Do You Really Need to Use a Custom Tray?

Do You Really Need to Use a Custom Tray? Every year, I get repeated questions about the significance of using custom trays.  At the dental school, for removable cases, fixed cases and even implant cases, the students are required to fabricate custom trays for the final impression proc
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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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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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Understanding Your Borders

Understanding your borders Just because you took the time to do border moulding doesn’t mean that you actually capture the borders correctly.  And that is perhaps the reason why many despise the border moulding steps or they believe it is not necessary. Border moulding with compound s
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My Intra-oral Surveyor

Tooth preparation for RPD does not receive the same attention and detail as tooth preparation for fixed restoration.  There has been so much written about the type of burs used and how to achieve the ideal preparation for fixed restoration.  But when it comes to tooth preparation for
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