top of page

Clinical Tips

Subscribe to Get Notified When a New Clinical Tip Gets Posted

Thanks for submitting!

THIS PAGE AND ITS SUBSECTIONS WILL TAKE TIME TO DEVELOP

PLEASE BEAR WITH US

After all, Rome was not built in a day! 

Clinical tip 17:

Patient Information Leaflet and Consent Form for Tooth Extraction

We are delighted to provide you with PIL and consent form for extractions, as detailed in the enclosed consent form.

At ACE, our guiding principle is to contribute valuable resources to the dental community for use in their clinical practices. Please feel free to download the attachment and amend or use it as applicable.

We extend our sincere appreciation to our diploma delegates for their invaluable assistance in compiling this material.

It is important to note that this document should be tailored to your specific clinical context, and we disclaim any responsibility for its contents or how it is utilised and distributed. The document is provided in Word format to allow for the inclusion of your practice logos.

What-to-Eat-after-Tooth-Extraction.jpg

Clinical tip 16:

Patient Information Leaflet and Consent Form for Teeth Whitening

We are delighted to provide you with PIL and consent form for teeth whitening, as detailed in the enclosed consent form.

At ACE, our guiding principle is to contribute valuable resources to the dental community for use in their clinical practices. Please feel free to download the attachment and have the reception team sign the form during the registration of new patients.

We extend our sincere appreciation to our diploma delegates for their invaluable assistance in compiling this material.

It is important to note that this document should be tailored to your specific clinical context, and we disclaim any responsibility for its contents or how it is utilised and distributed. The document is provided in Word format to allow for the inclusion of your practice logos.

teeth-whitening3-scaled_edited.jpg

Clinical tip 14:

Fillings - Template Letter for patients

We are pleased to attach TWO consent forms for your use:

  1. One for composite filling, and

  2. A second one for Amalgam fillings  

Feel free to download and incorporate this template when writing to patients, both as an information leaflet and consent form. The letters are similar to each other, customised for the respective materials.

A big thank you to many of our diploma delegates for their help in putting this together

This letter must be customised  to your clinical situation and we bear no responsibility for the contents or how it will be used and disseminated. It has been created as a word document to allow you to add your practice logos.

ALI GOWIE

Clinical tip 15:

Consent Form for Images: Photos and Videos

We are delighted to provide you with consent forms for the purpose of capturing photos and videos for secondary applications, as detailed in the enclosed consent form.

At ACE, our guiding principle is to contribute valuable resources to the dental community for use in their clinical practices. Please feel free to download the attachment and have the reception team sign the form during the registration of new patients.

We extend our sincere appreciation to our diploma delegates for their invaluable assistance in compiling this material. A special thank you goes to Mr. Adrian Dray for his contributions, insights, and adjustments to ensure GDPR compliance.

It is important to note that this letter should be tailored to your specific clinical context, and we disclaim any responsibility for its contents or how it is utilised and distributed. The document is provided in Word format to allow for the inclusion of your practice logos.

IMG_7230.HEIC

Clinical tip 13:

Restorability Assessment - Template Letter for patients

An *Investigation* appointment is often required to remove the existing restoration (filling or crown) before making a definitive treatment plan for the tooth in question.  

Feel free to download and incorporate this template when writing to patients, both as an information leaflet and consent form.

A big thank you to Drs. Avni Samani and Amish Jethwa for their help in putting this together

This letter must be customised  to your clinical situation and we bear no responsibility for the contents or how it will be used and disseminated. It has been created as a word document to allow you to add your practice logos.

CLINICAL TIP

Clinical tip 12:

Gingival Enlargement - Template Letter to GP

Feel free to download and incorporate this template when writing to GPs requesting a change in medication from calcium channel blocker to Non calcium channel blocker

CLINICAL TIP

Clinical tip 11:

Bonding to Enamel and Dentine

a 6-part instagram post by Dr Kushal Gadhia

Clinical tip 10:

Consent form for Resin Bonded Bridges

Please find attached a document you may find useful. Please amend and use as clinically applicable to your case.

Clinical tip 9:

Dr Megna Shah, a foundation dentist and part of the ACE FD committee, discusses and demonstrates how to create floss ties

MEGNA SHAH

Clinical tip 8:

Dr Sorabh Patel shares his clinical tip on managing deep sub gingival caries Click on the slideshow to view the sequence and read the caption under each image

SORABH PATEL

Every now and again in dentistry we come across a few tricky cavities and there is nothing more challenging than those pesky deep sub gingival class II’s. 

Rubber dam, tissue retracting clamps, floss ties and matrix adaption will all become essential parts of your armamentarium. 

Matrix Adaptation
Take your humble omni-matrix system and adapt it into a precision tool to help you achieve a perfect sub gingival seal. 

