.clarencetam.co.nz/about-the-practice/our-dream-team/) - Introducing our extensively trained and friendly team of dental professionals and patient care coordinators. Our Auckland practice is dedicated to providing exceptional care from the moment you walk in. - [Dental Implants](https://www.clarencetam.co.nz/restorative/implants/) - Replace missing teeth and restore your smile with dental implants. Our Auckland practice offers a multitude of options that can improve oral function and beauty. More here. - [Dental Crowns](https://www.clarencetam.co.nz/restorative/dental-crowns/) - Damaged tooth in need of repair? Our Auckland dentist offers composite and porcelain dental crowns to strengthen teeth while enhancing your smile. Learn more. - [Standard Pricing](https://www.clarencetam.co.nz/about-the-practice/standard-pricing/) - Interested in learning more about our pricing? We offer Standard and Transparent pricing only from Tam Dental Group in Auckland, NZ. - [SureSmile® Clear Orthodontic Aligners](https://www.clarencetam.co.nz/orthodontics/suresmile/) - SureSmile from our Auckland cosmetic dentist offers a clear, discreet treatment to straighten your smile and bite. Learn about candidacy, treatment, and cost. - [Cosmetic Dentist in Auckland](https://www.clarencetam.co.nz/about-the-practice/clarence-tam-dds/) - Meet our extensively trained cosmetic and restorative dentist in Auckland, Dr Clarence Tam. Her dedication to advanced care and compassionate treatment makes dentistry appealing to everyone. - [Porcelain Veneers](https://www.clarencetam.co.nz/cosmetic/porcelain-veneers/) - Considering porcelain veneers? Our Auckland practice uses top of the line materials for natural-looking and long-lasting results. Get cost info and more here. - [Gingival Depigmentation (Gum Bleaching)](https://www.clarencetam.co.nz/cosmetic/gum-depigmentation/) - Our Auckland practice is among the offices performing laser gum bleaching, often called gingival depigmentation, to restore a uniform color in the gums. - [Teeth Whitening](https://www.clarencetam.co.nz/cosmetic/teeth-whitening/) - Smile a little dull? Our Auckland practice offers state-of-the-art at-home and in-office teeth whitening options to help your teeth shine bright and beautiful. More here. - [Preventative Dental Care](https://www.clarencetam.co.nz/preventative/) - Our Auckland dentists offer services to safeguard oral health for you and your family, such as gum disease treatment, oral exams, fluoride therapy, and more. - [Our Dental Services](https://www.clarencetam.co.nz/services/) - Learn more about the dental services Dr Clarence Tam offers at her Auckland practice. Our team provides preventative, restorative, and cosmetic options for the whole family. - [Dental Hygiene Therapy](https://www.clarencetam.co.nz/services/dental-hygiene-therapy/) - Our Auckland dentists offer gentle dental cleanings and effective techniques in hygiene therapy, including AIRFLOW, at our New Zealand practice. Learn more. - [Restorative Dental Treatment](https://www.clarencetam.co.nz/restorative/) - Repair and restore your smile with our Auckland dental practice’s advanced dental options, including dental implants, implant dentures, and TMJ treatments. More here. - [Smile Makeover](https://www.clarencetam.co.nz/cosmetic/smile-makeover/) - Dislike your teeth? Ask about a Smile Makeover from our Auckland dentist, who can use veneers, crowns, and other treatments to achieve your dream smile. - [New Patient Registration Form](https://www.clarencetam.co.nz/about-the-practice/new_patients/) - New Patient? Great we have an online New Patient Form to make it easy to get your health information to us for your visit. - [Skulpting Skool booking/enquiry form](https://www.clarencetam.co.nz/skulpting-skool-booking-form/) - Book or enquire about Skulpting Skool here! - [Sleep Apnoea and Snoring](https://www.clarencetam.co.nz/advanced-care/sleep-apnoea-and-snoring/) - Do you snore? Our Auckland practice can help you determine if you have sleep apnea and provide leading treatment options to reduce your health risks. Find out more. - [Invisalign®](https://www.clarencetam.co.nz/orthodontics/invisalign/) - Straighten your teeth without metal wires or brackets. Invisalign from our Auckland practice can address most dental misalignment issues in less time and with greater comfort. More here. - [Orthodontic Treatment](https://www.clarencetam.co.nz/orthodontics/) - Invisalign and Invisalign Teen from our Auckland practice offer modern ways to straighten teeth without metal parts. Learn more about our orthodontic options here. - [Bite Lab® Dental Mixing Deck](https://www.clarencetam.co.nz/about-the-practice/bite-lab/) - Auckland dentist Dr Clarence Tam developed a state-of-the-art mixing deck to optimize the creation of custom porcelain veneers, crowns, bridges, and more. - [Privacy Policy](https://www.clarencetam.co.nz/privacy-policy/) - Our Policy for Protecting Your Online Privacy This website uses Google Analytics to help analyze how users use the site. The tool uses “cookies”, which are text files placed on your computer, to collect standard Internet log information and visitor behavior information in an anonymous form. The information generated by the cookie about your use - [Digital Smile Design (DSD)](https://www.clarencetam.co.nz/cosmetic/digital-smile-design-dsd/) - Interested in Cosmetic Dentistry? We offer the best in Digital Smile Design "DSD" services and can give you a great idea of your final smile. Contact us today for a DSD appointment. - [Frequent Questions](https://www.clarencetam.co.nz/faqs/) - Have Dental Questions? Visit our FAQ"s page to see some of the common dental questions. If you have more questions contact us today! - [Cosmetic Injectables and Dermal Fillers](https://www.clarencetam.co.nz/advanced-care/injectables/) - Our Auckland cosmetic dentists can erase wrinkles and restore dento-facial symmetry with BOTOX Cosmetic, Dysport, and other injectable fillers. Learn more. - [Invisalign® Teen](https://www.clarencetam.co.nz/orthodontics/invisalign-teen/) - Invisalign Teen was made to help teenagers straighten their teeth quickly, easily, and comfortably. Learn more about this innovative treatment from our Auckland dentist. - [Complete and Partial Dentures](https://www.clarencetam.co.nz/restorative/complete-and-partial-dentures/) - Researching dentures? Learn more about complete and partial dentures options, costs, and candidacy requirements from our Auckland dental practice. Click here. - [Practice Partners](https://www.clarencetam.co.nz/about-the-practice/practice-partners/) - Learn more about our Dental Industry Partners. We utilize dental technology from the best companies in dentistry. - [Sitemap](https://www.clarencetam.co.nz/sitemap/) - About Our Practice Cosmetic Dentist in Auckland Lectures and Workshops New Patient Registration Form Our Dream Team Practice Partners Standard Pricing Bite Lab® Dental Mixing Deck Advanced Care Laser Dentistry Sleep Apnoea and Snoring Cosmetic Injectables and Dermal Fillers Laser Gum Recontouring Blog Contact Cosmetic Dentistry Treatments Composite Veneers Digital Smile Design (DSD) Gingival Depigmentation - [Gallery](https://www.clarencetam.co.nz/gallery/) ## RMG Cases - [Case-20033](https://www.clarencetam.co.nz/gallery/case/case-20033/) - Resin infiltration treatment results using ICON. The greatest joy is the rectification of confidence in a young patient. The greatest satisfaction is the achievement of this with a non-invasive resin infiltration solution. - [Case-20034](https://www.clarencetam.co.nz/gallery/case/case-20034/) - [Case-15673](https://www.clarencetam.co.nz/gallery/case/case-15673/) - [Case-18497](https://www.clarencetam.co.nz/gallery/case/case-18497/) - Gingival depigmentation using a surgicolaser approach to expedite healing. Upper arch done for comparison - [Case-12806](https://www.clarencetam.co.nz/gallery/case/case-12806/) - [Case-12802](https://www.clarencetam.co.nz/gallery/case/case-12802/) - [Case-12801](https://www.clarencetam.co.nz/gallery/case/case-12801/) - [Case-11701](https://www.clarencetam.co.nz/gallery/case/case-11701/) - [Case-11700](https://www.clarencetam.co.nz/gallery/case/case-11700/) - [Case-11698](https://www.clarencetam.co.nz/gallery/case/case-11698/) - [Case-4487](https://www.clarencetam.co.nz/gallery/case/case-4487/) - Lateral incisors were built entirely by hand in one appointment! Mini transitional implants and direct composite crowns using #EmpressDirect on 7 and 10. All in time for her prom. #EmpressDirect #IvoclarVivadent #MinimallyInvasiveMaximallyEsthetic #ResponsibleEsthetics #CosmeticDentistry - [Case-4319](https://www.clarencetam.co.nz/gallery/case/case-4319/) - Had the opportunity to replace “new” veneers done by someone else down country on this 30 year old female as they kept on “popping off”. With Digital Smile Design, we redesigned proportions before executing the case. This is the 1 week reassessment and shows soft tissue still in various stages of healing (she had extremely - [Case-3984](https://www.clarencetam.co.nz/gallery/case/case-3984/) - A 16 year old male presented to my service for repair of tooth 22, which was previously in buccoversion and impacted during a bike vs. car accident. Following a round of custom nightguard bleaching, the patient turned down the option of resin infiltration to decrease the hypomineralized/fluorotic/dysplastic lesions, and thus we incorporated elements of this - [Case-3910](https://www.clarencetam.co.nz/gallery/case/case-3910/) - Description: 1 week reassessment. Trauma restored using #Ultradent #Vit_l_escence and #PeakUniversalBond #DiamondPolishMint - [Case-3821](https://www.clarencetam.co.nz/gallery/case/case-3821/) - It's always flattering when a fellow dentist trusts you to restore his upper molar with a fractured DP cusp. Impressively, he actually provisionalized it himself with GIC and a mirror! Deep marginal elevation matrix system: Ultradent Omnimatrix Matrix system to close contact: Garrison Compositight 3D Fusion DP cusp reconstruction: freehand Material: A2 Voco Grandio SO - [Case-3732](https://www.clarencetam.co.nz/gallery/case/case-3732/) - Deep, deep, deep recurrent caries underneath this old "fissure sealant". No exposure, but man, we are close. #Voco #GrandioSO #ChameleonEffect #FinalTouchBrown #SkulptingSkool #TamDentalGroup - [Case-3615](https://www.clarencetam.co.nz/gallery/case/case-3615/) - This massive cavitated carious lesion under the old #1MOB was insanely difficult to reach in a very limited opening. Hence the awkward angle. Restorative material: Voco Grandio SO Tinting system: Voco Final Touch Brown Dam: Sanctuary Dental #Voco #GrandioSO #SanctuaryDental #HenryScheinDentalNZ #AmtechDentalNZ - [Case-3616](https://www.clarencetam.co.nz/gallery/case/case-3616/) - Deep Class I on a young dentist. #Voco #GrandioSO #FinalTouchWhite #FinalTouchBrown #SanctuaryDentalDams #AmtechDentalNZ #HenryScheinNZ - [Case-3467](https://www.clarencetam.co.nz/gallery/case/case-3467/) - Amalgam restorations with recurrent caries noted on tooth #3 replaced using a single shade of Essentia U (50:50 ratio of A2:A3). #GC #Essentia #MaskingLiner #EssentiaU |G_PremioBond - [Case-3466](https://www.clarencetam.co.nz/gallery/case/case-3466/) - Tooth #3 (16) was sensitive to biting pressure and radiographically exhibited recurrent caries affecting the integrity of the distocervical margin in addition to the salient erosive defects (grapefruit tree in the backyard situation). The Garrison Compositight 3D Fusion sectional matrix system was utilized to reconstruct the marginal ridges. The entire restoration was layered using a - [Case-2926](https://www.clarencetam.co.nz/gallery/case/case-2926/) - Class V using microlayers of Hi-Flo Essentia U - [Case-2305](https://www.clarencetam.co.nz/gallery/case/case-2305/) - Class IV - [Case-3463](https://www.clarencetam.co.nz/gallery/case/case-3463/) - So I did battle with this 18DOBL / 37DOBL this afternoon and I don't know who won really. #Kulzer #VenusPearl - [Case-3422](https://www.clarencetam.co.nz/gallery/case/case-3422/) - Interesting angle on this 28. #Kulzer #VenusPearl #SanctuaryDental #SkulptingSkool - [Case-3421](https://www.clarencetam.co.nz/gallery/case/case-3421/) - Class V cervical abrasion lesion restorations with #GC #EssentiaU #Matchmadeinheaven - [Case-3408](https://www.clarencetam.co.nz/gallery/case/case-3408/) - Retreatment due to marginal failure cervically with recurrent caries. Single shade restoration using #Kulzer #Venus #Pearl A2. An interesting matrix set-up with a marriage of #Ultradent #Omnimatrix and #Garrison #Compositight features. #GC #Essentia #Essentials #EssentiaModifierRBM #HenryScheinNZ #SanctuaryDams #AmtechDentalNZ - [Case-3419](https://www.clarencetam.co.nz/gallery/case/case-3419/) - Bombed out. Incrementally restored using GC Essentia U. Didn't see that little cusp tip hypoplastic pit. I may just fissurotomy that bad boy next time. - [Case-3407](https://www.clarencetam.co.nz/gallery/case/case-3407/) - Stability test: 6 month reassessment of transitional bonding with soft tissue surgery (osseous resective surgery/crown lengthening #7, 8 and 9 (12-21). Minor chipping but nothing crazy. GC G-Aenial Anterior shades JE, AO2, IE, JE. #GaenialAnterior #GC #TransitionalBonding #Smashitout - [Case-3406](https://www.clarencetam.co.nz/gallery/case/case-3406/) - Screw-access biomimicry: Implant screw access occlusion using White Tint #EssentiaModifiers and AO2 #GC #GaenialAnterior along with #OptiglazeColor orange mixed with a tinge of brown for the triangular ridges. - [Case-3302](https://www.clarencetam.co.nz/gallery/case/case-3302/) - #Kulzer #VenusPearl #iBondUniversal #SanctuaryDams #nonlatex - [Case-3301](https://www.clarencetam.co.nz/gallery/case/case-3301/) - #Kulzer #VenusPearl #Ultradent #Omnimatrix #Voco #FinalTouch Class II's made fun on #Friyay. #Smashitout #GlosslikeaBoss #SkulptingSkool101 #TamDentalGroup #HuFriedy #StyleSkulpt #SkoolToolz - [Case-3300](https://www.clarencetam.co.nz/gallery/case/case-3300/) - Pretty hard to secure a rubber dam with fixed orthodontic appliances but we managed with a partial split dam. Restoration completed with a single shade of A2 Grandio SO and fissures tinted with Final Touch Brown. #Voco #GrandioSO #FinalTouch #SanctuaryDams #AmtechDentalNZ #NonLatex - [Case-3288](https://www.clarencetam.co.nz/gallery/case/case-3288/) - Another "impossible to put a rubber dam clamp" case completed with the trusty old Neodry Driangle - [Case-3287](https://www.clarencetam.co.nz/gallery/case/case-3287/) - Large Class II's with the 26 completed prior to tooth 25. Matrix system for the 26 (Omnimatrix Clear, Ultradent) and for the 25 (Garrison Compositight 3D Fusion). Single shade restoration using A2 Venus Pearl (Kulzer). - [Case-3286](https://www.clarencetam.co.nz/gallery/case/case-3286/) - #PalodentPlusSectionalMatrix #Kulzer #Venus #Pearl - [Case-3275](https://www.clarencetam.co.nz/gallery/case/case-3275/) - #Voco #Admira#Fusion #FinalTouch #SanctuaryDams #AmtechDentalNZ - [Case-3277](https://www.clarencetam.co.nz/gallery/case/case-3277/) - Classic case of a long standing fractured restoration on tooth 3.7 (#18) and overerupted 2.7 (#15). A crown preparation on heavily restored 3.7 with limited interocclusal space required heavy occlusal reduction paired with enameloplasty cum dentinoplasty on 2.7 resulting in tactile hypersensitivity. The amalgam restoration on 2.7 was planned for replacement anyways. The goal was - [Case-3276](https://www.clarencetam.co.nz/gallery/case/case-3276/) - Localized severe erosion paired with attrition from an opposing tooth that is now gone - [Case-3273](https://www.clarencetam.co.nz/gallery/case/case-3273/) - Large Class II's with #Kulzer #Venus #Pearl #SingleShadeChameleon #FinalTouchBrown tints #OraltecNZ - [Case-3272](https://www.clarencetam.co.nz/gallery/case/case-3272/) - #Kulzer #VenusPearl #A2 #SingleShadeChameleon #TippedTeeth - [Case-3268](https://www.clarencetam.co.nz/gallery/case/case-3268/) - This material is made for virtual blending with chamfer margins. Always strive to get a 360 degree enamel margin for predictable bonding over the long-term. #bionicteeth #IPSemaxMT #theShinEffect - [Case-3267](https://www.clarencetam.co.nz/gallery/case/case-3267/) - Trauma to tooth 3.2 (#23) with a near-complicated enamel-dentin fracture on this 21 year old man/boy/man. - [Case-3266](https://www.clarencetam.co.nz/gallery/case/case-3266/) - Composite: Kulzer Venus Pearl A2 Bonding system: iBond Universal Tinting system: Voco FinalTouch Brown - [Case-3265](https://www.clarencetam.co.nz/gallery/case/case-3265/) - Kulzer Venus Pearl - [Case-3264](https://www.clarencetam.co.nz/gallery/case/case-3264/) - This case demonstrates restorative derotation of tooth 11 (which was approximately 30 degrees mesially rotated) with simultaneous removal of caries MBP and restoration of caries on 21MP at the same time using the Kerr Harmonize system. The patient did not want me to place perikymata in the final result, which would have improved its integration. - [Case-3090](https://www.clarencetam.co.nz/gallery/case/case-3090/) - [Case-3089](https://www.clarencetam.co.nz/gallery/case/case-3089/) - [Case-341](https://www.clarencetam.co.nz/gallery/case/case-341/) - Problem: this "hole" was what was left by bacteria, causing the patient some sensitivity. Solution: A2 Paradigm (3M) was used in a layered fashion to recreate this seemingly unrestored surface - is your dentist an artist? Make sure you demand a filling that looks like a tooth! - [Case-3075](https://www.clarencetam.co.nz/gallery/case/case-3075/) - [Case-3074](https://www.clarencetam.co.nz/gallery/case/case-3074/) - [Case-3072](https://www.clarencetam.co.nz/gallery/case/case-3072/) - [Case-3073](https://www.clarencetam.co.nz/gallery/case/case-3073/) - [Case-3071](https://www.clarencetam.co.nz/gallery/case/case-3071/) - [Case-3070](https://www.clarencetam.co.nz/gallery/case/case-3070/) - [Case-3061](https://www.clarencetam.co.nz/gallery/case/case-3061/) - [Case-3060](https://www.clarencetam.co.nz/gallery/case/case-3060/) - [Case-3059](https://www.clarencetam.co.nz/gallery/case/case-3059/) - [Case-3057](https://www.clarencetam.co.nz/gallery/case/case-3057/) - [Case-3056](https://www.clarencetam.co.nz/gallery/case/case-3056/) - [Case-3055](https://www.clarencetam.co.nz/gallery/case/case-3055/) - [Case-3054](https://www.clarencetam.co.nz/gallery/case/case-3054/) - [Case-3053](https://www.clarencetam.co.nz/gallery/case/case-3053/) - [Case-3052](https://www.clarencetam.co.nz/gallery/case/case-3052/) - [Case-3050](https://www.clarencetam.co.nz/gallery/case/case-3050/) - [Case-3049](https://www.clarencetam.co.nz/gallery/case/case-3049/) - [Case-2932](https://www.clarencetam.co.nz/gallery/case/case-2932/) - [Case-2930](https://www.clarencetam.co.nz/gallery/case/case-2930/) - [Case-2929](https://www.clarencetam.co.nz/gallery/case/case-2929/) - [Case-2928](https://www.clarencetam.co.nz/gallery/case/case-2928/) - Squashed Class II replacements (concave distal axial contour) using #Kulzer #VenusPearl A2.5 - [Case-366](https://www.clarencetam.co.nz/gallery/case/case-366/) - Problem: this attractive 25 year old female presents for definitive porcelain veneers after these unattractive composite veneers were completed in Thailand. Solution: 6 beautiful porcelain veneers were bonded seamlessly to her teeth after removal of the