Look at the occlusal surfaces compared to the adjacent teeth plus you have tried the prosthesis in to check the fit prior to cementation. You must not remove the excess cement prior to initial set. Not complete set, just hardened enough to peel or break off, not wipe off.
I couldn't clear your voice doctor you said after tublicid red I should dry not with air but with what ? and I have question the access cement under the pontic how can we remove ? is vaseline alone enough for it's removal and thanks .
Following Tublicid Red, dry the prepped teeth lightly with a 2x2 gauze. Remove excess cement under the pontic with waxed floss with a knot in it (use a floss threader). Place vaseline on the tissue side of the pontic to prevent cement from sticking. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
No, the blanching does not cause ulceration. The patient can floss under the pontic with Superfluous. The pontic/soft tissue contact is firm, but not so tight the patient cannot floss under the pontic, even though the pontic/soft tissue contact is intimate and tight. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Amazing video Dr, thank you so much! Sorry if this is a stupid question but what is the 2 by 2? Is it the hand piece that blows water and air or the suction hand piece? I’m from the UK so we call it something different here
You do not want the edentulous pontic receptor site to collapse. The graft keeps the alveolar crest up coronally, so it does not become like a "sway backed horse." Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
You cement with resin an put on tubulicid red with flouride in it on the tooth before? I actually learnded not putting flouride on teeth before adhesive restoration
Tublicid removes the smear layer without opening the dentinal tubules. Supposedly cleaning the surfaces of the prepped teeth also improves retention of the cement. If you are worried about the small amount of fluoride in Tublicid Red, you could use Tublicid Blue which contains no fluoride.
Thanks to you question, I am going to change to Tublicid Blue today. An excellent, highly regarded dentist in Zurich, Switzerland put me on to the Tublicid Red many years ago and I have not given it any thought since then. I have never had any problems with bond strength of crowns or veneers, but perfect would be the Tublicid Blue. Thanks. We are a community of well intended learners and nobody knows everything. I am always pleased to get a new idea from those watching the DM or DMC.com videos.
Dental Minute with Steven T. Cutbirth, DDS i respect Your way of behavior! I actually really like your videos as they are practical and not only theoretical.
Not true. The clinical crown of the second molar is not as tall as we would like, but that is the hand the patient delt me. You will notice the areas of retention I prepared into the molar preparation. The bicuspid is not over tapered. The taper of the bicuspid and molar must match so the fixed bridge will draw. Cemented with resin cement, this bridge is very stable and should be long lasting. There was not enough vertical bone for an implant and separate crowns on the bicuspid and molar. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
2:58........." most dentists do not fabricate bridges correctly." C'mon man, how about a bit more respect for your fellow dentists? Yes, just like in all professions there is the good, the bad and the ugly, and yes there are some bad dentists and bad dentistry out there. In 27 years, I have seen it. But "most" ?? Some humility would be nice. Just because we may not do it exactly like you do? I for one do not think it is appropriate or necessary to swab rubbing alcohol intraorally; similarly I think Tublicid Red is a waste of time ( never have used it; no problems with post op sensitivity to speak of). I also think globbing vaseline all over the bridge and near the margins will inevitably incorporate some of it ( at times) into the setting cement. I also think removing so much stone in the pontic area model that you literally are unable to seat the bridge initially is way too much contact in that pontic area. We've all seen what that gingiva looks like if/when that bridge dislodges in the future; a raw looking, bloody gingival surface. Despite all of that, I know that just because your techniques are not my techniques, does not mean either one of us is necessarily correct or incorrect. Just different. In summary, I like your technique videos, and have learned a few things, but I've about had it with the sweeping generalizations and sentiments of " if you don't do it my way, you are not a good dentist". Try to show a bit more love for your brothers in arms. Most of us really are good dentists. Thanks.
Dear Dr. RON, of course he does not mean to humiliate most dentists, but I think he mean that most dentists do not use this special (controversial of course) technique! in fact, this scrubbing of pontic area is usually almost universally done by all lab technician to ensure pontic is touching the gums, also they scrap a tiny area of adjacent teeth proximal contacts to assure no open contact areas. If they do not do it then most cases would be sent back to add porcelain to prox contacts and to pontics. Anyway, little blanching is no problem as we all know that gingiva will recontour and adapt within less than 15 min. We all use similar techniques E.g, when you insert an implant abutment which is always wider diameter than the healing abutment and the blanching disappear very soon sometimes even before the pt is even dismissed. Raw fungal red areas below the pontic is normally from improper hygiene and not superflossing. I agree there is no "do it only my way in dentistry or even in any hand skills and perhaps that is the real beauty of dentistry.
