A Difficult Crown Impression

When I started practicing, I was sometimes surprised to see a referral for a single crown.  And more often it is the second molar with a very limited opening where access is difficult and the distal margin has to finish subgingivally.  When I see a case like that, I will often treatment plan the case […]

Tips On Taking Impressions on Very Mobile Teeth

One of the most common questions I get from students is how do I take impression on teeth with advanced periodontal disease requiring prosthetic planning and treatment.  I’m here to share some tips with you.  I hope you like the information.  Thanks for watching!

Making Immediate Dentures

  I know that there is a lot of push for immediate implants and immediate provisionalization for cases with terminal dentition.  All on four can be a predictable treatment option for some cases.  But there are some cases where the prosthetic references are lost and the teeth are so unstable and unreliable for both the […]

The Power of A Smile

Recently, I was reminded again how fortunate I am to be in a position to change people’s lives.  This patient was very shy when she first came to see me.  During the first examination,  I immediately understood the possible reason behind her timid behaviour.  With a front tooth looking so badly discolored, she may not […]

The Things I would tell my Younger Self

A recent Facebook post reminded me that I moved back to Toronto seventeen years ago….which means I started my prosthodontic residency in Pittsburgh twenty years ago. I started going through some pictures of my graduation to remind me of what mindset I was like at that stage in my life.  I found this one picture […]

The Unaesthetic Black Triangle

When I first started practising dentistry many years ago, I didn’t know how much people hated the black triangle.  The black triangle that can develop as a result of gingival recession leading to the loss of the interdental papilla.  So much research has been around to determine what contributes to supporting the interdental papilla.  All […]

How to Plan and Execute a Partial Denture Reline and Repair

Many dental colleagues have reached out to me privately where their denture reline has gone wrong.  I decide to document this simple case of denture reline and repair and share the thought process and techniques I used to manage this case successfully.  I hope you find the information here useful.  Please share if you like […]

Reflecting on This Maxillary Reconstruction

When this patient first presented to me, she just turned sixteen.   The mom says she has been having bondings on her teeth to mask the yellow discoloration resulting from a genetic condition that led to an abnormal development of the dentinal structure.  She understands that many of her teeth will need crowns and at the […]

A Very Difficult Cast RPD….

  With today’s technology and materials, when I see a compromised dentition, It is always easy to think of many treatment possibilities.  Whether it is full mouth clearance and to consider one of the implant supported solutions or to save all teeth and to plan and perform a full mouth reconstruction, there are many ways […]

How I go from here to there…

This is just a case I want to document to share with my colleagues of the clinical steps I actually took to complete this case.  I ended up doing eight porcelain crowns on the six maxillary anterior teeth and two mandibular canines and four composite bondings of the lower anterior teeth.  My thought process was […]