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Chairside Live – Case of the Week Compendium 14: Clinical Tips & Practice Management

Clinical Tips & Practice Management - CE Course
Launch Course

Course Objectives (2 CE Credits)

Michael C. DiTolla, DDS, FAGD

To build and maintain a successful practice in restorative dentistry, a multi-pronged approach incorporating expertise in clinical techniques and a strong business acumen is advisable. Obtaining new clients and sustaining the loyalty of existing ones requires a balance between targeted marketing strategies, coordinated price structuring, informed equipment purchases, and a high level of quality service. In this presentation, Dr. Michael DiTolla uses a series of case examples taken from episodes of Chairside Live to discuss various clinical methods and business tactics valuable in the pursuit of office success. Participants who view this presentation will acquire useful information on practical topics for the contemporary dental practice, including:

  • Pitfalls of taking multi-step impressions
  • Advantages of switching from VPS impressions to intraoral scanning
  • Pinpointing occlusal issues when articulating paper fails
  • Maximizing the benefits of a diagnostic wax-up
  • Achieving an esthetic result using zirconia restorations in the anterior
  • Using partial dentures to treat an over-closed Class III bite in a partially edentulous patient
  • Bonding acrylic temporary prostheses
  • Using rest preps to engage tissue-borne partial dentures
  • Managing and growing an implant practice
  • Ways to promote confidence among office team members


As the standard of quality for dental care improves with the technology used to effect it, a clinician’s ultimate success will rely on the ability to deliver functional, esthetic restorations in an expeditious and cost-effective manner. Dentists able to maintain a working knowledge of the latest methodologies and proficiently execute them at an affordable price will be well-positioned to garner and sustain a healthy rotation of contented patients. In this presentation, Dr. Michael DiTolla uses several case examples featured on episodes of Chairside Live to discuss his preferred techniques for achieving clinical success in difficult cases, as well as potential opportunities for growing the financial viability of a restorative practice through continued education, expansion of services and sophisticated business models.

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.


  1. Sanggarnjanavanich S, Sekiya T, Nomura Y, Nakayama T, Hanada N, Nakamura Y. Cranial-base morphology in adults with skeletal Class III malocclusion. Am J Orthod Dentofacial Orthop. 2014 Jul;146(1):82-91.
  2. Ender A, Mehl A. In-vitro evaluation of the accuracy of conventional and digital methods of obtaining full-arch dental impressions. Quintessence Int. 2015 Jan;46(1):9-17.
  3. Nedelcu RG, Persson AS. Scanning accuracy and precision in 4 intraoral scanners: an in vitro comparison based on 3-dimensional analysis. J Prosthet Dent. 2014 Dec;112(6):1461-71.
  4. Van de Wiele G, Teughels W, Vercruyssen M, Coucke W, Temmerman A, Quirynen M. The accuracy of guided surgery via mucosa-supported stereolithographic surgical templates in the hands of surgeons with little experience. Clin Oral Implants Res. 2015 Dec;26(12):1489-94.
  5. Cushen SE, Turkyilmaz I. Impact of operator experience on the accuracy of implant placement with stereolithographic surgical templates: an in vitro study. J Prosthet Dent. 2013 Apr;109(4):248-54.
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