I respect your assessment and I understand how you might feel that way. I apologize if I misspoke. I am speaking off the cuff and not reading my narration, so sometimes my choice of words is not perfect. I think the vast majority of dentists are well intended, but in this age of high volume, managed care it seems there is often little thought given to the fine points that make a big difference. I am not saying the bridge will not seat because of the soft tissue contact. I am saying the tissue may take a few seconds to compress. I do not think you are advocating an open area under the bridge pontic or embrasure spaces on the palatal or lingual. The inflamed tissue under some removed bridges is from plaque accumulation from not flossing, not intimate contact. I am not advocating excess vaseline in the inter proximal areas of a bridge, just enough to keep the cement from sticking there. The vaseline should not get into the inner part of the retainers. I am glad the small points are important to you.
Ron and TubesWidener- I really enjoy the exchange and agree with both of you. What I am trying to do is show one good way of doing the procedures, realizing there may be other ways that are also effective. When I watch the DM and DMC.com videos following my narrations, I sometimes wish I had chosen other words or, occasionally, use the wrong word, such as saying "bone supply" when I meant to say "blood supply" in a recent grafting video. I love our profession and do not mean to be critical of others. "Man living in glass house should not throw rocks!" I certainly have results that are not ideal. Hopefully the results are always very good, but occasionally very good may be all we can achieve in a complicated situation. I do not hold myself out to know it all. I have a very good educational background, had/have some excellent mentors and have been teaching/publishing for over 35 years. It is emotionally difficult to put your work and procedures out there for all the world to see (With the Internet I mean "all the world" literally.). Someone will probably have an issue with various things and sometimes something I am presenting should be changed to make the procedure better, even if it is currently good. I appreciate the constructive feedback. Working together, we can all get better, provide better dental results and service and enjoy going to work every day.
@@centerforard I accept your apology, and I know malice was not intended. I guess my main issue is that this being a very public forum, there is a responsibility to "do no harm" to the profession, it's members, and just as important, the public's perception of the profession. Truth is, many's the time I also have the 'nobody can do it like me mentality"; I think confidence and appreciation of one's own skills and knowledge is a wonderful thing, but maybe kept more to myself ( and maybe my staff). I watch a lot of dental technique videos, and it just strikes me that the ones I simply enjoy the most are the ones where the presenter just knocks my socks off with his ability, graciously sharing his knowledge and skill without judgement, leaving me inspired and motivated to up my game, if need be. If you're looking to inspire your brothers in arms, that's what we are looking for; encouragement! Thanks for your reply.
@@centerforard thanks again for your honest and open reply. You obviously love the profession, and I felt as such it would be constructive to bring to light a bit of a perception you may not have been aware of, that comes across in some of your videos. ( the opening statement in the facebow transfer video made me cringe a lil). Goodness knows how much courage it takes to put yourself and your clinical cases out there for the world to see, literally; I know i couldn't do that. I will continue to watch, and hopefully continue to learn. May we all get better. Merry Christmas!
Vaseline on the margins looks dangerous. In the video, it looks like you got some smeared on the margin, which would completely interfere with bonding of the cement here.
The smalL in the inter proximal area on the outside of the retainer margins and on the inter proximal contact is not a concern, and a big plus, if applied carefully. Retained excess cement is a major cause of c & b and implant failure
If you do not wipe off the excess cement, how can you see if the prosthesis is seated all the way down?
Look at the occlusal surfaces compared to the adjacent teeth plus you have tried the prosthesis in to check the fit prior to cementation. You must not remove the excess cement prior to initial set. Not complete set, just hardened enough to peel or break off, not wipe off.
@@centerforard thank you Dr. for your explanation.
I couldn't clear your voice doctor you said after tublicid red I should dry not with air but with what ? and I have question the access cement under the pontic how can we remove ? is vaseline alone enough for it's removal and thanks .
Following Tublicid Red, dry the prepped teeth lightly with a 2x2 gauze. Remove excess cement under the pontic with waxed floss with a knot in it (use a floss threader). Place vaseline on the tissue side of the pontic to prevent cement from sticking.
Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month.
