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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Securing Your Trial Denture Bases (Recording Bases)

Whether you are dealing with a fully edentulous patient or a partially edentulous patient, you may at times need to fabricate an occlusion rim for your jaw relation record.  Your occlusion rim will be supported by a trial denture base or recording base that should be rigid, accurate a
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Deconstructing the Steps in Inserting an Implant Overdenture

Over the years, delivering an implant supported overdenture carries a bit of apprehension on my end. If I pick up the attachments chairside, will the denture be stuck in the mouth? If I take an impression, will there be errors during the fabrication process that not all of the attachm
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What are Occlusion Rims?

Back to basics….when my patient has many missing teeth or teeth that have been badly broken down, I don’t rely on the remaining teeth to support the jaw relation record. I need a substitute to support the jaw relation record. I need something to stabilize the models from f
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Are your patients’ teeth breaking faster than you can replace them with implants?

Are your patients’ teeth breaking faster than you can replace them with implants? If your answer is yes, you may have to revisit your treatment plan.  One of the more common mistakes I see in treatment planning more complex prosthetic cases involving dental implants is that people are
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Delivering Implant Supported Overdenture

When it comes to delivering implant supported overdenture, I find that the retention is so good that my patient and I can have a hard time removing the prosthesis at the insertion visits. After a couple of frustrating and embarrassing insertion appointments, I changed my protocol now.
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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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