In this episode with Dr. Carlos Sanchez, we're going to take a look at the concept of additive equilibration as a way of managing tooth wear. In other words, it's an occlusion-based technique that involves adding composite or ceramic to achieve the ideal restorative results and we're going to try to help you understand what that is. There are also some themes that are discussed in the same way as the Dahl technique.
https://youtu.be/TZ5FKkiscco
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Need to Read it? Check out the Full Episode Transcript below!
Protrusive dental Pearl: Keeping PTFE tape secure - a straightforward trick I found to keep the PTFE so it doesn't get sucked away is to floss the PTFE through more distal contacts. It gives the PTFE some security and resistance to being sucked away. So it's not going to make that horrible sound and you get to keep that PTFE in the stable place!
If you want to improve your skills and your understanding of occlusion, I've set up a free monthly resource for you starting this August! Just head to www.occlusion.wtf to sign up for monthly occlusion goodness.
Highlights of this episode:
2:40 Protrusive Dental Pearl - Keeping PTFE tape secure 9: 43 Fundamentals of Additive Equilibration37:28 Journey of Additive Equilibration44:22 Additive Equilibration workflow in generalized wear cases1:00:37 Restoring lateral and central incisors for aesthetic reasons (after canines)1:06:36 Anterior coupling in class two increased overjet cases
Check out CaSi 3C Instrument and all the other instruments that Dr. Carlos has made. Distributed by CosmeDent and Enlighten Smiles in the UK
Another instrument you need to check out on Dr. Carlos’ website is this Vacu-Grip. This little plastic insert that fits in your suction would hold your crown like an extra gravity.
Check this Easy Peasy technique that Dr. Jaz mentioned: The ESIPC Jig
ESIPC-JigDownload
If you liked this episode, you will also enjoy Basics of Occlusion
Click below for full episode transcript:
Opening Snippet: Hello, Protruserati, I'm Jaz Gulati and welcome back to your favorite place to grow as a dentist. In this episode, we're discussing ADDITIVE EQUILIBRATIONS for managing tooth wear.
Jaz's IntroductionSo, this is an occlusion based one. Dental students and young dentists, it's a lot of things that we discussed that might stretch your mind a little bit. So, if you're new to the world of occlusion, you might have to listen to it a couple of times, you have to hit the books, you have to speak some mentors. It's okay to listen to something that might be a little bit beyond your depth at this stage. Certainly, when I was learning occlusion, I had a lot of that. And I slowly, slowly, slowly, you know, gained more knowledge, spoke to more mentors, gain new perspectives.
So, just because we cover some themes that you might not understand in this episode, doesn't mean you shouldn't give it your best shot. Now on that note, if you are looking for some basic, but powerful, impactful, actionable, and practical occlusion tips, then I've set up a free monthly resource right to your inbox. Starting from August, it's worthwhile just joining now, if you head to www.occlusion.wtf, that's right. It's www.occlusion.wtf. Listen, I'm on a mission to demystify occlusion. So, with this very practical gem that I'll send you every month, I'm hoping to go a long way to help our peers. So do check it out, sign up, and I look forward to sending you some occlusion goodness.
In this episode with Dr. Carlos Sanchez, from North Carolina USA, we discuss treating the worn dentition with something called the ADDITIVE EQUILIBRATION TECHNIQUE. So people think a equilibration is usually when you get to a bur and start drilling teeth away. Well, this is additive equilibration, we are creating the "ideal occlusion" or "ideal occluding" scheme by adding for example composite or ceramic or whatever it might be to get to our ideal...
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