The Dental MeTaMorphosis - The Profitable Dentist

CLINICAL/TECHNICAL
28
Crown & Bridge problems
how To Fix Them!
By Dr. Michael Curtis
100’s of Pearls on
Fees & Case
Acceptance
Plus countless tips to skyrocket your profit!
• Fast, easy and totally
practical for the busy
general dentist.
• Saves 1000’s of dollars
and countless hours in C.E.
• 100’s of Pearls from 100’s
of sources...Do you know
them all?
Do you ever have
For The General Dentist
problems with Crown
& Bridge? Are your
patients stressed
when their expensive
work begins to fail?
Some tips for the most
lucrative cases we do:
1. recurrent Decay:
How should you repair early decay under crowns? Do NOT use composite! Resins on
root surfaces leak like crazy and cause tissue inflammation. Glass Ionomers (GI) or Resin
Modified GI’s (RMGI) seal far better, reduce inflammation and are proven cariostatics.
Some products:
• Self Curing: “Fugi IX GP Extra” (GC): When you can’t get your curing light
to a difficult area, inject this self-cured GI material. Wait 15 seconds so it’s not
sticky to shape. Sets in only 2-3 minutes. Trim and polish all GI’s with water to
prevent cracking.
• Light Cured Flowable: “Fugi II LC” capsules: I place this RMGI; then etch,
bond and place resin. (Superior to using flowable.)
• Difficult Isolation: “Fugi Triage”: A GI designed as a sealant, but adheres even
when you can’t get total isolation.
• Highly Esthetic Areas:” “Ketac Nano (3M Espe): RMGI with great esthetics
and polish.
• For how to prevent recurrent decay under your new crowns, ask for our FREE
Report: “Xerostomia & Root Decay” when you order any of our guides.
2. Black scuzz:
Have you ever removed a temporary and noted a black discolored area on your prep?
• Hemostatic agents that contain ferric ions (Cut-Trol, Viscostat) can cause this
black residue. Try “Viscostat Clear” (Ultradent) instead. For more, see “100s of
Pearls on Endodontics.”
• Micro-leakage may also cause the problem. Avoid resin-based temporary cements.
Use a Bis-Acryl resin (Luxatemp etc.) for the most accurate temporaries. To fill
voids at margins, clean with alcohol; dry, apply bond and flowable composite,
re-seat on prep. Then cure. Trim margins intra-orally with a ½” Aluminum
Oxide disc (Moore) for ideal contours.
3. Crown Breaks off:
What can you do for bridgework that has broken off at the gumline?
• “Metabond” (Parkell): This miracle material is now easier to use, but still
holds impossible cases when other cements can’t. Buys time until you can fix
the problem permanently.
• “Snap-On Smile ® .” This is a strong, removable resin material that snaps over
existing teeth with no anesthesia, no prep, and < 30-minutes chair-time. A new
inexpensive answer for patients that can’t afford large cases (877-776-2766).
• Buildups: Many dentists leave and prep old fillings when doing crowns.
Wrong! There’s almost always decay underneath, which will worsen under
your new crown. Always remove all old filling material. Prep retention for
your liner or buildup even if bonded.
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