This Case Exceeded My Expectation!

This case was completed a few years ago.  I learned a lot while doing this case.  I learned even more following up on this case years later.  When this patient came to me, she had a lot of issues. To name a few, she had an occlusal problem with a large CR/MIP discrepancy, a set of ill
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My implant crown got loose soon after it got delivered

My implant crown got loose soon after it got delivered This is something I keep seeing at the dental school….the implant crowns that are delivered  by the dental students few days or few months after get loose.  This is not something I see in my own cases.  It can be due to a lo
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Witnessing my Own Failures

Witnessing my Own Failures As a prostho resident, you never get to see your own follow up.  So all those beautiful cases you did during your training will tell you nothing about long term follow up.  One of my instructors in Grad Pros residency says if you want to have 100% success in
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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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