This is true Rod but most of us can cut a different case. I tend to be more aggressive than many I’ve seen on here but I want room for the tech to layer porcelain. My preps look a lot like Ray’s but I’ve seen some that I don’t know how the lab got e.max on them.
The impression is everything. A great lab can take a crap prep and make a beautiful ceramic appliance if they have the impressions. For years of my life I had a horrible times getting even decent margins on some of the crowns I did. These were Swampers who I was lucky to even have in the chair and I did a lot of crown lengthening with the diamond. They simply could not handle the 800 bucks the periodontist charged and pay me. Usually they already had endo and a crown in it.
Then I mastered the H and H and many of these “crown lengthened” cases came out with decent margins and all of the labs I’ve used…mostly world…have produced beautiful crown and bridge and margins with nice occlusion and contacts from the H and H techniques so it does work and works where nothing else does. Thanks, Jeffrey. You made the last few years of my practice much easier. I now radiograph all of my crowns before cementing and after to check fit. Since we got digital, I blow these things up in hygiene and find that though I can feel no margins or have no catches with floss, I have a minute gape. Damned digital should not come with that feature. But I blew up my daughters last week and found to interproximal areas of decay that I caught very small but into the dentin. Sadly I saw nicks from prepping #3 for a crown. This is the notorious green tooth that the Diagnodent would have found had it been available that ended up with endo and a crown. Damn the world has changed in dentistry since 1965. If I can work another year and a half I’ll have 50 years in. I hope to do more than that.
Guy W. Moorman, Jr., D.D.S.
The Swamp
Douglas, GA 31533
912-384-7400
This email message and any attached files are confidential and are intended solely for the use of the addressee(s) named above. This communication may contain material protected by patient rights, work product, or other privileges. If you are not an intended recipient, you have received this communication in error and any review, use, dissemination, forwarding, printing, copying, or other distribution of this email message and any attached files is strictly prohibited. If you have received the confidential message in error, please notify the sender immediately by reply email message and permanently delete the original message.
From: Rod Kurthy [mailto:drrodger@cox.net]
Sent: Saturday, June 29, 2013 12:15 PM
To: drvoller@comcast.net; gmoor@windstream.net
Cc: ACEsthetics@googlegroups.com; mila@worldlabusa.com
Subject: RE: [ACEsthetics] gums like new porcelain!
Sorry Ray, but I have to disagree that ALL the credit goes to the lab. I don’t give a hoot how great a lab tech is, if the dentist does not plan out the case properly in the first place, the lab can only provide a compromised result.
And let’s talk preps – OMG! Dentists who are fastidious, knowledgeable and talented sorta don’t realize that the VAST majority of dentists are not. Just talk to your lab candidly, and you’ll hear the frustration that they have, just hoping that whatever they receive is at least workable.
And let’s talk impressions. Do you realize just how many dentists can’t get a good impression to save their lives? Again, talk candidly with your lab, and you’ll hear it all.
So when someone who is fastidious, knowledgeable and talented puts forth the effort to plan properly, prep properly, impress properly and provide all of the other necessary things, it provides the lab what they need to put out a masterpiece. Believe me, I’ve seen both sides.
So things like this – your very lucky patient owes gratitude to the lab and you, probably equally.
And as I said, dentists who do it right will usually simply assume that most other dentists do it right – and sadly, they’d be wrong.
Rod
Dr. Rod Kurthy
Founder/CEO
Evolve® Dental Technologies, Inc.
Home of KöR® Whitening Deep Bleaching™ System
5 Vanderbilt
Irvine, CA 92618
Email: RKurthy@EvolveDental.com
Office: (866) 763-7753
Intl: +1-949-713-0909
Fax: (949) 713-0919
www.EvolveDental.com
From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of Ray Voller
Sent: Saturday, June 29, 2013 8:48 AM
To: gmoor@windstream.net
Cc: <ACEsthetics@googlegroups.com>; <mila@worldlabusa.com>
Subject: Re: [ACEsthetics] gums like new porcelain!
ALL the credit goes to the lab.
Sent from my iPhone
On Jun 29, 2013, at 7:31 AM, "Guy Moorman" <gmoor@windstream.net> wrote:
Nelson did a great job as did you. I’m not picking on your Ray but when we get a very nice case like this we know the lab made us look good to a degree.
Guy W. Moorman, Jr., D.D.S.
The Swamp
Douglas, GA 31533
912-384-7400
This email message and any attached files are confidential and are intended solely for the use of the addressee(s) named above. This communication may contain material protected by patient rights, work product, or other privileges. If you are not an intended recipient, you have received this communication in error and any review, use, dissemination, forwarding, printing, copying, or other distribution of this email message and any attached files is strictly prohibited. If you have received the confidential message in error, please notify the sender immediately by reply email message and permanently delete the original message.
