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Spear Digest

Finishing Photos: Start the Conversation

Finishing Photos: Start the Conversation

Close to home in the orthodontic practice, photos also give you an opportunity to 'show off' the amazing changes you and the patient have accomplished,...

| 6 years ago
Factors That Influence Anterior Preparation Design - Part I
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Factors That Influence Anterior Preparation Design - Part I

Since treatment planning is the key to determining the proper preparation design, you must first establish what problems exist.  This means comprehensively...

| 6 years ago
The Challenge of Replacing Missing Central and Lateral Incisors

The Challenge of Replacing Missing Central and Lateral Incisors

Replacing a single missing central or lateral incisor is quite predictable, especially if there is adequate bone and soft tissue to utilize a single tooth...

| 6 years ago
When I Should Have Said No!
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When I Should Have Said No!

You would think after 36 years in dentistry that I would know better. The patient seems great, the story sounds plausible, the exam is promising...

| 6 years ago
Cone Beam CTs:  You Don't Know What You Don't Know

Cone Beam CTs: You Don't Know What You Don't Know

Do you remember the days back in dental school when we would look at a radiographs and say something like, 'Well, we can't tell for sure but that looks...

| 6 years ago
Missing Laterals and Esthetic Space Maintenance

Missing Laterals and Esthetic Space Maintenance

Missing upper laterals can present with several challenges to the treating interdisciplinary team. At study club this topic brings up discussions that...

| 6 years ago
Removing Ceramic Veneers With a Laser: Part 2
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Removing Ceramic Veneers With a Laser: Part 2

  Fig. 1 Click here to read Part One of this series. If you haven't noticed, we are now in an age of dentistry that praises 'conservation...

| 6 years ago
TADs to the Rescue!

TADs to the Rescue!

This is a patient who after several years of procrastinating has decided to move forward with treatment. The deciding factor for her was recurrent decay...

| 6 years ago
Expanding Your Thoughts on Airway
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Expanding Your Thoughts on Airway

An increasing number of studies are helping us to become more aware of the effects of airway issues on our adult patients. Obstructive Sleep Apnea (OSA),...

| 6 years ago
Why Gingivectomies Fail

Why Gingivectomies Fail

At one time or another, we all want or need to move gingival tissues. While our patients may need us to do that in order to reach their goals, it is a...

| 6 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...

| 6 years ago
New From Frank Spear: Treatment Planning Evolution with Practice Evolution

New From Frank Spear: Treatment Planning Evolution with Practice Evolution

There are many factors that enter into the processes of treatment planning and case presentation. One factor that we don't often think about is the fact...

| 7 years ago