Do you see anything that catches your eye on the periapical radiograph (above left) taken recently in my office? Perhaps the title here gave it away but what caught my eye was the irregular pulpal space. My thought immediately went … Read more
Recently I had the not so pleasant experience of retrieving a broken implant abutment. This was a really challenging case. As a result, I would like to share some tips with you about what I learned. 1. First, the more … Read more
We all know we use bright lights when treating our patients. We work very close to our patients and it’s quite easy to shine our lights in their eyes. For years I’ve had my patients wear safety glasses to protect … Read more
Does using a rotary instrument to remove excess resin cement or composite ever make you nervous? Personally I find it particularly troubling around a margin of a porcelain restoration. Especially when I have excess material that needs to be removed … Read more
The best thing we can do for our patients is paint a realistic picture of what they can expect from our efforts and proposed treatment. One of the easiest ways you can do this for them is mock-up up their … Read more
Are you aware that if you place all-porcelain restorations chances are that at least some of them are milled? Do you know which of your all-porcelain restorations are mills or presses? After posing that question you may be asking “who … Read more
Have you ever done a tooth preparation and then found despite having reduced the prescribed amount of structure, you don’t have the proper amount of clearance for your restoration? If you’ve ever had this happen, you know how puzzling and … Read more
As we all know the resins we use in our practices all have one thing in common: They all have an outermost layer that when exposed to air does not set, which is known as the air-inhibited layer. While some … Read more
Over the years many advances in knowledge and technology have decreased the incidence of postoperative sensitivity and pain. However, some of our best advancements when not used correctly can actually lead to astounding sensitivity and pain. Two of the most … Read more
Have you ever over adjusted an interproximal contact of direct restorations? Unfortunately this happens to all of us on occasion and in most cases (unless you can add a contact in your office) it means that you must return the … Read more