Things I Look for before Doing My Anterior Crowns and Veneers

Often when I participate in dental related events, whether it is participating in a study club, getting together with my dental colleagues, or teaching at the dental school, people I interact with know that I am a prosthodontist and they will come ask me about their cases.  Often, the
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Pre-prosthetic Consideration for Adult Orthodontics

This patient was referred to me after completing orthodontic treatment to address the congenitally missing lateral incisors.  She was told to have the implant treatment or bridge work done as soon as possible after orthodontic treatment is complete. I was not involved in any pre-ortho
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Providing Treatment of Surveyed Crowns and Removable Prosthesis

I think many people underestimate how much work goes into planning a fixed removable combination case.  There are many factors to consider logistically as well as making sure the patient knows what to expect during the process.  For patients needing this type of treatment, they are ob
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Finding Love in the Dental Office

Today is Valentine’s Day and I want use this opportunity to share some incredible love stories I have witnessed over the years working as a dentist.  OK. I know!  Who would expect to find love in the dental office?  In fact, most people hate going to the dentists.  But the truth is, f
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Cheek Biting After Posterior Teeth Replacement With Implants

Happy New Year!  I have been really busy the last few months because I accepted a part time teaching position at the University of Toronto.  So between preparing course materials, managing my practice and with two active boys at home, I haven’t had a lot of time to keep up with my blo
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Tips on Making Single Unit Temporary Crown on Teeth with Reduced Periodontium

As a prosthodontist, I make temporary crowns all the time. I make single units, quadrant splinted crowns and full mouth temporary crowns all the time.  The nature of my work requires me to make them quickly and predictably.  I make so many of them I can probably do them in my sleep no
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What is the Phase 1 of Your Prosthodontic Treatment Plan?

In treatment planning, the concept of phasing your treatment is not new. For example, in periodontics, after the initial examination and diagnosis, phase 1 therapy often involves a sanative phase of basic scaling and root planning, a review of oral hygiene and an identification and mo
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When Do I Decide to Order A CT Scan?

I love the summer. It’s one of the seasons that I can enjoy the outdoors. It is also one of the seasons that many of my out of town friends tend to come back to Toronto for a visit and so many great get-togethers are happening this year. So I apologize for the lack of activity on my b
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Diagnostic Wax Up and Tooth Set Up: A Valuable Skill in Prosthetic Dentistry

Going through a prosthodontic residency program at the University of Pittsburgh, I was pretty lucky that I was exposed to a wide variety of prosthodontists, scientists and surgeons trained with different background and philosophies.  Also, fortunately, my program director, Dr. John (Y
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Phasing full mouth rehabilitation into manageable stages for you and the patient

Planning a full mouth reconstruction can be a long journey for both the patient and the dentist. I often will treatment plan the case in several stages. The patient will have to be stabilized with some form of provisional restorations so all the esthetic and occlusal parameters have b
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