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Clinical Tips

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This page is dedicated to share clinical tips which apply in general and specialist practice within the field of Restorative Dentistry

 

If you have a clinical tip that you’d like to share on this website for everyone to benefit, please send us a video of your clinical tip and a brief paragraph of what your clinical tip is.

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

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

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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.

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.

  • Image by Michael Browning

    Examination and Treatment Planning 

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    Occlusion and TSL

  • Image by Rudi Fargo

    Periodontics

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    Endodontics

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    Indirect Restorations 

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    Composite 

  • Image by Quang Tri NGUYEN

    Removable Dentures

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    Technology

  • Image by Peter Kasprzyk

    Dental Implants

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