Click here to subscribe:
membership.dentistrymasterclasses.com/purchase/?plan=513
Need more Dennis in the world like you
Thank you.
Hello Sir,
Hope you are fine.
Just wanna ask you about the blanching of the tissue.Doesnt the tissue causes ulceration lately?
No, the blanching does not cause ulceration. The patient can floss under the pontic with Superfluous. The pontic/soft tissue contact is firm, but not so tight the patient cannot floss under the pontic, even though the pontic/soft tissue contact is intimate and tight.
Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month.
Click here to subscribe:
membership.dentistrymasterclasses.com/purchase/?plan=513
TQ sir for your reply😇
Amazing video Dr, thank you so much! Sorry if this is a stupid question but what is the 2 by 2? Is it the hand piece that blows water and air or the suction hand piece? I’m from the UK so we call it something different here
The gauze square 2" x 2".
Hi doctor. What was the purpose of removing gingival 1/4th on dental stone model?
It allows the retainers to seat completely. The solid model is only for perfecting the inter proximal contacts.
why graft the site if placing a bridge?
You do not want the edentulous pontic receptor site to collapse. The graft keeps the alveolar crest up coronally, so it does not become like a "sway backed horse."
Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month.
Click here to subscribe:
membership.dentistrymasterclasses.com/purchase/?plan=513
Really informative
Pure clinical
Glad you like the videos. I hope you are subscribed to DentistryMasterClasses.com. Those are all the videos plus many complete comprehensive cases.
You cement with resin an put on tubulicid red with flouride in it on the tooth before? I actually learnded not putting flouride on teeth before adhesive restoration
Tublicid removes the smear layer without opening the dentinal tubules. Supposedly cleaning the surfaces of the prepped teeth also improves retention of the cement. If you are worried about the small amount of fluoride in Tublicid Red, you could use Tublicid Blue which contains no fluoride.
I know i do usw the blue one :D
Thanks to you question, I am going to change to Tublicid Blue today. An excellent, highly regarded dentist in Zurich, Switzerland put me on to the Tublicid Red many years ago and I have not given it any thought since then. I have never had any problems with bond strength of crowns or veneers, but perfect would be the Tublicid Blue. Thanks. We are a community of well intended learners and nobody knows everything. I am always pleased to get a new idea from those watching the DM or DMC.com videos.
Dental Minute with Steven T. Cutbirth, DDS i respect Your way of behavior! I actually really like your videos as they are practical and not only theoretical.
Good.
Dr. my question is what cement to use for PFZ? I saw the cement you used in the video is Rely X. Isn't it GI cement?
3M Unicem crown and bridge cement. I use 3M Rely X luting composite for veneers.
you are a legend
Why thank you!
thank you ,
You are welcome. Check out DentistryMasterClasses.com.
This bridge is not very retentive and will fall. The crown of the second molar is very short. The taper of the second premolar is big !
Not true. The clinical crown of the second molar is not as tall as we would like, but that is the hand the patient delt me. You will notice the areas of retention I prepared into the molar preparation. The bicuspid is not over tapered. The taper of the bicuspid and molar must match so the fixed bridge will draw. Cemented with resin cement, this bridge is very stable and should be long lasting. There was not enough vertical bone for an implant and separate crowns on the bicuspid and molar.
Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month.
Click here to subscribe:
membership.dentistrymasterclasses.com/purchase/?plan=513
2:58........." most dentists do not fabricate bridges correctly." C'mon man, how about a bit more respect for your fellow dentists? Yes, just like in all professions there is the good, the bad and the ugly, and yes there are some bad dentists and bad dentistry out there. In 27 years, I have seen it. But "most" ?? Some humility would be nice. Just because we may not do it exactly like you do? I for one do not think it is appropriate or necessary to swab rubbing alcohol intraorally; similarly I think Tublicid Red is a waste of time ( never have used it; no problems with post op sensitivity to speak of). I also think globbing vaseline all over the bridge and near the margins will inevitably incorporate some of it ( at times) into the setting cement. I also think removing so much stone in the pontic area model that you literally are unable to seat the bridge initially is way too much contact in that pontic area. We've all seen what that gingiva looks like if/when that bridge dislodges in the future; a raw looking, bloody gingival surface. Despite all of that, I know that just because your techniques are not my techniques, does not mean either one of us is necessarily correct or incorrect. Just different. In summary, I like your technique videos, and have learned a few things, but I've about had it with the sweeping generalizations and sentiments of " if you don't do it my way, you are not a good dentist". Try to show a bit more love for your brothers in arms. Most of us really are good dentists. Thanks.
