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Spear Digest Dental Articles

When to Use a Custom Incisal Guide Table?

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 a...

| 10 years ago
Determinants of Vertical Dimension
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Determinants of Vertical Dimension

A lesson on vertical dimension. Vertical dimension is the distance between any point on the maxilla and any point on the mandible when the teeth...

| 10 years ago
Three Steps to Accurately Mounting Models

Three Steps to Accurately Mounting Models

In previous articles I've covered the topic of mounted models and their importance in treating clinical cases accurately and efficiently. Once you have...

| 10 years ago
When to Do a Functional Analysis
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When to Do a Functional Analysis

We have all had patients in our practice that present with very complicated cases including broken teeth, excessive wear, and gingival discrepancies,...

| 10 years ago
Erosion in Just One Part of the Mouth?

Erosion in Just One Part of the Mouth?

Some erosive patterns are head scratchers. How does erosion occur in just one part of the mouth? With some bulimic patients, there is more wear on one...

| 10 years ago
Dental Diagnosis of GERD

Dental Diagnosis of GERD

Continuing our series on erosion and attrition, one of the more common causes of intrinsic erosion is Chronic Gastroesophageal Reflux Disease or GERD....

| 11 years ago
Simplify the Worn Dentition Diagnosis Process
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Simplify the Worn Dentition Diagnosis Process

It is not always possible to clearly identify the cause of tooth wear. However, qualifying tooth wear, with all of the attributes noted in the adjacent...

| 11 years ago
The Two Types of Erosion

The Two Types of Erosion

In a previous article I talked about the difference between erosion and attrition. In the next few articles I'll be discussing the different kinds of...

| 11 years ago
Is it Always Wear?

Is it Always Wear?

I remember many years back my dad telling me that his dentist made him a night guard for his 'grinding habit.' A few years later he underwent a full year of...

| 11 years ago
Is Group Function Really Bad?
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Is Group Function Really Bad?

Most of us have been taught that ideal occlusion means canine guidance, or mutually protected occlusion. In fact, that is the preferred occlusal...

| 11 years ago
Evaluating 'At Risk' Occlusions
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Evaluating 'At Risk' Occlusions

One of the most critical components of the examination is evaluating for 'at risk' occlusal conditions. These risks can take even the most seemingly simple...

| 11 years ago
Risks of Excess Overjet

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...

| 11 years ago