Category Archives: Case Presentation

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

Posted in Case Presentation, Editorial | Tagged , , | 16 Comments

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

Posted in Case Presentation, Clinical Technique | Tagged , , | 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

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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

Posted in Case Presentation, Practice Management, What Happened Today | Tagged , , | 13 Comments

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

Posted in Case Presentation, Practice Management, What Happened Today | Tagged , , , , | 24 Comments

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

Posted in Case Presentation, Clinical Technique, Dental Product Reviews, Tips & Tricks | Tagged , , , , , , | 9 Comments