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.
As general dentists, when we think about developing our implant team and with some training, we can get comfortable with all aspects of this. If only one person has to visualize the case all the way through, it makes a little bit easier. We are going to start with our usual data, our photos and all the things that we would do to do our occlusal analysis. We should add a CBCT to this process and begin to figure out where the tooth or the teeth will be in space, so we can start our reverse engineering process.
We all know when we approach cases, there are some cases that are a little more straightforward than others. When we think about esthetics, we have to appreciate those cases that may be more challenging or difficult than others.
Papillas can make us or break us in esthetic dentistry. We all have those cases out there where that papilla didn't fill in all the way, and now we're staring at a black triangle.
When we talk about digital dentistry, we are really talking about replacing different aspects of the process from the physical world to computer-coded counterparts. It can be everything from capturing of data with intraoral scans, to the software design process, and then fabrication of the splints using some automated manufacturing device. In my office, I’ve liked the digital capture part of the process for a while, but now, digital design and fabrication is exciting too.
When it comes to treatment options for breathing and airway disorders in adults, I like to divide this up into two components. There are patients that can begin treatment that same day, to help deal with their immediate symptoms. Then there are patients that I must begin planning for more long-term and definitive resolutions.
From a Dawson perspective, I always start with the complete exam, which then leads into your full diagnostic records and a full occlusal analysis. A full wear case should never be treated, unless the cause can be identified or all other options have been exhausted and treatment must move forward. (this sentence doesn't seem to flow, but I'm not quite sure what is being conveyed.
One of the most valuable tools that I have in my office that I absolutely could not work with if I were to have a problem with that piece of instrument that day is my camera. If you would have told me the day I got out of dental school that I would need a camera to do dentistry, I would wonder why?