Skip to main content

Spear Digest

Clinical Sequence of Steps in Relining Provisional Shell Restorations

Clinical Sequence of Steps in Relining Provisional Shell Restorations

In a previous article I discussed the three options in fabricating a provisional shell restoration. This type of provisional is best suited for full crown...

| 7 years ago
Saving Time With Shell Provisional Restorations
1

Saving Time With Shell Provisional Restorations

Having a set of shell provisional restorations fabricated pre-treatment, can save significant chair time for you and your patient. It is best to make...

| 7 years ago
Understanding Reduction Copings

Understanding Reduction Copings

The concept of a reduction coping is to create more space for the restoration after the laboratory receives the impression or cast of the prepared...

| 8 years ago
Assessing Occlusal Plane/Midline Cant Problems
1

Assessing Occlusal Plane/Midline Cant Problems

At the time you try-in a patient's final restorations, if there is a cant to the occlusal plane or midline, you can follow these steps to assess or...

| 8 years ago
How to Make a Custom Incisal Guide Table

How to Make a Custom Incisal Guide Table

Once the decision is made to make a custom incisal guide table, the following sequence of steps should be followed. Determine if you are going to restore...

| 8 years ago
When to Use a Custom Incisal Guide Table?

When to Use a Custom Incisal Guide Table?

A common question asked of me is: 'When should I make or prescribe a custom incisal guide table?' If there is no pathway wear, generally there is not a...

| 8 years ago
Which is the Best Ingot or Block for Anterior Monolithic Restorations?
1

Which is the Best Ingot or Block for Anterior Monolithic Restorations?

Maybe neither! The choice of ingot depends on: The esthetic quality of the prepared tooth. If you are doing multiple preparations,...

| 8 years ago
Are Preparation Shades and Descriptions Needed for Posterior Teeth?

Are Preparation Shades and Descriptions Needed for Posterior Teeth?

The answer is: Yes! Most technicians and dentists rely on all-ceramic restorations to achieve the desired esthetic and functional outcome. If a...

| 8 years ago
The Keys to Prep Shade Communication

The Keys to Prep Shade Communication

To improve the outcome predictability of an all-ceramic veneer or crown, I highly recommend clearly communicating the appearance of the prepared...

| 8 years ago
Close the Access Opening of Implant Abutments
1

Close the Access Opening of Implant Abutments

When trying in an all-ceramic restoration on an implant abutment to confirm the esthetic outcome prior to its cementation, I suggest following these steps:...

| 8 years ago
Pink Ceramic Vs. Pink Composite for Soft Tissue Simulation

Pink Ceramic Vs. Pink Composite for Soft Tissue Simulation

There is the need at times to simulate soft tissue with artificial materials because of ridge or papillae deficiencies. One of the goals of the restorative...

| 8 years ago
Simulating Gingival Tissue With Pink Ceramic in Fixed Prosthesis

Simulating Gingival Tissue With Pink Ceramic in Fixed Prosthesis

The ideal treatment to address soft tissue defects is through the use of a graft. Using pink ceramic should be the clinician's last resort; however, if...

| 8 years ago