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Spear Digest

Removing Ceramic Veneers With a Laser: Part 1
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Removing Ceramic Veneers With a Laser: Part 1

One of the more difficult things that we often encounter as restorative dentists is removing ceramic veneer restorations.  The goal is to remove the veneer...

| 4 years ago
Getting The “Sharpness” Right on Your Restorations
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Getting The “Sharpness” Right on Your Restorations

Have you ever had a patient say they have a hard time chewing, yet their teeth are clearly making contact? Maybe they even said their teeth are not 'sharp'...

| 4 years ago
Don’t Dismiss the Value of a Fractured Root
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Don’t Dismiss the Value of a Fractured Root

Your 60-year-old patient has a long-standing bridge and she notifies you that the bridge is loose. When she comes in to the office you find one of the...

| 4 years ago
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...

| 4 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...

| 4 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....

| 4 years ago
Trauma 101
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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