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.
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.
As we go through our treatment we talk about three different phases.
Phase one is to stabilize the biology, Stage two is to stabilize the occlusion. Then stage three is to do all the sort of final restorations. Now, certainly, getting the biology correct is going to be incredibly important.
So why do we use an articulator?
When we are trying to work out models two-dimensionally and three-dimensionally, what are the correct solutions for our patient? And simply it is just a mechanical device that gives us a way to be able to observe and work out what is actually happening in our patients.
In this blog video, we asked faculty members what items in their office they could not live without.
Dr. Andrew Cobb and Mr. Jeff Stubblefield, CDT share their answers:
It is an easy one for me. It's the Wizard. The Wizard has simplified this entire process of complete dentistry. It ensures that I do not miss a step.
It is everything we teach in the core curriculum, all in one place from the complete examination, figuring out what that tells us. It auto-populates to that summary page. What is our joint health? All of this, we can find out from the examination. When we have the patients that they want us to solve their problems, it takes the photographs, auto-populates them into the 2D and the 3D treatment planning. I use it for every patient every time whether they are a specialty patient or not.
So one thing I have been doing a lot in my office lately is utilizing composite resin. It is a great way to stabilize the occlusion and get the function right in a patient, especially when patients are not ready to proceed with more definitive restorations or they just do not have the finances to.
Mandibular denture stability is often times a difficult challenge for us and also for patients.
For them to feel that a lower denture is stable and comfortable is very challenging, especially with ridges that are severely atrophic. One of the things that I have learned over my career is using HydroCast, which is a functional impression material. It is made by Sultan.
Some of you already have the T-Scan in your practice from Tekscan. It's a computerized bite sensor that you can use in initial exams to show patients some of their malocclusion. And one of my favorite uses in our practice is to use it as part of our equilibration.