Have you ever wondered how you can implement complete dentistry into your practice? Do you think, "Where do I even start?" Well, here is a few tips for you that I think will help get you on the right path.
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.
So when you're trying to decide if your patients have an internal derangement or an occlusal muscle problem, how do we go about doing that?
First part is the screening questions you ask before you start to testing.
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.
After you have gone through and taken accurate records during the complete examination it is time to present the treatment plan. When it comes to presenting the treatment plan to a patient, there are two things you need to have with you.
Have you ever wondered how you can get the specialist to refer more patients to your practice? Well, here are a few tips that I think can help you. First of all, I want you to call the specialist that you want to work with. Call them up, and set up an appointment to meet with them.
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."
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.
In order to properly describe an occlusion, we must not look at teeth in a vacuum, but as if we're starting at plaster models sitting on a table. We have to understand that teeth are one part of a larger system. Now, if one or both condyles have to displace in order for our teeth to come together in maximum intercuspation, or what we call MI.
So one of the big issues and changes in dentistry now is airway and how do we deal with it with our complete concept of dentistry. So one of the things we have to do now as part of the complete exam is we have to add an airway screening into our examination. We've actually already done this in our protocols at The Dawson Academy.