 We do restorations, not just fillings.
When restoring a damaged tooth we will strive to restore it as close as possible to its original form and function. It is dentistry combining health and aesthetics, recreating the small imperfections and asymmetries that nature uses to produce a beautiful smile. Phone 0203 659 7249 WhatsApp +44 7903 782697 https://www.icmdentistry.co.uk/book-now
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 Following the unprecedented developments around coronavirus (COVID-19), we’re temporarily closing the clinic.
We are taking this step to support the World Health Organization’s containment and delay objectives and safeguard the health and wellbeing of our community. We are navigating a truly unprecedented global event and we all have a vital part to play as individuals today and in the coming days. Please use our contacts below for rescheduling your appointment and rest assured we’ll make our best to accomodate every patient’s needs. As the situation evolves, we will continue to be in touch with updates. Thank you for your understanding and support. Phone 0203 659 7249 WhatsApp +44 7903 782697 https://www.icmdentistry.co.uk/book-now  We’re here to say we are open as usual.
In light of recent events, we’d like to reassure you that the health and safety of our staff and patients are of paramount importance to us. We always follow best practice in infection control. Now we added further measures as regularly wiping door handles + placing hand sanitisers for patients. Our clinic is thoroughly deep cleaned on a regular basis. We continue to value our patients and look forward to welcoming you in the clinic. Call 0203 659 7249 for scheduling an appointment or use our online booking service. WhatsApp +44 7903 782697 Having a natural looking smile designed uniquely for you will change your life.
But more importantly the way you feel about it. We design unique and natural smiles. Come for a consultation including x-rays, digital scan of your teeth, photo and video assessment of your smile. Call now 0203 659 7249 or use our online booking. WhatsApp +44 7903 782697 It’s been a great year! And we’re looking forward to the next one! Thank you for being part of our lives and for trusting your smile to our care. We wish a wonderful festive season and a happy new year full of positivity. Please note we’ll be back on January 6th. Call 0203 659 7249 to book your appointment.  We've just updated our website and wanted you to know we are now offering a new service called Natural Smile Design. Every patient wants the same thing: the combination of health and beauty in a natural looking smile. Implants, veneers, composite bondings or anything else are just procedures of a treatment plan that is uniquely designed for each patient. Uniquely designed because every person is unique. There is no two identical persons in the world. The same applies to smiles and teeth. Every tooth, every shape, every texture nature ever created is uniquely beautiful. Today we can copy it and design truly natural teeth. We recreate the small imperfections and asymmetries that nature uses to produce a beautiful smile. Our digital simulation shows our patient the final results before any intervention is done to the teeth. Watch the video, visit our page, let us know what you think! Presenting Dr Italo‘s new toothbrush by Curaprox premium dental health products. Your personal brand is a promise to your clients. Dr Italo makes sure to train his team to reflect the values of his brand. We believe in trust, friendship and care. We care.
Dr. Italo works to promote good oral health, natural looking smiles, ultimately aiming to improve his clients' quality of life.
