Gotta be honest, this is one of the most challenging cases I’ve done so far. Single anterior discoloured tooth is always hard to deal with, especially with a gummy smile. But I’m excited to share!🤗
To achieve this result:
Smile Design • Gingivectomy • In-office Dental Whitening & Internal Bleaching • Mock-Up • 7 unit Composite Veneers & 1 unit Ceramic Crown
Patient has excessive gingival display (“gummy smile”) with hyperactive upper lip elevator muscle. We’ve discussed the options of:
🦷Orthodontic TX with TADs (“bone screw”)
🦷Botox injection to help reduce the upper lip elevation upon smiling
🦷…or simply accepting the profile and patient just have to learn to smile a little less wide
Patient opt for no Ortho tx nor Botox, and only the treatments I’ve mentioned above. Fully understanding the limitations of the improvement we can bring her, she trained herself to smile to her ideal height and I actually think it looks good.😊Sometimes, no treatment is also a form of treatment, don’t you agree?
Composite veneers weren’t too hard to place. However, it was difficult to mask the discoloured tooth. Root canal treatment was done many years ago and we can actually see the root discolouration showing through the gingiva. (Watch my story to learn more) Even with internal bleaching, the improvement was limited, unless we carry out soft tissue surgery to increase the thickness of the 21 buccal gingiva to mask the root discolouration.
We managed to mask some of the crown discolouration on 21 with procelain-fused-zirconia crown (to match the crown to the rest of the tooth was difficult as well) and the help of a little opaquer, yet there is still room for improvement in my opinion.
Although challenging, I’m blessed to have a very kind patient who’s willing to go through the whole treatment with me. There’s no difficult treatments, as long as our partner (aka patient) is a great one. Of course, it is cases like this which help us become better clinicians. Looking forward to more challenges in the future!🤩
#AestheticDentistry #Dentistry #Veneer #Crown #RestorativeDentistry #Whitening #DentalVeneer #Smile #Makeover #SmileMakeover #CeramicVeneer #CompositeVeneer
同時也有1部Youtube影片,追蹤數超過16萬的網紅夠維根Go Vegan,也在其Youtube影片中提到,這是個常見的迷思,不只一般的民眾會搞混 連專業的醫療人員都不太清楚... FB粉絲專頁:https://www.facebook.com/GoVeganTW 提倡一種新的生活態度,透過動畫宣導"動物權利"! 特別感謝"台灣素食營養學會"贊助 臺灣素食營養學會官網:http://www.twvns...
clinicians 在 尼克史達德國代購 Facebook 的精選貼文
🌞🌞🌞夏天女人事兒多~該備上了!
#超超超特價三入組
🇳🇿紐西蘭Clinicians Flora Restore 婦科口服益生菌
容量:30粒✖️3盒入
🉐️特價💰1570元 含國際運費
(原價單盒$680;三盒$2040)
國內運費65~80元🉑️併運
➕1、私訊或 Line:@wny7585b
🛒空運約4週到貨
#建議連續服用3盒
#遠離疼痛·#搔癢不適
☑️第一盒:症狀緩解
減輕疼痛,緩解搔癢、異味
☑️第二盒:改善炎症
搔癢、白帶、異味等症狀
☑️第三盒:不易復發
私處菌群趨於穩定,發炎不易復發
⭕️專門針對女性生產的益生菌
✔️適合女性健康最有效的益生菌。
✔️保持女性內部健康平衡。
✔️有助於維持或恢復健康陰道的菌群,這對女性健康很有用哦!
