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Hi everyone, I wanted to start off by thanking all of you for the excellent ideas and comments related to my last post. Many of you had excellent thoughts about how this wear evolved over the years and how you would help this patient. Today I would like to share with you the etiology of the wear and the actual treatment plan that the patient selected. As I stated in the last post this particular patient came into my practice with a significant amount of tooth wear but he had no TMJ or muscle symptoms and has good bone levels […]

Hi Everyone, For this weeks blog post I thought I would share with you an interesting worn dentition case. During the last few years I have noticed that we have seen a real increase in the number of patients entering my practice with significant tooth wear seeking help. I don’t know about the rest of you but it seems to me that with the improvement in periodontal care, patients are keeping their teeth longer which is leading to many different forms, patterns and degrees of severity of tooth wear that patients are presenting to our dental practices. This particular patient […]

Hi everyone, once again I would like to start off by thanking all of you for the excellent ideas and comments related to last weeks post and let you know that if I have not responded to your comments yet I will in the next week. It really is great to see everyone’s ideas about treating a case like this and I enjoy all of the comments and suggestions. Today I would like to share with you how I handled the implant placement and provisional issues that this case presented with. As you know from last weeks post I elected […]

Hi everyone, once again I would like to start off by thanking all of you for the excellent ideas and comments related to last weeks post. Today I would like to share with you how I handled the extraction, socket grafting and provisional issues that this case presented with, but first I would like to address the question about immediate or delayed implant placement. As you could see by the CBVT images the buccal plate was fairly thin in the coronal half of the ridge with volume of less then 1.0 mm thickness. I spent a week at IDEA in […]

Hi everyone, I wanted to start off by thanking all of you for the excellent ideas and comments related to last weeks post. Many of you had excellent ideas about how you would treat this patient and today I would like to share with you the actual treatment plan the patient selected. As I explained last week, I listed the options that I thought were reasonable for this case and the patient let me know that she wanted a predictable long term solution and that she did not like the grey that was showing through her gingival tissue. I have […]

I wanted to share with you a case that presented to my office a few months ago and see what your opinion would be about the best approach for treatment. With this case the patient presented with a central incisor that had previously been treated with an endo, post, core build-up and crown. The problem was that something was loose. In this particular case the margins were not supragingival so it was hard to tell what exactly was loose! In a case like this, either the entire tooth, post core and crown is loose or the post core and crown […]

Hi everyone, I just wanted to let you know that I will be back to my regular blogging schedule starting this week. I have taken a little break while I was preparing and presenting my latest seminar, Functional Occlusion and Full Mouth Rehabilitation. I would also like to thank everyone for attending these seminars and making them such a great success. I have posted a few photos from these seminars as well as a photo taken with Rick King from Kingston as I gave him his iPad2 that he won during the early registration bonus for these seminars. I have […]