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Spear Digest

Evaluating 'At Risk' Occlusions
1

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...

| 8 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...

| 8 years ago
The Truth About Crossover Interferences
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The Truth About Crossover Interferences

We talk about crossover in our occlusion courses. It is the lateral excursive position where the lower canine moves past the upper canine. If the anterior...

| 8 years ago
I Guess Occlusion Does Matter?
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I Guess Occlusion Does Matter?

This is a case from my failure file. These provisionals kept breaking in the same place. The lower lateral is a provisional on top of an implant temporary...

| 8 years ago
The Mystery of Tooth Preparation
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The Mystery of Tooth Preparation

Have you ever done a tooth preparation and then found despite having reduced the prescribed amount of structure, you don't have the proper amount of...

| 8 years ago
The Three Phases of Joint Evaluation
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The Three Phases of Joint Evaluation

Joint examination and evaluation is one of the three systems that must be evaluated prior to treatment. This article is a continuation of my previous...

| 8 years ago
Eight Steps to Facially Generated Treatment Planning [Part II]
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Eight Steps to Facially Generated Treatment Planning [Part II]

As I discussed in Part I of this article, planning treatment for wear patients can be difficult because of all the different possibilities that can occur...

| 8 years ago
Eight Steps to Facially Generated Treatment Planning [Part I]

Eight Steps to Facially Generated Treatment Planning [Part I]

Planning treatment for wear patients can be difficult because of all the different possibilities that can occur as teeth wear. In some patients the...

| 8 years ago
Treatment Planning and Sequencing in Patients with Severe Wear

Treatment Planning and Sequencing in Patients with Severe Wear

Almost every restorative dentist I know has a set of models sitting on their desk they have looked at multiple times and yet they still don't...

| 9 years ago
Segmental Appliances and Risk
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Segmental Appliances and Risk

In the past few weeks I've had correspondence with three dentists asking about the use of an anterior bite plane appliance like the one pictured...

| 9 years ago
Tooth Wear Appliances: Full Arch Maxillary and Full Arch Mandibular
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Tooth Wear Appliances: Full Arch Maxillary and Full Arch Mandibular

Conceptually, full coverage appliances decrease elevator muscle activity in excursive movements if they are designed with anterior guidance, but...

| 9 years ago
Tooth Wear Appliances: Posterior Pivots
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Tooth Wear Appliances: Posterior Pivots

To pick up where I left off in the previous article about tooth wear appliances, a posterior pivot is the opposite of an anterior bite plane. This appliance...

| 9 years ago