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Spear Digest

Overlays to Open VDO and Test a Muscle Mediated Position
1

Overlays to Open VDO and Test a Muscle Mediated Position

This patient presented with a concern about his bite. A first look at the top image would not alert the observer to the fact that he was incredibly...

| 8 years ago
Restoring the Bulimic Patient
1

Restoring the Bulimic Patient

Among the challenges of restorative dentistry are erosion cases – and bulimia is part of that group. Bulimic patients, unlike...

| 8 years ago
Requirements of a Stable Designed Occlusion
1

Requirements of a Stable Designed Occlusion

Natural occlusions come in all arrangements, and they all work – unless they don't. I have seen many patients for whom 'maximum...

| 8 years ago
Making Occlusal Adjustments Easier
1

Making Occlusal Adjustments Easier

Years ago I was introduced to a bur that I've found to be fantastic for occlusal adjustment. The bur I'm referring to is an 8909, also sometimes...

| 8 years ago
Unraveling the Mysteries of Extensive Tooth Wear: Part II
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Unraveling the Mysteries of Extensive Tooth Wear: Part II

This is a continuation of the discussion of extensive tooth wear from part I, caused by three underlying interconnected conditions, Sleep Bruxism...

| 8 years ago
Managing Failures Due to Pathway Wear: Part II
1

Managing Failures Due to Pathway Wear: Part II

This is a continuation of the discussion about the patient from Part I that was referred to the office in need of new restorations. As a reminder,...

| 8 years ago
Unraveling the Mysteries of Extensive Tooth Wear: Part I
1

Unraveling the Mysteries of Extensive Tooth Wear: Part I

Extensive tooth wear is often the result of a triad of three underlying interconnected conditions: Sleep Bruxism (SB), Gastroesophageal reflux...

| 8 years ago
Managing Failures Due to Pathway Wear: Part I

Managing Failures Due to Pathway Wear: Part I

To continue with my series of articles discussing pathway wear, I'd like to introduce a patient that was referred to the office in need of new restorations....

| 8 years ago
The Beauty of the Custom Incisal Guide Table
1

The Beauty of the Custom Incisal Guide Table

In my most recent articles, I've been going over how to treat patients with failed dentition due to pathway wear. As clinicians it's important to...

| 8 years ago
What is the Envelope of Function?
1

What is the Envelope of Function?

In recent articles, I've been going over the proper treatment for patients with failed dentition due to pathway wear. As clinicians, it's very important...

| 8 years ago
Options for Determining Vertical Dimension: Part II
1

Options for Determining Vertical Dimension: Part II

This a continuation of the discussion in part I of some of the philosophies that can be used to determine correct VDO. The foregoing reviews of...

| 8 years ago
Assessing Occlusal Plane/Midline Cant Problems
1

Assessing Occlusal Plane/Midline Cant Problems

At the time you try-in a patient's final restorations, if there is a cant to the occlusal plane or midline, you can follow these steps to assess or...

| 8 years ago