Hi, everybody. My name is Dr. Leonard Hess. I am one of the senior faculty members here at the Dawson Academy, and I would like to take a few minutes to discuss with you when to use an NTI appliance and when not to.
I'd like to spend a few minutes with you discussing case acceptance and how do we increase case acceptance, working around the limitations of insurance.
Why is the physiologically correct position in centric relation the most superior position in the joint space itself?
Now, if you're like me and you went through dental school earlier, maybe 20 years ago, you were probably taught that centric relation was actually a distalized position of the condyles.
It was a very frustrating experience not only for the dentist, but also for the patients because you're trying to put the mandible and the condyle into a very unnatural position.
Hi. My name is Dr. Leonard Hess. I would like to spend a few moments with you talking about the benefits of using doppler auscultation.
Doppler auscultation is really simple.
The temporomandibular joint, if it is healthy and intact, should have a condyle and a disc sitting on top of it, and it should be encapsulated in a fibrous capsule, bathed in synovial fluid. Synovial fluid is the slipperiest substance in the human body.
I'd like to take a moment and talk with you about what we should be thinking when we see patients that have wear.
Becoming a Dawson-trained dentist will change the way a dentist practices and Dr. Leonard Hess's case shows you how.
When we consider the temporomandibular joint, ideally, what we would like to have if we are talking about centric relation is a joint which is unaltered, which means that the condyle disc assembly is in its proper position, fully seated into the glenoid fossa.
One of the keys to creating an effective and complete treatment plan is to diagnose the condition of the joint. And one of the important things to consider with the joint is what is the range of the motion of that joint?
Because the temporomandibular joint, just like any other joint in the body, should have a normal range of motion.
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Dentists seem to commonly make the same treatment planning mistakes. Some are functional, and some are esthetic.........and sometimes they're both! This leads to frustration for the patient AND the dental team. When cases lose their predictability they also lose their profitability and their fun.
I'd like to spend a few minutes discussing some of the ways that we can do what's called waxing smarter instead of harder when we're doing our three dimensional workups on the articulator.
Waxing can be a very frustrating skill to learn as we start to become a better Dawson Dentist and a better clinician, and start doing more two dimensional and three dimensional treatment plans for our patients.