I love how you break things down in layman’s terms and create a visual in our minds that everyone can relate to. This helps me chairside communicate better with my patients 😊 I love your videos.
Thank you. I like to break things down to the basics. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Glad the videos are helpful. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Nice video! In dental school we were always taught that there are a bunch of things that can cause NCCLs. Grinding/clenching, acid erosion, toothbrush abrasion, etc. We were also taught that you need to diagnose what’s causing it in order to properly fix it. Interesting to hear you say that essentially 99% of the time it’s caused by clenching. I had an interesting case a year ago or so. Large NCCL on a lower premolar. I restored it. Fast forward 12 months and the patient had a new large NCCL below my restoration! It’s like the flexors point just shifted apically down the root. Thanks for the information!
When I was a member of the visiting teaching faculty, before I began my hands on teaching center at Baylor Dental College in Dallas, we had a series of seminars at Pankey on abfraction and tooth abrasion. The consensus was it was caused by teeth clinching. I have studied this condition for 40 years in dental practice and documented many different cases, including many veneer cases that have fractured exactly in the same position as an abfracted natural tooth. There is no way a patient can fracture a piece from the gingival 1/4th of the veneer from tooth brushing or biting something. The veneer fracture is from teeth clinching and the compressive force flexing the veneer exactly like tooth structure is fractured from flexure. The "flex point" for both the veneer and the natural tooth when a person clinches is the gingival 1/4th of the tooth/veneer. The video I made is called "Abfraction on Tooth Colored Restorations." It is in the library of DMC.com. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Glad the videos are helpful. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Glad the videos are helpful. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Thank you. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Terrific. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Glad the videos are helpful. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Look up the Somnimed/Somnident website on Google. The Somnimed SAD appliance is terrific. In my opinion, the patient's body mass index should be near the correct number to abandon a C-PAP appliance, or they might want to wear a SAD along with a C-PAP. I do not provide a patient with a SAD if they are significantly overweight. I use a SAD myself, and I am at my correct body mass index weight. I am 6'1" and weight 185 lbs, so a person does not have to be overweight to snore and have a level of sleep apnea. I provide many SADs for women and men who are not overweight. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
The abfraction is from clinching, not necessarily grinding, so the clinching is "flexing" the tooth. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
That's just what it is from. I can't remember the studies now. Look at your patients tooth colored restorations and natural teeth if they do not have night guards. Prove it yourself. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Hummmm during the day. Humming places your lips together and keeps your teeth apart. The only time your teeth should touch together is when you swallow. They should not touch when you eat your food or as you go through the day. "Lips together, teeth apart."
Is it possible for the pfm in the posterior region to withstand the force done by clenching ? I have seen some pfm bridges withstand stronger force . Is it recommended in cases of clenching to restore using pfm as the metal will absorb some of the strees on the the porcelain? Thanks in advance 😀 Thanks
I have seen any tooth colored material fracture in the same manner as abfraction occurs on a natural tooth ( on the gingival/facial surface) if the patient is a clincher and especially if they do not wear a night guard or dental snoring/sleep apnea appliance while sleeping. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Glad the video was infornative. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
A properly fitted nightguard also serves as a retainer. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
I perform 99% of endo in one appoinement, as do most endodontists I know. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Your method is very interesting dr, because i do endo procedures in preapical abscess and pulp necrosis cases in 2vists, first visit cleaning and shaping and put calcium hydroxide into canal and in second visit(about after 5-7days later) i revome caclium and do obturation, My question is how you control canal and preapical infection and obturates them in single visit in these cases? Thx
Most edodontists in the US, that gave seminars are my teaching center in Dallas, perform the endo in one appointment, even if the tooth is abscessed, unless it was badly infected, then an apicoectomy might also be performed at that same appointment. The thought is the cause of the infection, the necrotic pulp, is removed with the endodontic procedure, the patient is placed on antibiotics for 5-10 days to take care of any infection apical to the roots of the teeth, so there is no need for a second appointment to complete the endo. As I mentioned, if the granuloma is large, apicoectomy might also be considered following the endodontic procedure. The apicoectomy can be performed at the same appointment as the endo. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Doctor cutbirth if the abfraction lesion doesn't bather the patient like in case of Enamel rather than a veneer,, Giving a nightguard and simply finishin polishing margins of the cavity rather than restoring it is enough?
I only use cast metal posts and 99% of the time the post is attached to the crown. I use a post when the tooth is badly broken down or has a very short clinical crown, requiring endo and a post to secure the crown primarily from internal retention. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Ha, ha, thank you. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Thank you. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Glad you lie the videos. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
I love how you break things down in layman’s terms and create a visual in our minds that everyone can relate to. This helps me chairside communicate better with my patients 😊 I love your videos.
Thank you. I like to break things down to the basics.
Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month.
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Beautifully explained 🤌🏻
Glad the videos are helpful.
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Why can't every dentist be this smart 🤢I adore this man👍👍
You are a very kind person!
Nice video! In dental school we were always taught that there are a bunch of things that can cause NCCLs. Grinding/clenching, acid erosion, toothbrush abrasion, etc. We were also taught that you need to diagnose what’s causing it in order to properly fix it. Interesting to hear you say that essentially 99% of the time it’s caused by clenching.
