The Resurgence of Vertical Preparations in Dentistry
This chapter explores the comeback of vertical preparations in dentistry, highlighting the use of modern materials for thin milling to preserve tooth structure and the speaker's preference for vertical preparations in certain situations. They also mention upcoming webinars and invite listeners to join their premium membership.
There are five things I want to share with you that I do differently now compared to what I was taught in dental school. Dental school is great for laying the foundation, but real-world experience and continuous learning have taught me valuable lessons that have transformed my approach.
1 – Sectioning and Elevating – I routinely section and elevate multi-rooted teeth which simplifies complex extractions and preserves buccal bone for better patient outcomes. This is a skill I had to learn and develop post graduation.
2 – Using air abrasion to aid with plaque removal which has benefits for adhesive dentistry and beyond, like cement removal and bonding zirconia. I cannot imagine practicing without air abrasion!
3 – I use a ‘wedge guard’ during proximal drilling to prevent scratching adjacent teeth, ensuring precise breaking of the contact without causing iatrogenic damage. I know that for many new grads, breaking contact can be stressful and the mission to prevent iatrogenic damage means overly tapered and aggressive preps. The simple use of a wedge-guard has really helped me overcome this.
4 – Onlays! I seldom prepare for full crowns anymore, instead opting for onlays where possible which preserve tooth structure and provide a scientific and artistic challenge in contemporary adhesive dentistry.
5 – Vertical Preparations – when I do require a crown and the tooth is not suitable for adhesive dentistry (poor quality and quantity of enamel, deep subgingival margins) then using ‘vertipreps’ as been a game changer.
Overall, these changes have added value to my practice and improved patient outcomes. Remember, clinical Dentistry is a journey of constant growth. Stay curious and keep evolving – whilst still respecting the best available evidence.
Hello Protruserati! Welcome back to the fourth episode of #AskJaz where I answered a question that was sent on the Telegram group – “Jaz, what are some things that you do differently now compared to what you are taught at dental school?”