From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of Ray Voller
Sent: Saturday, June 29, 2013 6:41 AM
To: Guy Moorman
Cc: <ACEsthetics@googlegroups.com>; <mila@worldlabusa.com>
Subject: Re: [ACEsthetics] gums like new porcelain!
Nelson Rego did the case.
Sent from my iPhone
On Jun 29, 2013, at 6:20 AM, "Guy Moorman" <gmoor@windstream.net> wrote:Yes it does and this is your usual beautiful work. You should mention your lab in this. I decided not to post any of mine again unless it was to give praise to the lab because they make me who I am.
I just seated a beautiful four unit case involving an implant at 9 that Ultimate Styles did. I used a custom abutment on the implant. We almost had a disaster when the cement set suddenly on seating the implant and I had to get it off immediately and spend an hour carefully removing the cement from inside the crown and off the abutment. We had seated 8 perfectly, removed cement, and then seated 9 using a different tube of Cement It because I wanted translucent on that implant. One terrifying half hour until I knew it was going down. Seven went down like a charm and then 10 was way too tight. We had tried them in and they all “went down” fine. This is why I think crowns should be seated incrementally. Ten was then too tight and took a great deal of adjustment with a very slow cutting diamond wheel. They will go down when they are loose but against a solidly seated tooth that is rigid they are too tight. They are not fitting absolutely perfectly if seated as one.
Mila, that was the Caves case and I used the reduction coping as I had requested and reduced 24 a micron. It was a beautiful job but either Ultimate Styles if they did it or World. You move them around so I don’t know. Thank whoever did it please. Guy
Guy W. Moorman, Jr., D.D.S.
The Swamp
Douglas, GA 31533
912-384-7400
This email message and any attached files are confidential and are intended solely for the use of the addressee(s) named above. This communication may contain material protected by patient rights, work product, or other privileges. If you are not an intended recipient, you have received this communication in error and any review, use, dissemination, forwarding, printing, copying, or other distribution of this email message and any attached files is strictly prohibited. If you have received the confidential message in error, please notify the sender immediately by reply email message and permanently delete the original message.
From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of Raymond J. Voller, DMD
Sent: Friday, June 28, 2013 10:01 AM
To: ACEsthetics@googlegroups.com
Subject: [ACEsthetics] gums like new porcelain!
This is a case we put in last week replacing a PFM on #7 and veneers / 3/4 wraparounds on 8, 9, and 10. I'm amazed at how much healthier the gingiva is around new restorations! In one week she improved dramatically with the newly bonded restorations! I brought her back today for a photo shoot and some other posterior treatment. GREAT patient too. VERY happy and man, the smiles are all the time! Dentistry really makes patients feel better about themselves! <<...>>
Raymond J. Voller, DMD, MAGD, FADI, FACE
Advisory Board of Directors, Academy of Comprehensive Esthetics (www.Acesthetics.com)
135 North Grant Avenue
Kittanning, PA 16201724-543-4948 (office)
724-543-4950 (home)
724-664-5960 (cell)
--
You received this message because you are subscribed to the Google Groups "ACEsthetics" group.
To unsubscribe from this group and stop receiving emails from it, send an email to acesthetics+unsubscribe@googlegroups.com.
To post to this group, send email to acesthetics@googlegroups.com.
Visit this group at http://groups.google.com/group/acesthetics.
For more options, visit https://groups.google.com/groups/opt_out.
--
You received this message because you are subscribed to the Google Groups "ACEsthetics" group.
To unsubscribe from this group and stop receiving emails from it, send an email to acesthetics+unsubscribe@googlegroups.com.
To post to this group, send email to acesthetics@googlegroups.com.
Visit this group at http://groups.google.com/group/acesthetics.
For more options, visit https://groups.google.com/groups/opt_out.
--
You received this message because you are subscribed to the Google Groups "ACEsthetics" group.
To unsubscribe from this group and stop receiving emails from it, send an email to acesthetics+unsubscribe@googlegroups.com.
To post to this group, send email to acesthetics@googlegroups.com.
Visit this group at http://groups.google.com/group/acesthetics.
For more options, visit https://groups.google.com/groups/opt_out.
--
You received this message because you are subscribed to the Google Groups "ACEsthetics" group.
To unsubscribe from this group and stop receiving emails from it, send an email to acesthetics+unsubscribe@googlegroups.com.
To post to this group, send email to acesthetics@googlegroups.com.
Visit this group at http://groups.google.com/group/acesthetics.
For more options, visit https://groups.google.com/groups/opt_out.
No comments:
Post a Comment