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Spear Digest

The Impact From the Hygiene Operatory on Composite Restorations: Part I
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The Impact From the Hygiene Operatory on Composite Restorations: Part I

Before and after a composite restoration. As clinicians, we spend a considerable amount of time placing composite restorations that strive to re-create...

| 4 years ago
The Occlusal Plane Guide
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The Occlusal Plane Guide

When communicating the desired tooth position to the dental technician for a diagnostic wax-up, the more accurate and detailed the information provided...

| 4 years ago
Composite for Managing Wear and Altering VDO
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Composite for Managing Wear and Altering VDO

In general, the use of composite is significantly more common in Europe than the United States.  Let me clarify that by saying that although composite...

| 5 years ago
Composite Restorations vs. Ceramic Restorations
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Composite Restorations vs. Ceramic Restorations

Imagine that this patient presented to your office for the treatment of the left central and lateral that were fractured in a biking accident. What...

| 5 years ago
Ankylosis Part V: Autotransplantation
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Ankylosis Part V: Autotransplantation

Typically when managing ankylosed teeth in children it is advisable to remove the ankylosed tooth prior to significant growth cycles so growth and subsequent...

| 5 years ago
Ankylosis Part IV:  The Use of Decoronation
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Ankylosis Part IV: The Use of Decoronation

Typically when managing ankylosis in permanent teeth in children, it is advisable to remove the ankylosed tooth prior to significant growth so that the...

| 5 years ago
Three Ways to Help Determine Arrangement and Contour
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Three Ways to Help Determine Arrangement and Contour

In a recent article, I went over the esthetic options available when determining arrangement and contour in our patients. The esthetic outcome is purely...

| 5 years ago
Smile Design 'Alternatives'
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Smile Design 'Alternatives'

In esthetic dentistry, determining the arrangement and contour of the teeth can be a fun process since it allows us to be artists. This concept is really...

| 5 years ago
Custom Staining Provisional Restorations
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Custom Staining Provisional Restorations

Provisional restorations have many purposes, one of the most important of which is to act as a 'blueprint' for the definitive restoration. Esthetic...

| 6 years ago
Options for Altering Tissue Position
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Options for Altering Tissue Position

The need to alter the position of the gingival tissue is something we all commonly face as restorative dentists. We regularly see patients with recession...

| 6 years ago
How to Approach Problems of Tooth Proportion
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How to Approach Problems of Tooth Proportion

  In a previous article, I covered the four possible causes for lack of tooth display in patients and how to properly treat them. Continuing...

| 6 years ago
Restorative Treatment Option for Ankylosis in Young Patients
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Restorative Treatment Option for Ankylosis in Young Patients

Limited treatment options are available for young patients that have ankylosis of teeth after traumatic avulsion and re-implantation. Generally, we choose...

| 7 years ago