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Spear Digest

Pay Attention to Pulpal Spaces to Save Teeth
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Pay Attention to Pulpal Spaces to Save Teeth

Recently I wrote about the importance of paying close attention to the pulpal spaces on radiographs. While the prognosis of the tooth discussed last time...

| 8 years ago
Pulpal Fiction?
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Pulpal Fiction?

Do you see anything that catches your eye on the periapical radiograph (above left) taken recently in my office? Perhaps the title here...

| 8 years ago
A Scalpel for Resin?
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A Scalpel for Resin?

Does using a rotary instrument to remove excess resin cement or composite ever make you nervous? Personally I find it particularly troubling around a...

| 8 years ago
Are You Mocking Me?
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Are You Mocking Me?

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...

| 8 years ago
What to Know About Milling and Pressing

What to Know About Milling and Pressing

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...

| 8 years ago
The Mystery of Tooth Preparation
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The Mystery of Tooth Preparation

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...

| 8 years ago
Protect the Integrity of Your Restorations
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Protect the Integrity of Your Restorations

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,...

| 8 years ago
Simple Steps to Curb Postoperative Sensitivity
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Simple Steps to Curb Postoperative Sensitivity

Over the years many advances in knowledge and technology have decreased the incidence of postoperative sensitivity and pain. However, some of our best...

| 8 years ago
A Simple Tip to Evaluate and Adjust Interproximal Contacts
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A Simple Tip to Evaluate and Adjust Interproximal Contacts

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...

| 8 years ago
Failure to Communicate
1

Failure to Communicate

I would like to share something that happened to me recently in hopes you can avoid it happening to you. Several years ago I saw a patient for evaluation...

| 8 years ago
What Lies in the Third Dimension [Part II]

What Lies in the Third Dimension [Part II]

In a previous article I've discussed how using CBCT can help discover the source of a patient's pain. However, there are many other advantages to using...

| 8 years ago
Made in the Shade

Made in the Shade

One of the common challenges I face daily as a restorative dentist is shade matching. Teeth have different layers of color that allow for variances not...

| 8 years ago