Dear Dr. RON, of course he does not mean to humiliate most dentists, but I think he mean that most dentists do not use this special (controversial of course) technique! in fact, this scrubbing of pontic area is usually almost universally done by all lab technician to ensure pontic is touching the gums, also they scrap a tiny area of adjacent teeth proximal contacts to assure no open contact areas. If they do not do it then most cases would be sent back to add porcelain to prox contacts and to pontics. Anyway, little blanching is no problem as we all know that gingiva will recontour and adapt within less than 15 min. We all use similar techniques E.g, when you insert an implant abutment which is always wider diameter than the healing abutment and the blanching disappear very soon sometimes even before the pt is even dismissed. Raw fungal red areas below the pontic is normally from improper hygiene and not superflossing. I agree there is no "do it only my way in dentistry or even in any hand skills and perhaps that is the real beauty of dentistry.
I respect your assessment and I understand how you might feel that way. I apologize if I misspoke. I am speaking off the cuff and not reading my narration, so sometimes my choice of words is not perfect. I think the vast majority of dentists are well intended, but in this age of high volume, managed care it seems there is often little thought given to the fine points that make a big difference.
I am not saying the bridge will not seat because of the soft tissue contact. I am saying the tissue may take a few seconds to compress. I do not think you are advocating an open area under the bridge pontic or embrasure spaces on the palatal or lingual.
The inflamed tissue under some removed bridges is from plaque accumulation from not flossing, not intimate contact.
I am not advocating excess vaseline in the inter proximal areas of a bridge, just enough to keep the cement from sticking there. The vaseline should not get into the inner part of the retainers.
I am glad the small points are important to you.
Ron and TubesWidener- I really enjoy the exchange and agree with both of you. What I am trying to do is show one good way of doing the procedures, realizing there may be other ways that are also effective. When I watch the DM and DMC.com videos following my narrations, I sometimes wish I had chosen other words or, occasionally, use the wrong word, such as saying "bone supply" when I meant to say "blood supply" in a recent grafting video.
I love our profession and do not mean to be critical of others. "Man living in glass house should not throw rocks!" I certainly have results that are not ideal. Hopefully the results are always very good, but occasionally very good may be all we can achieve in a complicated situation. I do not hold myself out to know it all. I have a very good educational background, had/have some excellent mentors and have been teaching/publishing for over 35 years. It is emotionally difficult to put your work and procedures out there for all the world to see (With the Internet I mean "all the world" literally.). Someone will probably have an issue with various things and sometimes something I am presenting should be changed to make the procedure better, even if it is currently good. I appreciate the constructive feedback. Working together, we can all get better, provide better dental results and service and enjoy going to work every day.
@@centerforard I accept your apology, and I know malice was not intended. I guess my main issue is that this being a very public forum, there is a responsibility to "do no harm" to the profession, it's members, and just as important, the public's perception of the profession. Truth is, many's the time I also have the 'nobody can do it like me mentality"; I think confidence and appreciation of one's own skills and knowledge is a wonderful thing, but maybe kept more to myself ( and maybe my staff). I watch a lot of dental technique videos, and it just strikes me that the ones I simply enjoy the most are the ones where the presenter just knocks my socks off with his ability, graciously sharing his knowledge and skill without judgement, leaving me inspired and motivated to up my game, if need be. If you're looking to inspire your brothers in arms, that's what we are looking for; encouragement! Thanks for your reply.
@@centerforard thanks again for your honest and open reply. You obviously love the profession, and I felt as such it would be constructive to bring to light a bit of a perception you may not have been aware of, that comes across in some of your videos. ( the opening statement in the facebow transfer video made me cringe a lil). Goodness knows how much courage it takes to put yourself and your clinical cases out there for the world to see, literally; I know i couldn't do that. I will continue to watch, and hopefully continue to learn. May we all get better. Merry Christmas!
Vaseline on the margins looks dangerous. In the video, it looks like you got some smeared on the margin, which would completely interfere with bonding of the cement here.
The smalL in the inter proximal area on the outside of the retainer margins and on the inter proximal contact is not a concern, and a big plus, if applied carefully. Retained excess cement is a major cause of c & b and implant failure
I need boy friend
I'm sure you will not have any problem getting a boyfriend. Be smart and nice.