Dental Excellence Video 14: Precision Preparation Guides

This is the fourteenth video from my Dental Excellence video series.

In this New Dental Excellence Video I would like to share with you the stents and putty matrices that I use for the precision preparation design for everything from a 6-unit veneer case to full mouth rehabilitation cases.

Click Here to register for my new webinar that I talked about at the end of this new video.

Thank you again for being a member of my online community and remember, you can do this kind of dentistry! I believe that beautiful dentistry with precise fit and occlusion is not just for the gurus.

All the best,
Stephen

Dental Excellence Video 13: Predictable Long Term Restorative Techniques

This is the thirteenth video from my Dental Excellence video series.

In this New Dental Excellence Video I would like to share with you a very predictable restorative dentistry technique that I use in my dental practice.

Click Here to register for my free online seminar that I talked about at the end of this new video.

This online seminar will only be available until August 24th so if you want to learn about my systems for treating wear patients you should register and join us right away.

Thank you again for being a member of my online community and remember, you can do this kind of dentistry! I believe that beautiful dentistry with precise fit and occlusion is not just for the gurus.

All the best,
Stephen

Dental Excellence Video 12: Full Mouth Rehabilitation Cases

This is the twelfth video from my Dental Excellence video series.

In this new video I would like to share with you a Full Mouth Rehabilitation case that I have been working on for the past 8 months and the one tip that has made a big difference in the finishing of this type of case in my dental practice.

Thank you again for being a member of my online community and remember, you can do this kind of dentistry! I believe that beautiful dentistry with precise fit and occlusion is not just for the gurus.

All the best,
Stephen

As I mentioned in the video above, Occlusion Design is currently closed for new members. If you have enjoyed this or other training videos from me I believe you would really benefit from my Occlusion Design membership.

If you would like to join the waiting list, use the form below and I will send you priority access when Occlusion Design is open again for new members.

Click Here to join the waiting list to receive priority notification for the next class of Occlusion Design.

Dental Excellence 11: Seating Porcelain Veneers

Welcome to my Dental Excellence video series. In this new video I would like to share with you an excellent technique to ensure the perfect seating of your porcelain veneers. To enhance your learning experience, I am using video filmed with my Zeiss ProErgo microscope to teach you these detailed clinical techniques.

Thank you again for being a member of my online community and remember, you can do this kind of dentistry! I believe that beautiful dentistry with precise fit and occlusion is not just for the gurus.

All the best, Stephen

P.S. To register for my new clinical training webinar that I was speaking about in the video above  click here.

This is a brand new webinar and it is going to be excellent!

Dental Excellence 10: Retraction Cord Placement For the Veneer Patient.

This is the tenth video from my Dental Excellence video series.

In this video I share with you a very cool technique for the retraction cord placement with porcelain veneers. I am using video I filmed from a veneer case I prepared this month to show you the technique I use.

Thank you again for being a member of my online community and remember, you can do this kind of dentistry!

I believe that beautiful dentistry with precise fit and occlusion is not just for the gurus.

All the best, Stephen

Dental Excellence Video 9: Class 2 Resin Recommendation.

This is the ninth video from my Dental Excellence Video Series.

Have you ever placed a class 2 composite resin restoration and removed the matrix band to find flash on the buccal and lingual walls beyond the proximal box?

I have a simple solution that can eliminate much of this problem and I have created a new video for my Dental Excellence video series that will illustrate this solution.

Here is the link to the blog post I was referring to in Dental Excellence video 9. https://www.phelandentalseminars.com/product-recommendation-video-2/

The blog post in the link above contains a video I created that demonstrates using the sonic instruments and links to the product pages for the Kavo Sonic preparation instruments and tips.

Happy Holidays!

Top xmas banner whiteI have created a new video to wish you and your family a happy, healthy and safe Holiday Season.

From our corner of the world to yours, thank you for being a valued part of our online dental community!

Bottom xmas banner white

Dental Excellence Video 8: Porcelain Veneer Provisional Ideas.

This is the eighth video from my Dental Excellence Video Series. This new video contains one excellent recommendation that will help you with your provisional veneers.

My next class for Occlusion Design is opening for registration in a few weeks. If you would like to join the early bird list, use the link below and I will send you priority access with a Special Bonus Package when you register early for Occlusion Design.

