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Don't Let Fractures Ruin Your Day: Six Guidelines to Minimize Porcelain Fractures
by John NostiPorcelain fracture can be one of the most disheartening events to happen in a dental office. We have all experienced recurrent decay on a restoration that we placed, or possibly reinfection of a root canal that we performed, but no event seems to sink the mood of a practice as a...  Read More
Dr. John Nosti: How Occlusion Affected Me
by Dr. John NostiI remember that feeling of my first day in private practice. Exciting for the freedom of not being in the educational environment any longer, while also having the feeling of anxiety for not having that “educational shoulder” to lean on. I felt that I had a great...  Read More
Occlusion or Delusion: Use Caution With Symptomatic Pain
By Dr. Lee Ann Brady In the detective process of determining the best treatment for a patient who has or is currently experiencing pain, it's best to eliminate impossibilities from the investigation. Are the Patient’s Joints Healthy or Breaking Down? You've sat down with your patient...  Read More
Questions to Ask When Ceramic De-bonds
By Dr. Lee Ann Brady In dental practice there are situations that we find so disconcerting that it becomes difficult to approach them rationally and scientifically to find a resolution. One of these is when a ceramic restoration de-bonds. Usually when this happens I become frustrated and...  Read More
Why You Should be Working with Patients on Appliance Therapy: Part One
by Dr. Lee Ann Brady Appliance therapy is the ultimate case acceptance tool you should be utilizing in your office. The benefits of this approach can be seen in many different patients, from TMD and restorative to orthodontic patients with muscle-based orjoint-based pain. Increasing patient...  Read More
Setting Up The Occlusion: Ceramic Porcelain Fracture Guidelines #1
by Dr. John Nosti Dentists can become (reasonably) wary of the following restoration nightmare, a patient presenting with a ceramic porcelain fracture. This problemis one of the most disheartening that can happen in a dental office and because of this, many doctors will become so fearful of the...  Read More
Dentures without the Guesswork
by Dr. John NostiDentures can have many difficulties for dentists, who might find the process involves too much frustration and guesswork. In order to improve the experience in all aspects of the treatment planning process, I have put together a simple step by step guide that will help you...  Read More
#SmileStories: Creating a Functional Cosmetic Treatment Plan
By Dr. John Nosti - #smilestories23 year old female presented with erosion on the maxillary anteriors. This led to loss of anterior guidance, centric occlusion not coinciding with maximum intercuspation, resultant wear on the posterior segments, and over eruption of the anterior segment to keep...  Read More
Phasing Treatment to Meet Patient’s Goals - #smilestories
By Dr. John NostiAs clinicians we are obligated to diagnose and present clinical findings to our patients that address decay, disease, degeneration; pathology of all kinds. It’s our job to present a path of treatment and therapy to prevent, cure or treat the issues that we encounter. However,...  Read More
Eliminating Sensitivity with Indirect Restorations
By Jason Olitsky, DMD, AAACDNothing can kill your patient’s confidence and satisfaction faster and more completely than post-op restorative sensitivity. Materials continue to evolve through extensive research and product development, undoubtedly generations of bonding systems will continue to...  Read More
Occlusal Finishing: Two Paper Technique
By Dr. Mike SmithChasing dots on teeth to finish occlusion is supremely frustrating. What do the dots mean? What are they telling me? This technique finally made finishing occlusion more predictable. This technique works on all opposing materials: ceramic to tooth, gold to ceramic or enamel to...  Read More
Dreaded Reverse Smile Line: Second Violation of Smile Design
by Dr. Jason OlitskyWhen evaluating the esthetic principles inherent to successful smiledesign, there are 7 violations that are common and undermine the successof the finished cosmetic case. Here’s one of my top clinical tips formaximizing the outcome of your esthetic cases by instituting a...  Read More
Vertical Dimension & Appliance Therapy
Many times I get asked if there is a connection between the verticaldimension of an occlusal appliance and it’s effectiveness. The answer is“yes” and “no”. There is scientific evidence that supports that theactivity of the elevator muscles decreases as we open the...  Read More
6 Guidelines to Avoid Post-Cementation Fracture
by Dr. John NostiPorcelain fracture happens. It's one of the most disheartening experiences in restorative practice and I've had my fair share. With experience and education, I created the following is a set of guidelines I put together after performing "cosmetic rehabilitations" and placing all...  Read More
Envelope of Function Issue? How to decide...
by Dr. Lee Ann Brady I believe in working with the provisionals on a patient Ibelieve has a restricted envelope of function, particularly when patient mentions that hereported waking with a headache the first few mornings after we placedthe provisionals. I believe he needs more freedom in the...  Read More

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