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 […]

Patients with Terminal Dentition

I see a lot of patients with terminal dentition.  Their teeth have gone through several generations of dentistry and finally the dentistry has failed and require more dentistry.  It’s not that these patients haven’t had extensive dentistry before.  They are familiar with what dentistry has to offer and the costs behind it.  But often times […]

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 […]