In his spare time Italo enjoys reading, playing the saxophone, riding his bike (which he uses as transport on a daily basis) and developing himself to be a better person. We're here to update you with news about our practice! Dr Italo has now moved location from 55 Wimpole Street to 18 Cadogan Gardens in Sloane Square, London and is currently open on Tuesdays, Wednesdays and Thursdays from 10am to 6pm. We look forward to seeing you for your next dental appointment at our new practice in Chelsea!  By Dr Italo Carpes Moraes and Dr Bruno Carlini. In a fast changing world, dentistry has witnessed a fantastic revolution in the last few decades with regards to technical and philosophical concepts. Certain widely accepted postulates are now making way to new paradigms based on oral health promotion and changing patient behaviour prior to any clinical intervention. Advances in the scientific understanding of disease progression have also allowed a shift in focus from a restorative-mechanistic approach to a more comprehensive perspective, where patient education and behaviour change precedes any restorative work. Once the patient is committed to being a part of his/her own treatment by having a clear understanding of the reasons why the restoration is needed, we can then perform restorative dentistry with more confidence in a successful long-term prognosis. Potential pressures of corporate dentistry and some public health care policies can dissuade us from spending time on important aspects like health promotion and strict restorative protocols – especially regarding bonded materials. However, rewards can be drawn from the results of an artistic, natural-looking restoration. A meticulous bonding protocol, for example, can lead to reliable adhesive restorations, enabling preservation of the natural dental structure and mimicking nature. The popular nomenclature of a dental ‘filling’ is still very ingrained in our profession; even nowadays, when highly developed materials allow us to restore dental structures almost back to their original condition. Therefore, the word ‘restoration’ is more adequate when dental tissues are reconstructed with biomimetic materials. We all hope that resin restorative materials will evolve to a stage of no contraction. Until this happens, we need to stick with proven methods like the incremental technique to overcome the drastic consequences of polymerisation shrinkage in the long-term prognosis of our restorations. Bulk fill composites and glass ionomer materials can be used to speed-up the protocol, but they should not serve as a substitute for a careful, incremental technique. Restorative options could be indirect ceramics or direct composite resin. Indirect options result in destruction of sound tissue by occlusal reduction, mechanical preparation with geometric design, several laboratorial steps, cementation techniques and high costs. In contrast, direct techniques can provide a one-step procedure, involving simplicity of bond and restorative protocols. The main benefit of this philosophy is prevention of sound tissue. Neither ceramic or composite are better than sound dental tissue. The idea that wide MOD cavities cause dental cuspids to fracture and that covering these structures is the best protocol, must be reconsidered. The authors selected a case to illustrate this philosophy. Case presentation The patient presented with an infiltrated occlusal composite on the LL6, followed by recurrent decay (Figure 3), as well as lack of correct morphology (Figures 1 & 2). Soft dentine was removed, resulting in a deep and wide cavity with unsupported enamel (Figures 4 & 5). The pulp-dentine complex was protected using a modified glass ionomer resin (3M Oral Care’s Vitremer Core Buildup/Restorative) (Figure 6). The chosen bonding technique was a selective etching of enamel with 35% phosphoric acid and a self-etching Scotchbond Universal bonding system from 3M on dentine (Figures 7 and 8). Filtek Supreme XTE Bulk Fill composite (3M) A1E shade was used firstly in a flowable consistency to re-enforce the unsupported enamel (Figure 9) and then in a restorative consistency to substitute the dentine in the pulpal wall of the occlusal cavity (Figure 10). The final layers that act as a substitute for the enamel were restored with a nano-hybrid composite – 3M’s Filtek Supreme XTE universal restorative shade A1 (Figure 7), using one increment for each cusp and allowing a correct sculpture of natural morphology . With a final restoration that effectively mimics the natural tooth, chewing efficiency is increased and the loads supporting the tissues are more evenly distributed. Like artisans, we can employ our knowledge and skills in this way, forging a unique piece of art in every patient, through provision of a long-lasting and beautiful restoration.
About the authors: Dr Italo Carpes Moraes began practising dentistry in 2002, registered in the UK in 2008. As a dentist he is particularly interested in trying to understand his clients as individuals with a complex combination of characteristics. He works to promote good oral health and natural looking smiles, ultimately aiming to improve his clients’ quality of life. Dr Bruno Carlini: MS, DDS in Restorative Dentistry at UNICAMP- SP – Brazil Dental Clinic and Professor at Meridional Odontological Center (CEOM) – Passo Fundo – Brazil ---
You can also find this article published here: https://the-probe.co.uk/blog/2018/08/to-fill-or-restore-dr-italo-moraes-and-dr-bruno-carlini/ https://www.dentaltown.com/magazine/articles/6836/to-fill-or-restore |
ABOUTLondon dentist registered in the UK since 2008. His mission is to improve patient health & appearance, self-confidence and overall quality of life. ARCHIVES
April 2020
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