Esthetic Enhancement of the Post-Orthodontic Patient
You will receive 1 credit(s) of continuing education credit upon successful completion of this course. The purchase price of this course is $49.00


The purpose of this course is to make the dentist aware of the conservative options available in cosmetic dentistry today.  This course highlights the ability of the general dentist to provide further esthetic enhancement beyond orthodontics.


Learning Objectives:

Upon completion of this course, participants should be able to do the following:

  1. Perform the Vital Nightguard in-home bleaching technique. 
  2. Understand the importance of laser gingivectomy in soft tissue recontouring. 
  3. Describe the technique for performing the direct bonding restorative procedure. 
  4. Perform the clinical procedure of preparing a tooth for an indirect veneer. 
  5. Discuss the techniques available for replacing congenitally missing lateral maxillary incisors. 
  6. Understand the application of the Encore Bridge.


Cosmetic dentistry is an immensely popular option today. More and more people are choosing to have elective cosmetic dental procedures to help enhance their smiles. Orthodontists have achieved an excellent reputation for creating beautiful smiles. However, for all the wonders that can be achieved in orthodontic therapy, there are some clinical situations where the orthodontist cannot compensate by using tooth movement. Color, shape, size, and congenitally missing teeth present aesthetic challenges to the patient and the orthodontist. There are wonderful materials available today that can create excellent aesthetic results. It is the restoring dentist's obligation to understand the materials available so that he/she can help the patient make a responsible choice for aesthetic enhancement. The purpose of this course is to make the dentist aware of the conservative options that are available. Increasing the number of treatment options for any existing clinical situation makes it more likely that the patient will benefit from receiving the best care that dentistry has to offer.



  1. Case Studies

    1. Bleaching

      1. In-office and in-home
    2. Soft Tissue Re-Contouring
    3. Direct Bonding - Part 1

      1. A conservative restorative alternative
      2. The Golden Proportion
      3. Composite or Porcelain
    4. Direct Bonding - Part 2

      1. Alignment problem
      2. A conservative solution
      3. Impressions
      4. Construction of the solution
    5. Indirect Composite Veneers

      1. Benefits
      2. The Problem
      3. The Preparation
      4. Results
    6. Indirect Composite Veeners and Congenitally Missing Laterals

      1. The Problem
      2. Options
      3. Preparations
      4. Gingival
      5. Results
    7. Congenitally Missing Laterals

      1. Options
      2. Fiber Reinforced Composite Technology
      3. Preparation design
      4. Result
  2. The Encore Bridge - Part 2
  3. Summary

  1. Haywood VB, Heymann HO. Nightguard Vital Bleaching. Quintessence Int. 1989; 20(3):
  2. Haywood VB. A Comparison of At-Home and In-Office Bleaching. Dentistry Today. 2000; 200: 44-53. 
  3. Radz GM. The Clinical Application and Integration of Whitening. Contemporary Esthetic and Restorative Practice. 2000; 4(3): 38-44.
  4. See (2) 
  5. Robbins JW. Differential Diagnosis and Treatment of Excess Gingival Display. PPAD. 1999; 11(2): 265-272. 
  6. Nash RW. Closing a Large Central Diastema. Dentistry Today. Reprint October 1992. 
  7. Radz GM. Creating Natural Vitality With Direct-Bonded Composite Veneers. Compendium. 1999; 20(1):62-70. 
  8. Barghi N, Lind SD. A Guide to Polishing Composite Resin Restorations. Compendium. 2000; 21(2): 138-144.
  9. Mopper W. Hands-On Bonding Technique. Lecture notes from Chicago MidWinter Meeting. Chicago,IL. February 1997. 
  10. See (8) 
  11. Haywood VB. Ultralight Composite Resin for Whitened Teeth: Case Reports. Compendium. 2000; 21(4): 340-346. 
  12. Leinfelder KF. Developments in Indirect Resin Composite Materials. Dentistry Today. 2000; 58-61. 
  13. Nash RW. Indirect Composite Resin Restorations: Esthetics and Function Without Wear of Opposing Natural Teeth. Compendium. 1997; 18(9): 838-842. 
  14. Sabri R. Management of Missing Maxillary Lateral Incisors. JADA. 1999; 130(1): 80-84. 
  15. Chu CS, Cheung SL, Smales RJ. Management of Congenitally Missing Maxillary Lateral Incisors. Gen Dent. 1998; 268-274. 
  16. Radz GM, Nash RW. Postorthodontic aesthetic solutions for congenitally missing maxillary incisors. Dent Today. 1998; 17(6):48-49. 
  17. Meffert RM. Issues Related to Single-Tooth Implants. JADA. 1997; 128(10): 1383-1390. 
  18. Hornbrook DS. Anterior Tooth Replacement Using a Two-Component Resin-Bonded Bridge. Comp Cont Ed Dent. 1993; 14(1):52-61. 
  19. Smigel I. Minimally Invasive Dentistry. Cont Esth Rest Dent. 1999; 3(2): 40-49.

American Dental Association is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.