Dec 152014
 

Accurately transferring a maxillary model in three planes of space to an articulator is essential for predictability and accuracy whether we are using the models for diagnostic or restorative purposes. If we work with mounted models where the radius of the arc of rotation, or the position of the maxilla are different then the clinical reality all of the tooth contacts other then intercuspal will be different int he mouth than what we see on the bench top. Additionally we are looking to transfer esthetic information, incisal plane compared to the horizon, which can not be accomplished if the upper model is hand mounted. The Kois Dentofacial Analyzer is a quick, simple and predictable way to mount the maxillary model to ensure functional and esthetic predictability. This video demonstrates capturing the record.

 

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Dec 022014
 
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One of the things that I value about continuing dental education is the opportunity to spend time with other dentists, as I always learn something I can bring back to my office. Recently while lecturing at Midwestern Dental School to the faculty, on of the faculty members told me about a new way to stabilize lower models when mounting, and was even kind enough to give me some samples. Over the years I have tried about every idea possible to optimize mounting the lower model. If the model moves int he bite registration due to pressure during mounting, tipping or shrinkage of the stone it interferes with the accuracy of the mounting. To overcome this I have tried hot glue, compound, rubber bands, hanger wire bent into a V and probably many more. Continue reading »

Oct 222014
 
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Recently I have been having my patients with severe dry mouth utilize a prescription that relieves their symptoms and restores some of the balance to the oral cavity that saliva provides. Pilocarpine is a cholinergic medication and is commonly given to patients with severe dry mouth. Many patients have dry mouth that is not significantly helped with topical solutions like Biotene or AOvantage, or they have to use these products so often that it becomes a challenge. Recently our GCAmerica rep came in for a lunch and learn and mentioned using Pilocarpine in a lollipop for this group of patients. I was intrigued enough to do the research. Compounding pharmacies can fabricate a lollipop that contains pilocarpine in either a 5mg or 2mg dose, they also can add Xyltiol as a caries preventive and flavoring agents. Continue reading »

Sep 302014
 

Joint Palpation to detect palpable soundsJoint Noises are evidence of a change in the relationship between the disc and the head of the condyle int he Temporomandibular joint. Disc position is an important diagnostic finding that assesses joint stability, and ultimately the stability of the occlusion. In this video I talk through and demonstrate both the sounds we feel and hear on an exam, what they tell us about disc position and how this information relates to stability and occlusal risk. Continue reading »

Sep 232014
 

Lips At Rest WebThe “Lips at Rest” or “Emma” photograph is a foundational image in dental treatment planning. This image along with the patient’s age and gender is used to determine the proposed position of the incisal edges of the maxillary centrals. Once the centrals have been positioned int he face the rest of the maxillary teeth are set to create a level occlusal plane. This video demonstrates a predictable way to obtain a lips at rest image.

 

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