This week we had a patient in the office with a complex treatment planning dilemma. A number of years ago she lost tooth #10 and replaced it with a bridge from the central to the canine. The bridge Read More
Fabricating A Custom Implant Impression Coping
Custom anterior implant provisionals allow us to alter the emergence profile of the abutment from the top of the fixture to the free gingival margin so we can optimize the pink esthetics during tissue Read More
Anterior Implant Provisionals: Yes or No?
If your goal is to create optimal tooth and gingival esthetics, than the answer in my book is YES. Probably one of the most common questions i get is why the lab can't simply go from a fixture level Read More
Full Circle Back to Screw Retained Implant Crowns
Last week at the Seattle Study Club Symposium I was talking with a group of the other presenters and we were all remarking how implant restorations have come full circle back to screw retained. It is Read More
Planning for Future Implants
Often implant reconstruction is approached as an all or nothing proposition. The challenge with this approach is implant dentistry is costly and for many patients their financial constraints result in Read More
Removable Gingival Mask
Every once in awhile we encounter a patient where replacing lost alveolar bone and gingival tissue can not be accomplished with our routine procedures. When confronted with loss of periodontium that Read More
Flap or Flapless Implant Placement?
As a non-surgeon I often listen in confusion to the debate about whether to place implants with or without a flap. One of the biggest reasons that I have heard in support of a flap is the ability to Read More
Opening Vertical And Anterior Guidance
In January of next year the Seattle Study Club Symposium will be in Phoenix. I am excited to be presenting at the meeting for the first time, and my topic is "Implant Reconstruction for the Read More
Plumbers Tape & Screw Access Holes
One of the challenges I run into with implant dentistry is managing the crew access holes. Now we all hope to fill them once and then never have to get to the head of the screw again, but this is Read More