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Spear Digest

When Bad Things Happen ...
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When Bad Things Happen ...

Sometimes efforts at saving an implant make things worse. This case showed signs of recession shortly after the final crown was placed. Tissue recedes...

| 7 years ago
Why the Recession on 11?
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Why the Recession on 11?

This patient is concerned about the dark line at the cervical of #11 (above). I am usually very kind to tissue when I use retraction cord and she...

| 7 years ago
Pathway Wear
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Pathway Wear

The wear this patient has on her lower anteriors is something I know you all have seen before. I bet if you look at the palatal surface of the upper front...

| 7 years ago
Black Bugs Under Margins?
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Black Bugs Under Margins?

I received this image the other day with a question about what causes the black line under veneer provisionals. There are obviously tissue issues here...

| 7 years ago
Pesky Screw Access for Implants [Ed.]
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Pesky Screw Access for Implants [Ed.]

This article, originally published 2/5/13, is one of our most widely read regarding tips about implants. Hate stuffing cotton pellets into...

| 7 years ago
Surgical Scans Made Easy
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Surgical Scans Made Easy

One of the challenges of creating surgical guides for full arch restorations is making a scan with a radio-opaque material. Typically, an interim prosthesis...

| 7 years ago
The Myth of the Angled Abutment
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The Myth of the Angled Abutment

Implant position is critical to esthetic success, especially when the patient has a high smile line and is esthetically aware. At times, using an angled...

| 7 years ago
Erosion in Just One Part of the Mouth?
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Erosion in Just One Part of the Mouth?

Some erosive patterns are head scratchers. How does erosion occur in just one part of the mouth? With some bulimic patients, there is more wear on one...

| 7 years ago
Black Triangles and Diastemas With Veneers
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Black Triangles and Diastemas With Veneers

Seems like a simple concept, doesn't it? Do a nice porcelain veneer and close those ugly black triangles or diastemas? Here's a quick tip that...

| 7 years ago
Dental Diagnosis of GERD
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Dental Diagnosis of GERD

Continuing our series on erosion and attrition, one of the more common causes of intrinsic erosion is Chronic Gastroesophageal Reflux Disease or GERD....

| 7 years ago
The Two Types of Erosion
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The Two Types of Erosion

In a previous article I talked about the difference between erosion and attrition. In the next few articles I'll be discussing the different kinds of...

| 7 years ago
Is it Always Wear?
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Is it Always Wear?

I remember many years back my dad telling me that his dentist made him a night guard for his 'grinding habit.' A few years later he underwent a full year of...

| 7 years ago