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Going for the Gold?

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On the left is the older allow, on the right the new one that my lab has chosen to use The cost of a penny weight of pure gold is currently $79.53. The cost of a penny weight of pure palladium is $130.6. It used to be that palladium was added instead of gold to the precious metals often used for pfms, but now laboratories are finding that palladium is no longer affordable. The lab that I am using has just changed the formulation of the metal it's using to one that has more gold than palladium. I really do not mind, but metals with more gold are softer and often easier for a dentist to accidentally polish off delicate margins. It is important when polishing "higher gold" formulations to exert less hand pressure when performing the final polishing of the crown's margins. Other wise there should be no problem with this change. Traditionally labs have chosen alloys with higher gold percentages for optimal esthetics, since alloys with higher concentrations of ...
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Why is my denture loose???

Some Patients may  have shrinkage of their jaw bone(s) after the denture was inserted and experience lack of seal. While bone resorption may play a role, in my experience there are a number of other possible causes.  Uneven bite is at the top of my list. If a dentures occlusion is unbalanced, when a patient closes, their denture may loosen. Another common reason is that a patients muscle attachments are being impinged on. Muscle attachments are little bands of fibers that connect the cheeks, lips, and tongue to the jaws. Over and under extended dentures can also cause dentures to be more likely to come loose. Under extended dentures have less surface area to help develop the adhesion to help keep a denture in place. Over extended dentures tend get dislodged by patients facial muscle movement or opening and closing. A patient with a dry mouth may also find that their denture comes loose easily, since adequate saliva is needed for a denture to develop proper adhesion. De...
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Fast Food dentistry vs "High end" dentistry?

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  Most people understand the difference between going to a fast food restaurant vs going to a Michellin rated food establishment.   They both provide meals, but they are really going not providing the same level of product.. The fast food establishments claim to provide a tastee meal, fast and affordable (not so much now-lol). The Michelin rated restaurants are aiming to provide  a more leisurely dinning experience, often with fresh high quality ingredients prepared using a careful technique by highly trained chefs. All consumers understand that going to a Michelin rated restaurant will be more expensive than a meal at Mcdonalds but feel that the meal is worth the extra expense. They may reserve this high end meal for a special occasion , which considering the expense is understandable. Not all people want to acknowledge  that choosing their dentist may be similar to choosing where you may dine. In some ways this analogy can be applied to dentistry today. T...
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