composite. She is now over the mooooon! - [Case-94](https://www.clarencetam.co.nz/gallery/case/case-94/) - Problem: Accident with a steel bar left this 16 year old patient with a near-pulp (nerve) exposure and a very broken down front tooth. He also was extremely picky and wanted the restoration to look exactly like his tooth used to. Solution: Layered composite veneer placed with no additional tooth reduction after protection of the - [Case-385](https://www.clarencetam.co.nz/gallery/case/case-385/) - Problem: rampant decay in a 25 year old female patient. Pictures show extent of cavity spread during preparation. Solution: layered composite restorations using Voco Grandio SO - [Case-372](https://www.clarencetam.co.nz/gallery/case/case-372/) - Problem: this 7 year old was referred to me from another dentist to treat this super deep cavity! Solution: after excavation of the decay, the tooth was built up with a strong nanohybrid composite resin to nature's contours! - [Case-369](https://www.clarencetam.co.nz/gallery/case/case-369/) - Problem: a 6-year-old boy came to me because his friends were teasing him about how his teeth looked. This was causing him a lot of grief! Solution: This is the immediate post-operative view, and the gums will heal beautifully. We used layered composite restorations to block out the excessive translucency and give the teeth a - [Case-371](https://www.clarencetam.co.nz/gallery/case/case-371/) - Problem: this nice 8 year old girl came to see me because she wanted to remove the spotty look of her teeth! Solution: using custom vital nightguard bleaching for just 3 nights, there is a significant subtling of the spottiness and the teeth look a whole lot better too! - [Case-2300](https://www.clarencetam.co.nz/gallery/case/case-2300/) - Problem: This nice 75 year old lady came to see me to restore her unsightly old filling on an upper canine. Situation: After removal of the bulky filling, this is what the tooth looks like underneath. Look at all the darkness. How are we going to make this tooth look amazing again? Solution: using a - [Case-2299](https://www.clarencetam.co.nz/gallery/case/case-2299/) - Problem: there was a deep cavity underneath this old filling Solution: using a modern nanohybrid composite, this tooth was restored to perfection! - [Case-2298](https://www.clarencetam.co.nz/gallery/case/case-2298/) - Problem: this lady had worn away the enamel at the necks of her teeth from excessive brushing pressure Solution: the area was rebuilt using Voco Grandio SO A3.5! Beautiful polish! - [Case-2297](https://www.clarencetam.co.nz/gallery/case/case-2297/) - Problem: this young girl inherited a condition where her central incisors were pitted and discolored Solution: using 3 composite shades artistically applied, we applied our magic wand to give this princess beautiful teeth! - [Case-2296](https://www.clarencetam.co.nz/gallery/case/case-2296/) - Problem: this dentist presented with a chip on her 11MI that affected her confidence greatly! Solution: using an artistic blend of 5 different shades and opacities, the chip is now invisible - like it never even happened! A single shade would definitely not work. - [Case-2295](https://www.clarencetam.co.nz/gallery/case/case-2295/) - Problem: this lovely dentist came to see me to restore the concavity (cave) on her 22MB and lengthen her 11 (short central incisor seen) Solution: using a creative blend of four colours on her front tooth, it now looks like Mother Nature touched it with her magic wand! The cave/concavity on 22MB has also been - [Case-2294](https://www.clarencetam.co.nz/gallery/case/case-2294/) - Problem: This nice 9 year old was referred to me by a paediatric dentist for restoration of her upper central incisors, which were discoloured, broken and unattractive. Solution: layered 4-opacity and translucency direct composite restorations to make the fillings disappear! Where were they fractured again? =) - [Case-2293](https://www.clarencetam.co.nz/gallery/case/case-2293/) - Problem: "Tooth-meets-cider-bottle" accident resulting in 21MIBL enamel fracture Solution: using 4 different opacities and colors of composite resin, her broken tooth was sculpted back to beauty/life really. She is so happy now! =) - [Case-2292](https://www.clarencetam.co.nz/gallery/case/case-2292/) - Problem: This 34 year old female's niece threw a toy block at her face, chipping her tooth Solution: using two different opacities of composite resin, the area was repaired indetectably. Happy happy patient! - [Case-2291](https://www.clarencetam.co.nz/gallery/case/case-2291/) - Problem: This 21 year old male presented to me for restoration of his teeth after a period of oral hygiene neglect when he was in braces. Now, he has cavities around where the braces used to be. He loved Sprite! Solution: using layered composite resin, we were able to remove the diseased tooth structure and - [Case-2290](https://www.clarencetam.co.nz/gallery/case/case-2290/) - Problem: Accident by 7 year old child in Japan and an esthetically-unacceptable fix by a dentist there. Solution: Layered composite restoration (2 shades) to create a much-improved appearance - [Case-316](https://www.clarencetam.co.nz/gallery/case/case-316/) - Problem: A chipped, heavily-filled molar with deep recurrent decay with almost no natural tooth structure left. Financial constraints prevented this patient from getting a porcelain crown. Solution: direct, layered composite restoration removing all old amalgam and restoring lost tooth contours. - [Case-2289](https://www.clarencetam.co.nz/gallery/case/case-2289/) - Problem: 21-year-old male had an accident with a beer bottle, chipping his tooth. Of note, this was my American Academy of Cosmetic Dentistry Accreditation Case Type 4 (there are 5 case types) submission that passed! Solution: layered composite veneers (4 shades) beautifully recreating was was lost. Remember, in young people and in adults, we want - [Case-95](https://www.clarencetam.co.nz/gallery/case/case-95/) - Problem: Soccer injury on a young 13 year old goalie left him with a sensitive chip of his tooth. He has subtle white streaks in his neighboring teeth that he wanted reproduced. Solution: 4 different shades of carefully layered composite were placed to create an invisible restoration, mimicking nature. - [Case-2288](https://www.clarencetam.co.nz/gallery/case/case-2288/) - Problem: This nice 25-year-old girl came to see me to correct her smile and in particular her canines Solution: implants were planned for the future, but in order to get this patient her beautiful smile sooner (her decision), porcelain bridges were placed on both sides from lateral to first premolar. Her central incisors were not - [Case-2286](https://www.clarencetam.co.nz/gallery/case/case-2286/) - Problem: fractured tooth 21 (left central incisor) with lack of finances on patient's side for dental implant Solution Part 1: Decision to use glass-fibre-reinforced cable to support a direct composite bridge in the area. The root canal-treated root tip was left in place to hold the shape of the bone until the patient is able - [Case-2285](https://www.clarencetam.co.nz/gallery/case/case-2285/) - Problem: This 25-year-old female had retained baby canines (upper) and a gappy smile that she wanted corrected. Budget prevented her from getting a combination of porcelain veneers and dental implants, so a porcelain (zirconia) bridge was prescribed. This would correct her esthetic issues all at once. Solution: The baby canines were removed (they had no - [Case-2283](https://www.clarencetam.co.nz/gallery/case/case-2283/) - Problem: One can appreciate the crooked "in-out" pattern of her upper 4 front teeth in this birds-eye view. Solution: (same case as above) - 4 Componeers placed in "wrap-around" design to correct spacing and alignment issues. Think about braces as a first option. This patient could not tolerate braces due to the projected length of - [Case-2281](https://www.clarencetam.co.nz/gallery/case/case-2281/) - Problem: dark and misshapen anterior teeth in a 22 year old female. An old porcelain veneer exists on her tooth 11 (yellow central incisor) Solution: 4 Componeers (Coltene-Whaledent) were placed on her four incisors after external and internal tooth bleaching. A very vibrant result! - [Case-2282](https://www.clarencetam.co.nz/gallery/case/case-2282/) - Problem: crooked and uneven teeth, chipped teeth, slanted midline. Main concern: 4 upper incisors Solution: Wrap-around Componeers placed on four front teeth, straightening out midline, perfecting smile and correcting chips. - [Case-455](https://www.clarencetam.co.nz/gallery/case/case-455/) - Problem: This nice 40 year old man did not like the appearance of the gaps between his upper teeth. Solution: Using Digital Smile Design to Guide a Diagnostic Wax-Up Model, composite veneers were placed with minimal tooth reduction with internal maverick effects to enhance the "Wow" of this case! - [Case-453](https://www.clarencetam.co.nz/gallery/case/case-453/) - Problem: this 57 year old lady wanted to be rid of these unsightly white lesions (hypomineralization) but without any tooth removal if possible. Solution: Using full rubber dam isolation, the teeth were infiltrated with resin to make her chalky spots virtually disappear! - [Case-452](https://www.clarencetam.co.nz/gallery/case/case-452/) - Problem: this nice young girl presented with generalised large gaps/diastemas and did not want orthodontics/braces to close her spaces as this would have negatively affected her facial profile and lip support Solution: Pre-restorative bleaching was completed with a great result before we used layered composite veneers to artistically and realistically increase the size and character - [Case-450](https://www.clarencetam.co.nz/gallery/case/case-450/) - Problem: this nice 25 year old female hated her crooked, yellow teeth and wanted a perfect smile without braces. She selected composite veneers over porcelain because of the need for less tooth reduction. Solution: Smile Design was completed using a diagnostic wax-up, which we used as a blueprint to guide precision placement of these beautifully - [Case-449](https://www.clarencetam.co.nz/gallery/case/case-449/) - Problem: this dental therapist came to see me for an interim solution to improve the esthetics of this grey, amalgam-filled tooth. She didn't want to touch the amalgam, so we had to try and work with it. Solution: using various opaquing layers and tints, we were able to make this tooth look like part of - [Case-445](https://www.clarencetam.co.nz/gallery/case/case-445/) - Problem: this 14 year old girl with a history of rampant decay was referred to me for esthetic and functional improvement from a specialist. Many fillings were leaking with extensive caries underlying. Addendum: The patient also desired whiter teeth. Of note, the only "virgin" tooth was her upper right front tooth (upper left when you - [Case-444](https://www.clarencetam.co.nz/gallery/case/case-444/) - Problem: This patient didn't like the misshapen and discoloured incisal edge of tooth 21. He also wanted generally lighter teeth as part of our solution. Solution: We pre-bleached the patient's teeth before completing a minimal prep composite veneer to regain perfect symmetry and shade with the natural tooth shown on your right side. Even the - [Case-442](https://www.clarencetam.co.nz/gallery/case/case-442/) - Problem: an old accident with old composite bonding formed the basis of this patient's problem. The teeth were unnaturally-shaped, with an unnatural texture Solution: following custom bleaching, the old bonding was removed from the central incisors and new composite veneers were placed to correct the shape to a more symmetrical form. The adjacent teeth will - [Case-440](https://www.clarencetam.co.nz/gallery/case/case-440/) - Problem: this nice 16 year old girl presented with mottled and chipped, yellow teeth. She wanted an esthetic improvement. Solution: after whitening her teeth, we placed 4 layered composite veneers to correct shape, size, color and alignment simultaneously. The patient was over the moon! - [Case-439](https://www.clarencetam.co.nz/gallery/case/case-439/) - Problem: This nice lady came to see me to have her teeth whitened before we performed an extreme makeover using a single composite veneer on this tooth Solution: Using layered composite resin, we were able to eliminate the old filling and reshape her tooth in one breath with this gorgeous hand-sculpted composite veneer! - [Case-437](https://www.clarencetam.co.nz/gallery/case/case-437/) - Problem: This young lawyer presented with old composite bonding on her tooth that was unsightly and chipping Solution: We used a series of 4 shades using the Voco Amaris system to make this tooth look virgin again! Such a happy patient! - [Case-435](https://www.clarencetam.co.nz/gallery/case/case-435/) - Problem: This nice 16 year old man was referred to me by a local endodontist for cosmetic dental work on his root canal-treated upper central incisors, which were both weak and exhibited poor esthetics. Solution: I used 5 different shades in an advanced shading composite system (Voco Amaris) to artistically restore the contours of these - [Case-433](https://www.clarencetam.co.nz/gallery/case/case-433/) - Problem: this nice female presented to my service for replacement of old unsightly bonding on her front teeth. Solution: using a combination of 4 shades, these composite veneers were artistically layered onto her teeth recreating the optical nuances of nature. Immediate post-op result - gums will heal beautifully. See how naturally the teeth integrate into - [Case-431](https://www.clarencetam.co.nz/gallery/case/case-431/) - Problem: this nice female was referred to me for correction of her hypomineralized patch on tooth 11, which was stained and disfiguring Description: most of the decalcified tooth structure was removed before preparing the surface for layered composite bonding Solution: using artistic layers and white streak detail to mimic that of the adjacent teeth, a - [Case-429](https://www.clarencetam.co.nz/gallery/case/case-429/) - Problem: this 26 year old male was referred to me by another dentist to correct his peg lateral (shark tooth) Solution: using 5 different shades of composite from the GC G-Aenial Anterior range, this tooth was transformed from shark to hark! - [Case-427](https://www.clarencetam.co.nz/gallery/case/case-427/) - Problem: This 26 year old male was referred to me with a chief complaint of, "I want you to change my shark tooth. Solution: using 5 different shades from the GC G-Aenial Anterior range, this tooth was transformed from shark to hark. - [Case-426](https://www.clarencetam.co.nz/gallery/case/case-426/) - Problem: this nice 13 year old girl was referred to me by specialists to restore her peg lateral incisor (no tooth shaving at all) Solution: using 5 different shades of composite resin (with opaquing streaks for characterization), she now has a tooth that she can be proud of! - [Case-424](https://www.clarencetam.co.nz/gallery/case/case-424/) - Problem: This 35-year-old patient complained of overdominant central incisors and peg (small) lateral incisors Solution: Orthodontic treatment was completed on this patient before reshaping of her central incisors and direct, layered composite veneers on her lateral incisors. The result is a much more balanced smile! - [Case-423](https://www.clarencetam.co.nz/gallery/case/case-423/) - Problem: A deep cavity (caries) had rotted through this 40-year-old woman's upper right canine. It was all mush and close to the nerve. She was very self-conscious since the weak tooth broke. Solution: Using layered composite, after removal of the decay, we were able to beautifully recreate what her canine should look like! Look at - [Case-421](https://www.clarencetam.co.nz/gallery/case/case-421/) - Problem: 20-year-old male referred to me by an orthodontist, complaining of short, gappy and discolored upper teeth. Note: this was my American Academy of Cosmetic Dentistry Accreditation Case Type V that passed! First in New Zealand! Solution: direct, layered composite veneers using 4 different colours and nearly no tooth preparation. Translucency and anatomy of teeth - [Case-419](https://www.clarencetam.co.nz/gallery/case/case-419/) - Problem: Student with limited finances, and severe staining or hypoplasia of the teeth. Solution: layered composite veneers used to block out underlying stain after limited tooth bleaching/whitening result. - [Case-416](https://www.clarencetam.co.nz/gallery/case/case-416/) - Problem: this nice 57 year old female had teeth which were broken down, discolored and carious Solution: I used high-precious alloy gold for PFM crowns and a PFM bridge to restore the smile of this patient! Great result! - [Case-415](https://www.clarencetam.co.nz/gallery/case/case-415/) - Problem: the central incisors on this nice 26 year old were too short, squat and yellow. They were old crowns on root canal treated teeth. The lateral incisors and canines were misshapen and unattractive. Solution: Periodontal crown lengthening was completed on the central incisors before four composite veneers were placed on the laterals and canines. - [Case-413](https://www.clarencetam.co.nz/gallery/case/case-413/) - Problem: This patient presented with a fractured cusp and cracks in the rest of her tooth structure. The tooth was in desperate need of strengthening Solution: after removal of her old amalgam filling, her cusps were preserved and overlaid with bonded porcelain to prevent future fracture. - [Case-412](https://www.clarencetam.co.nz/gallery/case/case-412/) - Problem: patient needed a new crown after a root canal was completed by a specialist on this tooth. You can notice how much tooth structure needs to be removed for a strong crown. Solution: Bonded porcelain crown on tooth 46 strengthens what is left of the tooth in a very good-looking manner. - [Case-410](https://www.clarencetam.co.nz/gallery/case/case-410/) - Problem: this 23-year-old male lost a tooth from an accident and wanted to explore options for restoration with dental implants. Solution: a dental implant was placed and the tissue was trained with a plastic implant crown until the right shape was achieved. Then the final crown with all the textures and colors was made to - [Case-408](https://www.clarencetam.co.nz/gallery/case/case-408/) - Problem: this 23 year old male came to see me for implant options to replace his missing tooth. Huge gum deficiency noted. Solution: after implant placement and gum grafts, the final result mimics the adjacent teeth and looks great! Which tooth was restored again? =) - [Case-406](https://www.clarencetam.co.nz/gallery/case/case-406/) - Problem: this 25-year-old female came to see me for treatment options to rebuild her smile using crowns, veneers and an implant (she did not like her denture at all) Solution: a single implant in her upper right lateral incisor position was used, along with 1 crown and 4 veneers to give her a smile she - [Case-405](https://www.clarencetam.co.nz/gallery/case/case-405/) - Problem: This 23-year-old male's central incisor was knocked out in an accident Solution: An implant was placed, and this is the direct, layered composite crown (intermediate stage) used to shape the gums. Note how I have tried to mimic the maverick details and texture noted on the mirror-side tooth (tooth 11). This will be in - [Case-402](https://www.clarencetam.co.nz/gallery/case/case-402/) - Problem: Old, failed Maryland bridges replaced by dental implants in the lateral incisor regions. Veneers are planned for the canines and central incisors to balance out the result. Solution: After tissue-molding with temporary implant crowns for 3 months, 4 porcelain veneers and 2 implant crowns were placed to reconstruct this patient's smile. Great result! Look - [Case-400](https://www.clarencetam.co.nz/gallery/case/case-400/) - Problem: this lovely lady came to see me because of broken down, misshapen, sensitive teeth Solution: all upper teeth were removed, and an elegant smile designed from scratch! Life-changing! I got a bunch of hugs! - [Case-399](https://www.clarencetam.co.nz/gallery/case/case-399/) - Problem: this nice 75 year old female presented with rampant decay/cavities in all of her upper teeth and most of her lowers. Solution: Her upper teeth and some of her lower teeth were extracted under IV sedation and immediate transitional dentures fitted. What a change! Plastic Fantastic! - [Case-398](https://www.clarencetam.co.nz/gallery/case/case-398/) - Problem: uneven occlusal (biting) plane and misshapen teeth associated with old denture and visible metal clasps. Poor esthetics and self-conscious patient. Solution: Multiple porcelain crowns and veneers associated with special semi-precision attachment dentures (which clip into the crowns) for both upper and lower arches. The patient looks 20 years younger!! - [Case-396](https://www.clarencetam.co.nz/gallery/case/case-396/) - Problem: One can appreciate the amount of past fillings that this gentleman has had, and the degree of filling deterioration and leakage. Solution: due to limited finances, we were able to complete "transitional bonding" on the lower teeth, essentially completing composite crowns and overlays to the new planned bite height (planned off our blueprint, the - [Case-394](https://www.clarencetam.co.nz/gallery/case/case-394/) - Problem: You can appreciate the degree of filling breakdown and grinding damage, particularly to the upper anterior teeth. Solution: in the upper arch, we used all porcelain - 3 posterior (back) crowns needed to be completed, and 6 anterior (front) crowns. - [Case-393](https://www.clarencetam.co.nz/gallery/case/case-393/) - Problem: this nice 52 year old man came to see me to rebuild his collapsed bite and broken down teeth. He also wanted to rejuvenate his smile. Solution: using transitional composite bonding on the lower arch based on a diagnostic wax-up, we were able to simultaneously replace lost occlusal/bite height and strengthen his teeth simultaneously. - [Case-392](https://www.clarencetam.co.nz/gallery/case/case-392/) - Problem: Crooked, heavily-filled teeth with multiple recurrent caries (cavities) and dark value (color). Solution: Pre-prosthetic bleaching, multiple porcelain veneers and crowns along with a laser for gum recontouring was used to perfect this case. This patient still visits me every year from Tahiti to maintain his smile! Remember to floss, everyone! - [Case-391](https://www.clarencetam.co.nz/gallery/case/case-391/) - Problem: This 50-year-old male patient was suffering from multiple broken down teeth, multiple caries (cavities), multiple missing teeth, uneven color of teeth and uneven gumline. Solution: Gum recontouring, multiple dental implants, porcelain crowns and bridges were used in the reconstruction of function and esthetics for this now-happy patient! - [Case-389](https://www.clarencetam.co.nz/gallery/case/case-389/) - Problem: from this view you can see how crooked and narrow his lower teeth were! Solution: you can see after Invisalign (the little white bumps come off his teeth after treatment), how straight his lower arch is now! - [Case-388](https://www.clarencetam.co.nz/gallery/case/case-388/) - Problem: This young man wanted his front teeth to be reshaped, but we needed to establish normal overlap of his upper teeth in order to add length. Solution: After 1 year of Invisalign, we were able to create this dental overbite/overlap in front - he is now ready for composite bonding/veneers to perfect his smile! - [Case-386](https://www.clarencetam.co.nz/gallery/case/case-386/) - Problem: chipped lower left central incisor with marked translucency seen in the tips of the surrounding teeth. Solution: 5-shade layered composite restoration to restore chipped incisal edge. Very happy patient! - [Case-383](https://www.clarencetam.co.nz/gallery/case/case-383/) - Problem: Severe brushing/scrubbing damage to lower front teeth in a 65 year old male. Solution: layered composite restorations added to teeth to create lost contours - [Case-382](https://www.clarencetam.co.nz/gallery/case/case-382/) - Problem: short, worn-down lower central incisors Solution: layered composite restoration to lengthen tooth invisibly. - [Case-381](https://www.clarencetam.co.nz/gallery/case/case-381/) - Problem: discolored old fillings causing the patient some anxiety Solution: Layered composite restorations used to replace the old fillings. An invisible result! - [Case-378](https://www.clarencetam.co.nz/gallery/case/case-378/) - Solution: Result after 1 year of Speed System braces. No extractions needed! Problem: Posterior crossbite and severe collapse of this 10-year-old patient's teeth on the right side. His left lateral incisor is in anterior crossbite. He is being teased at school. Family does not have money for orthognathic surgery (recommended) in conjunction with braces. Solution: - [Case-376](https://www.clarencetam.co.nz/gallery/case/case-376/) - Problem: Crowding of a 30-year-old-male patient's teeth. Uneven gumline also bothers patient. Solution: Result after 1 year of Speed System braces. No extractions needed! - [Case-374](https://www.clarencetam.co.nz/gallery/case/case-374/) - Problem: This 20-year-old female patient presented with an anterior open bite from a tongue thrust. She was told that she needed surgery. We decided to try and get the best result before sending her for surgery (she was scared of surgery, and who can blame her?) Solution: orthodontic treatment using the Speed System (Cambridge, Canada) - [Case-365](https://www.clarencetam.co.nz/gallery/case/case-365/) - Problem: This 35-year-old female wanted to get rid of unsightly chips and spots on her teeth. She also wanted a more even smile. Solution: after tooth whitening, this patient was fitted with 6 beautiful porcelain veneers to brighten and give balance to her smile. All the chips and spots are gone! One happy patient! =) - [Case-363](https://www.clarencetam.co.nz/gallery/case/case-363/) - Problem: A 30-year-old male did not want braces, but wanted a perfect smile. Solution: 10 bonded porcelain veneers were used on his 15-25 (upper 10 teeth) to gain this result. Very happy patient. - [Case-362](https://www.clarencetam.co.nz/gallery/case/case-362/) - Before view #2: One can really see her upper lateral incisors are sticking out. Her central incisors (middle teeth) have old composite bonding and the midline is tilted to her left side. After #2: The 6 porcelain veneers from canine to canine are indistinguishable from her natural teeth. - [Case-360](https://www.clarencetam.co.nz/gallery/case/case-360/) - Problem: This patient came to me from Melbourne and really hated her 4 front teeth's colour, alignment and shape. Was not keen on orthodontics or Invisalign. Solution: 6 bonded porcelain (IPS e-max) veneers completed to seamlessly perfect her smile - [Case-358](https://www.clarencetam.co.nz/gallery/case/case-358/) - Problem: there were multiple failing, old amalgams that were causing sensitivity Solution: using precision sculpted all-ceramic composite material (Admira Fusion), this area was transformed into a well-sealed, beautiful wonderland. Ok a bit much maybe. But nice. - [Case-356](https://www.clarencetam.co.nz/gallery/case/case-356/) - Problem: This old amalgam harbored a huge cavity extending to the palatal surface! Solution: Using a multi-layered technique, the tooth was restored seamlessly with a SuperComposite material. You can't even see the margins! Nature is happy. - [Case-354](https://www.clarencetam.co.nz/gallery/case/case-354/) - Problem: these two amalgams were leaking with recurrent caries/decay underneath them, causing the patient discomfort During: Intraoperative View - see how deeply stained the tooth is from the old amalgam. Solution: Using a layered protocol, this tooth was faithfully restored to original form including all the detailed fissures and realistic stain to what nature would - [Case-353](https://www.clarencetam.co.nz/gallery/case/case-353/) - Problem: there is a large gap between the metal filling and tooth structure. The tooth next door has a crack in the marginal ridge and shows recurrent decay on X-ray. Solution: after careful excavation of the decay under rubber dam isolation, the teeth were sculpted to their original form as nature intended! Where are the - [Case-352](https://www.clarencetam.co.nz/gallery/case/case-352/) - Problem: this old 2-surface amalgam restoration was leaking and sensitive to the patient Solution: using a modern supercomposite, this bonded composite restoration mimics what nature intended to be there. Tints and fissure details were sculpted into this invisible filling! A step above. - [Case-350](https://www.clarencetam.co.nz/gallery/case/case-350/) - Problem: this young lady needed removal of this old amalgam, which had a deep cavity underneath it. Many people don't know that amalgam actually doesn't adhere to tooth structure. Situation: we placed a light-curable liner to protect the nerve after removing all the decay. Solution: using multiple layers of composite beautifully sculpted with a light - [Case-349](https://www.clarencetam.co.nz/gallery/case/case-349/) - Before: this young lady had a moderately sized cavity between her teeth. She wanted something that would look like her tooth had never been filled. Solution: Using delicate staining and a modern supercomposite, we were able to make the filling blend into invisibility. Patient is over the moon and tries to show everyone =) - [Case-348](https://www.clarencetam.co.nz/gallery/case/case-348/) - Problem: this nice 67 year old lady came to me for esthetic and functional replacement of this leaking amalgam Solution: using multiple layers and different composite materials, a final result was sculpted that strived to reproduce nature. One happy patient! - [Case-346](https://www.clarencetam.co.nz/gallery/case/case-346/) - Problem: this tooth had a deep cavity that was close to the nerve. All the decay is removed in this picture and an insulating liner is placed in the deepest region. Solution: using artistically layered A3 from 3M Paradigm, we made this tooth look like it hadn't even been touched. Look at the fissures and - [Case-344](https://www.clarencetam.co.nz/gallery/case/case-344/) - Problem: This unsightly amalgam filling was unsightly, leaking and planned for removal Solution: a brand spanking new sculpted composite filling was placed to restore the tooth to perfection! - [Case-342](https://www.clarencetam.co.nz/gallery/case/case-342/) - Problem: This old amalgam was an eye-sore, and the same tooth had a cavity on the other side. Solution: after removing the offending amalgam and cavity, this tooth was ready to restore - [Case-340](https://www.clarencetam.co.nz/gallery/case/case-340/) - Problem: this sizeable defect was present after excavating all the soft rotten decay from between the teeth! Please floss everyone! Solution: using a single shade of 3M Paradigm composite, this restoration was sculpted to perfection! I love it =) - [Case-339](https://www.clarencetam.co.nz/gallery/case/case-339/) - Problem: this gentleman's tooth 45 had deep recurrent decay Solution: The restoration was completed faithfully to reproduce nature's contours and fissures! This should last a long time! - [Case-337](https://www.clarencetam.co.nz/gallery/case/case-337/) - Problem: this nice 66 year old lady came to see me to replace her amalgam fillings, which were responsible for some tooth cracks. Solution: using direct layered composite filling material, a result was sculpted that brought the color and character back to the tooth, whilst removing the crack. - [Case-335](https://www.clarencetam.co.nz/gallery/case/case-335/) - Problem: Look at how many cracks were caused by these large, old metal fillings! Solution: The cracks in these back two teeth were removed along with the old metal fillings and replaced with direct, layered composite resin (Voco Grandio A3). An inspired result! =) - [Case-334](https://www.clarencetam.co.nz/gallery/case/case-334/) - Problem: this old filling was leaking and creating a deep nest of rot underneath the filling Solution: Using one of the modern "supercomposite" materials, this tooth was restored with respect to mimicking nature. An invisible filling! Wowzee! - [Case-331](https://www.clarencetam.co.nz/gallery/case/case-331/) - Problem: this tooth had a leaking filling that had caused a deep cavity underneath and sensitivity associated with it. Solution: the cavity was removed and the tooth sealed with an invisible and naturomimetic filling! Magic! - [Case-329](https://www.clarencetam.co.nz/gallery/case/case-329/) - Problem: this nice 35 year old male had a crack across the tooth that was causing him some pain with hard chewing. You can see the size of the old filling. Solution: a conservative composite restoration was completed aiming to remove the distal crack (the mesial part of the tooth was not painful on testing) - [Case-327](https://www.clarencetam.co.nz/gallery/case/case-327/) - Problem: this nice 70 year old man wanted this tooth restored with direct composite resin. Solution: using a laser, the gum was gently reshaped before a direct sculpture of Voco Grandio SO A3.25 was applied in layers to the tooth to rebuild what once was lost! - [Case-326](https://www.clarencetam.co.nz/gallery/case/case-326/) - Problem: this nice 28 year old had a large cavity he wanted me to restore mimicking nature Solution: Using a Smart Dentin Replacement composite and Voco Grandio SO (A2 shade), nature should be smiling at him again =) - [Case-325](https://www.clarencetam.co.nz/gallery/case/case-325/) - Problem: this 37 year old female came to see me to re-fill her first molar, which had a deep cavity underneath Situation: After removal of old filling and caries (rot) Solution: a beautifully-sculpted restoration replacing all of her old filling and seamlessly blending into the background! One Happy Patient! - [Case-324](https://www.clarencetam.co.nz/gallery/case/case-324/) - Problem: this 45 year old female came to see me for biomimetic restoration of her broken tooth. She wanted a white filling but one that did not look like a filling at all. Solution: using layers of composite resin, grooves and fissures of the tooth were recreated for as natural an appearance as possible! One - [Case-323](https://www.clarencetam.co.nz/gallery/case/case-323/) - Problem: this tooth with the dark line had two separate cavities that required replacement of the filling (as does the tooth behind it) Solution: a single-shade A2 shade of Voco Grandio SO (the supercomposite) was used to restore this to a swoon-worthy status! - [Case-322](https://www.clarencetam.co.nz/gallery/case/case-322/) - Problem: This tooth had a deep amalgam filling that was leaking for years. See the depth of destruction! Solution: using a layered, bonded composite restoration, this hole has disappeared entirely! Look at the reproduction of tooth anatomy and fissure detail! - [Case-320](https://www.clarencetam.co.nz/gallery/case/case-320/) - Problem: this nice 40 year old patient wanted her broken silver filling replaced with a bonded natural-looking white restoration Solution: using a very strong bonded composite resin filling material, I was able to sculpt beauty back into the tooth. One happy patient! - [Case-318](https://www.clarencetam.co.nz/gallery/case/case-318/) - Problem: deep recurrent decay in a 90-year-old female's first premolar Solution: direct, layered composite restoration using shades A3.25 and A5 (Voco Grandio SO) - made for a very happy patient! - [Case-317](https://www.clarencetam.co.nz/gallery/case/case-317/) - Problem: old, discolored composite fillings done by another dentist on the right two teeth and recurrent decay (caries/cavities) Solution: layered composite resin restorations placed with artistic flair to replace and restore old composite fillings. - [Case-315](https://www.clarencetam.co.nz/gallery/case/case-315/) - Problem: severely-broken down root-canal treated tooth that patient wanted to save. Porcelain not possible due to financial constraints, so layered composite was used to artistically recreate lost tooth structure. Solution: A carefully-sculpted restoration. Note the layered composite features the grooves and fissures the natural tooth would have. - [Case-314](https://www.clarencetam.co.nz/gallery/case/case-314/) - Problem: old mercury amalgam filling with recurrent decay - patient wanted the replacement filling tooth-colored and natural-looking. Solution: Beautiful composite restoration placed mimicking lost tooth structure. - [Case-313](https://www.clarencetam.co.nz/gallery/case/case-313/) - Problem: discolored and leaking filling with underlying cavity/caries. Solution: Layered composite restoration restoring the tooth seamlessly - [Case-312](https://www.clarencetam.co.nz/gallery/case/case-312/) - Problem: broken down tooth with multiple fillings leaking and deep caries (cavities) underneath the filling. Solution: layered composite restoration using unique shade A3.25 from Voco Grandio SO. Beautiful result. - [Case-310](https://www.clarencetam.co.nz/gallery/case/case-310/) - Problem: missing tooth space between the broken down front tooth and the amalgam-filled back tooth you can see. Poor esthetics. Solution: 3-unit porcelain (zirconia) bridge from 24-26, restoring both esthetics, but also function! Beautiful! - [Case-308](https://www.clarencetam.co.nz/gallery/case/case-308/) - Problem: this nice girl complained of yellow teeth and uneven white splotching of color in her upper front teeth. Solution: we decided to pre-bleach the teeth before the composite veneers (to be done still). Great improvement in color! The white splotches will disappear with the composite veneers; can't wait! - [Case-307](https://www.clarencetam.co.nz/gallery/case/case-307/) - Problem: this nice 30 year old female wanted to replace an old brown filling, but wanted whiter teeth before Solution: two weeks of overnight bleaching resulted in a beautiful light base to which I will match the new filling. The old filling of course doesn't change much with bleaching. - [Case-306](https://www.clarencetam.co.nz/gallery/case/case-306/) - Problem: this nice teenager male was referred to me by an orthodontist for conservative measures to eliminate yellow and brown staining on his front teeth. He was being teased at school. Some kids are mean! Solution: Custom tray night bleaching was used and supervised for 2 weeks to get this result! The teasing has effectively - [Case-305](https://www.clarencetam.co.nz/gallery/case/case-305/) - Problem: (same case as immediately before, but focusing on lower arch color change) Solution: (same case as before but focusing on lower arch color