No Man is an Island?

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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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Tongue Ties: What Parents Need to Know

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For a long time, people just didn’t seem to know much about tongue ties. In the early years of my practice, few of my patients had ever heard of a tongue tie. When I pointed out that they or their children might be tongue tied, I was often the very first practitioner who’d mentioned it to them. When I told them that a tongue tie might actually be the root cause of their oral myofunctional issues, or even their sleep apnea , I’m sure that some of them thought I was crazy. But in the last few years, things have changed so much! Initially, there was a small increase in the number of patients who were contacting me specifically about tongue ties. Dentists and orthodontists also began reaching out more frequently to discuss the application of myofunctional therapy exercises to tongue tie treatment. But in the last year or so, that little bit of interest has become a surge of awareness. Tongue ties and their effects on health and craniofacial development are finally becoming mainstream....
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