Category Archives: Dental Protocols

Cement or Bond Dental Crown

Cement crown

Should you cement or bond your dental crown? Cement vs bond for a dental crown What criteria dictate cement or bond for a dental crown? Cementing a dental crown is easier and as long as there is enough tooth structure to maintain the crown should be the method of retention. If the retention is low […]

Implant Supported Prosthesis Surgery

Wheaton cosmetic dentist Bryan Bauer

Contraindications (Surgical, host, implant, and occlusion) active infection in area of planned implant systemic disease that would contraindicate implant surgery sever skeletal jaw discrepancy Class V or VI Cawood and Howell radiation head or neck in past 12 months sever bruxism or grinding poor oral hygiene pregnancy 10-15 or more cigarettes a day 2g amoxicillin […]

Immediate dental implant placement with extraction

immediate dental implant curved roots acteon piezotome

Immediate dental implant placement Immediate dental implant survival rates about the same as those in mature bone.  No consensus on graft or membrane but primary closure preferred 1 Great article referencing Tarnows Chu and Salama  Dual Zone Technique What is the ideal site for an anterior immediate? Some really want a screw retained crown for […]

Making a custom impression coping

dental implant

Custom impression coping to capture soft tissue emergence profile If doing many units together check steps at bottom. Indirect method of custom impression coping Spyropoulou 2009 Remove custom temp Screw it on lab analog Seat entire assembly in bite reg PVS Remove custom temp Place Impression coping (may need to alter to seat fully) Place […]

(Immediate) Temporize Dental Implant

Wheaton cosmetic dentist Bryan Bauer

Screw retained Immediate implant temporary Fully digital Lab fabricates temporary crown with seating wings and hollow center Temp abutment is seated and temp crown is tried on offer it to check for full seating Once confirmed temp crown is luted to temp abutment intro-orally. Entire screw retained temp is now removed, refined, and polished. Dentistry […]

Immediate Dentin Sealing

Wheaton cosmetic dentist Bryan Bauer

Immediate Dentin Sealing or IDS technique Immediate Dentin Sealing is a technique that allows you to seal the dentin immediate after preparation even though an indirect restoration is not ready. We use the IDS technique immediately after preparing a tooth for a crown. That is before we make our dental impression. It is critical that […]

Dental Post Placement

Wheaton cosmetic dentist Bryan Bauer

When to use a dental post and what kind of dental post to use Dental post placement is much less common today than it was in the past due to our ability to bond to tooth structure. However, the dental post still has it’s place and are IMHO not in use as often as they […]

Cold Sore laser treatment (aphthous ulcer too)

before and after laser treatment of cold sore

Cold Sore laser treatment protocol RAU (recurrent aphthous ulcer) cause – Autoimmune. Chrohns, HIV, Bechets. Citrus fruit, trauma, stress, lack of sleep, immune system reactions, deficiency of b12, iron, or folic acid. Hormonal fluctuations. Sodium Lauryl sulfate Cold sore cause = HSV 1 Energy up to .8-1.2W Un-initiated tip. Notice very little change except in […]

Reline denture

reline

Pick up impression Have patient practice biting until feel masseter flexing.  Have them feel difference of hitting versus clenching. Once can do that have them bite together while feeling masseter so not to clench. Use Lynol by Caulk Any increase in more than 2mm VDO will not be accepted When patient presents with worn denture […]

Cervical lesion surgical treatment

worn away gums

Cervical lesion treatment options of Connective Tissue Graft or Alloderm Etiology of cervical lesions is multi-factorial.   Before After Conditions impacting success Material used Tooth root surface Surgical technique Host conditions such as healing ability, muscle pulls, post op care Surgical treatment options for noncarious cervical lesion (NCCL) Vertically coronally advanced flap (V-CAF) and connective […]