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Spear Digest

Fabricating Surgical Guides for Esthetic Crown-Lengthening Procedures
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Fabricating Surgical Guides for Esthetic Crown-Lengthening Procedures

There are two types of surgical guides I recommend for surgical crown-lengthening procedures: an overlay guide or a copyplast stent. An overlay guide...

| 5 years ago
When You Torque the Implant Abutment Screw
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When You Torque the Implant Abutment Screw

Have you ever been concerned that when you torque the implant abutment screw at the time of final abutment placement, the implant itself may rotate and...

| 5 years ago
Antioxidant Regimen for Restorative Dentistry
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Antioxidant Regimen for Restorative Dentistry

The previous two articles in this series described the basic science of oxidative stress, antioxidants and their influence on wound healing. This article...

| 5 years ago
When to Use Triple Tray Impressions [Ed.]
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When to Use Triple Tray Impressions [Ed.]

After a previous article, there was a question posed to me about the accuracy of using triple tray impressions. Using triple tray impressions for...

| 5 years ago
Antioxidants and Wound Healing
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Antioxidants and Wound Healing

Last week you were introduced to the process of oxidative stress and the how it is a factor in the development of multiple chronic inflammatory diseases. ...

| 5 years ago
Oxidative Stress and the Use of Antioxidants in Dentistry [Part I]
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Oxidative Stress and the Use of Antioxidants in Dentistry [Part I]

Over the next several weeks, I'm going to present information on oxidative stress and the use of natural topical antioxidants to promote oral homeostasis,...

| 5 years ago
Clinical Sequence of Steps in Relining Provisional Shell Restorations
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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...

| 6 years ago
Saving Time With Shell Provisional Restorations
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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...

| 6 years ago
Understanding Reduction Copings
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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...

| 6 years ago
Assessing Occlusal Plane/Midline Cant Problems
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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...

| 6 years ago
How to Make a Custom Incisal Guide Table
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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...

| 6 years ago
When to Use a Custom Incisal Guide Table?
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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...

| 6 years ago