Butterflies in the Stomach

Butterflies in the Stomach   I just saw this full mouth rehab that I did more than ten years ago for a follow up.  I don’t know about you guys but I always get butterflies in the stomach when I see these patients on the schedule…. Once a year, I get to evaluate my own work to see
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Three Things To Evaluate when Your Patient Needs a New Crown and a Denture

Three Things To Evaluate when Your Patient Needs a New Crown and a Denture I get a lot of questions from my students about what they have to do for a patient who will need a  crown and a new partial denture.  The common answer is you need to fabricate the fixed treatment (the crown) f
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Prosthetic Consideration of a Patient After Surgical Resection from Squamous Cell Carcinoma

For this case, the patient had a surgical resection from the right inferior alveolus squamous cell carcinoma.  The patient is not interested in implant therapy.  The only thing I can do is to offer her a standard cast RPD.  Even though this patient had cancer, my prosthetic treatment
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Prosthetically Driven Implant Dentistry: Are we really doing that?

Prosthetically driven implant dentistry is a term I have heard for the last twenty years. We should be aiming to place the implants where the teeth are but not where the bone is. We should be planning carefully so the implants are placed in a way that the prosthesis will be strong, fu
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MY SEQUENCE OF STEPS IN EVALUATING YOUR FIXED RESTORATION

MY SEQUENCE OF STEPS IN EVALUATING YOUR FIXED RESTORATION PRIOR TO CEMENTATION As a dental student, I remember that prior to inserting a crown, I have to check for several things. I have to check for the margin, the fit, the occlusion the contacts, the contour, the shade and more. I t
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Making A Quick Temporary When There Is No Crown To Work With

Making A Quick Temporary When There Is No Crown To Work With There are many ways to treat this broken lateral incisor. Some may want to extract it for an implant. Some may want to save it with a crown. This is a young patient with a gummy smile on limited funds. We decided to save thi
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Keeping my Temp Crown A Little Longer

When a tooth requiring a full coverage restoration has a very short clinical crown height, one of the first thing I asked myself is how to improve the retention and resistance form.  There are many ways to do that and they include building up a core, using accessory grooves and boxes
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Don’t Skip The Verification Step

Don’t Skip The Verification Step For long span partially or fully edentulous cases involving implants, I always verify my model before making a definitive prosthesis.  In my mind, anything more than two or three units would require a verification step. This is especially important whe
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Rome was not built in one day

I don’t ever get new patients coming to me telling me they want all their teeth removed and implants placed. When they get referred to me, they are usually at a state of severe aesthetic and functional compromise. My first goal is to educate and to establish trust and to offer some ae
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