⭕️可以預防改善
陰道感染,膀胱炎,尿路反覆感染,宮頸炎,痛經,MC不順,白帶異常,異味,頻尿,排尿灼痛和其他婦科病症。
‼️是唯一一種經臨床認證的恢復女性正常陰道/泌尿生殖系統,菌群平衡的益生菌,有效成份通過胃腸道後仍保存良好。
🔺特別為女性研發的益生菌從1985年到現在超過30年時間的研究,產品概念已有專利保護。
超過25年的研究支持,被證明能夠維持陰道菌群的平衡健康。
🔺方便的包裝。除去水分,大大增長產品保質期。像大多數益生菌那樣需要冷藏,女性益生菌在室溫下保持穩定。
獨特的封裝技術,保證細菌在通過胃腸道後依然保持活性。
🔺女性益生菌能維持良好的細菌群和潛在問題的酵母之間的健康平衡(這被認為是導致陰道和膀胱問題的主要原因之一)。
它包含了兩種經臨床認證的益生菌菌株(鼠李糖乳桿菌GR-1和羅伊氏乳桿菌RC-14),口服後能迅速抵達陰道和尿道,恢復和保持健康的泌尿生殖系統菌群,並在抗菌或抗真菌治療期間之後都可使用。
✅每粒膠囊成份:
益生菌(鼠李糖乳桿菌GR-1,羅伊乳桿菌RC-14)
其他成分:微晶纖維素,右旋糖,馬鈴薯澱粉和硬脂酸鎂。可能含有少量奶製品。
❌不含:抗生素,麵筋(或小麥),人工色素,甜味劑,調味劑或防腐劑。
✅服用方法:孕婦和哺乳期媽咪也適用~
👉每天1粒,日常幫助平衡陰道內環境菌種群,維持泌尿生殖系統健康。
👉每天2粒,加強對抗陰道炎、尿道炎、盆腔炎等婦科疾病。
✅適用人群:
1.用於尿路感染人士(不可代替藥物治療)
2.偶爾或重復陰道或膀胱感染
3.防真菌片劑、陰道藥膏或栓劑使用者
4.抗細菌或抗真菌治療期間或之後
5.確診為細菌性或酵母菌性陰道炎的女性
6.孕婦或患有細菌性陰道病史或無症狀的
陰道感染適合於女性人群使用,孕產婦也可使用。
✅使用方法:每天1-2粒,或遵循醫囑。
❤️提醒您
早晚若有在服用抗生素,抗生素之後1小時各服用 1 粒。
在服用完抗生素療程後,每天改服用 1 顆即可。本益生菌可以與食物一起服用,也可以單獨服用。
⚠️注意⚠️
本益生菌不能替代藥物。
提醒您正在接受以下疾患治療或有下列疾患時,請在使用本品前先尋求醫師的意見:放射線治療、最近接受過口腔或腸胃手術(特別是小腸道)及低免疫力患者(例如HIV)。在這些情況下,患者更容易遭受細菌自腸胃至血液的侵襲。
clinicians 在 紐西蘭愛代購 Facebook 的最佳解答
‼️‼️你一直忘東忘西的嗎‼️‼️
#考生必備
#促進思維清晰度
#提高記憶力和集中力
#補充腦營養
科立純 增強頭腦清醒和專注力膠囊 30粒
(素食膠囊)(保存期限2023/12)
Clinicians 科立純 增強頭腦清醒和專注力膠囊是一個強效的臨床研究配方,支持清醒頭腦和健康大腦的功能。#胞二磷膽鹼 是膠囊中的活性成分,有助於支持腦部能量工廠產生能量。它能被迅速吸收,已被證明是支持頭腦清醒和專注力、警覺性,使它成為學生的理想營養保健品。
○ 成分安全可靠,無副作用。
○ 現代人需要的神奇補腦膠囊。
○ 不含麵筋乳製品,酵母糖,人造色素,甜味劑,香料或防腐劑。
功能概述
○ 清醒頭腦和維持大腦健康的功能。
○ 改善因工作繁忙造成的記憶力退化,預防老年痴呆等。
主要成份
每個膠囊含:
○ 胞磷膽鹼:250mg
○ 微晶纖維素
○ 二氧化硅
○ 硬脂酸鎂
適用人群:
適合青少年和成人使用,特別適合記憶力下降、注意力不集中、思維緩慢的人群,學生、老年人和經常使用電腦人群。
使用方法:
13-17歲青少年,每日一顆。
18歲以上成人,前8週每日兩顆,之後每日一顆
clinicians 在 夠維根Go Vegan Youtube 的最讚貼文
這是個常見的迷思,不只一般的民眾會搞混
連專業的醫療人員都不太清楚...
FB粉絲專頁:https://www.facebook.com/GoVeganTW
提倡一種新的生活態度,透過動畫宣導"動物權利"!
