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Editor’s Letter I hate to start off the new year with a face full of attitude, but if there is another dental magazine out there as interesting as Chairside, I’d like to see it. Other magazines have good articles here and there, but I strive to make every article one that you will at least want to read the callouts and thus get sucked into the article. Dr. Paul Homoly surprised me yet again in this month’s interview, as we discussed the culture of dentistry and the blind pursuit of quality dentistry. As always, Paul looks at things from a contrarian point of view, and I know you will find this interesting. Paul generates more e-mail than any other contributor, and it is all positive. I stumbled upon a book on eBay about Painless Parker, and I bought it after I went to the Wikipedia page about him and became fascinated. I loved the book and wrote a review about it in this issue. Love him or hate him, you would be hard-pressed to find a more interesting or controversial dentist. The “Perception is the Only Reality” article may open a few eyes as well. I invite you to vote for your favorite crown and try to guess which ones are which before you look at all the prices. (Glidewell was not involved in this study, so there is no hidden agenda.) Dr. Neiburger has written a fascinating article on the evolution of tooth wear and how teeth have changed over the years. Is the way we prepare food today preventing the natural, healthy wearing of our teeth? Dr. Bob Lowe rounds out this issue with another excellent clinical article on how he uses lasers to deal with gingival issues. The more cosmetic dentistry you do, the more you realize the major role the gingival plays, and how unpredictable it can be. I also include a case study with one of my favorite materials: IPS e.max ® CAD LT, used with no-prep veneers. Try IPS e.max on a patient, and see if you like this cementable all-ceramic restoration as much as I do. Yours in quality dentistry, Dr. Michael DiTolla Editor in Chief, Clinical Editor mditolla@glidewelldental.com Publisher Jim Glidewell, CDT Editor in Chief Michael DiTolla, DDS, FAGD Managing Editors Jim Shuck Mike Cash, CDT Creative Director Rachel Pacillas Clinical Editor Michael DiTolla, DDS, FAGD Copy Editors Melissa Manna Martin Yan Magazine Coordinators Sharon Dowd Lindsey Lauria Graphic Designers Jamie Austin, Deb Evans, Joel Guerra, Phil Nguyen, Gary O’Connell, Rachel Pacillas Staff Photographers Sharon Dowd Illustrators Wolfgang Friebauer, MDT Phil Nguyen Ad Representative Lindsey Lauria (lindsey.lauria@glidewelldental.com) If you have questions, comments or complaints regarding this issue, we want to hear from you. Please e-mail us at chairside@glidewelldental.com. Your comments may be featured in an upcoming issue or on our Web site. © 2009 Glidewell Laboratories Neither Chairside Magazine nor any employees involved in its publication (“publisher”), makes any warranty, express or implied, or assumes any liability or responsibility for the accuracy, completeness, or usefulness of any information, apparatus, product, or process disclosed, or represents that its use would not infringe proprietary rights. Reference herein to any specific commercial products, process, or services by trade name, trademark, manufacturer or otherwise does not necessarily constitute or imply its endorsement, recommendation, or favoring by the publisher. The views and opinions of authors expressed herein do not necessarily state or reflect those of the publisher and shall not be used for advertising or product endorsement purposes. CAUTION: When viewing the techniques, procedures, theories and materials that are presented, you must make your own decisions about specific treatment for patients and exercise personal professional judgment regarding the need for further clinical testing or education and your own clinical expertise before trying to implement new procedures. Chairside ® Magazine is a registered trademark of Glidewell Laboratories.
Contents 34 One-on-One with Dr. DiTolla In our previous discussion, Dr. Paul Homoly and I shared our thoughts on how to communicate with patients who had large restorative needs. Now, in our latest interview, we discuss the culture of dentistry and the dangers of too much patient education. 50 Perception is the Only Reality LMT conducted a nationwide experiment to determine whether technicians and dentists could actually differentiate between expensive and inexpensive crowns. After hundreds of comparisons among the best in the industry, there seems to be one conclusive answer. I took the liberty of sharing with you their findings, and the results may surprise you. 55 The Evolution of Human Occlusion— Ancient Clinical Tips for Modern Dentists In this well-chronicled article, Dr. Ellis Neiburger discusses the general evolution of our teeth and addresses occlusal problems throughout the centuries. I was fascinated by this article and think about it every time I perform occlusal adjustment on a crown. Contents 3
Page 1: Chairside® A Publication of Glidew
Page 6 and 7: Letters to the Editor “Dear Dr. D
Page 9: Contributors Michael C. DiTolla, DD
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Page 17 and 18: Parker decided to attend both Sunda
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Page 21 and 22: Figure 7 Figure 8 Figure 7: This oc
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Page 36 and 37: I 34 Interview with Dr. Paul Homoly
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Page 50: e for the patient? How much easier
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Crown 4 : $225. Fabricated by a two
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Many of these experts and their sup
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than 0.02 percent had cuspal occlus
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appear to gain some psychological s
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your patient will inform you so tha
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Sooo, you picked dentistry out of c
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