Category Archives: Case Presentation

All My Training and 31 Years of Experience Have Led to This!

About a month ago, we had a close call with Hurricane Dorian, which was a “Cat 5” and got within 100 miles of us.  In the process of putting up my shutters, I smashed the tip of the ring finger … Continue reading

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Another Immediate Implant Provisional Case

It’s funny how things come in cycles / clusters. Immediate implant provisionals seem to be my “thing,” lately. I enjoy the challenge, and each case is a bit different.  So, it seems I’m inventing new techniques as I go with … Continue reading

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Even Office Staff Need TLD (Tender-Loving-Dentistry)

Yesterday, when I arrived at the office, my office manager told me that she felt tooth #7 “crack” and now it’s loose.  At the end of the day, I took a look.  I was able to remove the crown / … Continue reading

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Strive for Perfection. Be Happy with “Darned Good.”

Dentistry is demanding in many ways.  It’s physically demanding.  It’s mentally demanding.  Dentists have to wear a lot of hats.  We are the primary producer in a business.  We are the doctor.  We are the manager.  We are the CEO, … Continue reading

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Provisionalization of Immediate Implants With Screw-Retained Crowns

It’s been a while since I’ve written, and even longer since I posted a technique / case presentation article. One of my long-time patients had a 3-unit bridge (#12 – 13 – 14) fail due to unrestorable recurrent caries under … Continue reading

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Dr. MacGyver – Implant Bridge Repair

OK, nothing revolutionary here.  Many of you may have done cases like this.  But, maybe some haven’t. Patient is a 90 y.o. male.  He broke a big chunk of porcelain off a screw-retained 3-unit bridge, #19 – 21.  The fracture … Continue reading

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The Corporate Scourge of Dentistry

Yeah, I said it.  I wrote that title.  I stand by it, because it’s true.  The corporate interests in Dentistry are a scourge to quality, patient-centered care.  When non-dentists are running the show and dictating treatment plans, it’s not a … Continue reading

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Today’s Clinical Challenge

This will be a “quick and dirty” case presentation.  But, I’ll update it as the case progresses. Patient is a 53 y.o. woman from China, who speaks a little English.  Her boyfriend is a long-time patient in my practice.  She … Continue reading

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Fixing an Overprepped Tooth

          Today’s challenge was a tooth #2 belonging to my former hygienist.  An all-ceramic crown fractured in half and debonded.  It had been endodontically treated before.  The tooth was under-prepped occlusally and over-prepped  and over-tapered axially, … Continue reading

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Dr. MacGyver Rocks You Like a Hurricane!

Last week, just before the hurricane was predicted to strike, my office manager texted me on a Tuesday evening, “Broke my #9 off at the gum line!”  Yeah… not a good look for a cosmetically-oriented dental practice front desk, eh? … Continue reading

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