Why use Centric Relation (CR)? I like to call CR the eighth wonder of the world as described by my good buddy, Lenny Hess.
When we think about smile design, we often think of the teeth or white esthetics. But what we can't miss is the gingiva or the pink esthetics. The gingiva are what's draping over our teeth or creating the scallop to showcase our beautiful porcelain work. So let's try to simplify this into three components.
Educating patients on dental conditions can be very challenging for many dentists. A complete dentist has even more challenges, especially when it comes to explaining joint conditions with their patients. The complete dentist starts the examination by examining the joint first. Based on what we know, there are four categories or phases of joints that we need to discuss: the green joint, there are two in the yellow-joint category, and the red joint. Talking to your patients about each of these categories is very important, because if they understand the condition, they can understand the recommended treatment is necessary. We start with the green joint.
In this webinar, you will revisit the important parameters that determine the vertical dimension of occlusion for each individual patient.
You will learn how to identify which patients you must consider opening the VDO to have control of the occlusion. We will also discuss which cases you must be very careful about altering the vertical dimension, as well as which cases are too high-risk to open VDO.
Special emphasis will be placed on:
- Important concepts regarding implant cases
- The options to open VDO using composite resin
- How to phase complex cases when cost is an issue
Following Dawson Protocols, surgical protocols and diagnostic protocols, everything in our laboratory is designed and created digitally. A major benefit to doing this is patient engagement, speed, efficiency and precision. Perhaps the biggest advantage to moving to a digital process is precision 3D communication, using complete digital records.
Rehabilitating the completely edentulous patient is one of the most challenging tasks we face in restorative dentistry, and for me, the most rewarding. The majority of the patients I see with an existing set of complete dentures are suffering from pain under the denture bases, poor retention, difficulty with mastication and unnatural esthetics (Figure 1). I feel our society has come to accept the fact that this is what you get when you lose all of your teeth, that this is how dentures are supposed to feel because they are dentures! The psychological effects that accompany the loss of teeth often lead patients to insecurities, social isolation, and even depression. The physical effects of pain, weight loss, and poor nutrition can be even more debilitating.
Combining what we have learned from Pete’s Concept of Complete DentistrySM, classic removable prosthodontic principles, and the latest technologies in implant dentistry, we have the ability to impact our patients’ lives in a way they never knew was possible.
There are three main areas that need attention when designing complete denture prostheses. When these three things are not accomplished, it can lead to misfits and patient dissatisfaction. I see it all the time.
This article is a continuation from an interview with Dr. Richard Roblee, a featured speaker at the 2020 International Airway Symposium. For Part 1, click here. We continue our conversation with Dr. Roblee on his overall philosophy and how airway now fits into his busy orthodontic practice.
Have you ever been in the process of doing a complete exam and see that there is more wear on the posterior teeth than the anterior teeth? Let's think about possible causes that could be causing this.