Wednesday, April 8, 2020

65 years old black man wants to have very white teeth in his new denture what should the dentist do.. Show the patient the suitable color first then show him the white one



65 years old black man wants to have very white teeth in his new denture what should the dentist do:

a- Put the white teeth

b- Show the patient the suitable color first then show him the white one.***

c- Convince him by showing him other patients photos.

d- Tell him firmly that his teeth color are good.

Or

- Do not show white teeth.
Often a short informative talk using some of the tooth manufacturer's (or preferably your own) "before and after" photos can be very effective in motivating patients to accept a more natural tooth selection.

SHADE SELECTION:
The shade is selected with the Portrait shade guide. There are 24 shades; enough to fulfill the color requirement of any denture patient. The large selection seems confusing but you will soon note that certain shades will be used the most. Shades A,B,C, & D (16) are the most useful and are called characterized shades as they are a subtle mix of many shades. The last 8 are the Bioform shades, B59-882, and are not characterized and do not look as natural. They are included as Bioform teeth and shades have been sold for many years and it's often necessary to match them.
1. For youthful patients, use lighter shades with a bluish incisal.
2. For older patients, use a darker shade with mostly body color.
3. If the patient has dark hair, brown eyes, and dark skin, darker shades with more yellow and brown will look more natural. 'This rule does not apply for Black patients as they often have very white teeth.
4. If the patient has blue eyes and fair skin, use lighter shades with more gray.
5. Consider the patient's desires: Many patients have very definite ideas on tooth color and will often not accept the above guidelines. Don't let the patient get a hold of the shade guide; many will select the pearly white A1 !! Select a shade that you think is suitable and let them make the final choice.
6. Consider the patient's old denture. Do they like the color of the teeth? If they think the color of the old dentures teeth were satisfactory, match them closely. Keep in mind that teeth discolor and other manufacture's shades may be somewhat different.