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Spear Digest

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

| 6 years ago
Are Preparation Shades and Descriptions Needed for Posterior Teeth?
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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 metal-ceramic...

| 6 years ago
The Keys to Prep Shade Communication
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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 tooth....

| 6 years ago
Close the Access Opening of Implant Abutments
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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:...

| 6 years ago
Pink Ceramic Vs. Pink Composite for Soft Tissue Simulation
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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...

| 6 years ago
Simulating Gingival Tissue With Pink Ceramic in Fixed Prosthesis
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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,...

| 6 years ago
Understanding Overlap Buccal Cusps
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Understanding Overlap Buccal Cusps

  When veneering maxillary posterior teeth for esthetic reasons such as widening the buccal corridor or making significant color changes, I recommend...

| 6 years ago
Closing the Infamous Black Triangle: The Technical Considerations
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Closing the Infamous Black Triangle: The Technical Considerations

My previous article reviewed the clinical aspects of tooth preparation design. That article discussed the fact that to close the gingival embrasure space...

| 6 years ago
Closing the Infamous Black Triangle
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Closing the Infamous Black Triangle

To close black triangles in the gingival embrasure when restoring teeth with veneers or crowns, there are clinical and technical design procedures required...

| 6 years ago
Cementation of Crowns on Implant Abutments
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Cementation of Crowns on Implant Abutments

The most critical factor when cementing an implant crown to an abutment is to avoid cement you may not subsequently detect, from getting into the sulcus....

| 6 years ago