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Crowns

Removal of old crowns, immediate dentin sealing and resin coat

Removal of old crowns from 7-10 (1.2-2.2) with IDS/RC and veneer preparations on the canines.  Both centrals featured post/core units which were recently placed by the endodontist. #CrownPreps #PrepMe

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Extensively filled tooth supported with bonded overlay

Overlay featuring difficult access with subgingival margin on the M on an 80 year old female. The decision to complete deep margin elevation or not is a personal one – […]

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Esthetic Reconstruction with Crown Lengthening Papillae Regeneration

Correction of gingival cants in combination with smile line cants is difficult.  It is even more difficult when crown lengthening is required necessitating a staged approach to heal and accurately […]

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Ultradent Umbrella

I have been recently using the “Umbrella” by Ultradent and find it to have better isolating properties relative to Optragate, as it has a tongue retraction/control device.  Give it a […]

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Absolute Isolation with Rubber Dam Adhesive Cementation

Adhesive Cementation of this #26/4.2 was actually really fun – as soon as the dam is inverted past the margins, there is full visual and mechanical access for cement removal […]

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Conservative Preparations for Occlusal Caries

(Afternoon tea pics 1502.5: Voco Grandio SO)   Back to back action on a Friday trying to keep it conservative to maximize subocclusal buttresses. Despite appearances, the #19 was hard […]

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Matching Restorations to Crownwork

Trying to match composite to crowns with #Voco #GrandioSO #TheShinEffect

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Rebuilding a 10 year old boy’s front tooth

Dehydration takes place immediately from when you even retract the lips to place your topical anesthetic.  It is important to choose your shades before this stage and “stick to your […]

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Extensive freehand reconstruction of broken down teeth

Let’s just call this Mordor.  No diagnostic wax-up available, freehand coronal reconstruction in direct composite to stabilize teeth ahead of possible occlusal reconstruction.  Single shade: A3 #Voco #GrandioSO

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MOD composite restorations

For MOD restorations, I prefer to build one wall before placing the matrix for the opposing wall.  This offers more control, more predictable contact strength and morphology and less “stacked […]

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