Restoring Tooth Wear

Dental wear is the loss of hard tooth structure, from any etiology, other than caries or trauma. Usually it arises from erosion, abrasion, abfraction, or attrition. Although tooth wear is a normal physiological process, its aggressive progression can have a lot of consequences: Loss of vertical dimension, resulting in dento-alveolar compensation Tooth sensitivity Decreased quality…

The Effect of Oral Premed on IANB Efficacy

Successful management of pain is a critical aspect of dentistry. This becomes a great challenge when patients present to clinic with a painful endodontic emergency. Management of acute symptoms of irreversible pulpitis can be difficult to manage especially in the posterior lower quadrants. As IANB success in patients with irreversible pulpitis can be as low as 30%.  The…

How To: Perform An Operculectomy With Lasers

“The gingival flap distal to an erupting molar, an operculum, can cause a lot of havoc.” An operculum can lead either to pain caused by the occlusion of the opposing maxillary molar or by local inflammation/infection (pericoronitis) because of food debris and plaque accumulation between the tooth surface and the gingival flap. The painful and/or inflamed/infected operculum…

How To Treat: Fusion of Maxillary Anterior Teeth// Macrodontia – PART 1

The following presentation is part of three case series on management of macrodontia of fused anterior maxillary incisors. Tune in each week as we discuss each unique scenario. Part 1  Macrodontia of anterior teeth may be an isolated condition or occur as a result of fusion, gemination, or concorcense of teeth. Just to refresh: Fusion of…