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 […]

How Do Multiunit Abutments Work?

Whether you are learning how to do full arch implant solution involving the use of multi-unit abutments, or you have a prosthetic complication from a patient who has multiunit abutments as part of the prosthetic design, I hope this video and the pictures will come in handy to help you figure out how these parts […]

My Logic of Doing Things in This Sequence

Obtaining jaw relation records for full arch implant therapy is nothing more than the usual steps that we do for complete dentures.  Ultimately, we have to determine where to arrange the teeth in the oral cavity that would look good aesthetically and function well occlusally for the patient. What makes this step different from a […]

How I Staged This Wear Dentition Case

Recently I was invited to be a guest in one of the local Spear study clubs and one of the dentists presented a case  with severe wear on the lower front teeth and the patient is really unhappy about how they look.  These cases are tricky to treat.  Wear issues on the lower front teeth […]

Form follows function?  Do I really know what it means?

Form follows function?  Do I really know what it means? Apparently not!  I hear this phrase all the time when I was in graduate school.  But I really didn’t appreciate its meaning until  I see enough of my own anterior restorations failing and breaking.  It is really about understanding what is anterior guidance for that […]

Does your crown fall out of your die easily?

I have completed this case many years ago.  But I never had the time to organize my pictures to showcase the steps taken.    But looking at this completed case almost  nine years later, you can see how I have completed my mandibular reconstruction first using cast based PFM restorations.  Then when I completed the […]

“If You Fail To Plan, You Are Planning To Fail.”

I did not understand about diagnostic planning until I was in graduate school.  But to me, this is a fundamental concept that should be understood at all levels amongst all dental practitioners, generalists or specialists.  It is a diagnostic step that can change the treatment plan entirely and helps the patient decide what treatment solutions […]