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Chairside Live – Case of the Week Compendium 17: Clinical Tips & Practice Management IV

Maryland Bridge - CE Course
Launch Course

Course Objectives (3 CE Credits)

Michael C. DiTolla, DDS, FAGD

Without a solid foundation in the social and logistical skills required to run a business, restorative dentists of even the highest clinical proficiency may find their practice susceptible to the fickle forces of supply and demand. In this presentation, Dr. Michael DiTolla uses a series of interviews and case examples taken from episodes of Chairside Live to highlight techniques and methods aimed at improving both the clinical and the commercial facets of a quality restorative practice. Participants who view this presentation will garner useful information on various topics important to sustaining a successful dental office, including:

  • Indications for double-arch trays
  • Pitfalls of employing a two-stage impression technique
  • Criteria to consider when attempting to block out dark stems in the anterior
  • Reasons to avoid using no-etch cements for veneer placement
  • Achieving fast, reliable implant placement through the use of a surgical guide
  • Predicting a BruxZir®-bridge design’s ability to resist fracture
  • Materials indicated for an anterior Maryland bridge
  • Ensuring partial dentures fit after retentive teeth must be restored
  • The repercussions faced by a dental practice if Medicare is ignored
  • Processes for influencing a patient to make good health care decisions


In operating a successful practice in restorative dentistry, the symbiotic relationship between clinical acumen and business savvy plays a crucial role. Clinicians who implement tools and processes aimed at constantly refining the functional health of each discipline can reap the exponential benefits incurred when these two seemingly disparate branches act in unison. In this presentation, Dr. Michael DiTolla uses excerpts taken from episodes of Chairside Live to emphasize his preferred techniques and materials for improving the predictability of restorative outcomes, as well as to highlight various methods adopted by successful practices for enhancing the efficiency of business mechanisms.

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. Saker S, El-Fallal A, Abo-Madina M, Ghazy M, Ozcan M. Clinical survival of anterior metal-ceramic and all-ceramic cantilever resin-bonded fixed dental prostheses over a period of 60 months. Int J Prosthodont. 2014 Sep-Oct;27(5):422-4.
  2. Luthardt RG, Walter MH, Quaas S, Koch R, Rudolph H. Comparison of the three-dimensional correctness of impression techniques: a randomized controlled trial. Quintessence Int. 2010 Nov-Dec;41(10):845-53.
  3. Chu FC. Clinical considerations in managing severe tooth discoloration with porcelain veneers. J Am Dent Assoc. 2009 Apr;140(4):442-6.
  4. Dentists must opt in/out of Medicare. J Mich Dent Assoc. 2014 Aug;96(8):8.
  5. Hahn SM, Millstein PL, Kinnunen TH, Wright RF. The effect of impression volume and double-arch trays on the registration of maximum intercuspation. J Prosthet Dent. 2009 Dec;102(6):362-7.
  6. Scaminaci Russo D, Pierleoni F, Buti J, Ferrari M, Giachetti L. In vitro comparison of bonding effectiveness of different adhesive strategies. Am J Dent. 2014 Dec;27(6):323-9.
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