Say you have a deep sub gingival cavity distal of a 6. 
you’ve clamped the 7 and isolated 7,6,5,4,3 to give you a great field of view and optimal isolation. 

You’ll need to cut the band on the opposite side to the cavity (mesially in this case) this is because it will allow the band to slide lower down the tooth as the mesial part of the band is no longer stopping the distal aspect going deeper 

Clinical tip 7:

Dr Jose M Rodriguez shares a clinical tip on taking good primary and secondary impressions Click on the slideshow to view the sequence

JOSE RODRIGUEZ

Here is a case for C/C dentures. As you can see, the bone resorption on the ridges is quite severe, especially on the lower. To make a set of dentures that will fit well, your secondary impressions in particular have to be very accurate.

Primary imps: Make sure you take good primary impressions, otherwise you’ll have to spend ages modifying your special trays. I use compound with an alginate wash on top.

Secondary imps:

  • Take your time to take secondary impressions. In severe cases like this, I sometimes take a primary, get a tray, take a secondary, get a tray, and take a tertiary impression so I can really refine the periphery. Dentures in these sorts of patients stay in with a 50:50 combination of good border moulding that offers a peripheral seal, and prayer. 

  • I advise using green stick to really customise your tray. 

  • My go-to impression material for secondaries is zinc oxide eugenol. It’s lovely, it’s accurate, and the best part is that you can add to it. So if you fail to capture an area, or have a bubble, you just mix some more, add it to the top of the previous material, and it will stick.

Clinical tip 6:

Dr Jose M Rodriguez shares his clinical tips on managing flabby ridges Click on the slideshow to view the sequence

JOSE RODRIGUEZ

To tackle flabby ridges, I take a 2 part impression with the window technique

  • First, I apply green stick and ensure I have boulder moulding everywhere.

  • I then take a muco-compressive impression in the non-flabby areas with compound

  • With the second tray, I use zinc oxide eugenol and sit it on top of the window to record the flabby ridge

  • You end up with another very pretty picture with an impression in two different materials

Clinical tip 5:

Etching the enamel required 37% orthophosphoric acid

This is a tip i learnt from my colleague Dr. Jose Rodriguez, Prosthodontist and Restorative Consultant, on how to improve the effect of the etchant on enamel.

Continuously rubbing the etchant means the concentration of the etch does not decrease

Here we were splinting the teeth in preparation for periodontal regeneration but the same principles can be applied in cavities. 

Clinical tip 4:

Dr Dipesh Kothari shares this great tip which can be used to do a quick smile design for a patient, whilst they wait in the chair.  - Click on the slideshow to view the sequence

DIPESH

The same technique can be used to compare the symmetry between teeth or when fitting a single unit crown/veneer to see if it matches the contra-lateral tooth. The uses are unlimited.

Clinical tip 3:

Dr Jaz Gulati who also runs Protrusive Dental Podcast (check it out) shares his tip on how to manage sub gingival caries - Click on the slideshow to view the sequence

JAZ GULATI

Step 1 - Consent the patient. She needs an indirect - but it is high risk of RCT. Let us restore first directly (also had restored several other carious lesions in this COT)

 

Step 2 - Gingivectomy using a Thermacut bur (no water - max RPM - fast handpiece. Note the lack of bleeding). Without this, you cannot access the caries. The rubber dam has no hope of isolating unless we remove the gingiva.

 

Step 3 - Caries removal

 

Step 4 - Isolation

 

Step 5 - get some sort of a matrix to achieve a cervical seal. Build a 'hip' of composite. Now the situation is easier to manage.

 

Step 6 - Restore the contact (not 100% essential - for me, cervical seal is a priority over a decent contact point for caries stabilisation cases).

Clinical tip 2:

Say NO to rubber dam stamps

Isolating multiple teeth with rubber dam is best served by customising the rubber dam holes using the patients arch form, either directly in the mouth or using a study cast/wax up.

Here is an example where a wax up was used.

We hope you enjoy learning from this short clinical tip from ACE.

ACE ANNUAL  ALUMNI DAY
(2nd March 2024)

2nd March 2024, 0830 - 1730
Includes Catering

We extend a warm invitation to dentists, hygienists, therapists, and all practice team members for our annual ACE Alumni event.

 

This special day is a token of our appreciation for your ongoing support. It has been carefully arranged at cost to ensure it covers only the expenses related to venue hire, catering, and speaker fees.

 

Your continuous support means a great deal to us, and as a gesture of thanks, we would be delighted if you and your teams could join us on this anticipated day.

 

Best regards,

 

Victor, Rahul, and Kushal.

poster 5.jpg

Clinical tip 1:

When replacing a tooth with a crown to be used to support a denture, consider the design of the denture and the crown as this will influence your crown prep

We hope you enjoy learning from this short clinical tip from ACE.

bottom of page