I often looked at this case and pondered how I missed the signs of an occlusal collapse. I was in my auto pilot mode and have been seeing this patient for many years. I never thought of this patient as a rehab patient. He was a patient I inherited from the previous owner. This […]
Staging this FMR Excited to be finishing this full mouth reconstruction. I was referred to treat the non restorable canine. But when I looked at the dentition, I thought he needed a full mouth reconstruction. Luckily the patient is in agreement to this reconstructive treatment. I decided to treat the anterior segment first. Now […]
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 […]
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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 […]
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 […]
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 […]