Why the Sam 3 Articulator instead of Panadent?

Here is another video in my Webinar Questions Answered series. In the video below I will answer a question from my Altering The Vertical Dimension Case Studies webinar. This question is from Dr. Prato who would like to know… Why the Sam 3 Articulator instead of Panadent?

Watch the video to find out my answer and if you would like to register for my free clinical webinar for dentists click here to select a webinar presentation time. 

What is the Leaf Gauge and where can I buy one?

Here is another video in my Webinar Questions Answered series. In the video below I will answer a question from my Altering The Vertical Dimension Case Studies webinar. This question is from is from a number of different dentists who would like to know… What is the Leaf Gauge and where can I buy one? 

Watch the video to find out my answer and if you would like to register for my free clinical webinar for dentists click here to select a webinar presentation time. 

Here is the link for the Leaf Gauges I use in my practice. https://www.greatlakesdentaltech.com/leaf-gauge-3-pkg_056-045.html

How do you manage these kind of cases when the patient can only afford one arch?

Here is another video in my Webinar Questions Answered series. In the video I will answer a question from my Altering The Vertical Dimension Case Studies webinar. This question is from Dr. Rodriguez who would like to know How do you manage these kind of cases when the patient can only afford one arch? Watch the video to find out my answer and if you would like to register for my free clinical webinar for dentists click the button below to select a webinar presentation time.  https://phelandentalseminars.com/seven-critical-factors

Do you use the Facebow with your CR mountings?

I hope you are having an excellent week.

If you have attended one of my clinical webinars you know I do my best to answer dentists questions near the end of the training. It is not always possible to answer all questions but I have discovered a link in the software to create a new report that shows the questions asked.

I am happy to let you know I have created a new video series where I am filming the answers to some of these questions received during my clinical training webinars.

The first new video features a great question from my Altering The Vertical Dimension Case Studies webinar. This question is from Dr. Sattar who would like to know Do you use the Facebow with your CR mountings?  Watch the video to find out my answer and if you would like to register for my free clinical training webinar for dentists click the link on this page to select a webinar presentation time. 

Watch the video to find out my answer and if you would like to register for my free clinical training for dentists go to https://phelandentalseminars.com/seven-critical-factors

Dental Excellence 22: Richwil Crown Remover

This is the 22nd video in my Dental Excellence Video Series.

In this new video, I teach you about a specific product I use to remove provisionally cemented crowns. This can be needed for a variety of reasons including when phasing more complex cases. 

Thank you again for being a member of my online community.

If you have any questions leave them below. 

Stephen

 

 

 

One Critical Mistake I Almost Committed

I am so glad I caught this. I almost made a critical mistake with the provisional restorations for a case I completed earlier this year.

The upper provisional was completed, I thought it looked excellent and went to take a few pictures of it before seating and right there through the camera viewfinder I saw it.

Can you see what is wrong with this provisional?

I left the gingival embrasure between the central incisors closed!

This could have blunted the papilla and left a black triangle at insert (along with an unhappy patient).

Now, as we know from Dr. Dennis Tarnow if the contact point of the restorations is 5.0 mm or less from the interdental peak of bone the papilla will reform.

That is great long term but the patient would not be happy short term. Therefore, I recommend in my trainings to design and contour the gingival embrasures of the provisional to provide space for the papilla. 

Here is ideal papilla contour after the removal of long-term provisional restorations. The cement you see on the preparations is Durelon. I use this for long-term provisional restorations but it adheres to tooth structure a little and I remove it with an ultrasonic scaler. 

Several different instruments can be used to create ideal gingival embrasure form with your provisional restorations. I like the Vision Flex discs from Brasseler and/or a 7901 carbide to carve the ideal embrasure form.

These ultrathin discs are excellent to define precise embrasure form.

I recommend you instruct your dental assistants to be careful how they handle them for cleaning and sterilization because they are expensive and if they get even a small bend on one corner they do not cut with the same precision and are basically useless. 

So, with this new case, I saw the poor embrasure form while I was taking pictures and corrected it.

Here is the final provisional contour the day I seated them.

Here is an composite image showing the initial provisional with the poor embrasure form first. The middle image represents the adjusted provisional embrasure form after shaping with the 7901 carbide and the final seated image shows the provisional with a knife edge type of embrasure form created from the Vision Flex disc.

Here they are a few weeks later when the tissue was healed.

Here are the final restorations immediately after bonding.

Here are the final restorations after 4 months of healing. Note the excellent tissue health and contour. I am glad I caught that mistake I almost committed with the provisional restoration.

