Lightwave 3D 11 Serial' title='Lightwave 3D 11 Serial' />Waluigi is a character from the Super Mario video game franchise. Despite having appeared mainly in spinoffs of the franchise, he has gained popularity in the Mario. Dconnexion. Poser Pro 11 Poser Pro 11 The Professional 3D Figure Design Animation Poser Pro 11 is the complete solution for creating art. Get the latest news and analysis in the stock market today, including national and world stock market news, business news, financial news and more. Quicker, esthetic restorative solutions using bioactive dental materials A smile design case study. This is the smile design case study of a woman who experienced emotional trauma, depression, years of oral neglect and substance abuse, and finally became desperate to save her smile. Step by step, Marc A. The NewTek Video Toaster is a combination of hardware and software for the editing and production of NTSC standarddefinition video. The plugin expansion card. Johnson, DDS, demonstrates how the latest advances in bioactive dental materials make quicker, esthetic restorative solutions possibleeven a one day full mouth reconstruction. Editors note This article first appeared in DEs Breakthrough Clinical with Stacey Simmons, DDS. Find out more about it and subscribe here. EMOTIONAL TRAUMA, followed by years of poor choices and neglect, can be devastating to a smile. Sarah had emerged from a dark period in her life, and now, embarrassed to tears and desperate to save her teethand her smileshe was ready to see her dentist, so she made an appointment with our dental office. Presentation and patient history. I knew Sarah when she was well and could smile at the world. Then, when the painful loss of a loved one dismantled her life, having no safety net or support, depression set in. Later, substance abuse took over, and eventually Sarah hit rock bottom. Thankfully, a local family took her in, and she is reclaiming her life. But her teeth and smile were devastated figures 1 and 2. Native AdvertisementStudy and treatment planning. Traditional treatment options would be full mouth reconstruction FMR or full mouth extractions and dentures. There were only a few teeth in her mouth that did not have advanced decay, so FMR would necessitate root canals, build ups, and porcelain restorations. With limited finances and a history of neglect, most practitioners might be inclined to write off the patient and prepare her for dentures, and the thought entered my mind as well. Having known Sarah during happier times, however, I wanted something better for her. UtybeshOQU/0.jpg' alt='Lightwave 3D 11 Serial' title='Lightwave 3D 11 Serial' />But what type of restorative treatment should I attempt I thought about the teachings of my mentorssuch as Drs. Bill Strupp, Pete Dawson, and Steve Andersonwho inspired me to practice complete dentistry, be a good listener, and do what is right for patients while considering their ability to afford care. I knew I was entering uncharted waters, so for weeks I reviewed Sarahs photos and study models while she went through soft tissue therapy. How could I apply all that I had learned, all the techniques I had mastered, and take advantage of the latest advances in dental materials to provide a direct, one day FMR that would be affordable and agreeable to all involved My idea for the restorative treatment was to start with an idealized diagnostic wax up and refractory putty matrix fabricated by Frontier Dental Lab figure 3. We use the matrix concept when we do our veneer temps, and I was ready to see if the same technique would work for this case. It requires minimal refinement and always gets a wow from patients. After a lot of thought, I was committed. Consultation about smile options. Sarah presented with excellent tissue health at her final hygiene visit. She was motivated and committed. A smile options consultation using the original study models and smile wax up from the lab showed her what could be possible. Sarah was well informed and understood that the materials and methods were proven, but adapting them to do what we were proposing was not. She was overwhelmed with emotion at the possibility of saving her teeth and her smile. Tears flowed, and her decision was unequivocal Lets try it, Dr. Johnson. The day of treatment. Wednesday is sedation day in our office, Its one of my favorite daysone patient and all the time I want to care for that one person. Using 3. 5x loupes, caries detecting solution, and slow speed excavation, we teased out massive amounts of decay throughout the arch with complete pulpal communication in teeth Nos. We were prepared for pulpal involvement and the possibility that multiple teeth might require root canal treatment on the fly. I immediately performed same day root canals on the three teeth figure 5. All that remained of the patients decayed teeth were stubs and nubs emerging from nonbleeding healthy gingiva. I cleaned the teeth, total etched with Ultra Etch Ultradent, applied All Bond Bisco, and thinned and cured. Next came the magic moment. I loaded the ideal smile putty matrix with Activa Bioactive Restorative A1 shade Pulpdent, dispensed some additional material in and around the remaining teeth, and seated the matrix figure 5. Activa is a moisture friendly, heavy body flowable material applied directly from the syringe using an injection technique ideally suited for this procedure. Because of its low surface tension and intimate adaption to tooth structure, Activa penetrates and flows into every nook and cranny, which is unusual for a resin based material. When isolated from oxygen by the matrix, Activa will self cure in three minutes. However, as a precaution, I let it sit a few minutes longer. The dual cure capability allows the material to auto cure inside the matrix, eliminating polymerization stresses induced by light curing large bulk fillings. For good measure, I also light cured after the matrix was removed, which produced greater conversion of double bonds and a more complete cure. Finally, the moment of truth came. I looked to the ceiling, then to my assistant, and said, Please work. I popped the matrix off the teeth and. See Figure 6. Using just a scaler, I quickly and easily removed almost all of the excess to a perfect marginal finish. However, there were two remaining clinical concerns 1. All of the teeth were bonded together, which was fine if they were veneer tempsbut not final restorations, and 2. I separated the teeth, I would be left with gaps. So, this is what I decided to do. Using a Microcopy XF flame shaped diamond, I opened up any overfilled embrasures, which required minimal effort thanks to a detailed matrix. Using Qwik. Strip serrated and polishing strips, I separated each of the teeth proximally and polished them. As anticipated, the proximal contacts for teeth Nos. To tighten the contacts post operatively, I left the centric occlusal stops on Nos. Two weeks later. At the post operative visit two weeks later, the contacts were perfect, and I achieved anterior disclusion in all excursions. No other refinement of the restorations was needed other than polishing of the surfaces, which required minimal effort. Activa has a chameleon effect that blends shades and reflects adjacent hues to create a natural esthetic. So, in less than six hours, at a comfortable pace, we were able to do the following Perform complete root canal treatment on teeth Nos. Restore all posterior surfaces of teeth Nos. MODLBV, alternating between Omni Matrix bands Ultradent and the Composi Tight 3. D ringmatrix system Garrison Dental Solutions to create tooth forms. Complete a very nice, direct bonded, smile design case for teeth Nos. Six months later. Although four year cases with Activa have been reported, only time will tell what the longevity of this case will be. So far, the case is at six months and counting confidently figures 8 and 9. The durability of Activa has been reported in the literature. A patented, rubberized resin molecule in the resin matrix absorbs shock and stress, and provides unique flexural strength that resists chipping and fracture. List of File Extensions and Data Formats. Main Quick Reference. Updated January 1. Posted September 3. By Webopedia Staff. Webopedias list of Data File Formats and File Extensions makes it easy to look through thousands of extensions and file formats to find what you need. With literally thousands of data file formats employed by Windows and Window based apps, keeping track of all the file extensions used by software applications and programs can be a challenge. 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