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.
In our mission as restorative dentists, we often come across the same series of questions.
When reconstructing, what is either deficient or absent in our patients smiles? Is the restoration of teeth with either direct or indirect materials?
Here's a quick tip on something I've been using recently and that's called the Easy-Extender and it's for open tray implant impressions. So often, when you put the impression on and you're trying to find that screw head to unscrew the impression coping to get the impression out, this solves that problem.
One of the most common reasons that dentists have to do a lot of adjustments on a new crown is failure to start their treatment with a complete examination and plan their treatment.
So when we think about trying to get great adhesive results, number one is we have to understand what it is we're trying to do, so we need to understand the materials.
I often compare the experience of patients coming in to our office and being told that they need to have work done to the experience of us taking our car in to be serviced and they tell us that we need new brakes.
Using an articulator. It is time to take it out of the closet. It's not just a doorstop that they made you buy in dental school.
Let's talk about how to cement a bridge every single time in 30 minutes or less. Now, cementing a bridge is a little bit different than a single-unit crown because you have three teeth involved in the occlusion, you have interproximal contacts. You have a lot of issues.
A common question we get from new dentists is how do I select the best materials for my patients? As a new dentist in those first few years out of dental school, I think we're often relying upon resources to help us make decisions.
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.