The New Patient Exam

The New Patient Exam

Patient entered our practice for regular hygiene care. We completed our five part new patient exam (Getting acquainted, Digital Records, Clinical examination, Functional analysis, Treatment sequence). Getting Acquainted: Her history consists of very little dental...
Fractured Porcelain Crown

Fractured Porcelain Crown

The patient presents with a fractured distal lingual cusp of his porcelain crown on #19. There was also a 6mm pocket on the mesial lingual of #19. All other tissues were healthy and probed within normal limits. We now need to ask, “why did the crown fracture and is...
The Recall Exam

The Recall Exam

We monitor our patient’s occlusion with a force scan(s) in the hygiene recall appointment. This patient was equilibated in the past (note crown #2) because of a previous centric interference. Scan checks during recall exams are used to monitor and maintain occlusal...
Diagnosing Non-Carious Lesions

Diagnosing Non-Carious Lesions

This patient has numerous abfractions, all different and unique. The patient does have sleep apnea, but has never complained of acid reflux. He also has not been diagnosed with GERD. I would argue that this occlusion is healthy, and functions very well. The problem is...
Single Tooth Recession

Single Tooth Recession

On the left side, teeth #11 and #12 have a notched abfraction and strong recession. The right side shows recession on #3, #4, #5, and #30. This is a maxilla to mandible skeletal asymmetry case that has had a lifetime of sinus issues. The upper arch is the shape of a...