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Showing posts from June, 2021

Tried a new extraction technique

 After seeing Tom Giblin's example of sectioning the premolar during a difficult extraction I decided to try the same today. He sectioned the tooth when the crown fractured off to avoid fracturing the buccal plate as he was grafting the site for a future potential implant. Today I had a carious upper premolar that fractured when I put forceps on it. The patient was elderly and the arch was slightly crowded so the premolar was lingually placed. What this meant was that althought I could fit forceps on the tooth, the force to the buccal was hindered as it pushed against the adjacent teeth. In hindsight I would've just gone straight to cutting the interproximal contacts to give space for the tooth to move into and avoid pressure on the adjacent teeth. Instead, the crown fractured off. In hindsight this is a benefit as it removes the interference of the adjacent teeth and allows an elevator to fit 360 degrees around the tooth. In my eagerness to try the new technique I went straigh...

Phase 2 of a rehabilitation in fixed pros

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Been pretty slack lately in making posts instead just jotting some notes onto a draft post and leaving it for later. I have just over 100 posts I have to sort through and write up so will try to find some time to do this. This post was from over a year ago from the full mouth rehab course. It will be good to look back and refresh myself on what I learned back then as well as have the opportunity to add on knowledge that I have picked up since then. It turns out I already posted a lot of the information on this post as it was from a draft where I had dumped notes from the whole course but I thought I Would repost it with some additional information I have picked up since then. The second stage of a fixed pros rehabilitation involves the refinement of preps and the records taken to guide the technician towards the construction of the restorations. It can be useful to think of the appointment this way i.e in terms of a set of objectives rather than a list of procedures. An overall guide o...