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.
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.