My philosophy is that what God gave us is better than anything we can do! My Motto is "Look For Reasons Not to Drill,
Instead of Reasons To Drill!" I do not believe in many of the gnathologists ideology to cut perfectly good teeth down,
just to develop a centric relationship with an "ideal bite" Besides .. This is what Orthodontists and TMJ, etc. bite splints
are for anyway! Plus ... Our elderly patients with the WORST OCCLUSIONS ARE NEVER THE ONES WITH TMJ PROBLEMS!!! I don't
care whether you use a Stewart Articulator and tattoo the hinge axis! I would much rather have the fewest crowns possible
done & articulated with a barn door hinge!!
It is the PATIENTS OBLIGATION to spend the time to find the kind of dentist & dentistry they want done! If you are a patient .. ask around a lot! Be sure the dentist is gentle and has hygienists. Stop by a local Periodontist offices and ask them for a few quality dentist's names. Also be sure your new dentist is looking for reasons not to drill instead of reasons to drill ... Not scaring you into removing good functional amalgam (silver) fillings by saying the Mercury is poisoning your system.... Heck ... One fish dinner will usually give you more mercury than your silver fillings will in 10 years! One the other hand when one needs replacing anyway .. Then is the time to maybe put white Heliomolar in if you wish, especially if it might show.
Many of us dentists don't think any patient should ever be embarrassed to even HAVE TO ASK for their own old gold crown
back after it was removed for a new one or extracted! They paid for it as part of the expensive crown it was when it was
placed! It is theirs to do whatever with! Old gold crowns can easily be sterilized. I think many other dentists feel
the same as we do on this too.
It is also the dentists right to be able to treat the type of patients that he wants to too. In our office if a
patient doesn't care enough to develop good home care, or is belligerent, no show, etc. .. They are sent a proper letter
and asked to go elsewhere. Dentistry is a partnership with the patient. I do not care to waste my time & expertise
(and the patients money) putting in work that will fail because of poor home care & or the disregard for regular
Prevention and conservative dentistry is the name of the game. Implants where there is enought bone available and left in LONG ENOUGH to prolperly fuse with the bone are MUCH better than grinding good teeth down for bridges.
(From our for Dental Students only page) Always remember your regular patients FIRST. The ones that told their
friends about you! The ones that made your practice busy! Once you become busy and if you put most of your emphasis
only on new patients with the most work to do and the most money to be made, you will need that full page ad in the
paper or phone book in the future!!!!
I am against all hard porcelain occlusal restorations, and all thin Porcelain Occlusals (chewing surfaces).
The new Vita II Blocks milled from the Cerec machines, replacing old deep fillings or fractured
cusps has plenty of room for strength just by removing the old silver amalgam, without removing much if any good tooth
structure for more room that would be too close to the nerve of pulp creating sensitivity. It has porcelain the exact
hardness and expansion of our own enamel. I still do many restorations with traditional HIGH NOBLE GOLD Where Cerec
(in my opinion) would not be the best to use.
I do not believe in the use of Nitrous Oxide in our office since the release of the study showing it alters the DNA in
human sperm causing infertility, etc. And that study was just of the staff involved with the secondary inhalation of it!
What might it do with concentrated therapeutic doses used every 3, 4, or 6 months on prophys & dental work of the patients
too? Valium works better anyway.
Root Canals, Posts & pins implanted or Cerec porcelain bonded inside our own roots are better than foreign posts implanted
into bone without any natural shock absorber & as good a way to seal the bacteria out as a natural root does..... But .......
Once an entire tooth is gone though, implants are now the treatment of choice in most areas.
The age of the implant has arrived! (11/17/2015) No implant failures in our office in the past 15 years or so.
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