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Spear Digest

Treatment Decisions: To Remove or To Retain?
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Treatment Decisions: To Remove or To Retain?

Imagine if this was your patient and he was presenting to your office for a second opinion on treatment. What would you?  This 18-year-old patient presents...

| 3 years ago
CAD/CAM and Planning
4

CAD/CAM and Planning

I am not a dentist who chooses to use an in-office milling system. It just doesn't make sense for my small practice and low volume of patients. Yet, I...

| 3 years ago
You Only Treat What You See...
3

You Only Treat What You See...

Consider this patient who did exactly what her dentist suggested; she cracked her lower left second molar and it split in half and had to be extracted....

| 3 years ago
Trauma 101
1

Trauma 101

In my practice, it is a fairly routine event to have a young child present secondary to a traumatic injury to upper or lower anterior teeth. Many of these...

| 4 years ago
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
Anterior Open Bites: Part IX
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Anterior Open Bites: Part IX

The easiest open bite to correct is one that was caused by tooth wear from erosion, not attrition or grinding, and where the anterior tooth position didn't...

| 4 years ago
Outcome Analysis for Fixed Hybrid Prostheses
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Outcome Analysis for Fixed Hybrid Prostheses

Have you thought about your technique to achieve a reasonable understanding of a patient's expectations for dental treatment? Certainly, as we learn and...

| 4 years ago
Restorations: Do They Need to Be Redone?
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Restorations: Do They Need to Be Redone?

I have distinct memories of hearing lectures on the rationale for redoing restorations that included marginal leakage and stain as an indication to redo...

| 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
But Doc, Can’t You Just Fix My Broken Tooth?
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But Doc, Can’t You Just Fix My Broken Tooth?

While we all want to help patients in this situation as quickly as possible, it is important to ask ourselves what caused the broken tooth. In this particular...

| 4 years ago
Incisal Edge Position: Planning for an Overdenture
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Incisal Edge Position: Planning for an Overdenture

Have you been through the experience of constructing an immediate denture where the patient returned from surgery with an overly prominent display of...

| 4 years ago