The Dawson Academy Blog

Dental Articles on Occlusion, Centric Relation, Restorative Dentistry & More

How Do I Predictably Prep Second Molars?

When delivering a single crown, probably the toughest tooth we can prep for is the second molar.

There are a couple things to be aware of when prepping second molars:

1. Limited Opening

One, usually, there's a limited opening in that area, so when you are prepping the tooth, you have to give the patient breaks because you're going to have to ask them to open quite a bit.

2. Wear and Tight Neutral Zone

The second thing, which is more of a concern, is the wear in that area and also the tight neutral zone.

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What is Functional Occlusion?

We get asked a lot, what is a functional occlusion? And I think a lot of people, as they look at The Dawson Academy, think that we have one formula for an occlusal scheme that we're going to apply 100% of the time on our patients.

And I certainly agree that when we are redesigning the occlusion if we diagnose an occlusion that's pathologic, that has signs of instability, such as wear, mobility, migration, and sore muscles, that Dr. Dawson's formula for occlusal therapy can be utilized.

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Implementing a Complete Exam Out of a Hygiene Visit

So one of the problems that I face in my practice is how do I talk about all these things, the signs of instability and the requirements of a stable occlusion, in a hygiene visit? And I used to try. And I would watch my patient's eyes kind of glaze over and I was feeling the pressure from my hygienist. She's like, "Hey, hurry up. We've got to stay on time."

And I realized I have to do something different here because they weren't accepting to come back to do their bite analysis or their smile analysis. Most people would get up there and be like, "No, I'll just see you again for the next hygiene."

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How to Cement a Crown in Under 20 Minutes

I want to give you a quick tip on how to cement a crown in 20 minutes or less every single time. Now, a lot of you may be doing this, but I'm not so sure you are because my first 17 years in practice, I didn't know if it was going to take 15 minutes to cement a crown or 30 to 40 minutes, because of all the unpredictability. So here's a few tips for you to make this happen every single time.

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