Click Here to join the early bird list for the next class of Occlusion Design.

One critical step to transform your smile design cases for your patients.

I wanted to write a blog post to teach you about a critical step that I feel will really transform your smile design cases for your patients.

When I look back at all of the beautiful smiles that I am fortunate to create for my patients I concluded that one of the steps in my system that has been critical to success is the provisional evaluation appointment.

We all know that the provisional restorations are critical for the ceramist to use as the guide when creating the final porcelain restorations. The potential for a problem happens because the provisional is the last step for the preparation appointment and if you are running out of time can be rushed or not properly evaluated. This is compounded by the patient having a lack of natural lip mobility due to any remaining local anesthetic and fatigue from the entire preparation, impression and provisional process. At this stage of the appointment, many patients just want to get out of the chair.

With all of this in mind I added a provisional evaluation appointment as a critical step in my system for smile design and rehabilitation cases.

I have been using this appointment for the last 18 years and it has allowed both myself and the patient a more relaxed and ideal time together to evaluate not only the occlusion but the esthetics of the provisional results.

This appointment is the time to make any changes in the occlusion design and incisal edge position BEFORE the ceramist starts to build the final restorations.

My system is to have the patient return anywhere from 1 to 2 weeks after the preparation date and evaluate the provisional results and make any desired changes to the case. If the provisional looks great or the changes are minor I will take a final provisional impression, bite records and digital photo series of the provisional results.

If the changes are significant I will have the patient go a few more weeks to evaluate the changes and then have a second provisional evaluation appointment.

I would like to share a recent case with you that illustrates a good lesson.

This patient was treatment planned for 7 Emax restorations for the maxillary anterior.

PIC 1

The first step after the functional analysis and treatment planning was to alter the gingival tissue levels.

PIC 2

After healing a new maxillary model was taken and mounted on the Sam 3 articulator to complete the diagnostic wax-up.

PIC 3

The patient came into the office for the preparation appointment and the old restorations were removed, new core build-ups placed and the final preparation impression and provisional restorations were created.

PIC 4

The patient returned to my office 2 weeks later for the provisional evaluation appointment. Due to traffic issues the patient was very late for this appointment but he told me that he was very happy with the results of the provisional restorations.

With this in mind I took a quick look at the results and decided it looked good to me as well. I checked the occlusion, discussed the shade and took the digital photo series. I then left the case with my assistant to take the final impression of the provisional.

PIC 5

The next day I was looking over the models and photos of the case preparing everything to send to my master ceramist, Harald Heindl. At this point I realized that I missed the fact that the incisal edge position was slightly canted and down on the right side. Even with the patient being late I should have taken more time on the provisional evaluation appointment.

The patient told me the day before that he was happy with these results but when I reviewed them I realized that this could be dramatically improved.

The decision was made to bring the patient back for a second provisional evaluation appointment so I could shorten the right side and level out the incisal edge position.

PIC 6

In a case like this one where the change is not that extensive I will shorten the incisal edge on the right side with Soflex XT discs, reevaluate the results and retake the provisional records.

PIC 7

The case was then sent to Master Ceramist Harald Heindl and completed with layered Emax crowns.

PIC 8

PIC 9

PIC 10

The moral of this story is that a critical evaluation of the provisional restorations is important for our cases even if the patient is late or you are behind and have a patient waiting in another chair.

Let me know if you have any questions or comments using the link above this post and if you like the written blog post format.

Thank you again for being a member of my online community and remember, you can do this kind of dentistry! Beautiful dentistry with precise fit and occlusion is not just for the gurus.

All the best, Stephen

Dental Excellence Video 7: Tooth Preparation Guides and Stents

This is the seventh video from my Dental Excellence Video Series. In this video I share with you the different tooth preparation guides and stents that I use in my dental practice.

Remember. You can do this kind of dentistry and that beautiful dentistry with precise fit and occlusion is not just for the gurus!

My next class for Occlusion Design is opening for registration in April. If you would like to join the early bird list, use the link below and I will send you early access with a special bonus offer for those who register early for Occlusion Design.

Click Here to join joined the early bird list for the next class of Occlusion Design.