Category Archives: Case Presentation

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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Easter Sunday Emergency Patient – my own son.

My son is now fourteen years old, almost fifteen, and in ninth grade.  Back in fourth grade, his class was doing a “square dance.”  My son fell down, face-down on the floor.  Another kid fell on top of his head, … Continue reading

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My Front Tooth Fell Out – case presentation

A non-regular (shows up for emergencies only) patient presented with a chief complaint that his lower front tooth fell out.  He needed a replacement ASAP, as he didn’t want to go to work without his front tooth.  He didn’t have … Continue reading

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Changing Lives Again

I love what I do for a number of reasons.  I like the combination of engineering, biology, physics, and art that goes into restoring teeth and smiles.  I like that we can eliminate a patient’s pain, usually in a single … Continue reading

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Putting Out Fires

Some days, I feel like I’m the dental version of a fireman.  On Monday, I saw a new patient who had been referred to me by a colleague in Ohio (who knows me through the Dentaltown message boards).  The patient … Continue reading

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I Never Use Retraction Cord

Except when I do… I rarely use retraction cord for crown preps, as I try to keep my margins equigingival or supragingival.  If I need retraction, I’ll usually reach for my Picasso Lite diode laser first.  Or, I may use … Continue reading

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The Dentist Formerly Known as Prince

Some Patients Just Make Your Day The title will make more sense as you read on.  A few weeks ago, we got a new patient by referral from a pediatric dentist (about 45 minutes away).  The patient recently completed orthodontic … Continue reading

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I’m a Bad Businessman – Bridge Repair

We’ve fallen and can’t get up! A new patient was referred to me by a local periodontist.  She’s in her 70s.  Her husband fell down, and in the process of helping him, she fell on her face and fractured porcelain … Continue reading

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Ya Gotta Know When to Hold’em… Know When to Turf’em…

It’s a dentist!  It’s a plane!  It’s SUPER-GENERALIST! I started my practice by leasing space in an existing general dental office.  My “landlord” was an accomplished and successful dentist.  He told me, “You’ve got to be a ‘SUPER-GENERALIST.’”  By that, … Continue reading

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