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Chairside Live – Case of the Week Compendium 18: Clinical Tips & Practice Management V

Clinical Tips & Practice Management - Bite Splint Materials - Dental CE Course
Launch Course

Course Objectives (3 CE Credits)

Michael C. DiTolla, DDS, FAGD

In order to build a successful practice in restorative dentistry, general practitioners must maintain a fine balance between clinical acumen and business savvy. Even the most proficient clinician will face an uphill battle if his or her chairside expertise is not mediated by the interpersonal skills and salesmanship required to attract patients and obtain treatment approval. In this presentation, Dr. Michael DiTolla uses a series of case examples and peer interviews from episodes of Chairside Live to spotlight both clinical and social techniques aimed at improving the market viability of a restorative practice, including:

  • Pros and cons of various bite-splint materials
  • Bite-registration techniques for establishing the occlusal thickness of a bite splint
  • Possible causes of inhibited impression-material setting
  • Attributes of the ideal crown or bridge impression
  • Ideal impression material viscosities for use with the Two-Cord Impression Technique
  • Retaining the original mandibular condyle position when prepping a natural occlusal stop
  • The step-by-step CAD/CAM process of fabricating a full-contour zirconia crown
  • Causes, effects and dental treatment of obstructive sleep apnea
  • Breakdown of expenses associated with restorative remakes
  • Methods to improve the rate of patient acceptance of treatment plans

Summary

Many clinicians are to be commended for vigilantly striving to keep their chairside skills up to date in an ever-advancing technological arena; however, without interpersonal “soft” skills to complement their scientific expertise, such clinicians may find themselves with few patients for whom to provide quality care. In this presentation, Dr. Michael DiTolla uses several case examples and discussions with experts taken from episodes of Chairside Live to promote a balanced approach to practice management, illustrating various ways in which restorative practitioners can improve both their technical proficiency and their social methodology in order to maintain a financially viable and clinically responsible practice.

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.


References

  1. Walid Y, Al-Ani Z, Gray R. Silicone impression materials and latex gloves. Is interaction fact or fallacy? Dent Update. 2012 Jan-Feb;39(1):39-42.
  2. Ravikumar CM, Sangur R. Effect of five brands of latex gloves on the setting time of polyvinyl siloxane putty impression materials. Indian J Dent Res. 2012 Mar-Apr;23(2):209-12.
  3. Gironda MW. Evaluating psychosocial function in elderly dental patients. J Calif Dent Assoc. 2007 Mar;35(3):208-13.
  4. Antic S, Vukicevic AM, Milasinovic M, Saveljic I, Jovicic G, Filipovic N, Rakocevic Z, Djuric M. Impact of the lower third molar presence and position on the fragility of mandibular angle and condyle: A Three-dimensional finite element study. J Craniomaxillofac Surg. 2015 Jul;43(6):870-8.
  5. Baráth Z, Szüts G, Braunitzer G, Radnai M. Dimensional Accuracy of Two-Step Impressions Measured on Scanned Casts in CAD. J Prosthodont. 2015 Dec;24(8):629-33.
  6. Dugal R, Railkar B, Musani S. Comparative evaluation of dimensional accuracy of different polyvinyl siloxane putty-wash impression techniques-in vitro study. J Int Oral Health. 2013 Oct;5(5):85-94.
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