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When the furcation is removed and the new restoration places the furcation back in that area, it becomes a location for plaque accumulation. Q: Why do we barrel in a furcation to the occlusal surface when fabri- A: cating a new crown? When we contour the crown so the barreling in goes to the occlusal surface, the patient can clean everywhere; there is no plaque buildup. If we can stop short of the occlusal surface, we find plaque accumulates and it is as though the furcation is still present. After biologic shaping, the furcation is replaced and the area accumulates plaque. The furcation was removed but replaced in the final restoration. The tissue has become inflamed from the root being replaced because of plaque accumulation. Periodontal Photo Essay51
Q: How do you contour a new restoration once the tooth has A: been biologically shaped? The new restoration follows the contours of the shaped tooth and does not have a height contour placed on the buccal. Occlusal view on the day of impression Buccal view on the day of impression Buccal furcation contours carried to the occlusal surface of tooth #30 52 chairsidemagazine.com
Page 3 and 4: Contents 9 Dr. DiTolla’s Clinical
Page 5 and 6: Publisher Jim Glidewell, CDT Editor
Page 7 and 8: Dear Robert, Thanks for the kind wo
Page 9: Daniel J. Melker, DDS Dr. Daniel Me
Page 12 and 13: Dr. DiTolla’s CLINICAL TIPS PRODU
Page 15 and 16: 14 chairsidemagazine.com - ARTICLE
Page 17 and 18: Figure 1: The Rapid Anesthesia Tech
Page 19 and 20: Figure 9: You can clearly see the 2
Page 21 and 22: Figure 15: I can see that the BioTe
Page 23 and 24: The BruxZir bridge is solid zirconi
Page 25 and 26: Figure 29: Now that I am finished s
Page 27: Figure 37: A look at the bite regis
Page 30 and 31: Interview of Dr. James Dower - INTE
Page 32 and 33: from the solutions going to that cr
Page 34 and 35: get sort of comfortable doing one t
Page 36 and 37: penetration of the mandibular block
Page 38 and 39: of their lip back. So if you’re g
Page 40 and 41: dentist would reuse prophy cups and
Page 42 and 43: dental school about 10 years ago, s
Page 45 and 46: Rubber DaM Haz rds - Article and Cl
Page 47 and 48: The rubber dam is difficult to ster
Page 49: References 1. Francis CE. The rubbe
Page 54 and 55: Contours of shaped teeth are shown.
Page 58 and 59: Alginate Substitutes: Rationale for
Page 60 and 61: Figure 5: Alginate substitute (COUN
Page 63 and 64: Patient Product Review Dr. DiTolla
Page 65 and 66: “That damn lab — I wrote freest

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