Dentaltown December 2021 - 27

houwers
The posterior teeth seem to be in pretty good shape. The expensive way to treat this case is to
do this the Frank Spear way and orthodontically intrude max/mand incisors to create restorative
space, then restore with composite or porcelain depending on patient's fi nances. Another possible
approach would be to do composite buildups on the incisors and utilize the Dahl concept
to allow for posterior eruption to close the posterior open bite over 6-9 months. Under this
approach, the patient should be informed of change of chewing function and the possibility that
ortho may be needed anyway.
I have done the Dahl approach a few times, but not in a dual-arch buildup situation as we
have here. So not sure how it would work here. The situation I have done it on probably fi ve
times is limited fi nances, and severe acidic erosion (often bulimia) on maxillary palatal surfaces.
Build up the teeth until they look the right length and thickness. Make the occlusion even on
your restored surfaces. Wait 6-9 months and, voila, posterior teeth are now in even contact.
With my relatively limited experience, I have not seen uneven eruption; I guess that's a theoretical
possibility, but in practice it does not seem to happen. I guess if it did happen, you could
resolve it by occlusal adjustment and/or restorative to create an even curve of Spee/Wilson. ■
6/23/2021
Yar
Looking at the lip at rest to incisal edge, the patient can look better with longer anteriors,
so adding composite is a good choice. In a case where one arch is overerupted in the posterior,
usually the upper when lower molars are lost, they can be intruded with ortho or leveled with the
drill before restoring the missing areas (implants or whatever). I haven't seen odd eruption races
but it could happen-but usually this bite revision gives
the chance for the practitioner to improve some issues
that are off, if desired. ■
6/23/2021
Anybody have any tips on
injection-molding composite
using a stent? What are your
go-to brands and tricks? ■
I currently have a case like
saravs
Member Since: 07/31/04
Post: 8 of 30
6/23/2021
BadgerDog
Member Since: 08/04/12
Post: 10 of 30
yours in the works. I am also
planning to restore with injection
molded composite off a wax-up and PVS matrix.
I'm heading out of town for the weekend, but marking
for later response and will tell you what I'm planning
to do. ■
6/24/2021
I do them separately because
dkdocterry
Member Since: 09/17/07
Post: 13 of 30
I feel I get better bonding,
because I can control everything
and I am not sure how well-isolated you can get everything
using a stent. I just always did/do them separately
because I have control of each step. Sort of a control freak!
(Guess that would be most dentists. Sorry if I insulted
anyone.) ■
6/25/2021
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Dentaltown December 2021

Table of Contents for the Digital Edition of Dentaltown December 2021

Howard Speaks: Making a Different Kind of 5-Year Plan
Professional Courtesy: The PPO Pay Cut
Continuing Education Update
Poll: Clinical Technology
Message Board: Trying to Push Myself and Pushed Myself Too Far.
Message Board: Worn Dentition, Composite Rehab
Office Visit: Dr. Ross Oberschlake
Let's Get Digital — Dr. Robin Henderson
Seeing Is Believing — Dr. Kristen Andrews
Ad Index
The Rules of the Game — Jay Geier
2021 Dentaltown Townie Choice Awards
Dentaltown December 2021 - 1
Dentaltown December 2021 - Cover1
Dentaltown December 2021 - Cover2
Dentaltown December 2021 - 1
Dentaltown December 2021 - 2
Dentaltown December 2021 - 3
Dentaltown December 2021 - 4
Dentaltown December 2021 - 5
Dentaltown December 2021 - 6
Dentaltown December 2021 - 7
Dentaltown December 2021 - 8
Dentaltown December 2021 - 9
Dentaltown December 2021 - Howard Speaks: Making a Different Kind of 5-Year Plan
Dentaltown December 2021 - 11
Dentaltown December 2021 - Professional Courtesy: The PPO Pay Cut
Dentaltown December 2021 - 13
Dentaltown December 2021 - Continuing Education Update
Dentaltown December 2021 - 15
Dentaltown December 2021 - Poll: Clinical Technology
Dentaltown December 2021 - 17
Dentaltown December 2021 - 18
Dentaltown December 2021 - 19
Dentaltown December 2021 - Message Board: Trying to Push Myself and Pushed Myself Too Far.
Dentaltown December 2021 - 21
Dentaltown December 2021 - 22
Dentaltown December 2021 - 23
Dentaltown December 2021 - 24
Dentaltown December 2021 - 25
Dentaltown December 2021 - Message Board: Worn Dentition, Composite Rehab
Dentaltown December 2021 - 27
Dentaltown December 2021 - 28
Dentaltown December 2021 - 29
Dentaltown December 2021 - Office Visit: Dr. Ross Oberschlake
Dentaltown December 2021 - 31
Dentaltown December 2021 - 32
Dentaltown December 2021 - 33
Dentaltown December 2021 - 34
Dentaltown December 2021 - 35
Dentaltown December 2021 - 36
Dentaltown December 2021 - 37
Dentaltown December 2021 - 38
Dentaltown December 2021 - 39
Dentaltown December 2021 - 40
Dentaltown December 2021 - 41
Dentaltown December 2021 - 42
Dentaltown December 2021 - 43
Dentaltown December 2021 - Let's Get Digital — Dr. Robin Henderson
Dentaltown December 2021 - 45
Dentaltown December 2021 - 46
Dentaltown December 2021 - 47
Dentaltown December 2021 - 48
Dentaltown December 2021 - 49
Dentaltown December 2021 - 50
Dentaltown December 2021 - 51
Dentaltown December 2021 - Seeing Is Believing — Dr. Kristen Andrews
Dentaltown December 2021 - 53
Dentaltown December 2021 - 54
Dentaltown December 2021 - 55
Dentaltown December 2021 - 56
Dentaltown December 2021 - Ad Index
Dentaltown December 2021 - The Rules of the Game — Jay Geier
Dentaltown December 2021 - 59
Dentaltown December 2021 - 60
Dentaltown December 2021 - 61
Dentaltown December 2021 - 62
Dentaltown December 2021 - 63
Dentaltown December 2021 - 2021 Dentaltown Townie Choice Awards
Dentaltown December 2021 - 65
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Dentaltown December 2021 - Cover3
Dentaltown December 2021 - Cover4
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