If you have no formal resistance, so what happens, the under the chin load, the special de parafunction, the crack will start to move. So a filling last the tears in a simple patient in a patient with low biomechanical demand. That's why sometimes you know you see gold filling lasting tears. It's not about gold. It's about the mouth because also composite filling can last 30, 40 years. Even amalgams do 40, 50 years and we see all the time. And everyone says amalgams causes cracks and stuff. I've got plenty of patients with 30 years amalgams, not a single crack. You know, how many cracks you see in a patient
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Episode notes
In this thought-provoking episode, Dr. Pasquale Venuti represents Tomorrow Tooth aka ‘the other voice of Dentistry’. He is a renowned dentist who is not afraid to express his controversial views. While he may challenge the modern techniques taught in dental schools today, he brings attention to the shortcomings in current practices and encourages critical thinking.
Dr. Jaz and Dr. Pasquale explore various topics that challenge traditional dental practices, including subgingival caries, flat onlays, post crowns, and cement selection. By raising practical and applicable questions, they encourage dentists to question established norms and seek better solutions for their patients.
Protrusive Dental Pearl: New Restoration Needed and the Patient has an existing occlusal appliance. What can you do?
Imagine a Stabilisation Splint – For patients who rely on an occlusal appliance – how do you manage the scenario if they need a restoration? Do you need to make a new occlusal appliance? ? Not really. You just have to gouge out the acrylic where the new restoration was placed (intaglio surface of splint). If the splint fits well, no further adjustments are needed otherwise additional acrylic can be added to provide retention (like a partial reline of the splint over your new restoration. Don’t forget that vaseline!)
02:36 The Protrusive Dental Pearl 05:25 Pasquales introduction 16:53 Subgingival Caries and Gingivectomy 22:10 ‘TableTop Onlays’ – Where is the limit? 28:30 Pasquale on C-Factor 31:12 What are the Limits of Adhesive Dentistry? 36:55 Guideline for Adhesive vs Mechanical
