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Spear Digest

Risks of Excess Overjet
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Risks of Excess Overjet

For most patients the outcome of excess overjet is some occlusal variation from what might be considered normal or ideal. The specific variation is dependent...

| 5 years ago
Replacing Adjacent Centrals With Poor Bone Using Implants
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Replacing Adjacent Centrals With Poor Bone Using Implants

Research has showed us that there are differences in the relationship of the gingival margins and papilla height relative to bone between...

| 6 years ago
Biologic Challenges in Patients with Multiple Missing Anterior Teeth
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Biologic Challenges in Patients with Multiple Missing Anterior Teeth

The esthetic management of multiple missing teeth is one of the most challenging occurrences restorative dentists are presented with. It's one thing to...

| 6 years ago
Options for Immediate Temporization
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Options for Immediate Temporization

In a recent article, I went over the various types of options clinicians have when treating patients that need an immediate implant placed. As I had mentioned...

| 6 years ago
Options in Anterior Immediate Implant Placement
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Options in Anterior Immediate Implant Placement

In the 1980s, we used to extract an anterior tooth, graft the socket and delay implant placement to allow healing of the bone. This approach works well,...

| 6 years ago
The Three Phases of Joint Evaluation
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The Three Phases of Joint Evaluation

Joint examination and evaluation is one of the three systems that must be evaluated prior to treatment. This article is a continuation of my previous...

| 6 years ago
Eight Steps to Facially Generated Treatment Planning [Part II]
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Eight Steps to Facially Generated Treatment Planning [Part II]

As I discussed in Part I of this article, planning treatment for wear patients can be difficult because of all the different possibilities that can occur...

| 6 years ago
Eight Steps to Facially Generated Treatment Planning [Part I]
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Eight Steps to Facially Generated Treatment Planning [Part I]

Planning treatment for wear patients can be difficult because of all the different possibilities that can occur as teeth wear. In some patients the wear...

| 6 years ago
The Characterization of Anterior Temporaries as a Communication Tool
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The Characterization of Anterior Temporaries as a Communication Tool

Although creating exquisite temporaries is difficult and often frustrating, it remains a vital part in communicating with both patient and lab. Most...

| 6 years ago
Treatment Planning and Sequencing in Patients with Severe Wear
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Treatment Planning and Sequencing in Patients with Severe Wear

Almost every restorative dentist I know has a set of models sitting on their desk they have looked at multiple times and yet they still don't know...

| 6 years ago
Ridge Evaluation of Ovate Pontics
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Ridge Evaluation of Ovate Pontics

The goal of an ovate pontic is to create the illusion that the tooth is emerging from the gingiva with a cuff of tissue surrounding it on the facial....

| 6 years ago
Esthetic Management of a Flat Periodontium Without Orthodontic Extrusion
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Esthetic Management of a Flat Periodontium Without Orthodontic Extrusion

  In a previous article, I discussed the use of orthodontic extrusion to manage papilla position in patients with a flat periodontium. Orthodontic...

| 6 years ago