change) - [Case-303](https://www.clarencetam.co.nz/gallery/case/case-303/) - Problem: this 22 year old girl wanted whiter teeth prior to choosing the color of her Componeers (composite veneers) Solution: Custom bleaching trays were worn overnight for 7 nights to get this whiter, brighter result! Her Componeers can now also be whiter (Componeers don't change color with bleach) - [Case-302](https://www.clarencetam.co.nz/gallery/case/case-302/) - Problem: we wanted to bleach all the patient's teeth before we chose the color of the porcelain bridges Solution: whitening was performed using 10% carbamide peroxide (Opalescence) for 7 nights before bridge preparations were started to get the right color (you can't bleach porcelain later on if you think the color is too dark, so ## RMG Categories - [Resin Infiltration Treatment with ICON](https://www.clarencetam.co.nz/gallery/surgical/resin-infiltration-treatment-with-icon/) - [Gingival Depigmentation](https://www.clarencetam.co.nz/gallery/surgical/gingival-depigmentation/) - [SureSmile](https://www.clarencetam.co.nz/gallery/surgical/suresmile/) - [Crowns](https://www.clarencetam.co.nz/gallery/surgical/crowns/) - [Posterior Composite Fillings](https://www.clarencetam.co.nz/gallery/surgical/posterior-composite-fillings/) - [Teeth Whitening](https://www.clarencetam.co.nz/gallery/surgical/teeth-whitening/) - 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[#Kulzer #VenusPearl #Ultradent #Omnimatrix #Voco #FinalTouch #Smashitout #GlosslikeaBoss #SkulptingSkool101 #TamDentalGroup #HuFriedy #StyleSkulpt #SkoolToolz #creative #dentistry #compositesculpting](https://www.clarencetam.co.nz/tag/kulzer-venuspearl-ultradent-omnimatrix-voco-finaltouch-smashitout-glosslikeaboss-skulptingskool101-tamdentalgroup-hufriedy-styleskulpt-skooltoolz-creative-dentistry-compositesculpting/) - [#Voco #GrandioSO #FinalTouch #SanctuaryDams #AmtechDentalNZ #NonLatex #Smashitout #RubberDam](https://www.clarencetam.co.nz/tag/voco-grandioso-finaltouch-sanctuarydams-amtechdentalnz-nonlatex-smashitout-rubberdam/) - [#Kulzer #VenusPearl #iBondUniversal #SanctuaryDams #nonlatex #compositeartistry](https://www.clarencetam.co.nz/tag/kulzer-venuspearl-ibonduniversal-sanctuarydams-nonlatex-compositeartistry/) - [#GC #GaenialAnterior #EssentiaModifier #OptiglazeColor #implantartistry](https://www.clarencetam.co.nz/tag/gc-gaenialanterior-essentiamodifier-optiglazecolor-implantartistry/) - [#Ultradent #Thermoclone #BubbleYum #biteme #biteregistration](https://www.clarencetam.co.nz/tag/ultradent-thermoclone-bubbleyum-biteme-biteregistration/) - [#Vitapan #Excell #lifelikedentures #HenryScheinNewZealand](https://www.clarencetam.co.nz/tag/vitapan-excell-lifelikedentures-henryscheinnewzealand/) - [#CompositeCrown #ComplexRestorations #Kulzer #VenusPearl #CompositeBonding #BiomimeticDentistry](https://www.clarencetam.co.nz/tag/compositecrown-complexrestorations-kulzer-venuspearl-compositebonding-biomimeticdentistry/) - [#emaxZrCAD #ZirconiaCrown #AestheticDentistry #ZirconiaAesthetics #TamDentalGroup #Smashitout #NDS #theshineffect #cosmeticdentistry](https://www.clarencetam.co.nz/tag/emaxzrcad-zirconiacrown-aestheticdentistry-zirconiaaesthetics-tamdentalgroup-smashitout-nds-theshineffect-cosmeticdentistry/) - [#EverStickPerio #GC #GCAustralasia #GPremioBond #GaenialUniversalInjectable #amtechdental #sanctuarydental #nonlatex #TamDentalGroup GC Australasia Dental GC America Inc.](https://www.clarencetam.co.nz/tag/everstickperio-gc-gcaustralasia-gpremiobond-gaenialuniversalinjectable-amtechdental-sanctuarydental-nonlatex-tamdentalgroup-gc-australasia-dental-gc-america-inc/) - [#kulzer #VenusPearl #Garrison #Compositight #Ultradent #Omnimatrix #HenryScheinNZ](https://www.clarencetam.co.nz/tag/kulzer-venuspearl-garrison-compositight-ultradent-omnimatrix-henryscheinnz/) - [#CervicalWear #ClassV #GC #EssentiaU #MatchMadeinHeaven](https://www.clarencetam.co.nz/tag/cervicalwear-classv-gc-essentiau-matchmadeinheaven/) - [#GC #Essentia #Essentials #EssentiaModifierRBM #HenryScheinNZ #SanctuaryDams #AmtechDentalNZ](https://www.clarencetam.co.nz/tag/gc-essentia-essentials-essentiamodifierrbm-henryscheinnz-sanctuarydams-amtechdentalnz/) - [#Kulzer #VenusPearl #SanctuaryDental #SkulptingSkool](https://www.clarencetam.co.nz/tag/kulzer-venuspearl-sanctuarydental-skulptingskool/) - [#GC #EssentiaU #SanctuaryDams #AmtechDentalNZ #HenryScheinNZ](https://www.clarencetam.co.nz/tag/gc-essentiau-sanctuarydams-amtechdentalnz-henryscheinnz/) - [#Kulzer #VenusPearl #SanctuaryDams](https://www.clarencetam.co.nz/tag/kulzer-venuspearl-sanctuarydams/) - [#largefillings #compositeartistry #compositereconstruction #toothreconstruction #restorativedentistry #aacd #responsibleesthetics #kulzer #venuspearl #nzdentistry #styleitaliano](https://www.clarencetam.co.nz/tag/largefillings-compositeartistry-compositereconstruction-toothreconstruction-restorativedentistry-aacd-responsibleesthetics-kulzer-venuspearl-nzdentistry-styleitaliano/) - [#GC #EssentiaU #GarrisonCompositight3DFusion #HenryScheinNZ #Essentials #EssentiaModifier #Erosion #SanctuaryDams #SanctuaryDental](https://www.clarencetam.co.nz/tag/gc-essentiau-garrisoncompositight3dfusion-henryscheinnz-essentials-essentiamodifier-erosion-sanctuarydams-sanctuarydental/) - [#Ultradent #Opalescence #DazzleMeDazzleYou #TamDentalGroup](https://www.clarencetam.co.nz/tag/ultradent-opalescence-dazzlemedazzleyou-tamdentalgroup/) - [#Garrison #Slickband #Kerr #Harmonize](https://www.clarencetam.co.nz/tag/garrison-slickband-kerr-harmonize/) - [#DMG #HealthcareEssentials #HonigumHeavy #SouthernImplants](https://www.clarencetam.co.nz/tag/dmg-healthcareessentials-honigumheavy-southernimplants/) - [#TamDentalGroup #WhiteThatsRight #Opalescence #Ultradent #teethwhitening #Britesmile #BrighterTeeth #NaturalWhiteTeeth #CosmeticDentistryAuckland](https://www.clarencetam.co.nz/tag/tamdentalgroup-whitethatsright-opalescence-ultradent-teethwhitening-britesmile-brighterteeth-naturalwhiteteeth-cosmeticdentistryauckland/) - [#Ultradent #Gemini #GC #GPremio #GMultiPrimer #Kerr #Harmonize #Hedy #Isodam #Isoprenedam #KoisCenter #KoisKats](https://www.clarencetam.co.nz/tag/ultradent-gemini-gc-gpremio-gmultiprimer-kerr-harmonize-hedy-isodam-isoprenedam-koiscenter-koiskats/) - [#Voco #GrandioSO #FinalTouchTints #RestorativeDentistry #TipsandTricks](https://www.clarencetam.co.nz/tag/voco-grandioso-finaltouchtints-restorativedentistry-tipsandtricks/) - [#GC #Essentia #MaskingLiner #EssentiaU #G_PremioBond](https://www.clarencetam.co.nz/tag/gc-essentia-maskingliner-essentiau-g_premiobond/) - [#ChameleonEffect #RestorativeDentistry #CosmeticDentistry #CervicalCaries #ClassV #EssentiaU #GC #GPremioBond](https://www.clarencetam.co.nz/tag/chameleoneffect-restorativedentistry-cosmeticdentistry-cervicalcaries-classv-essentiau-gc-gpremiobond/) - [#Kerr #Harmonize](https://www.clarencetam.co.nz/tag/kerr-harmonize/) - [#tipsandtricks #restorativedentistryhacks #tamdentalgroup #excellenceindentistry](https://www.clarencetam.co.nz/tag/tipsandtricks-restorativedentistryhacks-tamdentalgroup-excellenceindentistry/) - [#kavokerr #kerrharmonize #kerrkolorplus #cosmeticfillings #restorativedentistry #excellenceindentistry](https://www.clarencetam.co.nz/tag/kavokerr-kerrharmonize-kerrkolorplus-cosmeticfillings-restorativedentistry-excellenceindentistry/) - [#GC #GAenialUniversalInjectable](https://www.clarencetam.co.nz/tag/gc-gaenialuniversalinjectable/) - [#sanctuarydentaldams](https://www.clarencetam.co.nz/tag/sanctuarydentaldams/) - [#Voco #GrandioSO #FinalTouchWhite #FinalTouchBrown #SanctuaryDentalDams #AmtechDentalNZ #HenryScheinNZ](https://www.clarencetam.co.nz/tag/voco-grandioso-finaltouchwhite-finaltouchbrown-sanctuarydentaldams-amtechdentalnz-henryscheinnz/) - [#Voco #grandioso #restorativedentistry #henryscheinnz](https://www.clarencetam.co.nz/tag/voco-grandioso-restorativedentistry-henryscheinnz/) - [#Voco #GrandioSO #SanctuaryDental #HenryScheinDentalNZ #AmtechDentalNZ](https://www.clarencetam.co.nz/tag/voco-grandioso-sanctuarydental-henryscheindentalnz-amtechdentalnz/) - [#GC #EssentiaU #Garrison #Compositight3DFusion #SanctuaryDentalDams](https://www.clarencetam.co.nz/tag/gc-essentiau-garrison-compositight3dfusion-sanctuarydentaldams/) - [#gc #essentiau #restorativedentistry #biomimeticdentistry](https://www.clarencetam.co.nz/tag/gc-essentiau-restorativedentistry-biomimeticdentistry/) - [#GC #EssentiaU #ClassIIMagic #Garrison #Compositight3DFusion #Hedy #IsoDam](https://www.clarencetam.co.nz/tag/gc-essentiau-classiimagic-garrison-compositight3dfusion-hedy-isodam/) - [#SkulptingSkool #Kerr #harmonize](https://www.clarencetam.co.nz/tag/skulptingskool-kerr-harmonize/) - [#Kerr #Harmonize #GlosslikeaBoss](https://www.clarencetam.co.nz/tag/kerr-harmonize-glosslikeaboss/) - [opalescence](https://www.clarencetam.co.nz/tag/opalescence/) - [#GC #EssentiaU #ClassV #HenryScheinNZ](https://www.clarencetam.co.nz/tag/gc-essentiau-classv-henryscheinnz/) - [#GC #EssentiaU](https://www.clarencetam.co.nz/tag/gc-essentiau/) - [#SanctuaryDentalDams #AmtechDentalNZ #HuFriedy #SkoolToolz #SkulptingSkool101](https://www.clarencetam.co.nz/tag/sanctuarydentaldams-amtechdentalnz-hufriedy-skooltoolz-skulptingskool101/) - [#ultradent #omnimatrix #GC #EssentiaU #anthonymakdentist #wdental #christopherhodentistsydney #encompasssymposium2019 #cosmeticdentist #aacd #accrediteddentist #boardcertified](https://www.clarencetam.co.nz/tag/ultradent-omnimatrix-gc-essentiau-anthonymakdentist-wdental-christopherhodentistsydney-encompasssymposium2019-cosmeticdentist-aacd-accrediteddentist-boardcertified/) - [#milforddentists #andreaclarkebds](https://www.clarencetam.co.nz/tag/milforddentists-andreaclarkebds/) - [#ResponsibleEsthetics #AACD #TamDentalGroup  #ultradent #opalescence](https://www.clarencetam.co.nz/tag/responsibleesthetics-aacd-tamdentalgroup-ultradent-opalescence/) - [#SanctuaryDentalDams #AmtechDentalNZ #HenryScheinNZ #ultradent #omnimatrix #gc #EssentiaU](https://www.clarencetam.co.nz/tag/sanctuarydentaldams-amtechdentalnz-henryscheinnz-ultradent-omnimatrix-gc-essentiau/) - [#GC #EssentiaU #HenryScheinDental #GPremio #GMultiPrimer #GCAustralasia #AnthonyMakDentist #AnthonyMakSmile #ChristopherHoDentist #DentalAsia #EncompassSymposium](https://www.clarencetam.co.nz/tag/gc-essentiau-henryscheindental-gpremio-gmultiprimer-gcaustralasia-anthonymakdentist-anthonymaksmile-christopherhodentist-dentalasia-encompasssymposium/) - [#Kerr #Harmonize #KerrKolor+](https://www.clarencetam.co.nz/tag/kerr-harmonize-kerrkolor/) - [#smallchips #toothfractures #kavokerr #kerrharmonize](https://www.clarencetam.co.nz/tag/smallchips-toothfractures-kavokerr-kerrharmonize/) - [#rootlightening #cervicalabrasionreversal #gc #essentiaU](https://www.clarencetam.co.nz/tag/rootlightening-cervicalabrasionreversal-gc-essentiau/) - [#Voco #GrandioSO #ChameleonEffect #FinalTouchBrown #SkulptingSkool #TamDentalGroup](https://www.clarencetam.co.nz/tag/voco-grandioso-chameleoneffect-finaltouchbrown-skulptingskool-tamdentalgroup/) - [#anthonymakdentist #wdental #caredentistry #caredentalsydney](https://www.clarencetam.co.nz/tag/anthonymakdentist-wdental-caredentistry-caredentalsydney/) - [#alwaysimproving #howthebestperform #hufriedy #henryscheinnz #gc #essentiaU #garrison #compositight3DFusion #sanctuarydentaldams #amtechdentalnz](https://www.clarencetam.co.nz/tag/alwaysimproving-howthebestperform-hufriedy-henryscheinnz-gc-essentiau-garrison-compositight3dfusion-sanctuarydentaldams-amtechdentalnz/) - [#anthonymakdental #dranthonymak #drchrisho](https://www.clarencetam.co.nz/tag/anthonymakdental-dranthonymak-drchrisho/) - [#Kerr #Harmonize #SkulptingSkool102 #Maverickeffects #KerrKolorPlus](https://www.clarencetam.co.nz/tag/kerr-harmonize-skulptingskool102-maverickeffects-kerrkolorplus/) - [#GC #GCAustralasia #EssentiaU](https://www.clarencetam.co.nz/tag/gc-gcaustralasia-essentiau/) - [#Kerr #Harmonize #KolorPlus](https://www.clarencetam.co.nz/tag/kerr-harmonize-kolorplus/) - [#rootlighteningfillings #restorativedentistry #classV #GC #EssentiaU](https://www.clarencetam.co.nz/tag/rootlighteningfillings-restorativedentistry-classv-gc-essentiau/) - [#dranthonymak #drchrisho](https://www.clarencetam.co.nz/tag/dranthonymak-drchrisho/) - [#GC #EssentiaU #IsoDam](https://www.clarencetam.co.nz/tag/gc-essentiau-isodam/) - [#DigitalSmileDesign](https://www.clarencetam.co.nz/tag/digitalsmiledesign/) - [#heartpalpitations](https://www.clarencetam.co.nz/tag/heartpalpitations/) - [#GC #EssentiaU #AmtechDentalNZ #SanctuaryDams](https://www.clarencetam.co.nz/tag/gc-essentiau-amtechdentalnz-sanctuarydams/) - [#Kerr #Harmonize #InvisibleDentistry #HaloEffectReproduction #PreProstheticWhitening #Ultradent #Opalescence](https://www.clarencetam.co.nz/tag/kerr-harmonize-invisibledentistry-haloeffectreproduction-preprostheticwhitening-ultradent-opalescence/) - [#GC #EssentiaU #SkulptingSkool101 #dranthonymak #drchrisho](https://www.clarencetam.co.nz/tag/gc-essentiau-skulptingskool101-dranthonymak-drchrisho/) - [#cleavage #toothporn #chameleoneffecteveninahypominmolar #dranthonymak #drchrisho](https://www.clarencetam.co.nz/tag/cleavage-toothporn-chameleoneffecteveninahypominmolar-dranthonymak-drchrisho/) - [#voco #ormocer #admirafusion #classv #restorativedentistry](https://www.clarencetam.co.nz/tag/voco-ormocer-admirafusion-classv-restorativedentistry/) - [#Ultradent #Vit-l-escence #PeakUniversalBondTotalEtch #dranthonymak #drchrisho](https://www.clarencetam.co.nz/tag/ultradent-vit-l-escence-peakuniversalbondtotaletch-dranthonymak-drchrisho/) - [#GC #EssentiaU #dranthonymak #drchrisho](https://www.clarencetam.co.nz/tag/gc-essentiau-dranthonymak-drchrisho/) - [#Kerr #Harmonize #dranthonymak #drchrisho](https://www.clarencetam.co.nz/tag/kerr-harmonize-dranthonymak-drchrisho/) - [#ConfidenceRenewal #TransformingLivesOneSmileatATime #TamDentalGroup #SkulptingSkool102 #KerrHarmonize](https://www.clarencetam.co.nz/tag/confidencerenewal-transforminglivesonesmileatatime-tamdentalgroup-skulptingskool102-kerrharmonize/) - [#TamDentalGroup #ResponsibleEsthetics #AACD #Accredited](https://www.clarencetam.co.nz/tag/tamdentalgroup-responsibleesthetics-aacd-accredited/) - [#Ultradent #Vit_l_escence and #PeakUniversalBond #DiamondPolishMint](https://www.clarencetam.co.nz/tag/ultradent-vit_l_escence-and-peakuniversalbond-diamondpolishmint/) - [#HiFloEssentia #EssentiaU #GCAustralasia #SanctuaryDentalDams #dranthonymak #drchrisho](https://www.clarencetam.co.nz/tag/hifloessentia-essentiau-gcaustralasia-sanctuarydentaldams-dranthonymak-drchrisho/) - [#GC #EssentiaU #Cosmedent #CreativeColor #DarkBrownTint](https://www.clarencetam.co.nz/tag/gc-essentiau-cosmedent-creativecolor-darkbrowntint/) - [#HuFriedy #SkoolToolz](https://www.clarencetam.co.nz/tag/hufriedy-skooltoolz/) - [#iconmoro #TamDentalGroup #SkulptingSkool #TrialSmile #dentatelier](https://www.clarencetam.co.nz/tag/iconmoro-tamdentalgroup-skulptingskool-trialsmile-dentatelier/) - [#UniversalComposites #rubberdamology #GC #EssentiaU #ChameleonEffect #SanctuaryDams #HuFriedy](https://www.clarencetam.co.nz/tag/universalcomposites-rubberdamology-gc-essentiau-chameleoneffect-sanctuarydams-hufriedy/) - [#GC #EssentiaU #SanctuaryDentalDams #AmtechDental](https://www.clarencetam.co.nz/tag/gc-essentiau-sanctuarydentaldams-amtechdental/) - [#drbharataggarwal](https://www.clarencetam.co.nz/tag/drbharataggarwal/) - [#GC #EssentiaU #Omnimatrix #Ultradent #Garrison #Compositight #SanctuaryDental  #amtechdental](https://www.clarencetam.co.nz/tag/gc-essentiau-omnimatrix-ultradent-garrison-compositight-sanctuarydental-amtechdental/) - [#ResponsibleEsthetics #TransformingLivesOneSmileAtATime #AACD #MinimallyInvasiveMaximallyEsthetic #TeethWhitening #ultradent #opalescence](https://www.clarencetam.co.nz/tag/responsibleesthetics-transforminglivesonesmileatatime-aacd-minimallyinvasivemaximallyesthetic-teethwhitening-ultradent-opalescence/) - [#IPS #emaxZrCAD #NDS #theshineffect](https://www.clarencetam.co.nz/tag/ips-emaxzrcad-nds-theshineffect/) - [#beautifulfillings #gc #essentiaU #dranthonymak #drchrisho](https://www.clarencetam.co.nz/tag/beautifulfillings-gc-essentiau-dranthonymak-drchrisho/) - [#brinkerb4 #GC #EssentiaU #dranthonymak #drchrisho #restorativeexcellence](https://www.clarencetam.co.nz/tag/brinkerb4-gc-essentiau-dranthonymak-drchrisho-restorativeexcellence/) - [#GC #EssentiaU #ChameleonCracker](https://www.clarencetam.co.nz/tag/gc-essentiau-chameleoncracker/) - [#empress #direct #ivoclarvivadent #dranthonymak #drchrisho](https://www.clarencetam.co.nz/tag/empress-direct-ivoclarvivadent-dranthonymak-drchrisho/) - [#GC #G_PremioBond #EssentiaU #vocogmbh #vocothedentalists #dranthonymak #drchrisho](https://www.clarencetam.co.nz/tag/gc-g_premiobond-essentiau-vocogmbh-vocothedentalists-dranthonymak-drchrisho/) - [#gc #essentiaU #dranthonymak #drchrisho #dromaralsabiry](https://www.clarencetam.co.nz/tag/gc-essentiau-dranthonymak-drchrisho-dromaralsabiry/) - [#LearnfromtheBurn #GC #EssentiaU](https://www.clarencetam.co.nz/tag/learnfromtheburn-gc-essentiau/) - [#SkulptingSkool102 #TamDentalGroup #EmpressDirect](https://www.clarencetam.co.nz/tag/skulptingskool102-tamdentalgroup-empressdirect/) - [#dranthonymak #drchrisho #dromaralsabiry #drbharataggarwal #dryohanchoi](https://www.clarencetam.co.nz/tag/dranthonymak-drchrisho-dromaralsabiry-drbharataggarwal-dryohanchoi/) - [#GC #EssentiaU #SkulptingSkool #TamDentalGroup](https://www.clarencetam.co.nz/tag/gc-essentiau-skulptingskool-tamdentalgroup/) - [#SkulptingSkool101 #TamDentalGroup #GCAustralasia #KavoKerr #RestorativeExcellence](https://www.clarencetam.co.nz/tag/skulptingskool101-tamdentalgroup-gcaustralasia-kavokerr-restorativeexcellence/) - [#gc #essentiaU #gcaustralasia #dranthonymak #drchrisho #drbharataggarawal #dryohanchoi #dromaralsabiry](https://www.clarencetam.co.nz/tag/gc-essentiau-gcaustralasia-dranthonymak-drchrisho-drbharataggarawal-dryohanchoi-dromaralsabiry/) - [#dentalartistry #cosmeticdentistry #aestheticdentistry](https://www.clarencetam.co.nz/tag/dentalartistry-cosmeticdentistry-aestheticdentistry/) - [#biomimeticdentistry](https://www.clarencetam.co.nz/tag/biomimeticdentistry/) - [#GC #GCAustralasia #HenryScheinNZ #GarrisonDental](https://www.clarencetam.co.nz/tag/gc-gcaustralasia-henryscheinnz-garrisondental/) - [#SkulptingSkool #tamdentalgroup](https://www.clarencetam.co.nz/tag/skulptingskool-tamdentalgroup/) - [#voco #grandioSO](https://www.clarencetam.co.nz/tag/voco-grandioso/) - [#Voco #GrandioSO #A2](https://www.clarencetam.co.nz/tag/voco-grandioso-a2/) - [#gc #essentia](https://www.clarencetam.co.nz/tag/gc-essentia/) - [#GC #EssentiaU #LighteningChameleon](https://www.clarencetam.co.nz/tag/gc-essentiau-lighteningchameleon/) - [#GC #EssentiaU #GarrisonCompositight3DFusion #Omnimatrix](https://www.clarencetam.co.nz/tag/gc-essentiau-garrisoncompositight3dfusion-omnimatrix/) - [#NonInvasiveDentistry #Opalesence #Ultradent #Ultrasmile](https://www.clarencetam.co.nz/tag/noninvasivedentistry-opalesence-ultradent-ultrasmile/) - [#GC #Essentia #Ultradent #Omnimatrix](https://www.clarencetam.co.nz/tag/gc-essentia-ultradent-omnimatrix/) - [#IPS #emax #theshineffect](https://www.clarencetam.co.nz/tag/ips-emax-theshineffect/) - [#GC #EssentiaU #Ultradent #Omnimatrix #KavoKerr #Kerr #HerculiteUltraflowable #XL2](https://www.clarencetam.co.nz/tag/gc-essentiau-ultradent-omnimatrix-kavokerr-kerr-herculiteultraflowable-xl2/) - [#SkulptingSkool](https://www.clarencetam.co.nz/tag/skulptingskool/) - [#fullcoveragerequired #GC #EssentiaU](https://www.clarencetam.co.nz/tag/fullcoveragerequired-gc-essentiau/) - [#Sybron #ElementsFree #Ultradent #Dermadam #Ultracal #Ultraetch #BrinkerB4 #Voco #RebildaGT #ClearfilDCCorePlus #HeroicDentistry](https://www.clarencetam.co.nz/tag/sybron-elementsfree-ultradent-dermadam-ultracal-ultraetch-brinkerb4-voco-rebildagt-clearfildccoreplus-heroicdentistry/) - [#GC #EssentiaU #SkoolToolz #HuFriedy #SkulptingSkool](https://www.clarencetam.co.nz/tag/gc-essentiau-skooltoolz-hufriedy-skulptingskool/) - [#TheShinEffect #Ivoclar #IPS #emaxMT](https://www.clarencetam.co.nz/tag/theshineffect-ivoclar-ips-emaxmt/) - [#TamDentalGroup #RestorativeExcellence](https://www.clarencetam.co.nz/tag/tamdentalgroup-restorativeexcellence/) - [#IvoclarVivadent #EmpressColor #EmpressDirect #garrison](https://www.clarencetam.co.nz/tag/ivoclarvivadent-empresscolor-empressdirect-garrison/) - [#Powerfil #Ivoclar #AdheSEUniversal #EmpressColor #GarrisonCompositight3DFusion #SkulptingSkool101](https://www.clarencetam.co.nz/tag/powerfil-ivoclar-adheseuniversal-empresscolor-garrisoncompositight3dfusion-skulptingskool101/) - [#Ivoclar #Powerfil #3sCure #BulkFill](https://www.clarencetam.co.nz/tag/ivoclar-powerfil-3scure-bulkfill/) - [#Venus #Pearl A2 #Cosmedent #CreativeColor #DarkBrownTint #IsoDam](https://www.clarencetam.co.nz/tag/venus-pearl-a2-cosmedent-creativecolor-darkbrowntint-isodam/) - [#dermadam #ultradent #kulzer #VenusPearl](https://www.clarencetam.co.nz/tag/dermadam-ultradent-kulzer-venuspearl/) - [#GC #EssentiaU #RootLighteningEffect #Subtleties](https://www.clarencetam.co.nz/tag/gc-essentiau-rootlighteningeffect-subtleties/) - [#GC #Essentia #Essentials](https://www.clarencetam.co.nz/tag/gc-essentia-essentials/) - [#StyleItaliano #Biomimicry #KameleonKings #SkulptingSkool](https://www.clarencetam.co.nz/tag/styleitaliano-biomimicry-kameleonkings-skulptingskool/) - [#garrison #compositight3DFusion](https://www.clarencetam.co.nz/tag/garrison-compositight3dfusion/) - [#healthcareessentialsdental](https://www.clarencetam.co.nz/tag/healthcareessentialsdental/) - [#optidentuk](https://www.clarencetam.co.nz/tag/optidentuk/) - [#whiteology](https://www.clarencetam.co.nz/tag/whiteology/) - [#StyleItaliano #Whiteology #Optident](https://www.clarencetam.co.nz/tag/styleitaliano-whiteology-optident/) - [#HealthCareEssentialsDentalNZ](https://www.clarencetam.co.nz/tag/healthcareessentialsdentalnz/) - [#skulptingskool #hufriedy #masterclassstyle](https://www.clarencetam.co.nz/tag/skulptingskool-hufriedy-masterclassstyle/) - [#healthcareessentials #StyleItaliano #Whiteology #Optident #SkulptingSkool #HuFriedy #SkoolToolz](https://www.clarencetam.co.nz/tag/healthcareessentials-styleitaliano-whiteology-optident-skulptingskool-hufriedy-skooltoolz/) - [#isodam #modifiedcrownpreps #minimallyinvasivedentistry #dentsplysirona](https://www.clarencetam.co.nz/tag/isodam-modifiedcrownpreps-minimallyinvasivedentistry-dentsplysirona/) - [#StyleItaliano #Whiteology #ClassV #DermaDam #Ultradent #BringitwithBrinker](https://www.clarencetam.co.nz/tag/styleitaliano-whiteology-classv-dermadam-ultradent-bringitwithbrinker/) - [#StyleItaliano #Whiteology #PShade](https://www.clarencetam.co.nz/tag/styleitaliano-whiteology-pshade/) - [#chameleoneffect](https://www.clarencetam.co.nz/tag/chameleoneffect/) - [#StyleItaliano #Whiteology #healthcareessentials #skulptingskool #chameleoneffect](https://www.clarencetam.co.nz/tag/styleitaliano-whiteology-healthcareessentials-skulptingskool-chameleoneffect/) - [#StyleItaliano #Whiteology](https://www.clarencetam.co.nz/tag/styleitaliano-whiteology/) - [#Kuraray #Majesty](https://www.clarencetam.co.nz/tag/kuraray-majesty/) - [#ResponsibleEsthetics #AACD #EmpressDirect #Opalescence #Ultradent #IvoclarVivadent](https://www.clarencetam.co.nz/tag/responsibleesthetics-aacd-empressdirect-opalescence-ultradent-ivoclarvivadent/) - [#styleitaliano #whiteology #restorativedentistry #chameleoneffect #garrison #Compositight3DFusion](https://www.clarencetam.co.nz/tag/styleitaliano-whiteology-restorativedentistry-chameleoneffect-garrison-compositight3dfusion/) - [#healthcareessentialsnz](https://www.clarencetam.co.nz/tag/healthcareessentialsnz/) - [#GC #EverStickPerio #rootamputation #periodontalsplint](https://www.clarencetam.co.nz/tag/gc-everstickperio-rootamputation-periodontalsplint/) - [#grr #GC #EssentiaU](https://www.clarencetam.co.nz/tag/grr-gc-essentiau/) - [#GC #EssentiaU #singleshadechameleons](https://www.clarencetam.co.nz/tag/gc-essentiau-singleshadechameleons/) - [#IvoclarVivadent #Direct #EmpressDirect #SkulptingSkool #Subtleties](https://www.clarencetam.co.nz/tag/ivoclarvivadent-direct-empressdirect-skulptingskool-subtleties/) - [#StyleItaliano #Whiteology #ChameleonEffect](https://www.clarencetam.co.nz/tag/styleitaliano-whiteology-chameleoneffect/) - [#healthcaressentials](https://www.clarencetam.co.nz/tag/healthcaressentials/) - [#Kulzer #VenusPearl #A2](https://www.clarencetam.co.nz/tag/kulzer-venuspearl-a2/) - [#ClearFilDCCorePlus #Isodam](https://www.clarencetam.co.nz/tag/clearfildccoreplus-isodam/) - [#Pulpdent #Activa #VenusPearl #Kulzer #HealthcareEssentialsNZ](https://www.clarencetam.co.nz/tag/pulpdent-activa-venuspearl-kulzer-healthcareessentialsnz/) - [#dentalphotography #rawpreops](https://www.clarencetam.co.nz/tag/dentalphotography-rawpreops/) - [#Activa #Pulpdent #StyleItaliano #Whiteology #ChameleonComposites #EverydayRestorative](https://www.clarencetam.co.nz/tag/activa-pulpdent-styleitaliano-whiteology-chameleoncomposites-everydayrestorative/) - [#voco #finaltouch #styleitaliano #whiteology #healthcaressentialsnz #isodam #aluronz](https://www.clarencetam.co.nz/tag/voco-finaltouch-styleitaliano-whiteology-healthcaressentialsnz-isodam-aluronz/) - [#styleitaliano #whiteology #healthcaressentialsnz #isodam](https://www.clarencetam.co.nz/tag/styleitaliano-whiteology-healthcaressentialsnz-isodam/) - [#KurarayNoritake #rootprotection #geriatricdentistry](https://www.clarencetam.co.nz/tag/kuraraynoritake-rootprotection-geriatricdentistry/) - [#StyleItaliano #Whiteology #TooWhiteisRight](https://www.clarencetam.co.nz/tag/styleitaliano-whiteology-toowhiteisright/) - [#Kulzer #VenusPearl](https://www.clarencetam.co.nz/tag/kulzer-venuspearl/) - [#StyleItaliano #whiteology #nofilter](https://www.clarencetam.co.nz/tag/styleitaliano-whiteology-nofilter/) - [#ivoclarvivadent #straumannassystem](https://www.clarencetam.co.nz/tag/ivoclarvivadent-straumannassystem/) - [#CTechImplants #UltradentANZ #IvoclarVivadent #GCAustralasiaDental #GCAmerica #KurarayNoritake](https://www.clarencetam.co.nz/tag/ctechimplants-ultradentanz-ivoclarvivadent-gcaustralasiadental-gcamerica-kuraraynoritake/) - [#GrandioSO #Voco](https://www.clarencetam.co.nz/tag/grandioso-voco/) - [#SkulptingSkool101#GC #EssentiaU](https://www.clarencetam.co.nz/tag/skulptingskool101gc-essentiau/) - [#Ultradent #Opalescence #TamDentalGroup #MinimalIyInvasiveMonday](https://www.clarencetam.co.nz/tag/ultradent-opalescence-tamdentalgroup-minimaliyinvasivemonday/) - [#Mosaic #Dermadam #PeakUniversalBond #Ultradent](https://www.clarencetam.co.nz/tag/mosaic-dermadam-peakuniversalbond-ultradent/) - [#Ultradent #Brinker #Dermadam #Mosaic](https://www.clarencetam.co.nz/tag/ultradent-brinker-dermadam-mosaic/) - [#Ultradent #PeakUniversalBond #Dermadam #Omnimatrix #Mosaic](https://www.clarencetam.co.nz/tag/ultradent-peakuniversalbond-dermadam-omnimatrix-mosaic/) - [#Ultradent #Opalustre #UltraEtch #Dermadam #GC #ToothMousse #Microabrasion #Remineralization #MinimallyInvasiveDentistry](https://www.clarencetam.co.nz/tag/ultradent-opalustre-ultraetch-dermadam-gc-toothmousse-microabrasion-remineralization-minimallyinvasivedentistry/) - [#ivoclar #emax #porcelaincrowns #restorativedentistry](https://www.clarencetam.co.nz/tag/ivoclar-emax-porcelaincrowns-restorativedentistry/) - [#Ultradent #Mosaic #Dermadam #Ultraetch #PeakUniversalBond #Jiffy #DiamondMintPolishers](https://www.clarencetam.co.nz/tag/ultradent-mosaic-dermadam-ultraetch-peakuniversalbond-jiffy-diamondmintpolishers/) - [#whyiultradent](https://www.clarencetam.co.nz/tag/whyiultradent/) - [#Ultradent #Mosaic #ClassV #PeakUniversalBond](https://www.clarencetam.co.nz/tag/ultradent-mosaic-classv-peakuniversalbond/) - [#Ultradent #Mosaic #PeakUniversalBond #Dermadam](https://www.clarencetam.co.nz/tag/ultradent-mosaic-peakuniversalbond-dermadam/) - [#ultradent #mosaic #kameleonkings](https://www.clarencetam.co.nz/tag/ultradent-mosaic-kameleonkings/) - [#Ultradent #Mosaic #Peak #Permaflo #Dermadam #Garrison #Compositight3DFusion #Compositight3DXR](https://www.clarencetam.co.nz/tag/ultradent-mosaic-peak-permaflo-dermadam-garrison-compositight3dfusion-compositight3dxr/) - [#EmpressDirect #IvoclarVivadent #MinimallyInvasiveMaximallyEsthetic #ResponsibleEsthetics #CosmeticDentistry](https://www.clarencetam.co.nz/tag/empressdirect-ivoclarvivadent-minimallyinvasivemaximallyesthetic-responsibleesthetics-cosmeticdentistry/) - [#Ultradent #Dermadam #Mosaic #PeakUniversalBond #Permaflo #SexyingupProvisionalCrowns](https://www.clarencetam.co.nz/tag/ultradent-dermadam-mosaic-peakuniversalbond-permaflo-sexyingupprovisionalcrowns/) - [#GC #EssentiaU #Delicious #Ultradent #DiamondMintPolish #ShineDefine](https://www.clarencetam.co.nz/tag/gc-essentiau-delicious-ultradent-diamondmintpolish-shinedefine/) - [#Kulzer #VenusPearl #SingleShadeChameleon](https://www.clarencetam.co.nz/tag/kulzer-venuspearl-singleshadechameleon/) - [#Kulzer #VenusPearl #A1 #Isodam](https://www.clarencetam.co.nz/tag/kulzer-venuspearl-a1-isodam/) - [#GC #EssentiaU #MinimallyInvasiveMaximallyEsthetic](https://www.clarencetam.co.nz/tag/gc-essentiau-minimallyinvasivemaximallyesthetic/) - [#Garrison #BluView #VariStripMatrices #Isodam #Kerr #Harmonize](https://www.clarencetam.co.nz/tag/garrison-bluview-varistripmatrices-isodam-kerr-harmonize/) - [#VenusPearl #IsoDam #Kulzer](https://www.clarencetam.co.nz/tag/venuspearl-isodam-kulzer/) - [#KulzerVenusPearl #IsoDam](https://www.clarencetam.co.nz/tag/kulzervenuspearl-isodam/) - [#GC #GCemLinkForce #GPremioPlusDCA #TempSmart #IsoDam #emaxMT #IvoclarVivadent #NDS](https://www.clarencetam.co.nz/tag/gc-gcemlinkforce-gpremioplusdca-tempsmart-isodam-emaxmt-ivoclarvivadent-nds/) - [#voco #gc #rebilda #clearfil #DCCorePlus #GC #GPremioBond #GCAustralasia](https://www.clarencetam.co.nz/tag/voco-gc-rebilda-clearfil-dccoreplus-gc-gpremiobond-gcaustralasia/) - [#IvoclarVivadent #emax](https://www.clarencetam.co.nz/tag/ivoclarvivadent-emax/) - [#reallifedentistry #theuglywiththepretty](https://www.clarencetam.co.nz/tag/reallifedentistry-theuglywiththepretty/) - [#Kulzer #Venus #Pearl #SkulptingSkool](https://www.clarencetam.co.nz/tag/kulzer-venus-pearl-skulptingskool/) - [#GC #EssentiaU #Ultradent #DiamondMintPolish #Cosmedent #Flexibuff](https://www.clarencetam.co.nz/tag/gc-essentiau-ultradent-diamondmintpolish-cosmedent-flexibuff/) - [#Kulzer #VenusPearl #SkulptingSkool](https://www.clarencetam.co.nz/tag/kulzer-venuspearl-skulptingskool/) - [#isodam](https://www.clarencetam.co.nz/tag/isodam/) - [#IvoclarVivadent #EmpressDirect](https://www.clarencetam.co.nz/tag/ivoclarvivadent-empressdirect/) - [#Kulzer #VenusPearl #PeakUniversalBond #Ultradent #SkulptingSkool](https://www.clarencetam.co.nz/tag/kulzer-venuspearl-peakuniversalbond-ultradent-skulptingskool/) - [#GC #EssentiaU #KameleonKings #Ultradent #DiamondMintPolish](https://www.clarencetam.co.nz/tag/gc-essentiau-kameleonkings-ultradent-diamondmintpolish/) - [#Ivoclar #EmpressDirect](https://www.clarencetam.co.nz/tag/ivoclar-empressdirect/) - [#Kulzer #VenusPearl #Isodam #HuFriedy #SkoolToolz](https://www.clarencetam.co.nz/tag/kulzer-venuspearl-isodam-hufriedy-skooltoolz/) - [#gc #essentiaU #dryohanchoi](https://www.clarencetam.co.nz/tag/gc-essentiau-dryohanchoi/) - [#Kulzer #VenusPearl #Isodam #SkulptingSkool](https://www.clarencetam.co.nz/tag/kulzer-venuspearl-isodam-skulptingskool/) - [#Kulzer #VenusPearl #OraltecNZ #Isodam #HuFriedy #SkoolToolz #SkulptingSkool](https://www.clarencetam.co.nz/tag/kulzer-venuspearl-oraltecnz-isodam-hufriedy-skooltoolz-skulptingskool/) - [#themoreinfothebetter #rubberdamology #isodam #skulptingskool](https://www.clarencetam.co.nz/tag/themoreinfothebetter-rubberdamology-isodam-skulptingskool/) - [#Garrison #Compositight3DFusion #Kulzer #VenusPearl #Isodam #SkulptingSkool](https://www.clarencetam.co.nz/tag/garrison-compositight3dfusion-kulzer-venuspearl-isodam-skulptingskool/) - [#GC #EssentiaU #Standard](https://www.clarencetam.co.nz/tag/gc-essentiau-standard/) - [#IPSemaxMT #NDS #dryohanchoi #onlays #dentalonlays #restorativedentistry #cosmeticdentist #styleitalian #styleitaliano #isodam](https://www.clarencetam.co.nz/tag/ipsemaxmt-nds-dryohanchoi-onlays-dentalonlays-restorativedentistry-cosmeticdentist-styleitalian-styleitaliano-isodam/) - [#Invisalign #ExpandandAlign #MinimallyInvasiveMaximallyEsthetic #TamDentalGroup](https://www.clarencetam.co.nz/tag/invisalign-expandandalign-minimallyinvasivemaximallyesthetic-tamdentalgroup/) - [#Kulzer #VenusPearl #Garrison #Compositight3DFusion](https://www.clarencetam.co.nz/tag/kulzer-venuspearl-garrison-compositight3dfusion/) - [#RestorativeDentistry #ParadigmShift #TamDentalGroup](https://www.clarencetam.co.nz/tag/restorativedentistry-paradigmshift-tamdentalgroup/) - [#ultradent](https://www.clarencetam.co.nz/tag/ultradent/) - [#yohei](https://www.clarencetam.co.nz/tag/yohei/) - [#yobyyohei](https://www.clarencetam.co.nz/tag/yobyyohei/) - [#ivoclar #emax #crown](https://www.clarencetam.co.nz/tag/ivoclar-emax-crown/) - [#GC #EssentiaU #WeirdClassVs #CervicalAbrasion #OpenMarginSealants](https://www.clarencetam.co.nz/tag/gc-essentiau-weirdclassvs-cervicalabrasion-openmarginsealants/) - [#Kulzer #VenusPearl #SkulptingSkool x #Isodam #Aluro #OraltecNZ](https://www.clarencetam.co.nz/tag/kulzer-venuspearl-skulptingskool-x-isodam-aluro-oraltecnz/) - [#Kulzer #VenusPearl #OraltecNZ](https://www.clarencetam.co.nz/tag/kulzer-venuspearl-oraltecnz/) - [#Kulzer #VenusPearl #Ultradent #Dermadam #Omnimatrix #PeakUniversalBond](https://www.clarencetam.co.nz/tag/kulzer-venuspearl-ultradent-dermadam-omnimatrix-peakuniversalbond/) - [#Skulptimate #SkulptingSkool #Garrison #Kulzer #OraltecNZ #Isodam #Ultradent #TamDentalGroup](https://www.clarencetam.co.nz/tag/skulptimate-skulptingskool-garrison-kulzer-oraltecnz-isodam-ultradent-tamdentalgroup/) - [#Kulzer #VenusPearl #Voco #FinalTouchTints #Isodam](https://www.clarencetam.co.nz/tag/kulzer-venuspearl-voco-finaltouchtints-isodam/) - [#Ivoclar #YofeaturingYohei #NDS](https://www.clarencetam.co.nz/tag/ivoclar-yofeaturingyohei-nds/) - [#GC #EssentiaU #GlosslikeaBoss](https://www.clarencetam.co.nz/tag/gc-essentiau-glosslikeaboss/) - [#DrYohanChoi #DrBharatAgarwal #DrAnthonyMak #DrChrisHo #DrOmarAlsabiry #StyleItalian](https://www.clarencetam.co.nz/tag/dryohanchoi-drbharatagarwal-dranthonymak-drchrisho-dromaralsabiry-styleitalian/) - [#Kulzer #VenusPearl #Ultradent #Dermadam #Cosmedent #Aluro](https://www.clarencetam.co.nz/tag/kulzer-venuspearl-ultradent-dermadam-cosmedent-aluro/) - [#Kulzer #VenusPearl #Ultradent #Dermadam #Voco #FinalTouchTints #AluroNZ #CosmedentCreativeColor](https://www.clarencetam.co.nz/tag/kulzer-venuspearl-ultradent-dermadam-voco-finaltouchtints-aluronz-cosmedentcreativecolor/) - [#ultradent #dermadam #kulzer #venuspearl](https://www.clarencetam.co.nz/tag/ultradent-dermadam-kulzer-venuspearl/) - [#Kulzer #VenusPearl and #Isodam. #SkulptingSkool](https://www.clarencetam.co.nz/tag/kulzer-venuspearl-and-isodam-skulptingskool/) - [#BrinkerB4 #Isodam #GC #EssentiaU](https://www.clarencetam.co.nz/tag/brinkerb4-isodam-gc-essentiau/) - [#YobyYohei #TamDentalGroup #SkulptingSkool #PertPapilla](https://www.clarencetam.co.nz/tag/yobyyohei-tamdentalgroup-skulptingskool-pertpapilla/) - [#NDS](https://www.clarencetam.co.nz/tag/nds/) - [#ClassV #GC #Essentia](https://www.clarencetam.co.nz/tag/classv-gc-essentia/) - [#Kulzer #VenusPearl #Oraltec](https://www.clarencetam.co.nz/tag/kulzer-venuspearl-oraltec/) - [#responsibleesthetics #KoisTrained #TransformingLivesOneSmileAtATime #KerrHarmonize #Isodam #HuFriedy](https://www.clarencetam.co.nz/tag/responsibleesthetics-koistrained-transforminglivesonesmileatatime-kerrharmonize-isodam-hufriedy/) - [#Kulzer #VenusPearl #Isodam #Voco #FinalTouchTints #HuFriedySkoolToolz](https://www.clarencetam.co.nz/tag/kulzer-venuspearl-isodam-voco-finaltouchtints-hufriedyskooltoolz/) - [#GC #EssentiaU #ClassVbangers #SkulptingSkool #TamDentalGroup](https://www.clarencetam.co.nz/tag/gc-essentiau-classvbangers-skulptingskool-tamdentalgroup/) - [#kulzer #venuspearl #reallifedentistry #unedited #youwinsome](https://www.clarencetam.co.nz/tag/kulzer-venuspearl-reallifedentistry-unedited-youwinsome/) - [#GC #EssentiaU #Isodam #SkulptingSkool](https://www.clarencetam.co.nz/tag/gc-essentiau-isodam-skulptingskool/) - [#Voco #GrandioSO #FinalTouchTints #Isodam #SkulptingSkool](https://www.clarencetam.co.nz/tag/voco-grandioso-finaltouchtints-isodam-skulptingskool/) - [#Astratech #OsseospeedEV #OsteonCustom #YobyYohei #NDS #TamDentalGroup #TheArtofDentistry](https://www.clarencetam.co.nz/tag/astratech-osseospeedev-osteoncustom-yobyyohei-nds-tamdentalgroup-theartofdentistry/) - [#GC #EssentiaU #TamDentalGroup](https://www.clarencetam.co.nz/tag/gc-essentiau-tamdentalgroup/) - [#Ultradent #Opalesence](https://www.clarencetam.co.nz/tag/ultradent-opalesence/) - [#Kerr #Harmonize #TamDentalGroup #ResponsibleEsthetics](https://www.clarencetam.co.nz/tag/kerr-harmonize-tamdentalgroup-responsibleesthetics/) - [#GC #EssentiaU #PremioBond](https://www.clarencetam.co.nz/tag/gc-essentiau-premiobond/) - [#reallifedentistry #Kulzer #VenusPearl](https://www.clarencetam.co.nz/tag/reallifedentistry-kulzer-venuspearl/) - [#GC #EssentiaU #TransformingLivesOneSmileatATime #TamDentalGroup](https://www.clarencetam.co.nz/tag/gc-essentiau-transforminglivesonesmileatatime-tamdentalgroup/) - [Deep cavities and fillings that copy nature](https://www.clarencetam.co.nz/tag/deep-cavities-and-fillings-that-copy-nature/) - 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[#Voco #GrandioSO #DirectCoronalSupport](https://www.clarencetam.co.nz/tag/voco-grandioso-directcoronalsupport/) - [#Voco #GrandioSO #Garrison #FinalTouchTints](https://www.clarencetam.co.nz/tag/voco-grandioso-garrison-finaltouchtints/) - [#GC #EssentiaU #ClassV #CosmeticDentistry #DentalStudentNetwork #dentista #odontologica #dentistrylife](https://www.clarencetam.co.nz/tag/gc-essentiau-classv-cosmeticdentistry-dentalstudentnetwork-dentista-odontologica-dentistrylife/) - [#BrinkerB4 #Isodam #GC #EssentiaU #rubberdamfam #Akroflex #HuFriedy](https://www.clarencetam.co.nz/tag/brinkerb4-isodam-gc-essentiau-rubberdamfam-akroflex-hufriedy/) - [#GrandioSOXtra #ComplexReconstruction #finaltouchtints #Ultradent #Gemini #Omnimatrix #Garrison #Compositight3DFusion #TamDentalGroup #SkulptingSkool](https://www.clarencetam.co.nz/tag/grandiosoxtra-complexreconstruction-finaltouchtints-ultradent-gemini-omnimatrix-garrison-compositight3dfusion-tamdentalgroup-skulptingskool/) - [#Shofu #Beautiful_II_LS #Skulptability](https://www.clarencetam.co.nz/tag/shofu-beautiful_ii_ls-skulptability/) - [#Biomimicry #Voco #GrandioSO #TamDentalGroup](https://www.clarencetam.co.nz/tag/biomimicry-voco-grandioso-tamdentalgroup/) - [#Kuraray #MajestyES2Premium #HenryScheinDentalNZ](https://www.clarencetam.co.nz/tag/kuraray-majestyes2premium-henryscheindentalnz/) - [#BiomimeticDentistry #CompositeArtistry #Shofu #HealthcareEssentialsDentalNZ](https://www.clarencetam.co.nz/tag/biomimeticdentistry-compositeartistry-shofu-healthcareessentialsdentalnz/) - [#Shofu #Beautiful #GarrisonCompositight3DFusion](https://www.clarencetam.co.nz/tag/shofu-beautiful-garrisoncompositight3dfusion/) - [#IvoclarVivadent #CustomDie #StumpShade #ProsthodonticEssentials](https://www.clarencetam.co.nz/tag/ivoclarvivadent-customdie-stumpshade-prosthodonticessentials/) - [#Voco #GrandioSO #X-tra](https://www.clarencetam.co.nz/tag/voco-grandioso-x-tra/) - [#Voco #GrandioSO #Xtra](https://www.clarencetam.co.nz/tag/voco-grandioso-xtra/) - [#Dermadam #ultradent](https://www.clarencetam.co.nz/tag/dermadam-ultradent/) - [#OG #Voco #GrandioSO #Garrison #compositight](https://www.clarencetam.co.nz/tag/og-voco-grandioso-garrison-compositight/) - [#rubberdamfam](https://www.clarencetam.co.nz/tag/rubberdamfam/) - [#dentalstudent](https://www.clarencetam.co.nz/tag/dentalstudent/) - [#kerr #herculite #voco #GrandioSO #FinalTouchTints #blockoutdentin #cosmeticdentistry #dentalstudent](https://www.clarencetam.co.nz/tag/kerr-herculite-voco-grandioso-finaltouchtints-blockoutdentin-cosmeticdentistry-dentalstudent/) - [#Beautiful #InjectableX #Shofu #HealthcareEssentialsDental](https://www.clarencetam.co.nz/tag/beautiful-injectablex-shofu-healthcareessentialsdental/) - [#Voco #GrandioSO #ComplexReconstruction #Gemini #Ultradent](https://www.clarencetam.co.nz/tag/voco-grandioso-complexreconstruction-gemini-ultradent/) - [#OpalDam #Ultradent #Ultraetch #Dermadam](https://www.clarencetam.co.nz/tag/opaldam-ultradent-ultraetch-dermadam/) - [IPS e-max](https://www.clarencetam.co.nz/tag/ips-e-max/) - [#ZirCADPrime #IvoclarVivadent #CliniciansChoice #ASAPPolish](https://www.clarencetam.co.nz/tag/zircadprime-ivoclarvivadent-clinicianschoice-asappolish/) - [#HenryScheinDentalNZ](https://www.clarencetam.co.nz/tag/henryscheindentalnz/) - [#ZirCADPrime #EssentiaU Ivoclar Vivadent - New Zealand GC Australasia Dental](https://www.clarencetam.co.nz/tag/zircadprime-essentiau-ivoclar-vivadent-new-zealand-gc-australasia-dental/) - [#CliniciansChoice #Evanesce #CompositeVeneers](https://www.clarencetam.co.nz/tag/clinicianschoice-evanesce-compositeveneers/) - [#voco #grandioso #finaltouch #tints #cosmeticdentistry](https://www.clarencetam.co.nz/tag/voco-grandioso-finaltouch-tints-cosmeticdentistry/) - [#Voco #GrandioSO #OGSupercomposite](https://www.clarencetam.co.nz/tag/voco-grandioso-ogsupercomposite/) - [#Voco #GrandioSO #Dermadam #Ultradent](https://www.clarencetam.co.nz/tag/voco-grandioso-dermadam-ultradent/) - [#KurarayNoritake #MajestyES2 #Dermadam](https://www.clarencetam.co.nz/tag/kuraraynoritake-majestyes2-dermadam/) - [#voco #grandioSO #kerr #herculiteultraflowable #XL2](https://www.clarencetam.co.nz/tag/voco-grandioso-kerr-herculiteultraflowable-xl2/) - [#Voco #GrandioSOXtra](https://www.clarencetam.co.nz/tag/voco-grandiosoxtra/) - [#Voco #GrandioSO #biomimeticdentistry](https://www.clarencetam.co.nz/tag/voco-grandioso-biomimeticdentistry/) - [#Kuraray #MajestyES2 #ClassicA2 #SingleShadeChameleon](https://www.clarencetam.co.nz/tag/kuraray-majestyes2-classica2-singleshadechameleon/) - [#Voco #GrandioSO #OGSupercomposite #ChameleonDentistry](https://www.clarencetam.co.nz/tag/voco-grandioso-ogsupercomposite-chameleondentistry/) - [#GC #EssentiaU #rootlighteningteeth](https://www.clarencetam.co.nz/tag/gc-essentiau-rootlighteningteeth/) - [#IPS #emaxMT #Voco #GrandioSO #Ultradent #Dermadam](https://www.clarencetam.co.nz/tag/ips-emaxmt-voco-grandioso-ultradent-dermadam/) - [#noncariouscervicalesions](https://www.clarencetam.co.nz/tag/noncariouscervicalesions/) - [#toprateddentistauckland #toprateddentist #dentalexcellenceauckland #dentalexcellencenz](https://www.clarencetam.co.nz/tag/toprateddentistauckland-toprateddentist-dentalexcellenceauckland-dentalexcellencenz/) - [#tamdentalgrouptoprated](https://www.clarencetam.co.nz/tag/tamdentalgrouptoprated/) - [#Voco #GrandioSO #DieSilicone #FinalTouch #SemiDirectComposite](https://www.clarencetam.co.nz/tag/voco-grandioso-diesilicone-finaltouch-semidirectcomposite/) - [#MinimallyInvasiveDentistry #DMG #ResinInfiltration #TEGDMAPower #Ultradent #Opalescence](https://www.clarencetam.co.nz/tag/minimallyinvasivedentistry-dmg-resininfiltration-tegdmapower-ultradent-opalescence/) - [#Brasseler #KoisKats Kois Center #TSE](https://www.clarencetam.co.nz/tag/brasseler-koiskats-kois-center-tse/) - [#Kulzer #VenusPear](https://www.clarencetam.co.nz/tag/kulzer-venuspear/) - [#IvoclarVivadent #IPSemaxMT #youthenize](https://www.clarencetam.co.nz/tag/ivoclarvivadent-ipsemaxmt-youthenize/) - [#giomer #shofu #beautifulIILS #fluoriderelease #minimallyinvasivedentistry](https://www.clarencetam.co.nz/tag/giomer-shofu-beautifuliils-fluoriderelease-minimallyinvasivedentistry/) - [#Shofu #Beautifil_II_LS.](https://www.clarencetam.co.nz/tag/shofu-beautifil_ii_ls/) - [#Shofu #Giomerstyle #Beautifil_II_LS](https://www.clarencetam.co.nz/tag/shofu-giomerstyle-beautifil_ii_ls/) - [#Voco #GrandioSO #Ultradent #Dermadam #mesialconcavity #lateralincisor #noninvasivedentistry #cosmeticdentistry](https://www.clarencetam.co.nz/tag/voco-grandioso-ultradent-dermadam-mesialconcavity-lateralincisor-noninvasivedentistry-cosmeticdentistry/) - [#Shofu #Beautifil_II_LS #Ultradent #Dermadam](https://www.clarencetam.co.nz/tag/shofu-beautifil_ii_ls-ultradent-dermadam/) - [#GPremioBond #GMultiPrimer #GC #Shofu #Beautifil_II_LS](https://www.clarencetam.co.nz/tag/gpremiobond-gmultiprimer-gc-shofu-beautifil_ii_ls/) - [#Kuraray #MajestyES2Premium](https://www.clarencetam.co.nz/tag/kuraray-majestyes2premium/) - [#Shofu #Beautifil_II_LS #AmalgamReplacement](https://www.clarencetam.co.nz/tag/shofu-beautifil_ii_ls-amalgamreplacement/) - [#Straumann #IPS #e-maxMT #DSD #TheShinEffect](https://www.clarencetam.co.nz/tag/straumann-ips-e-maxmt-dsd-theshineffect/) - [#bioemulation](https://www.clarencetam.co.nz/tag/bioemulation/) - 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[#Shofubuzz #DentalErosion #Beautifil_II_LS](https://www.clarencetam.co.nz/tag/shofubuzz-dentalerosion-beautifil_ii_ls/) - [#Dentsply #SureSmileOrtho #PreProstheticOrthodonticCorrection](https://www.clarencetam.co.nz/tag/dentsply-suresmileortho-preprostheticorthodonticcorrection/) - [#Voco #GrandioSO #Ultradent #Dermadam](https://www.clarencetam.co.nz/tag/voco-grandioso-ultradent-dermadam/) - [#rootcaries #rootabrasion](https://www.clarencetam.co.nz/tag/rootcaries-rootabrasion/) - [#Triodent #V3 #Ultradent #Dermadam #Shofu #Beautifil_II_LS #Voco #FinalTouchtints](https://www.clarencetam.co.nz/tag/triodent-v3-ultradent-dermadam-shofu-beautifil_ii_ls-voco-finaltouchtints/) - [#Voco #GrandioSO VOCO GmbH - The Dentalists](https://www.clarencetam.co.nz/tag/voco-grandioso-voco-gmbh-the-dentalists/) - [#Kerr #Herculite #Voco #GrandioSO #Supercomposite #SkulptingSkool](https://www.clarencetam.co.nz/tag/kerr-herculite-voco-grandioso-supercomposite-skulptingskool/) - [#Opalescence #VitalBleaching #Nightguardbleaching #Ultradent](https://www.clarencetam.co.nz/tag/opalescence-vitalbleaching-nightguardbleaching-ultradent/) - [#Voco #GrandioSO #AcidAttackReversal](https://www.clarencetam.co.nz/tag/voco-grandioso-acidattackreversal/) - [#Voco #GrandioSO #FinalTouchtints](https://www.clarencetam.co.nz/tag/voco-grandioso-finaltouchtints/) - [#HumpDayDentistry #ClassII #Voco #GrandioSO](https://www.clarencetam.co.nz/tag/humpdaydentistry-classii-voco-grandioso/) - [#BrinkerB4 #Subgingivalcaries #rootcaries #Voco #GrandioSO](https://www.clarencetam.co.nz/tag/brinkerb4-subgingivalcaries-rootcaries-voco-grandioso/) - [#CliniciansChoice #Evanesce #ASAPPolishers #Polydentia #UnicaAnterior #StyleItalianDentistry](https://www.clarencetam.co.nz/tag/clinicianschoice-evanesce-asappolishers-polydentia-unicaanterior-styleitaliandentistry/) - [#HealthcareEssentials](https://www.clarencetam.co.nz/tag/healthcareessentials/) - [#Voco #GrandioSO #splitdam #restorativedentistry](https://www.clarencetam.co.nz/tag/voco-grandioso-splitdam-restorativedentistry/) - [#wisdomtoothfilling](https://www.clarencetam.co.nz/tag/wisdomtoothfilling/) - [#biomimeticsociety](https://www.clarencetam.co.nz/tag/biomimeticsociety/) - [#acdp #theacdp #dentalexcellenceaustralia #aadfa #drchrisho #draodhan #dryohan #drbharat #drdavidattia](https://www.clarencetam.co.nz/tag/acdp-theacdp-dentalexcellenceaustralia-aadfa-drchrisho-draodhan-dryohan-drbharat-drdavidattia/) - [#maskingdarkstumpshades #emaxLT](https://www.clarencetam.co.nz/tag/maskingdarkstumpshades-emaxlt/) - [#KurarayNoritake #HenryScheinDentalNZ #MajestyES2](https://www.clarencetam.co.nz/tag/kuraraynoritake-henryscheindentalnz-majestyes2/) - [#SkulptingSkool #Voco #GrandioSO #FinalTouchTints VOCO GmbH - The Dentalists Ultradent Products](https://www.clarencetam.co.nz/tag/skulptingskool-voco-grandioso-finaltouchtints-voco-gmbh-the-dentalists-ultradent-products/) - [Inc. #DermaDam](https://www.clarencetam.co.nz/tag/inc-dermadam/) - [#Voco #Grandio SO #FinalTouchTints #Ultradent #Dermadam #Omnimatrix #Bisco #TheracalLC #SkulpingSkool #TamDentalGroupndioSO #](https://www.clarencetam.co.nz/tag/voco-grandio-so-finaltouchtints-ultradent-dermadam-omnimatrix-bisco-theracallc-skulpingskool-tamdentalgroupndioso/) - [#Voco #GrandioSO #FinalTouchTints #Ultradent #Dermadam](https://www.clarencetam.co.nz/tag/voco-grandioso-finaltouchtints-ultradent-dermadam/) - [#GC #TempSmart #OptiglazeColor GC Australasia Dental](https://www.clarencetam.co.nz/tag/gc-tempsmart-optiglazecolor-gc-australasia-dental/) - [#Kuraray #Majesty #ES2Classic](https://www.clarencetam.co.nz/tag/kuraray-majesty-es2classic/) - [#GC #EssentiaU #ClassVbanger](https://www.clarencetam.co.nz/tag/gc-essentiau-classvbanger/) - [#Voco #GrandioSO #Kerr #Herculite](https://www.clarencetam.co.nz/tag/voco-grandioso-kerr-herculite/) - [#Voco #GrandioSO #Ultradent #Dermadam #Kerr #Herculite #biomimeticdentistry #cosmeticdentistry](https://www.clarencetam.co.nz/tag/voco-grandioso-ultradent-dermadam-kerr-herculite-biomimeticdentistry-cosmeticdentistry/) - [#ClassVbanger #GC #EssentiaU polished with Clinicians Choice ASAP Polishers #HealthcareEssentialsDental #CliniciansChoice](https://www.clarencetam.co.nz/tag/classvbanger-gc-essentiau-polished-with-clinicians-choice-asap-polishers-healthcareessentialsdental-clinicianschoice/) - [#Kuraray #MajestyES2 #ClassVbangers](https://www.clarencetam.co.nz/tag/kuraray-majestyes2-classvbangers/) - [#Voco #GrandioSO #CliniciansChoice #ASAPPolishers #HealthcareEssentials #HenryScheinDentalNZ #OraltecNZ](https://www.clarencetam.co.nz/tag/voco-grandioso-clinicianschoice-asappolishers-healthcareessentials-henryscheindentalnz-oraltecnz/) - [#Voco #GrandioSO and #FinalTouch](https://www.clarencetam.co.nz/tag/voco-grandioso-and-finaltouch/) - [#SRA #Voco #GrandioSO](https://www.clarencetam.co.nz/tag/sra-voco-grandioso/) - [#Voco #GrandioSO #FinalTouch #Ultradent #Dermadam](https://www.clarencetam.co.nz/tag/voco-grandioso-finaltouch-ultradent-dermadam/) - [#KavoKerr #Endodontics KaVo Kerr Sybron Endo & Kavo Kerr Products](https://www.clarencetam.co.nz/tag/kavokerr-endodontics-kavo-kerr-sybron-endo-kavo-kerr-products/) - [#palatalabrasion](https://www.clarencetam.co.nz/tag/palatalabrasion/) - [#erosion](https://www.clarencetam.co.nz/tag/erosion/) - [#voco #grandioso #finaltouch VOCO VOCO GmbH - The Dentalists Ultradent Products](https://www.clarencetam.co.nz/tag/voco-grandioso-finaltouch-voco-voco-gmbh-the-dentalists-ultradent-products/) - [Inc.](https://www.clarencetam.co.nz/tag/inc/) - [#Kerr #Harmonize #KerrKolor #compositelayering #cosmeticdentistry #TamDentalGroup #SkulptingSkool](https://www.clarencetam.co.nz/tag/kerr-harmonize-kerrkolor-compositelayering-cosmeticdentistry-tamdentalgroup-skulptingskool/) - [#wakeupMonday #ClassVbanger #GC #EssentiaU GC Australasia Dental](https://www.clarencetam.co.nz/tag/wakeupmonday-classvbanger-gc-essentiau-gc-australasia-dental/) - [#GC #GaenialUniversalInjectable #TempSmart #StickResin GC Australasia Dental](https://www.clarencetam.co.nz/tag/gc-gaenialuniversalinjectable-tempsmart-stickresin-gc-australasia-dental/) - [#HealthCareEssentialsDental #TamDentalGroup #SkulptingSkool](https://www.clarencetam.co.nz/tag/healthcareessentialsdental-tamdentalgroup-skulptingskool/) - [#GC #PrototypeComposite #GPremioBond #Ultradent #Dermadam](https://www.clarencetam.co.nz/tag/gc-prototypecomposite-gpremiobond-ultradent-dermadam/) - [#GC #DownLo](https://www.clarencetam.co.nz/tag/gc-downlo/) - [#LetsGetIt #SkulptingSkool #TamDentalGroup #Ultradent #Dermadam #Kerr #HerculiteUltraflowable](https://www.clarencetam.co.nz/tag/letsgetit-skulptingskool-tamdentalgroup-ultradent-dermadam-kerr-herculiteultraflowable/) - [#IvoclarVivadent #StartwiththeEndinMind #TSE Ivoclar Vivadent](https://www.clarencetam.co.nz/tag/ivoclarvivadent-startwiththeendinmind-tse-ivoclar-vivadent/) - [Class I Skulpting using GC's soon-to-be-released composite.  Soft](https://www.clarencetam.co.nz/tag/class-i-skulpting-using-gcs-soon-to-be-released-composite-soft/) - [buttery but yet not a lot of slump.  Liking it! #GC #Prototype #HenryScheinDentalNZ #MinimalInvasiveDentistry](https://www.clarencetam.co.nz/tag/buttery-but-yet-not-a-lot-of-slump-liking-it-gc-prototype-henryscheindentalnz-minimalinvasivedentistry/) - [#warmups #SkulptingSkool #GCAmerica #GCAustralasia #HenryScheinDentalNZ](https://www.clarencetam.co.nz/tag/warmups-skulptingskool-gcamerica-gcaustralasia-henryscheindentalnz/) - [#GCAmerica #ClassIIrealities](https://www.clarencetam.co.nz/tag/gcamerica-classiirealities/) - [#fissurotomyextended](https://www.clarencetam.co.nz/tag/fissurotomyextended/) - [#GCAustralasia #GCJapan #GCAmerica #ClassVbangers #PrototypeAction](https://www.clarencetam.co.nz/tag/gcaustralasia-gcjapan-gcamerica-classvbangers-prototypeaction/) - [#GC #Prototype](https://www.clarencetam.co.nz/tag/gc-prototype/) - [#GC #Ultradent #3M #HenryScheinDentalNZ](https://www.clarencetam.co.nz/tag/gc-ultradent-3m-henryscheindentalnz/) - [#dentaltrauma](https://www.clarencetam.co.nz/tag/dentaltrauma/) - [#GCAmerica #GCAustralasia #Kerr #HerculiteUltra GC America Inc. GC Australasia Dental Henry Schein New Zealand KaVo Kerr](https://www.clarencetam.co.nz/tag/gcamerica-gcaustralasia-kerr-herculiteultra-gc-america-inc-gc-australasia-dental-henry-schein-new-zealand-kavo-kerr/) - [#Kuraray #MajestyES2Classic](https://www.clarencetam.co.nz/tag/kuraray-majestyes2classic/) - [#Erosiveprotection #minimallyinvasivedentistry #tamdentalgroup #skulptingskool](https://www.clarencetam.co.nz/tag/erosiveprotection-minimallyinvasivedentistry-tamdentalgroup-skulptingskool/) - [#Voco #GrandioSO #Kuraray #MajestyEstheticflowable](https://www.clarencetam.co.nz/tag/voco-grandioso-kuraray-majestyestheticflowable/) - [#minimallyinvasivedentistry](https://www.clarencetam.co.nz/tag/minimallyinvasivedentistry/) - [#GrandioSO #Voco #FinalTouch VOCO VOCO GmbH - The Dentalists Ultradent Products](https://www.clarencetam.co.nz/tag/grandioso-voco-finaltouch-voco-voco-gmbh-the-dentalists-ultradent-products/) - [#TheShinEffect #TSE #IvoclarVivadent #SmileDesign #TamDentalGroup](https://www.clarencetam.co.nz/tag/theshineffect-tse-ivoclarvivadent-smiledesign-tamdentalgroup/) - [#Voco #GrandioSO #Amalgamremoval #Amalgamreplacement](https://www.clarencetam.co.nz/tag/voco-grandioso-amalgamremoval-amalgamreplacement/) - [#Kerr #Harmonize #SkulptingSkool #TamDentalGroup #KoisKats](https://www.clarencetam.co.nz/tag/kerr-harmonize-skulptingskool-tamdentalgroup-koiskats/) - [#Voco #GrandioSO #Ultradent #Dermadam VOCO VOCO GmbH - The DentalistsUltradent Products](https://www.clarencetam.co.nz/tag/voco-grandioso-ultradent-dermadam-voco-voco-gmbh-the-dentalistsultradent-products/) - [Inc. Ultradent Southeast Asia Ultradent ANZ](https://www.clarencetam.co.nz/tag/inc-ultradent-southeast-asia-ultradent-anz/) - [#SkulptingSkool #Voco #GrandioSO #palatalanatomy](https://www.clarencetam.co.nz/tag/skulptingskool-voco-grandioso-palatalanatomy/) - [#Voco #GrandioSO #EverydayBiomimicry #BRD #SkulptingSkool #TamDentalGroup](https://www.clarencetam.co.nz/tag/voco-grandioso-everydaybiomimicry-brd-skulptingskool-tamdentalgroup/) - [#Voco #GrandioSO #Kerr #HerculiteUltra](https://www.clarencetam.co.nz/tag/voco-grandioso-kerr-herculiteultra/) - [#Voco #GrandioSO #Kerr #HerculiteUltra VOCO VOCO GmbH - The Dentalists KaVo Kerr Ultradent Products](https://www.clarencetam.co.nz/tag/voco-grandioso-kerr-herculiteultra-voco-voco-gmbh-the-dentalists-kavo-kerr-ultradent-products/) - [#GC #EssentiaU #ClassVbangers GC Australasia Dental GC America Inc.](https://www.clarencetam.co.nz/tag/gc-essentiau-classvbangers-gc-australasia-dental-gc-america-inc/) - [#Voco #GrandioSO #SkulptingSkool #ErosiveLesionProtection #RebuildingNature VOCO VOCO GmbH - 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[#GC #Prototypecomposite #ClassVbangers #minibangers #SkulptingSkool](https://www.clarencetam.co.nz/tag/gc-prototypecomposite-classvbangers-minibangers-skulptingskool/) - [#GCAustralasia GC Australasia Dental](https://www.clarencetam.co.nz/tag/gcaustralasia-gc-australasia-dental/) - [#beautifulfillings](https://www.clarencetam.co.nz/tag/beautifulfillings/) - [#aucklanddentist](https://www.clarencetam.co.nz/tag/aucklanddentist/) - [#bestdentistauckland](https://www.clarencetam.co.nz/tag/bestdentistauckland/) - [#bestdentistnz](https://www.clarencetam.co.nz/tag/bestdentistnz/) - [#anteriorfillingreplacement](https://www.clarencetam.co.nz/tag/anteriorfillingreplacement/) - [#GC #Prototype #GCAustralasia](https://www.clarencetam.co.nz/tag/gc-prototype-gcaustralasia/) - [#Ivoclar #emaxMT #TheShinEffect](https://www.clarencetam.co.nz/tag/ivoclar-emaxmt-theshineffect/) - [#voco #grandioso #fullmouthmakeover #extrememakeoverdental #extremeteeth #cosmeticdentistry #westerndental #nyudentistry #styleitaliandentistry](https://www.clarencetam.co.nz/tag/voco-grandioso-fullmouthmakeover-extrememakeoverdental-extremeteeth-cosmeticdentistry-westerndental-nyudentistry-styleitaliandentistry/) - [#ClassVbanger #GC #Prototypecomposite GC Australasia Dental](https://www.clarencetam.co.nz/tag/classvbanger-gc-prototypecomposite-gc-australasia-dental/) - [#GC #PrototypeComposite #resurfacingteeth](https://www.clarencetam.co.nz/tag/gc-prototypecomposite-resurfacingteeth/) - [#palatalfillings](https://www.clarencetam.co.nz/tag/palatalfillings/) - [#DSD #StartwiththeEndinMind #CosmeticDentistryEssentials #faciallydrivensmiledesign](https://www.clarencetam.co.nz/tag/dsd-startwiththeendinmind-cosmeticdentistryessentials-faciallydrivensmiledesign/) - [#DSD](https://www.clarencetam.co.nz/tag/dsd/) - [#elab](https://www.clarencetam.co.nz/tag/elab/) - [#greycard](https://www.clarencetam.co.nz/tag/greycard/) - [#hantdental](https://www.clarencetam.co.nz/tag/hantdental/) - [#Voco #GrandioSO #FinalTouch VOCO VOCO GmbH - The Dentalists](https://www.clarencetam.co.nz/tag/voco-grandioso-finaltouch-voco-voco-gmbh-the-dentalists/) - [#ClassI #caries #Voco #GrandioSO](https://www.clarencetam.co.nz/tag/classi-caries-voco-grandioso/) - [#biomimeticdentistry #cosmeticdentistry](https://www.clarencetam.co.nz/tag/biomimeticdentistry-cosmeticdentistry/) - [#Voco #GrandioSO #BondedisBetter VOCO VOCO GmbH - The Dentalists](https://www.clarencetam.co.nz/tag/voco-grandioso-bondedisbetter-voco-voco-gmbh-the-dentalists/) - [#KurarayNoritake #MajestyES2Premium #HenryScheinDentalNZ](https://www.clarencetam.co.nz/tag/kuraraynoritake-majestyes2premium-henryscheindentalnz/) - [#BondingvsCementation #APC #ZirconiaBonding #SkulptingSkool104](https://www.clarencetam.co.nz/tag/bondingvscementation-apc-zirconiabonding-skulptingskool104/) - [#GC #PrototypeComposite #ExtremeClassVbangers](https://www.clarencetam.co.nz/tag/gc-prototypecomposite-extremeclassvbangers/) - [#Ultradent #Opalesence #VanHaywoodandHaymann](https://www.clarencetam.co.nz/tag/ultradent-opalesence-vanhaywoodandhaymann/) - [#preprostheticwhitening](https://www.clarencetam.co.nz/tag/preprostheticwhitening/) - [#Voco #GrandioSO #MolarHypomin](https://www.clarencetam.co.nz/tag/voco-grandioso-molarhypomin/) - [#Voco #GrandioSO #MaketheSmallThingsCount](https://www.clarencetam.co.nz/tag/voco-grandioso-makethesmallthingscount/) - [#GC #Prototype #Nomnomcomposite](https://www.clarencetam.co.nz/tag/gc-prototype-nomnomcomposite/) - [#Voco #FinalTouch #GrandioSO](https://www.clarencetam.co.nz/tag/voco-finaltouch-grandioso/) - [#ClassVchameleon #GC #Prototype](https://www.clarencetam.co.nz/tag/classvchameleon-gc-prototype/) - [#ClassI #SkulptingSkool #Voco #GrandioSO #FinalTouch](https://www.clarencetam.co.nz/tag/classi-skulptingskool-voco-grandioso-finaltouch/) - [#GC #Prototype #Microlayering](https://www.clarencetam.co.nz/tag/gc-prototype-microlayering/) - [#microdentistry #GC #Prototype](https://www.clarencetam.co.nz/tag/microdentistry-gc-prototype/) - [#deepcaries #Voco #GrandioSO #Compromisedteeth VOCO VOCO GmbH - The Dentalists](https://www.clarencetam.co.nz/tag/deepcaries-voco-grandioso-compromisedteeth-voco-voco-gmbh-the-dentalists/) - [#rootcoveragefoundationalrestorations #ClassVbanger](https://www.clarencetam.co.nz/tag/rootcoveragefoundationalrestorations-classvbanger/) - [#Voco #GrandioSO #SkulptingSkool #TamDentalGroup #Amalgamremoval #Ultradent #Dermadam](https://www.clarencetam.co.nz/tag/voco-grandioso-skulptingskool-tamdentalgroup-amalgamremoval-ultradent-dermadam/) - [#radicularresorption](https://www.clarencetam.co.nz/tag/radicularresorption/) - [#DMG #Icon #ResinInfiltration #NonInvasiveDentistry #MinimalInvasionDentistry #BiomimeticDentistry #BRD](https://www.clarencetam.co.nz/tag/dmg-icon-resininfiltration-noninvasivedentistry-minimalinvasiondentistry-biomimeticdentistry-brd/) - [#IPS #emaxMT #Voco #GrandioSO #TheShinEffect](https://www.clarencetam.co.nz/tag/ips-emaxmt-voco-grandioso-theshineffect/) - [#Voco #GrandioSO #ClassIIchameleon](https://www.clarencetam.co.nz/tag/voco-grandioso-classiichameleon/) - [#biomimetic2020](https://www.clarencetam.co.nz/tag/biomimetic2020/) - [#GC #PrototypeComposite #March2021](https://www.clarencetam.co.nz/tag/gc-prototypecomposite-march2021/) - [#ClassIIReplacement #Replacingfillings #CosmeticDentistry #PosteriorCompositeArtistry](https://www.clarencetam.co.nz/tag/classiireplacement-replacingfillings-cosmeticdentistry-posteriorcompositeartistry/) - 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[#TheShinEffect #CosmeticDentistryisNotLimitedtotheFront #PosteriorOverlays #ConservativeDentistry #TamDentalGroup #BARD #biomimeticdentistry #rubberdamfam](https://www.clarencetam.co.nz/tag/theshineffect-cosmeticdentistryisnotlimitedtothefront-posterioroverlays-conservativedentistry-tamdentalgroup-bard-biomimeticdentistry-rubberdamfam/) - [#GC #EssentiaU GC Australasia GC America #rootlightening #rootcoverageprocedures](https://www.clarencetam.co.nz/tag/gc-essentiau-gc-australasia-gc-america-rootlightening-rootcoverageprocedures/) - [#Voco #GrandioSO #Supercomposite #BiomimeticDentistry](https://www.clarencetam.co.nz/tag/voco-grandioso-supercomposite-biomimeticdentistry/) - [#dentistrythatlasts #nyudentistry](https://www.clarencetam.co.nz/tag/dentistrythatlasts-nyudentistry/) - [#Voco #GrandioSO #interproximalcaries #biomimeticdentistry](https://www.clarencetam.co.nz/tag/voco-grandioso-interproximalcaries-biomimeticdentistry/) - [#Voco #GrandioSO #amalgamisnotabiocompatiblematerial](https://www.clarencetam.co.nz/tag/voco-grandioso-amalgamisnotabiocompatiblematerial/) - [#Voco #GrandioSO #FinalTouchtints #aucklandcosmeticdentist #bestcosmeticdentistnz](https://www.clarencetam.co.nz/tag/voco-grandioso-finaltouchtints-aucklandcosmeticdentist-bestcosmeticdentistnz/) - [bestcosmeticdentistaustralasia](https://www.clarencetam.co.nz/tag/bestcosmeticdentistaustralasia/) - [#GC #GaenialAchord #bondingrootsurfaces](https://www.clarencetam.co.nz/tag/gc-gaenialachord-bondingrootsurfaces/) - [#Kerr #SimplishadeLight #herculiteultra #crackremovalteeth](https://www.clarencetam.co.nz/tag/kerr-simplishadelight-herculiteultra-crackremovalteeth/) - [#GCAustralasia #GMultiPrimer #GPremioBond #Zirconiabondingprotocol #GaenialAchord #APC #MarkusBlatz](https://www.clarencetam.co.nz/tag/gcaustralasia-gmultiprimer-gpremiobond-zirconiabondingprotocol-gaenialachord-apc-markusblatz/) - [#QuadrantDentistry #Voco #GrandioSO #Ultradent #Dermadam](https://www.clarencetam.co.nz/tag/quadrantdentistry-voco-grandioso-ultradent-dermadam/) - [#whitening #vocoGrandioSO #ClassIIIrestorations #estheticintegration](https://www.clarencetam.co.nz/tag/whitening-vocograndioso-classiiirestorations-estheticintegration/) - 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[#Kerr #Simplishade #SkulptingSkool](https://www.clarencetam.co.nz/tag/kerr-simplishade-skulptingskool/) - [#estheticintegration #compositeartistry](https://www.clarencetam.co.nz/tag/estheticintegration-compositeartistry/) - [#Kerr #HerculiteUltra #Simplishade](https://www.clarencetam.co.nz/tag/kerr-herculiteultra-simplishade/) - [#Voco #GrandioSO #Supercomposite #Garrison #Compositight3DFusion](https://www.clarencetam.co.nz/tag/voco-grandioso-supercomposite-garrison-compositight3dfusion/) - [#socialsixdentistry #minimallyinvasivedentistry](https://www.clarencetam.co.nz/tag/socialsixdentistry-minimallyinvasivedentistry/) - [#SkulptingSkool #ExcellenceinRestorativeDentistry #Voco #GrandioSO #FinalTouch](https://www.clarencetam.co.nz/tag/skulptingskool-excellenceinrestorativedentistry-voco-grandioso-finaltouch/) - [#ClassVbanger #GC #GAenialAChord #CelebrityDentalEnhancements #overbrushingreversal](https://www.clarencetam.co.nz/tag/classvbanger-gc-gaenialachord-celebritydentalenhancements-overbrushingreversal/) - [#GC #GMultiPrimer #GPremio #AChord](https://www.clarencetam.co.nz/tag/gc-gmultiprimer-gpremio-achord/) - [#voco #GrandioSO #FinalTouchtints #supercomposite #posteriorcompositeartistry](https://www.clarencetam.co.nz/tag/voco-grandioso-finaltouchtints-supercomposite-posteriorcompositeartistry/) - [#ClassIII #Kerr #Simplishade #cloudshading](https://www.clarencetam.co.nz/tag/classiii-kerr-simplishade-cloudshading/) - [#Voco #GrandioSO #deepcavities](https://www.clarencetam.co.nz/tag/voco-grandioso-deepcavities/) - [#UltradentMosaic #Voco #FinalTouch](https://www.clarencetam.co.nz/tag/ultradentmosaic-voco-finaltouch/) - [#voco #grandioSO #rampantcaries](https://www.clarencetam.co.nz/tag/voco-grandioso-rampantcaries/) - [#GC #EssentiaU #AbrasionLesionsRestored](https://www.clarencetam.co.nz/tag/gc-essentiau-abrasionlesionsrestored/) - [#GC #EssentiaU #cervicalhypomineralization](https://www.clarencetam.co.nz/tag/gc-essentiau-cervicalhypomineralization/) - [#DSD #SmileDesignerPro #CompositeVeneers #SmileMakeover #Macrodetail #UltradentGemini #UltradentMosaic #CosmeticDentistAuckland](https://www.clarencetam.co.nz/tag/dsd-smiledesignerpro-compositeveneers-smilemakeover-macrodetail-ultradentgemini-ultradentmosaic-cosmeticdentistauckland/) - [#GAenial #AChord #MDP #GMultiPrimer #GPremioBond](https://www.clarencetam.co.nz/tag/gaenial-achord-mdp-gmultiprimer-gpremiobond/) - [#GCAustralasia #GaenialAchord #GCAmerica](https://www.clarencetam.co.nz/tag/gcaustralasia-gaenialachord-gcamerica/) - [#GC #GaenialAchord #SpaceDust](https://www.clarencetam.co.nz/tag/gc-gaenialachord-spacedust/) - [#Ultradent #Dermadam #Mosaic #Atlantis #Astratech #implantdentistryAuckland #TheShinEffect Ultradent Products](https://www.clarencetam.co.nz/tag/ultradent-dermadam-mosaic-atlantis-astratech-implantdentistryauckland-theshineffect-ultradent-products/) - [Inc. Ultradent ANZ Dentsply Sirona](https://www.clarencetam.co.nz/tag/inc-ultradent-anz-dentsply-sirona/) - [#UltradentMosaic #UltradentDermadam #diastemaclosure](https://www.clarencetam.co.nz/tag/ultradentmosaic-ultradentdermadam-diastemaclosure/) - [#gapclosure](https://www.clarencetam.co.nz/tag/gapclosure/) - [#closingdentalgaps](https://www.clarencetam.co.nz/tag/closingdentalgaps/) - [#Kerr #SimplishadeLight #CloudShadedChameleon](https://www.clarencetam.co.nz/tag/kerr-simplishadelight-cloudshadedchameleon/) - [#Kerr #KavoKerr #SimplishadeLight #HerculiteUltra #Dermadam #Ultradent](https://www.clarencetam.co.nz/tag/kerr-kavokerr-simplishadelight-herculiteultra-dermadam-ultradent/) - [#UltradentMosaic #compositeveneers #cosmeticdentistryauckland #minimallyinvasiveveneers](https://www.clarencetam.co.nz/tag/ultradentmosaic-compositeveneers-cosmeticdentistryauckland-minimallyinvasiveveneers/) - [#nodrilling #noenamelremoval](https://www.clarencetam.co.nz/tag/nodrilling-noenamelremoval/) - [#Kerr #SimplishadeLight #CloudComposites](https://www.clarencetam.co.nz/tag/kerr-simplishadelight-cloudcomposites/) - [#IvoclarVivadentNZ #TetricEvoCeram #EmpressColor #Ultradent #Dermadam Ivoclar Vivadent Ivoclar Vivadent #ClassIIbiomimicry](https://www.clarencetam.co.nz/tag/ivoclarvivadentnz-tetricevoceram-empresscolor-ultradent-dermadam-ivoclar-vivadent-ivoclar-vivadent-classiibiomimicry/) - [#cosmeticdentistry #rubberdamfam](https://www.clarencetam.co.nz/tag/cosmeticdentistry-rubberdamfam/) - [#rubberdamology](https://www.clarencetam.co.nz/tag/rubberdamology/) - [#IvoclarVivadentNZ #Slotrestorations](https://www.clarencetam.co.nz/tag/ivoclarvivadentnz-slotrestorations/) - [#Kerr #Harmonize #AccidentsMadeInvisible #ACC #DentalExcellence #RestorativeExcellence #CompositeVeneers](https://www.clarencetam.co.nz/tag/kerr-harmonize-accidentsmadeinvisible-acc-dentalexcellence-restorativeexcellence-compositeveneers/) - [#IvoclarVivadent #TetricEvoCeram #ExtensiveDecay #Garrison #Compositight3DFusion](https://www.clarencetam.co.nz/tag/ivoclarvivadent-tetricevoceram-extensivedecay-garrison-compositight3dfusion/) - [#TetricEvoCeram #IvoclarVivadent](https://www.clarencetam.co.nz/tag/tetricevoceram-ivoclarvivadent/) - [#Voco #GrandioSO #ClassIII](https://www.clarencetam.co.nz/tag/voco-grandioso-classiii/) - [#DSD #SmileDesignerPro #startwiththeendinmind](https://www.clarencetam.co.nz/tag/dsd-smiledesignerpro-startwiththeendinmind/) - [#Voco #GrandioSO #biomimicry VOCO GmbH - The Dentalists #Ultradent #Dermadam Ultradent ANZ](https://www.clarencetam.co.nz/tag/voco-grandioso-biomimicry-voco-gmbh-the-dentalists-ultradent-dermadam-ultradent-anz/) - [#ClassVmagic #EssentiaU #GC](https://www.clarencetam.co.nz/tag/classvmagic-essentiau-gc/) - [#EmpressColor #IvoclarVivadentNZ #TetricEvoCeram #SkulptingSkool101 #Dentsply #Palodent360 #quadrantdentistry](https://www.clarencetam.co.nz/tag/empresscolor-ivoclarvivadentnz-tetricevoceram-skulptingskool101-dentsply-palodent360-quadrantdentistry/) - [#GarrisonDentalSolutions #AnteriorMatrixSystem #RestorativeDentistry #cosmeticdentistry #dentaltools #SkulptingSkool #ClassIIImatrix](https://www.clarencetam.co.nz/tag/garrisondentalsolutions-anteriormatrixsystem-restorativedentistry-cosmeticdentistry-dentaltools-skulptingskool-classiiimatrix/) - [#GarrisonFusionAnterior #GC](https://www.clarencetam.co.nz/tag/garrisonfusionanterior-gc/) - [Restorative: #Voco #GrandioSO #FinalTouchtints #crackremovalteeth](https://www.clarencetam.co.nz/tag/restorative-voco-grandioso-finaltouchtints-crackremovalteeth/) - [#GC #GaenialAchord #HuFriedy #Akroflex #IRL #GarrisonDentalSolutions #UltradentDermadam](https://www.clarencetam.co.nz/tag/gc-gaenialachord-hufriedy-akroflex-irl-garrisondentalsolutions-ultradentdermadam/) - [#Kerr #Supermat #Garrison #Compositight3DFusion #KerrSimplishade #UltradentDermadam](https://www.clarencetam.co.nz/tag/kerr-supermat-garrison-compositight3dfusion-kerrsimplishade-ultradentdermadam/) - [#HuFriedy #TNTAMKIT #TNTAMAKRO #kavokerranz #simplishade #conservativedentistry](https://www.clarencetam.co.nz/tag/hufriedy-tntamkit-tntamakro-kavokerranz-simplishade-conservativedentistry/) - [#GC #EssentiaU #invisiblefillings #drandrewcheng #drsamkoh #dranthonymak #drleightonphu](https://www.clarencetam.co.nz/tag/gc-essentiau-invisiblefillings-drandrewcheng-drsamkoh-dranthonymak-drleightonphu/) - [#GC #EssentiaU #rootsurfacesensitivity](https://www.clarencetam.co.nz/tag/gc-essentiau-rootsurfacesensitivity/) - [#GaenialAchord #GCAmerica](https://www.clarencetam.co.nz/tag/gaenialachord-gcamerica/) - [#PartialReplacementTherapy #FunctionFirst #TheShinEffect](https://www.clarencetam.co.nz/tag/partialreplacementtherapy-functionfirst-theshineffect/) - [#Voco #GrandioSO #FinalTouch #Garrison #FusionAnteriorMatrixSystem #ClassIII #BiomimeticRestorativeDentistry](https://www.clarencetam.co.nz/tag/voco-grandioso-finaltouch-garrison-fusionanteriormatrixsystem-classiii-biomimeticrestorativedentistry/) - [#Voco #GrandioSO #NZDentist #NZCosmeticDentist](https://www.clarencetam.co.nz/tag/voco-grandioso-nzdentist-nzcosmeticdentist/) - [#FusionAnterior #GarrisonDentalSolutions #KerrSimplishade #freehandcomposite](https://www.clarencetam.co.nz/tag/fusionanterior-garrisondentalsolutions-kerrsimplishade-freehandcomposite/) - [#Voco #GrandioSO #failingfillings](https://www.clarencetam.co.nz/tag/voco-grandioso-failingfillings/) - [#Voco #GrandioSO #slotrestoration](https://www.clarencetam.co.nz/tag/voco-grandioso-slotrestoration/) - [#GC GaenialAchordBW](https://www.clarencetam.co.nz/tag/gc-gaenialachordbw/) - [#Opalescence #Ultradent](https://www.clarencetam.co.nz/tag/opalescence-ultradent/) - [#PickyPrecision #TheShinEffect #TamDentalGroup #CosmeticImplantCrowns #NZCosmeticDentist #implantprecision](https://www.clarencetam.co.nz/tag/pickyprecision-theshineffect-tamdentalgroup-cosmeticimplantcrowns-nzcosmeticdentist-implantprecision/) - [#GCAustralasia #GaenialAchord #ClassVmixedsubstrates](https://www.clarencetam.co.nz/tag/gcaustralasia-gaenialachord-classvmixedsubstrates/) - [#Voco #GrandioSO #restorativedentalartistry VOCO GmbH - The Dentalists](https://www.clarencetam.co.nz/tag/voco-grandioso-restorativedentalartistry-voco-gmbh-the-dentalists/) - [#bard](https://www.clarencetam.co.nz/tag/bard/) - [#dryohanchoi #drbharatagarwal #drmarshallhanson #aacd #aacdaccredited](https://www.clarencetam.co.nz/tag/dryohanchoi-drbharatagarwal-drmarshallhanson-aacd-aacdaccredited/) - [#ClassImadesimple #TetricPrime #IvoclarVivadentNZ](https://www.clarencetam.co.nz/tag/classimadesimple-tetricprime-ivoclarvivadentnz/) - [#GC #GUI #GaenialUniversalInjectable](https://www.clarencetam.co.nz/tag/gc-gui-gaenialuniversalinjectable/) - [#GC #EssentiaU #RestorativeArt](https://www.clarencetam.co.nz/tag/gc-essentiau-restorativeart/) - [#GC #EssentiaU #Universalapplicationcomposite #CloudShaded](https://www.clarencetam.co.nz/tag/gc-essentiau-universalapplicationcomposite-cloudshaded/) - [#Ivoclar #TetricPrime #PosteriorComposite #PosteriorCompositeAnatomy #NZVeneers #CosmeticDentistNZ](https://www.clarencetam.co.nz/tag/ivoclar-tetricprime-posteriorcomposite-posteriorcompositeanatomy-nzveneers-cosmeticdentistnz/) - [#TetricPrimePosteriors #IvoclarVivadent](https://www.clarencetam.co.nz/tag/tetricprimeposteriors-ivoclarvivadent/) - [#QuadrantDentistry #TetricPrime #QuadrantDentistry](https://www.clarencetam.co.nz/tag/quadrantdentistry-tetricprime-quadrantdentistry/) - [Opacification: #Kerr #HerculiteUltra Restorative: #Kerr #SimplishadeLight #OptibondSoloPlus #KerrKolor Dam: #Ultradent #Dermadam](https://www.clarencetam.co.nz/tag/opacification-kerr-herculiteultra-restorative-kerr-simplishadelight-optibondsoloplus-kerrkolor-dam-ultradent-dermadam/) - [#TheShinEffect #SureSmile #DentsplySirona #IvoclarVivadent #emaxHT #cosmeticdentistryNZ #VeneersNZ](https://www.clarencetam.co.nz/tag/theshineffect-suresmile-dentsplysirona-ivoclarvivadent-emaxht-cosmeticdentistrynz-veneersnz/) - [#Voco #GrandioSO #caries](https://www.clarencetam.co.nz/tag/voco-grandioso-caries/) - [#IvoclarVivadentNZ #EmpressColor #CosmeticDentistry #AACDAccredited #CompositeVeneers](https://www.clarencetam.co.nz/tag/ivoclarvivadentnz-empresscolor-cosmeticdentistry-aacdaccredited-compositeveneers/) - [#Gaenial #Achord.](https://www.clarencetam.co.nz/tag/gaenial-achord/) - [#TheShinEffect #IPSemaxMT #Crowns](https://www.clarencetam.co.nz/tag/theshineffect-ipsemaxmt-crowns/) - [#Isolation #RubberDamFam](https://www.clarencetam.co.nz/tag/isolation-rubberdamfam/) - [#KavoKerrANZ #KerrSimplishade #CliniciansChoiceTrueDam](https://www.clarencetam.co.nz/tag/kavokerranz-kerrsimplishade-clinicianschoicetruedam/) - [#EssentiaU #GCAustralasia #NonInvasiveDentistry](https://www.clarencetam.co.nz/tag/essentiau-gcaustralasia-noninvasivedentistry/) - [#chameleoncloudshading #compositeartistry #skulptingskool101 #kerrsimplishade #clinicianschoice](https://www.clarencetam.co.nz/tag/chameleoncloudshading-compositeartistry-skulptingskool101-kerrsimplishade-clinicianschoice/) - [#KoisTrained #KoisKats #TheShinEffect #IPSemaxMT #dentalcrowns](https://www.clarencetam.co.nz/tag/koistrained-koiskats-theshineffect-ipsemaxmt-dentalcrowns/) - [#Kerr #Simplishade #PosteriorCompositeArtistry #SkulptingSkool101](https://www.clarencetam.co.nz/tag/kerr-simplishade-posteriorcompositeartistry-skulptingskool101/) - [#KerrSimplishade #KerrHerculiteUltra #CliniciansChoiceTrueDam](https://www.clarencetam.co.nz/tag/kerrsimplishade-kerrherculiteultra-clinicianschoicetruedam/) - [#KerrSimplishade #KerrSoftClamp #CliniciansChoiceTrueRubberDam](https://www.clarencetam.co.nz/tag/kerrsimplishade-kerrsoftclamp-clinicianschoicetruerubberdam/) - [#EmpressDirect system. #CompositeVeneers #CosmeticDentistryAuckland #IncisorHypomineralization](https://www.clarencetam.co.nz/tag/empressdirect-system-compositeveneers-cosmeticdentistryauckland-incisorhypomineralization/) - [#ClassIIintegration #PosteriorComposite](https://www.clarencetam.co.nz/tag/classiiintegration-posteriorcomposite/) - [#evanesce #mpamax](https://www.clarencetam.co.nz/tag/evanesce-mpamax/) - [#truerubberdam](https://www.clarencetam.co.nz/tag/truerubberdam/) - [#CliniciansChoice #Evanesce #MPaMax #TrueRubberDam #ASAPDiamondPolishers #](https://www.clarencetam.co.nz/tag/clinicianschoice-evanesce-mpamax-truerubberdam-asapdiamondpolishers/) - [#realisticfillings](https://www.clarencetam.co.nz/tag/realisticfillings/) - [#Voco #GrandioSO #dentalamalgamremoval](https://www.clarencetam.co.nz/tag/voco-grandioso-dentalamalgamremoval/) - [#GC #EssentiaU #conservativedentistry](https://www.clarencetam.co.nz/tag/gc-essentiau-conservativedentistry/) - [#Voco #GrandioSO #LargeAmalgamReplacements #IncompatibleCoefficientofThermalExpansion](https://www.clarencetam.co.nz/tag/voco-grandioso-largeamalgamreplacements-incompatiblecoefficientofthermalexpansion/) - [#amalgamremovalauckland](https://www.clarencetam.co.nz/tag/amalgamremovalauckland/) - [#IvoclarVivadent #EmpressDirect #CompositeArtistry #EmpressColor](https://www.clarencetam.co.nz/tag/ivoclarvivadent-empressdirect-compositeartistry-empresscolor/) - [#GarrisonFusionAnterior #IvoclarVivadent #EmpressDirect #EmpressColor #ClinicansChoiceTrueRubberDam](https://www.clarencetam.co.nz/tag/garrisonfusionanterior-ivoclarvivadent-empressdirect-empresscolor-clinicanschoicetruerubberdam/) - [#ClassIIIrestorations #CompositeChameleons](https://www.clarencetam.co.nz/tag/classiiirestorations-compositechameleons/) - [#CliniciansChoice #Evanesce #MPaMax #ASAPdiamondbrushpolishers #TrueRubberDam](https://www.clarencetam.co.nz/tag/clinicianschoice-evanesce-mpamax-asapdiamondbrushpolishers-truerubberdam/) - [#Voco #Amaris #CompositeVeneer #IncisorAnatomy #CosmeticDentistry](https://www.clarencetam.co.nz/tag/voco-amaris-compositeveneer-incisoranatomy-cosmeticdentistry/) - [#Kerr #SimplishadeLight #CliniciansChoiceTrueDam](https://www.clarencetam.co.nz/tag/kerr-simplishadelight-clinicianschoicetruedam/) - [#EstheticsandFunction #TheShinEffect #Ivoclar #emaxMT](https://www.clarencetam.co.nz/tag/estheticsandfunction-theshineffect-ivoclar-emaxmt/) - [#Voco #Amaris VOCO GmbH - The Dentalists](https://www.clarencetam.co.nz/tag/voco-amaris-voco-gmbh-the-dentalists/) - [#CliniciansChoice #TrueRubberDam #CompositeVeneersAuckland](https://www.clarencetam.co.nz/tag/clinicianschoice-truerubberdam-compositeveneersauckland/) - [#CosmeticDentistAuckland](https://www.clarencetam.co.nz/tag/cosmeticdentistauckland/) - [#GC #EssentiaU #whiteningofyellowroots](https://www.clarencetam.co.nz/tag/gc-essentiau-whiteningofyellowroots/) - [#GC #GaenialAChord #ClassVbangers](https://www.clarencetam.co.nz/tag/gc-gaenialachord-classvbangers/) - [#VocoAmaris #MID #MinimallyInvasiveDentistry #BAARD](https://www.clarencetam.co.nz/tag/vocoamaris-mid-minimallyinvasivedentistry-baard/) - [#emaxdesign](https://www.clarencetam.co.nz/tag/emaxdesign/) - [#FullCoverageDesign #lithiumdisilicatedesign #TheShinEffect](https://www.clarencetam.co.nz/tag/fullcoveragedesign-lithiumdisilicatedesign-theshineffect/) - [#TheShinEffect #FullCoverage #PeripheralRimFracture #StayBonded Tooth Maker Shin Tsuji](https://www.clarencetam.co.nz/tag/theshineffect-fullcoverage-peripheralrimfracture-staybonded-tooth-maker-shin-tsuji/) - [#atraumaticextractions #oralsurgery #buccalplatepreservationsociety](https://www.clarencetam.co.nz/tag/atraumaticextractions-oralsurgery-buccalplatepreservationsociety/) - [Dens Invaginatus Dens in dente restoration](https://www.clarencetam.co.nz/tag/dens-invaginatus-dens-in-dente-restoration/) - [#Voco #GrandioSO #SlowDentistry #DentistAuckland](https://www.clarencetam.co.nz/tag/voco-grandioso-slowdentistry-dentistauckland/) - [#Voco #GrandioSO #RubberDamFam](https://www.clarencetam.co.nz/tag/voco-grandioso-rubberdamfam/) - [#Supercomposite #Ultradent #TranscendUB #Cloudcomposites](https://www.clarencetam.co.nz/tag/supercomposite-ultradent-transcendub-cloudcomposites/) - [#GCAustralasia #GaenialAchord #MinimalInterventionDentistry](https://www.clarencetam.co.nz/tag/gcaustralasia-gaenialachord-minimalinterventiondentistry/) - [#ClassVbangers #GC #EssentiaU #TastyFillings](https://www.clarencetam.co.nz/tag/classvbangers-gc-essentiau-tastyfillings/) - [#UltradentTranscendUB #Voco #FinalTouch #MID #BRD](https://www.clarencetam.co.nz/tag/ultradenttranscendub-voco-finaltouch-mid-brd/) - [#Noninvasivecompositeresinbonding #GC EssentiaU](https://www.clarencetam.co.nz/tag/noninvasivecompositeresinbonding-gc-essentiau/) - [#UltradentTranscend #LargeClassIrestoration](https://www.clarencetam.co.nz/tag/ultradenttranscend-largeclassirestoration/) - [#VocoFinalTouch](https://www.clarencetam.co.nz/tag/vocofinaltouch/) - [#GC #EssentiaU #ChameleonComposite #RootAbrasion #CervicalAbrasion #InvisibleDentistry](https://www.clarencetam.co.nz/tag/gc-essentiau-chameleoncomposite-rootabrasion-cervicalabrasion-invisibledentistry/) - [#AmalgamReplacement #Voco #GrandioSO](https://www.clarencetam.co.nz/tag/amalgamreplacement-voco-grandioso/) - [#Voco #GrandioSO #FinalTouch #MimicYourNeighbor](https://www.clarencetam.co.nz/tag/voco-grandioso-finaltouch-mimicyourneighbor/) - 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[#MicroAugmentation #Kuraray #MajestyES2Universal](https://www.clarencetam.co.nz/tag/microaugmentation-kuraray-majestyes2universal/) - [#Kuraray #MajestyES2Universal #Voco #FinalTouchtints #Oraseal #ultradent](https://www.clarencetam.co.nz/tag/kuraray-majestyes2universal-voco-finaltouchtints-oraseal-ultradent/) - [#Kuraray #MajestyES2Universal #premolaranatomy #directcomposite](https://www.clarencetam.co.nz/tag/kuraray-majestyes2universal-premolaranatomy-directcomposite/) - [#GC #GaenialAchord #GC](https://www.clarencetam.co.nz/tag/gc-gaenialachord-gc/) - [#MajestyES2Universal #matrixinamatrix #Garrison #Ultradent #InvisibleRestorations](https://www.clarencetam.co.nz/tag/majestyes2universal-matrixinamatrix-garrison-ultradent-invisiblerestorations/) - [#dentalonlays #onlayfans #IPSemax #TheShinEffect](https://www.clarencetam.co.nz/tag/dentalonlays-onlayfans-ipsemax-theshineffect/) - [#Voco #GrandioSO #400MPaclub #Supercomposite #PremolarCompositeOnlay](https://www.clarencetam.co.nz/tag/voco-grandioso-400mpaclub-supercomposite-premolarcompositeonlay/) - [#Kuraray #MajestyES2Universal #ComplexComposites #Voco #FinalTouch](https://www.clarencetam.co.nz/tag/kuraray-majestyes2universal-complexcomposites-voco-finaltouch/) - [#Kuraray #MajestyES2Universal #FlatDentalAnatomy](https://www.clarencetam.co.nz/tag/kuraray-majestyes2universal-flatdentalanatomy/) - [#GC #EssentiaU #AChord](https://www.clarencetam.co.nz/tag/gc-essentiau-achord/) - [#Kuraray #ES2Universal #PartialRestorationReplacements](https://www.clarencetam.co.nz/tag/kuraray-es2universal-partialrestorationreplacements/) - [#Kuraray #MajestyES2Universal #PartialRestorationReplacements #TamDentalGroup #SkulptingSkool #amalgamremovalauckland #cosmeticdentistauckland](https://www.clarencetam.co.nz/tag/kuraray-majestyes2universal-partialrestorationreplacements-tamdentalgroup-skulptingskool-amalgamremovalauckland-cosmeticdentistauckland/) - [#Ultradent #Gemini #photobiomodulation #oralmucosallesion #epidermolysisbullosa](https://www.clarencetam.co.nz/tag/ultradent-gemini-photobiomodulation-oralmucosallesion-epidermolysisbullosa/) - [#EverythingisComplex #ComplexBonding #savingcrowns](https://www.clarencetam.co.nz/tag/everythingiscomplex-complexbonding-savingcrowns/) - [#Strategy #BuildtheBase #GC #GaenialAchord](https://www.clarencetam.co.nz/tag/strategy-buildthebase-gc-gaenialachord/) - [#KurarayNoritake #MajestyES2Universal](https://www.clarencetam.co.nz/tag/kuraraynoritake-majestyes2universal/) - [#GarrisonDentalSolutions](https://www.clarencetam.co.nz/tag/garrisondentalsolutions/) - [#GarrisonDentalSolutions #Voco #GrandioSO](https://www.clarencetam.co.nz/tag/garrisondentalsolutions-voco-grandioso/) - [Is today all about the upper second bicuspid? #Voco #GrandioSO #Cracked Teeth](https://www.clarencetam.co.nz/tag/is-today-all-about-the-upper-second-bicuspid-voco-grandioso-cracked-teeth/) - [#GrandioSOXtra #Voco #XtraSexy](https://www.clarencetam.co.nz/tag/grandiosoxtra-voco-xtrasexy/) - [#EmpressDirect #ClassIVfracture #invisibledentistry](https://www.clarencetam.co.nz/tag/empressdirect-classivfracture-invisibledentistry/) - [#GC #GaenialAchord #ClassVadditions](https://www.clarencetam.co.nz/tag/gc-gaenialachord-classvadditions/) - [#IPS #emaxMT #dentaloverlayauckland #theshineffect](https://www.clarencetam.co.nz/tag/ips-emaxmt-dentaloverlayauckland-theshineffect/) - [#KurarayMajestyES2Universal #garrisoncompositight3Dfusion](https://www.clarencetam.co.nz/tag/kuraraymajestyes2universal-garrisoncompositight3dfusion/) - [#Voco #GrandioSO #SimpleComplexities](https://www.clarencetam.co.nz/tag/voco-grandioso-simplecomplexities/) - [#GC #GaenialAChord #transitionalbonding](https://www.clarencetam.co.nz/tag/gc-gaenialachord-transitionalbonding/) - [#MatrixinaMatrix #GarrisonandUltradent #EbonyandIvory #VocoGrandioSO](https://www.clarencetam.co.nz/tag/matrixinamatrix-garrisonandultradent-ebonyandivory-vocograndioso/) - [#GC #GaenialAchord #compositematchingporcelain](https://www.clarencetam.co.nz/tag/gc-gaenialachord-compositematchingporcelain/) - [#ClassVinsights #Kuraray #MajestyES2](https://www.clarencetam.co.nz/tag/classvinsights-kuraray-majestyes2/) - [#Kuraray #HuFriedy #MajestyES2andHuFriedy](https://www.clarencetam.co.nz/tag/kuraray-hufriedy-majestyes2andhufriedy/) - [#ClassVtips #Achord #GC #Gaenial](https://www.clarencetam.co.nz/tag/classvtips-achord-gc-gaenial/) - [#emaxHT #TheShinEffect #Voco #GrandioSO](https://www.clarencetam.co.nz/tag/emaxht-theshineffect-voco-grandioso/) - [#EmpressDirect #IvoclarVivadent #CompositeVeneersAuckland](https://www.clarencetam.co.nz/tag/empressdirect-ivoclarvivadent-compositeveneersauckland/) - [#Ultradent #Gemini #ProportionenPointe #GingivalRecontouring #GumLift](https://www.clarencetam.co.nz/tag/ultradent-gemini-proportionenpointe-gingivalrecontouring-gumlift/) - [#GC #GaenialAchord #Cervicalabrasion #invisiblerestorations #noninvasivedentistry](https://www.clarencetam.co.nz/tag/gc-gaenialachord-cervicalabrasion-invisiblerestorations-noninvasivedentistry/) - [#Voco #GrandioSO #Naturomimetic #Naturophilic #BiophilicDentistry](https://www.clarencetam.co.nz/tag/voco-grandioso-naturomimetic-naturophilic-biophilicdentistry/) - [#replacementrestoration #kuraray #majestyes2universal](https://www.clarencetam.co.nz/tag/replacementrestoration-kuraray-majestyes2universal/) - [#EmpressDirect #IvoclarVivadent #ClassIV #CosmeticDentistry #InvisibleDentistry](https://www.clarencetam.co.nz/tag/empressdirect-ivoclarvivadent-classiv-cosmeticdentistry-invisibledentistry/) - [#GCEssentiaU #ClassVExcellence](https://www.clarencetam.co.nz/tag/gcessentiau-classvexcellence/) - [#GCEssentiaU #rootabrasion](https://www.clarencetam.co.nz/tag/gcessentiau-rootabrasion/) - [#peglateralrestorations #noenamelharmed #noninvasivedentistry #noprepcompositeveneers](https://www.clarencetam.co.nz/tag/peglateralrestorations-noenamelharmed-noninvasivedentistry-noprepcompositeveneers/) - [#ClassVchallenge #GC #GaenialAchord #geriatricdentistry #boomerdentistry](https://www.clarencetam.co.nz/tag/classvchallenge-gc-gaenialachord-geriatricdentistry-boomerdentistry/) - [#Biobase #Biorim #IPSemax #TheShinEffect](https://www.clarencetam.co.nz/tag/biobase-biorim-ipsemax-theshineffect/) - 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[#GCMultiPrimer #MDPsilane #GaenialAchord](https://www.clarencetam.co.nz/tag/gcmultiprimer-mdpsilane-gaenialachord/) - [#HARMONIZE with #KavoKerr](https://www.clarencetam.co.nz/tag/harmonize-with-kavokerr/) - [#Majesty #ESUniversal #Direct #finaltouch #voco](https://www.clarencetam.co.nz/tag/majesty-esuniversal-direct-finaltouch-voco/) - [#Kuraray #MajestyESUniversal #SkulptingSkool](https://www.clarencetam.co.nz/tag/kuraray-majestyesuniversal-skulptingskool/) - [#Kuraray #MajestyESUniversal](https://www.clarencetam.co.nz/tag/kuraray-majestyesuniversal/) - [#EmpressDirect #IvoclarVivadent #CompositeLayering #InvisibleRestorations](https://www.clarencetam.co.nz/tag/empressdirect-ivoclarvivadent-compositelayering-invisiblerestorations/) - [#CliniciansChoice #Evanesce #erosivelesions #additivecomposite #noprepdentistry](https://www.clarencetam.co.nz/tag/clinicianschoice-evanesce-erosivelesions-additivecomposite-noprepdentistry/) - [#voco #grandioso #garrisoncompositight3Dfusion #finaltouchtint #finaltouchvoco #additivedentistry #contouradditionteeth](https://www.clarencetam.co.nz/tag/voco-grandioso-garrisoncompositight3dfusion-finaltouchtint-finaltouchvoco-additivedentistry-contouradditionteeth/) - [#CliniciansChoiceEvanesce  #implantesthetics #cosmeticdentistry #matchingdentalimplanttoveneer](https://www.clarencetam.co.nz/tag/clinicianschoiceevanesce-implantesthetics-cosmeticdentistry-matchingdentalimplanttoveneer/) - [#noninvasiveadditions #resinbonding #edgebonding #cosmeticdentistryauckland #nztopdentist](https://www.clarencetam.co.nz/tag/noninvasiveadditions-resinbonding-edgebonding-cosmeticdentistryauckland-nztopdentist/) - [#EmpressDirect #IvoclarVivadent #NonInvasiveDentistry](https://www.clarencetam.co.nz/tag/empressdirect-ivoclarvivadent-noninvasivedentistry/) - [#TheShinEffect #IPSemaxMT #emaxCeram #BiteLabMixingDeck #occlusalrejuvenation](https://www.clarencetam.co.nz/tag/theshineffect-ipsemaxmt-emaxceram-bitelabmixingdeck-occlusalrejuvenation/) - [#LayeredComposite #EmpressDirect #MaverickMaven](https://www.clarencetam.co.nz/tag/layeredcomposite-empressdirect-maverickmaven/) - [#IvoclarVivadent #EmpressDirect #GumLift #CompositeVeneers #CosmeticDentistry #BespokeCompositeArtistry #SkulptingSkool](https://www.clarencetam.co.nz/tag/ivoclarvivadent-empressdirect-gumlift-compositeveneers-cosmeticdentistry-bespokecompositeartistry-skulptingskool/) - [#TheSequence #nopreparation #EmpressDirect #UltradentGemini #SmileDesignerPro](https://www.clarencetam.co.nz/tag/thesequence-nopreparation-empressdirect-ultradentgemini-smiledesignerpro/) - [#keepitsimple #Ultradent#Mosaic #Dermadam #PeakUniversalBond](https://www.clarencetam.co.nz/tag/keepitsimple-ultradentmosaic-dermadam-peakuniversalbond/) - [#UltradentMosaic #CompositeVeneers #CosmeticDentistry #DirectDentalArtistry](https://www.clarencetam.co.nz/tag/ultradentmosaic-compositeveneers-cosmeticdentistry-directdentalartistry/) - [#KurarayMajestyESUniversal #ClassI](https://www.clarencetam.co.nz/tag/kuraraymajestyesuniversal-classi/) - [#Voco #Supercomposite #GrandioSO #biorealisticcompositeresin](https://www.clarencetam.co.nz/tag/voco-supercomposite-grandioso-biorealisticcompositeresin/) - [#GC #EssentiaU #ClassVVariations](https://www.clarencetam.co.nz/tag/gc-essentiau-classvvariations/) - [#cervicalabrasion #ClassVrestorations #GCEssentiaU](https://www.clarencetam.co.nz/tag/cervicalabrasion-classvrestorations-gcessentiau/) - [#KoisTrained #KoisKats #SkulptingSkool102 #KavoKerr #KerrHarmonize #CompositeVeneers #CosmeticDentistry](https://www.clarencetam.co.nz/tag/koistrained-koiskats-skulptingskool102-kavokerr-kerrharmonize-compositeveneers-cosmeticdentistry/) - [#KometCerabur #Kuraray #ClassImagic](https://www.clarencetam.co.nz/tag/kometcerabur-kuraray-classimagic/) - [#MajestyESUniversal #TheSmallThingsScareMeSoMuch](https://www.clarencetam.co.nz/tag/majestyesuniversal-thesmallthingsscaremesomuch/) - [#KurarayMajestyESUniversal #RampantCaries](https://www.clarencetam.co.nz/tag/kuraraymajestyesuniversal-rampantcaries/) - [#EmpressDirect #AACD #CompositeVeneersAuckland](https://www.clarencetam.co.nz/tag/empressdirect-aacd-compositeveneersauckland/) - [#MatrixinMatrix #Voco#GrandioSO #Garrison #Compositight3DFusion #Omnimatrix #UltradentProducts](https://www.clarencetam.co.nz/tag/matrixinmatrix-vocograndioso-garrison-compositight3dfusion-omnimatrix-ultradentproducts/) - [#Voco #Amaris #FinalTouch](https://www.clarencetam.co.nz/tag/voco-amaris-finaltouch/) - [#Kerr #Harmonize #CompositeVeneers](https://www.clarencetam.co.nz/tag/kerr-harmonize-compositeveneers/) - [#UltradentVitlescence and #KerrHarmonize](https://www.clarencetam.co.nz/tag/ultradentvitlescence-and-kerrharmonize/) - [#Voco #Amaris #FinaltouchVoco](https://www.clarencetam.co.nz/tag/voco-amaris-finaltouchvoco/) - [#Voco #GrandioSO #FinalTouch #Hypomineralization](https://www.clarencetam.co.nz/tag/voco-grandioso-finaltouch-hypomineralization/) - [#GC #GaenialAChord #blendingcomposite](https://www.clarencetam.co.nz/tag/gc-gaenialachord-blendingcomposite/) - [#invisibleblend](https://www.clarencetam.co.nz/tag/invisibleblend/) - [#GC #GaenialA'Chord #Garrison #Compositight3DFusion #Omnimatrix #MatrixinMatrix](https://www.clarencetam.co.nz/tag/gc-gaenialachord-garrison-compositight3dfusion-omnimatrix-matrixinmatrix/) - [#GC #GaenialAChord #ResurfacingCompositeResin](https://www.clarencetam.co.nz/tag/gc-gaenialachord-resurfacingcompositeresin/) - [#Kuraray #MajestyESUniversal #chameleoncomposites](https://www.clarencetam.co.nz/tag/kuraray-majestyesuniversal-chameleoncomposites/) - [#Ultradent #Opalesence #CustomNightguardWhiteningProtocol #VanHaywoodHeymann](https://www.clarencetam.co.nz/tag/ultradent-opalesence-customnightguardwhiteningprotocol-vanhaywoodheymann/) - [#Garrison #FusionAnterior #CliniciansChoiceEvanesce](https://www.clarencetam.co.nz/tag/garrison-fusionanterior-clinicianschoiceevanesce/) - [#Voco #Amaris #dentalimplant](https://www.clarencetam.co.nz/tag/voco-amaris-dentalimplant/) - [#ClassIamalgamreplacement #Voco #GrandioSO #whiteamalgam](https://www.clarencetam.co.nz/tag/classiamalgamreplacement-voco-grandioso-whiteamalgam/) - [#Voco #GrandioSO #crackedteeth](https://www.clarencetam.co.nz/tag/voco-grandioso-crackedteeth/) - [#KurarayMajestyESUniversal](https://www.clarencetam.co.nz/tag/kuraraymajestyesuniversal/) - [#ImplantScrewAccessClosures #Voco #Amaris](https://www.clarencetam.co.nz/tag/implantscrewaccessclosures-voco-amaris/) - [#MatrixinaMatrix #VocoGrandioSO #GarrisonCompositight #UltradentOmnimatrix](https://www.clarencetam.co.nz/tag/matrixinamatrix-vocograndioso-garrisoncompositight-ultradentomnimatrix/) - [#GC #EssentiaU #rootrestorationsbeforebleaching](https://www.clarencetam.co.nz/tag/gc-essentiau-rootrestorationsbeforebleaching/) - [ACC dental fractures #voco #amaris](https://www.clarencetam.co.nz/tag/acc-dental-fractures-voco-amaris/) - [#IPS #emax #dentalcrowns #dentaloverlays #dentalonlays #bondedrestorativedentistry](https://www.clarencetam.co.nz/tag/ips-emax-dentalcrowns-dentaloverlays-dentalonlays-bondedrestorativedentistry/) - [#peglateralrestorations #proportionimprovement #cosmeticdentistry #clinicianschoiceevanesce](https://www.clarencetam.co.nz/tag/peglateralrestorations-proportionimprovement-cosmeticdentistry-clinicianschoiceevanesce/) - [#Komet #CeraBur #DeepCaries #ClassIesthetics #Kuraray #MajestyESUniversal](https://www.clarencetam.co.nz/tag/komet-cerabur-deepcaries-classiesthetics-kuraray-majestyesuniversal/) - [#Voco #GrandioSO #FinalTouchVoco #Garrison #Compositight3DFusion #MatrixinMatrix #Omnimatrix #Ultradent #marginalfailuret](https://www.clarencetam.co.nz/tag/voco-grandioso-finaltouchvoco-garrison-compositight3dfusion-matrixinmatrix-omnimatrix-ultradent-marginalfailuret/) - [#IPSemaxMT](https://www.clarencetam.co.nz/tag/ipsemaxmt/) - [#Voco #GrandioSO #FinalTouchVoco #dentalamalgamremoval](https://www.clarencetam.co.nz/tag/voco-grandioso-finaltouchvoco-dentalamalgamremoval/) - [#CervicalAbrasion #GC #GaenialAchord](https://www.clarencetam.co.nz/tag/cervicalabrasion-gc-gaenialachord/) - [#CliniciansChoiceEvanesce #FREEHANDdentistry](https://www.clarencetam.co.nz/tag/clinicianschoiceevanesce-freehanddentistry/) - [#Kerr #ART #HarmonizeEsthetics #Simplishade #lighteningadarktooth](https://www.clarencetam.co.nz/tag/kerr-art-harmonizeesthetics-simplishade-lighteningadarktooth/) - [#PartialReplacementTherapy #Kerrsimplishade](https://www.clarencetam.co.nz/tag/partialreplacementtherapy-kerrsimplishade/) - [#CliniciansChoiceEvanesce #thesmallthings](https://www.clarencetam.co.nz/tag/clinicianschoiceevanesce-thesmallthings/) - [#Achord #GCGaenial #invisibleClassVrestorations](https://www.clarencetam.co.nz/tag/achord-gcgaenial-invisibleclassvrestorations/) - [#KerrSimplishade #Naturomimeticdentistry](https://www.clarencetam.co.nz/tag/kerrsimplishade-naturomimeticdentistry/) - [#VocoAmaris and #zirconiaimplantcrowns #FinalTouch](https://www.clarencetam.co.nz/tag/vocoamaris-and-zirconiaimplantcrowns-finaltouch/) - [#KoisTrained #KoisKats #VocoAmaris #transitionalbonding #dentalwear](https://www.clarencetam.co.nz/tag/koistrained-koiskats-vocoamaris-transitionalbonding-dentalwear/) - [#Voco #Amaris #FinalTouchtints](https://www.clarencetam.co.nz/tag/voco-amaris-finaltouchtints/)