I had an interesting case a year ago or so. Large NCCL on a lower premolar. I restored it. Fast forward 12 months and the patient had a new large NCCL below my restoration! It’s like the flexors point just shifted apically down the root. Thanks for the information!
When I was a member of the visiting teaching faculty, before I began my hands on teaching center at Baylor Dental College in Dallas, we had a series of seminars at Pankey on abfraction and tooth abrasion. The consensus was it was caused by teeth clinching. I have studied this condition for 40 years in dental practice and documented many different cases, including many veneer cases that have fractured exactly in the same position as an abfracted natural tooth. There is no way a patient can fracture a piece from the gingival 1/4th of the veneer from tooth brushing or biting something. The veneer fracture is from teeth clinching and the compressive force flexing the veneer exactly like tooth structure is fractured from flexure. The "flex point" for both the veneer and the natural tooth when a person clinches is the gingival 1/4th of the tooth/veneer. The video I made is called "Abfraction on Tooth Colored Restorations." It is in the library of DMC.com.
Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month.
Click here to subscribe:
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Excellent video. Thank you Sir!
Glad the videos are helpful.
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Thank you professor really Thank you I love you and your expression and explain
Glad the videos are helpful.
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You're an amazing doctor !
Thank you.
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Abfraction! Thanks a lot sir, another insight added to my archives
Terrific.
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Do not make their problem your problem.👍👍👍
Thank you doctor🙏🙏
Glad the videos are helpful.
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Hi Dr. Cutbirth, thank you for the informative video. Can we get the dental minute for sleep apnea devices here on youtube?
Look up the Somnimed/Somnident website on Google. The Somnimed SAD appliance is terrific. In my opinion, the patient's body mass index should be near the correct number to abandon a C-PAP appliance, or they might want to wear a SAD along with a C-PAP. I do not provide a patient with a SAD if they are significantly overweight. I use a SAD myself, and I am at my correct body mass index weight. I am 6'1" and weight 185 lbs, so a person does not have to be overweight to snore and have a level of sleep apnea. I provide many SADs for women and men who are not overweight.
Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month.
Click here to subscribe:
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Hi doc, is all patients with NCCL Class V abrasion is having clenching & bruxism habit even tough there is no attrition lesion seen on their occlusal?
The abfraction is from clinching, not necessarily grinding, so the clinching is "flexing" the tooth.
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Great video per usual! Are there any studies that show abfractions are from bruxism? Thanks!
That's just what it is from. I can't remember the studies now. Look at your patients tooth colored restorations and natural teeth if they do not have night guards. Prove it yourself.
Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month.
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What do you do when you clench in the day...?? I know I clench at night, but I also clench during day!
Hummmm during the day. Humming places your lips together and keeps your teeth apart. The only time your teeth should touch together is when you swallow. They should not touch when you eat your food or as you go through the day. "Lips together, teeth apart."
Is it possible for the pfm in the posterior region to withstand the force done by clenching ?
I have seen some pfm bridges withstand stronger force . Is it recommended in cases of clenching to restore using pfm as the metal will absorb some of the strees on the the porcelain?
Thanks in advance 😀
Thanks
I have seen any tooth colored material fracture in the same manner as abfraction occurs on a natural tooth ( on the gingival/facial surface) if the patient is a clincher and especially if they do not wear a night guard or dental snoring/sleep apnea appliance while sleeping.
Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month.
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Cool very cool. Thanks 👍
Glad the video was infornative.
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Is it possible to have a night guard that also acts as a retainer so you could wear it at night and it keeps teeth in alignment like a 2 in one device
Top arch only retainer night guard
A properly fitted nightguard also serves as a retainer.
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Hi dr
Do you manage all ur endo patients in single visit or if you do in multiple visits please tell when u do it
I perform 99% of endo in one appoinement, as do most endodontists I know.
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Your method is very interesting dr, because i do
endo procedures in preapical abscess and
pulp necrosis cases in 2vists, first visit
cleaning and shaping and put calcium
hydroxide into canal and in second
visit(about after 5-7days later) i revome
caclium and do obturation,
My question is how you control canal and
preapical infection and obturates them in
single visit in these cases?
Thx
Most edodontists in the US, that gave seminars are my teaching center in Dallas, perform the endo in one appointment, even if the tooth is abscessed, unless it was badly infected, then an apicoectomy might also be performed at that same appointment. The thought is the cause of the infection, the necrotic pulp, is removed with the endodontic procedure, the patient is placed on antibiotics for 5-10 days to take care of any infection apical to the roots of the teeth, so there is no need for a second appointment to complete the endo. As I mentioned, if the granuloma is large, apicoectomy might also be considered following the endodontic procedure. The apicoectomy can be performed at the same appointment as the endo.
Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month.
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Doctor cutbirth if the abfraction lesion doesn't bather the patient like in case of Enamel rather than a veneer,, Giving a nightguard and simply finishin polishing margins of the cavity rather than restoring it is enough?
The night guard should remedy the abfraction progressing, unless you are grinding your teeth during the day.
Sir please make a video on Types of posts
I only use cast metal posts and 99% of the time the post is attached to the crown. I use a post when the tooth is badly broken down or has a very short clinical crown, requiring endo and a post to secure the crown primarily from internal retention.
Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month.
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Thanks DR.CLINT EASTWOOD...😁
Ha, ha, thank you.
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Fine 💙
Thank you.
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😇👏
Glad you lie the videos.
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