The ceramics were created by Master Ceramist Harald Heindl. 

If you would like to see this new case in detail with examples of the preparations for Occlusal Veneers, Veneer Crowns, and Onlay Veneers please register for my new webinar while it is still available.

Click Here to register for this New Webinar.

During this new webinar, you will learn:

  1. Where to start your analysis when a severe wear patient presents into your dental practice. I have a system for this that will help to clarify the confusion surrounding helping these patients.
  2. How to identify the risks involved with wear patients. Both risk of treatment and the risk of doing nothing. 
  3. How to design and test a new occlusion for these patients. What happens if they cannot tolerate this new Occlusion Design?
  4. How to manage muscle forces with a wear patient so you can achieve longevity with their restorations.
  5. How to choose the best restoration design for individual teeth in an erosion or attrition patient. Should you choose crowns, onlays, veneers, occlusal veneers or veneer crowns?

I hope you enjoyed this new email training and look forward to connecting with you during the webinar.

 

 

Dental Excellence Video 21: Occlusal Veneers to open the vertical dimension with wear patients

This is the 21st video in my Dental Excellence Video Series.

In this video, I talk about occlusal veneers to open the vertical dimension for wear patients that may not require full coverage restorations for the molars.

During the video, I share with you images from two cases I completed in my practice. The first case was finished 13 years ago but I saw him this week during his hygiene appointment and I included new 13-year post op photos taken Wednesday.

The second case was completed this year in my 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

P.S. If you are interested in this kind of dentistry, I believe you would enjoy my Online Seminar. Altering the Vertical Dimension Case Studies.

This seminar will feature 3 detailed case studies teaching a different vertical dimension concept for each case. These case studies are from patients that I have successfully treated in my own practice over the past 21 years.

The first case study is the 13-year-old case from my new Dental Excellence video so you can be confident these techniques work in a regular clinical practice. 

Click Here to register for this seminar.

During this online seminar, you will learn:

  • The one thing you NEVER want to do when you alter the vertical dimension!
  • The starting point to assess if the vertical even needs to be altered.
  • Three different options to alter the vertical and when to use each.
  • Should I test out the new vertical with a splint first?
  • Will my patient be able to speak properly after I alter the vertical?
  • What should I do if my patient has speaking issues after I alter the vertical?
  • Can I predict if my patient can tolerate an alteration to the vertical dimension?
  • Will my patient have pain after if I alter the vertical dimension?
  • How stable is the new vertical dimension?
  • How should I design the anterior guidance to work with my new vertical dimension?

Click Here to register for this seminar.

 

Dental Excellence Video 20: One Critical Factor For Anterior Provisional Restorations

 

Welcome to my blog. This is the 20th video from my Dental Excellence video series.

In this new video, I teach you one critical factor for excellent anterior provisional restorations and ask you “What is wrong with this provisional?”

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. If you’d like to see additional clinical videos teaching how I create my anterior provisional restorations as well as how I create veneer provisionals and anterior implant provisional restorations I have a new online seminar you can join.

This seminar is called Precision Provisional Techniques For Porcelain Veneers, Anterior Dental Implants And Rehabilitation Cases.

If you are interested in this kind of dentistry, I believe you will enjoy this new online seminar.

Click Here to register for this new seminar. 

 

 

 

 

Dental Excellence Video 19: Dental Implant Adventures

This is the 19th video from my Dental Excellence video series.

A couple of weeks ago I was prepping a rehabilitation case and we had a bit of an unexpected implant adventure. This new video will tell you all about it and offer a very nice solution.

 

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 18: Specific Detail for Porcelain Veneer Preparations

This is the 18th video from my Dental Excellence video series.

In this new training, I share a new video I filmed with my Zeiss microscope teaching you about a specific detail for porcelain veneer preparations.

This new training will use clinical video footage filmed with my Zeiss dental microscope to teach you this simple but highly effective technique.

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. We all know the importance of the diagnostic wax-up. This new Dental Excellence video uses a putty fabricated on the diagnostic wax-up that I section to guide the veneer preparations.


If you are interested in this kind of dentistry, I believe you would enjoy my new online seminar. Altering the Vertical Dimension Case Studies.

When you attend this online seminar, I have a special bonus for you. At the 5-minute mark I have created a link to download my New Diagnostic Wax-up Instructions PDF to use with your cases!

You must log in and attend the seminar to receive this download.

Click Here to register for this new seminar this weekend, Altering the Vertical Dimension Case Studies and receive this Free Download when you log in.