A couple of quick pointers about maxillary implants. This is a recipe for trouble. This case had several existing implants that were utilizing locators to retain a maxillary overdenture while older failed sites were healing.
  • January 31, 2022
  • 0 Comment
Read More
The diagnostic wax up is one of our most significant tools in planning functional and cosmetic dentistry. It can be done by hand, digitally or a combination of the 2. Diagnostic wax ups should always be done with direction from the dentist regarding tooth position, cosmetic desire and occlusal functionality.
  • January 18, 2022
  • 0 Comment
Read More
This case illustrates the benefit of restorative dentistry and it’s ongoing serviceability and extended prognosis enhanced by the team work with a periodontist.
  • January 6, 2022
  • 0 Comment
Read More
There are times when we like to blame patients for the failure of our dentistry. And at times that may be true. But often, we are to blame ourselves for the breakdown and failure of our patients dentistry. Of course it is a shared responsibility, but when we don’t provide the best quality dentistry to our patients, we immediately contribute to the responsibility of a large portion of the failure.
  • January 6, 2022
  • 0 Comment
Read More
This is a great illustration of the benefit of a core and surgical provisional. I am not showing the surgical steps here, just simply the progression from initial presentation of recurrent caries to core build up to surgical provisional.
  • January 6, 2022
  • 0 Comment
Read More
Below is a classic 4 week post surgical reline. After a core and provisional is completed and periodontal corrective procedures are finished, a 4 week initial healing period is required. During this initial 4 week healing period, no modification is made to EITHER the teeth or provisionals. 
  • January 6, 2022
  • 0 Comment
Read More
Patient presented wanting to either keep all of his teeth or replace the hopeless situation with fixed implant restorations. After a complete examination, review of findings and plan presentation, I presented my plan. What do you think we are going to do here?
  • December 14, 2021
  • 0 Comment
Read More
This was a case I did circa 2007. It was Perio restorative in its purist form. It began with a discussion regarding tooth #3. It resulted in a full mouth reconstruction for a variety of dental, biologic, occlusal and cosmetic issues.
  • December 13, 2021
  • 0 Comment
Read More
Does anyone plan maxillary over dentures anymore? . Do these restorations support cosmetic, biomechanical or biological long term successful outcomes?  Based on many social media posts and accolades, it is seemingly less important to today’s implant dentist to worry about these ideas.  . However, it is clear that the advanced loss of hard and soft tissue support lead to more complex restorative decision making.
  • November 1, 2021
  • 0 Comment
Read More

Provisional restorations serve so many important functions.  They can make or break any treatment, but especially a comprehensive fixed reconstruction.

1. They serve as a cosmetic blueprint that can be modified or approved by the patient and transferred to the lab via study cast or digital scan.

2. They serve as the occlusal blueprint that can be modified or approved by the patient and dentist and transferred to the lab via study cast or digital scan.

3. They should keep the tissue happy and healthy during treatment.

4. They give the patient confidence in themselves and YOU during treatment.  More times than I can remember, I have seen patients seeking second opinions during treatment because they are in misery with their poorly made and maintained provisionals.

  • October 26, 2021
  • 0 Comment
Read More