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Spear Digest

The Impact From the Hygiene Operatory on Composite Restorations: Part I
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The Impact From the Hygiene Operatory on Composite Restorations: Part I

Before and after a composite restoration. As clinicians, we spend a considerable amount of time placing composite restorations that strive to re-create...

| 4 years ago
The Occlusal Plane Guide
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The Occlusal Plane Guide

When communicating the desired tooth position to the dental technician for a diagnostic wax-up, the more accurate and detailed the information provided...

| 4 years ago
Composite for Managing Wear and Altering VDO
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Composite for Managing Wear and Altering VDO

In general, the use of composite is significantly more common in Europe than the United States.  Let me clarify that by saying that although composite...

| 4 years ago
Composite Restorations vs. Ceramic Restorations
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Composite Restorations vs. Ceramic Restorations

Imagine that this patient presented to your office for the treatment of the left central and lateral that were fractured in a biking accident. What...

| 4 years ago
Ankylosis Part V: Autotransplantation
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Ankylosis Part V: Autotransplantation

Typically when managing ankylosed teeth in children it is advisable to remove the ankylosed tooth prior to significant growth cycles so growth and subsequent...

| 4 years ago
Ankylosis Part IV:  The Use of Decoronation
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Ankylosis Part IV: The Use of Decoronation

Typically when managing ankylosis in permanent teeth in children, it is advisable to remove the ankylosed tooth prior to significant growth so that the...

| 4 years ago
The 'Can Opener' Technique
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The 'Can Opener' Technique

Coming into Dr. Spear's practice in the late 90s exposed me to a variety of implant restorations – a large number of which had been in place for...

| 4 years ago
How to Minimize Residual Cement on Implant Restorations
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How to Minimize Residual Cement on Implant Restorations

Multiple approaches have been discussed in the dental literature on how to best cement an implant restoration and minimize the chance of leaving residual...

| 5 years ago
Understanding Cement-Retained Implant Restorations
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Understanding Cement-Retained Implant Restorations

In a previous article I discussed the advantages and disadvantages of both screw-retained and cement-retained implant restorations. Although I have...

| 5 years ago
Sealing the Screw Access Hole on Screw-Retained Implant Restorations
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Sealing the Screw Access Hole on Screw-Retained Implant Restorations

When seating a screw-retained implant restoration, there are many techniques and materials that can be used to seal the screw access hole. The most common...

| 5 years ago
Understanding Screw-Retained Implant Restorations
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Understanding Screw-Retained Implant Restorations

In a previous article, I discussed the pros and cons of both screw-retained and cement-retained implant restorations. In my own practice I have been increasing...

| 5 years ago
Three Ways to Help Determine Arrangement and Contour
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Three Ways to Help Determine Arrangement and Contour

In a recent article, I went over the esthetic options available when determining arrangement and contour in our patients. The esthetic outcome is purely...

| 5 years ago