Total Etch or Self Etch: The Debate Continues

Total Etch or Self Etch: The Debate Continues

Dentistry IQ, August 2011
by Lee Ann Brady DMD

My partner and I had dinner together this week, and once we had handled our agenda items about the office, the conversation turned clinical. Before I knew it we were discussing etching techniques. My experience is that this is a common conversation amongst dentists; we poll one another to see what everyone else is doing and what their experience is with their chosen technique.

Maximizing Bond Strengths

Maximizing Bond Strengths

Heraeus 360 Newsletter, August 2011
by Lee Ann Brady DMD

Adhesive dentistry is the mainstay of what we do, and two of the most common questions I get are about how to improve the predictability and durability of bonded procedures. The first thing I think about when asked this question is going back to the basics to see where we can maximize bond strengths and success.

Managing Discolored Dentin

Managing Discolored Dentin

Heraeus 360 Newsletter, July 2011
by Lee Ann Brady DMD

One of the challenges of completing esthetic dental procedures is managing discolored preparations. I restore teeth on a daily basis that were at one time restored with amalgam, and have that classic greyish black color to the dentin. In addition managing the variety of dark brown colors that come with secondary dentin is an equal challenge. Most of our esthetic restorative materials, like composite and porcelain tend to be translucent.

Dr. Brady's Top Clinical Tips

Dr. Brady’s Top Clinical Tips

Heraeus 360 Newsletter, June 2011
by Lee Ann Brady DMD

I have the good fortune to interact with dentists from around the world. We discuss the practice of dentistry, share experiences, and trade little tips that we can take back to our practices. Some of these “tips” made such a difference in what I do, they have stayed with me, and I love to share them with others. Here are five of my favorites.

Polymerization Shrinkage

Polymerization Shrinkage

Heraeus 360 Newsletter, May 2011
by Lee Ann Brady DMD

There are a few classic concerns I have when adhesively placing a composite restoration. For the first few days and weeks after the patient is in I hope not to see their name on the schedule because they are having sensitivity. When patients are in the office for their hygiene visits I worry about seeing discolored margins, gaps at the restoration margin, recurrent decay or fracture of the remaining tooth.

Cerec & Paradigm

Cerec & Paradigm

Oral Health Journal, Mar 2011
by Lee Ann Brady DMD

In the last six months I have only used a matrix band one time, and I am enjoying class two and class three restorations more then ever, thanks to my CEREC machine and Paradigm composite blocks. I like to joke and tell people that CEREC and I are the same age in dentistry, because the technology was brought to the US market the year I began practice …

Exquisite Provisionals: A Pattern for Success

Exquisite Provisionals: A Pattern for Success

Private Dentistry, April 2007
by Lee Ann Brady, DMD

Exquisite provisionals are a key to predictable, beautiful, long lasting clinical results. Is there anything in dentistry more psychological disconcerting and unproductive than redoing your own clinical failures? For me the answer is a definitive “No”, and as I began searching for the answer to reduce failure and frustration in my practice, I kept coming back to provisionals. Now, let’s be clear about one distinction, this is not an article about “temporaries” …

Shade Communication

Shade Communication

Dental Practice Report, Aug 2006
by Lee Ann Brady DMD

The dental laboratory needs many important pieces of information in order to produce exquisite esthetic results. One of the most frustrating moments in a dental practiced is trying in a restoration and realizing it doesn’t match. One part of my laboratory communication is the shade.

Creating Great Patient Relationships

Creating Great Patient Relationships

Women Den­tist Journal, Jan 2009
by Lee Ann Brady DMD

When I reflect on my perspective on patient relationships it has been a long journey with many course changes over the twenty years I have been in practice. I have always valued my patients, but sometimes for many different reasons and in a variety of ways.

You Only Treat What You See

You Only Treat What You See

AAWD Chronicle, August 2006
by Lee Ann Brady DMD

As a woman and a mother I am very well acquainted with preventive medicine. Prevention requires three vital components. They are patient education, comprehensive examination, and active monitoring. The medical profession has done a phenomenal job incorporating this concept into our lives. We are all part of this process as it relates to breast cancer, pre- term birth and low birth-weight babies, and well child care. I have watched over the last 2 decades as dentistry has incorporated these same concepts into our profession …

Using In Office Bleaching as an Adjunct To Restorative Care

Using In Office Bleaching as an Adjunct To Restorative Care

Hereaus 360 Newsletter, April 2011
by Lee Ann Brady, DMD

Recently following a presentation I gave on Esthetic preparation design a new graduate approached me with a question. “Isn’t there a material that will let me prep conservatively and still get the esthetic results I want? I hate cutting off all that tooth structure?” I knew he was hoping to hear about some great new restorative material. I had an answer he wasn’t expecting, “Absolutely, 38% Hydrogen Peroxide”.

Seeing in 3D

Seeing in 3D

Journal of Dental Technology, Oct. 2005
by Lee Ann Brady DMD

The adaptation of traditional CT (computed tomography) scanning by modern 3-D cone beam technology has transformed the use of advanced diagnostic imagery in dentistry from the extraordinary to the ordinary. Historically only a small percentage of patients received the advantages of this type of imaging prior to having dentistry completed to restore their mouths to optimal health, function and beauty.

Know Thy Patient

Know Thy Patient

Dental Practice Report, Jan 2006
by Lee Ann Brady DMD

The first decade of my career often found me commiserating with fellow dentists about how frustrating patients could be. We wanted to do comprehensive cases on patients who understood the importance of comprehensive oral health care and appreciated what we did for them. Where were these patients?.

Seeing is Believing

Seeing is Believing

Women Dentist Journal, Sept 2006
by Lee Ann Brady DMD

Dentistry is an exacting combination of art and science that is often performed under extreme environmental conditions. As we battle the cheeks, tongue, and tired mandible and work under water we do have technology on our side. Magnification and illumination are available to help us obtain accurate visual information. Having the ability to see, in detail, is a key ingredient in providing optimal dental care for our patients and reducing the physical side effects of years of leaning over a dental chair …

Dental Implants

Dental Implants

Women Dentist Journal, April 2006
by Lee Ann Brady, DMD

Not many years ago, dental implants were new, fascinating, and experimental procedures that could re- store patients to a higher level of function. Times are changing. It is becoming increasingly common in my practice for patients to already be familiar with dental implants. They ask me to help them understand what role implants might play in replacing missing teeth or allowing them to transition away from removable prosthetics.