特別感謝"台灣素食營養學會"贊助
臺灣素食營養學會官網:http://www.twvns.org/
--------------------------------------------------------------------------------
【參考資料】
不吃肉蛋白質夠嗎?http://www.twvns.org/info/faq/25-2008-08-20-03-38-47
顛覆你的觀念!你真的知道怎麼吃蛋白質?: www.twvns.org/info/faq/266-2015-06-17-09-32-20
告訴你~痛風要吃黃豆的理由: www.twvns.org/info/faq/213-2015-04-17-07-41-12
乳癌不能吃黃豆? https://youtu.be/ie3pVBvnIEM
1. 每日蛋白質需求量:
http://www.nationalacademies.org/hmd/~/media/Files/Activity%20Files/Nutrition/DRIs/DRI_Macronutrients.pdf
2. 豆類的優點(預防疾病、營養素):
Messina V. Nutritional and health benefits of dried beans. Am J Clin Nutr. 2014 Jul;100 Suppl 1:437S-42S. doi: 10.3945/ajcn.113.071472. Epub 2014 May 28.
3. 痛風可以吃豆類:
Teng GG, Pan A, Yuan JM, Koh WP. Food Sources of Protein and Risk of Incident Gout in the Singapore Chinese Health Study. Arthritis Rheumatol. 2015 Jul;67(7):1933-42. doi: 10.1002/art.39115.
4. 美國痛風研究:
Choi HK, Atkinson K, Karlson EW, Willett W, Curhan G. Purine-rich foods, dairy and protein intake, and the risk of gout in men. N Engl J Med. 2004 Mar 11;350(11):1093-103.
Messina M, Messina VL, Chan P. Soyfoods, hyperuricemia and gout: a review of the epidemiologic and clinical data. Asia Pac J Clin Nutr. 2011;20(3):347-58.Review.
5. 日本痛風研究:
Yamakita J, Yamamoto T, Moriwaki Y, Takahashi S, Tsutsumi Z, Higashino K. Effect of Tofu (bean curd) ingestion and on uric acid metabolism in healthy and gouty subjects. Adv Exp Med Biol. 1998;431:839-42.
6. 乳癌研究:
Caan BJ, Natarajan L, Parker B et al. (2011) Soy food consumption and breast cancer prognosis. Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology 20, 854-858.
Doyle C, Kushi LH, Byers T et al. (2006) Nutrition and physical activity during and after cancer treatment: an American Cancer Society guide for informed choices. CA: a cancer journal for clinicians 56, 323-353.
Guha N, Kwan ML, Quesenberry CP, Jr. et al. (2009) Soy isoflavones and risk of cancer recurrence in a cohort of breast cancer survivors: the Life After Cancer Epidemiology study. Breast cancer research and treatment 118, 395-405.
Hsieh CY, Santell RC, Haslam SZ et al. (1998) Estrogenic effects of genistein on the growth of estrogen receptor-positive human breast cancer (MCF-7) cells in vitro and in vivo. Cancer research 58, 3833-3838.
Rock CL, Doyle C, Demark-Wahnefried W et al. (2012) Nutrition and physical activity guidelines for cancer survivors. CA: a cancer journal for clinicians 62, 243-274.
Setchell KD, Brown NM, Zhao X et al. (2011) Soy isoflavone phase II metabolism differs between rodents and humans: implications for the effect on breast cancer risk. The American journal of clinical nutrition 94, 1284-1294.
Shu XO, Zheng Y, Cai H et al. (2009) Soy food intake and breast cancer survival. Jama 302, 2437-2443.
7.吃素節能減碳:
Ruini LF, Ciati R, Pratesi CA, Marino M, Principato L, Vannuzzi E. Working toward Healthy and Sustainable Diets: The "Double Pyramid Model" Developed by the Barilla Center for Food and Nutrition to Raise Awareness about the Environmental and Nutritional Impact of Foods. Front Nutr. 2015 May 4;29.
clinicians 在 Clinicians of Color in Private Practice | Facebook 的推薦與評價
The group is designed to be a community for mental health professionals who are passionate about their work and ready to turn that passion into profit... ... <看更多>