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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
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
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
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
Posted in Case Presentation, What Happened Today
Tagged anterior bonding, Class 4 composite
4 Comments
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
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
Posted in Case Presentation, Clinical Technique
Tagged Dr. MacGyver, implant bridge repair, overcrown
13 Comments
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
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
Posted in Case Presentation, What Happened Today
Tagged case presentation, Chinese crowns, zirconia crowns
13 Comments
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
Posted in Case Presentation, Clinical Technique
Tagged composite build-up, over-prepped crown, re-prep crown
11 Comments
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
Posted in Case Presentation
Tagged crown recementation, Crown repair, MacGyver, tooth fractured to gum line
3 Comments