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Practice to Practice
I use a lot of high-strength polyethylene fiber–reinforced ribbon for periodontal splints and single-tooth bridges. One problem is how to minimize composite finishing in the hard-to-access gingival embrasure areas. I solve the problem with an anatomic block out by syringing with a small snap-on impression tip on the automixing tip into these embrasure areas with a fast-setting, heavy body PVS impression material after I have etched the teeth. Works like a charm!
Howard E. Strassler, DMD
For your clinical attire, remove all pockets or sew them shut to avoid unwanted problems when items
are left behind and wind up in the washing machine.
John C. Kois, DMD, MSD
To avoid missed canals in molars, a good rule of thumb to follow is to assume that all molars have four canals until proven otherwise. Please remember that mandibular molars are rectangular and maxillary molars are rhomboidal in shape, not triangular. The most commonly missed canal in a maxillary molar is the MB2 canal and in a mandibular molar is a second distal canal. Understanding the anatomy by sectioning numerous extracted teeth and familiarizing oneself with pulpal anatomy is a great step towards being more efficient at access preparation.
Allen Ali Nasseh, DDS, MMSc
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