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Showing posts from February, 2026

Why don't you retire and enjoy yourself?

 I am asked this question almost every week by someone. The answer is obvious.... I am doing what I enjoy. I am seeing patients in my office 4 days per week (with some help from my son David) and teaching at the Mount Sinai General Practice Residency on my day off (Friday). The truth is that being able to do what I am good at , helping my patients and my residents every week is very satisfying. It keeps my mind and body active and healthy.  I still participate in three Spear Study Clubs and enjoy interacting with my study club collegues This  activity allows me to earn over 90 hrs of continuing ed each year and almost every week I learn something new about dentistry I plan on continuing as long as my mind and body allow me to maintain the high level of service that I am accustomed to offering in my clinical practice and my teaching position.  Being at service and having a purpose makes my life more worthwhile and I feel truly blessed to have been given the opportuni...

Why do my anterior crowns keep breaking?

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                                                                                Often it is desirable to increase the length of a patients anterior teeth. We can have our dental laboratory make a wax up proposal and can often transfer this proposal to the mouth by utilizing a putty matrix made from the wax up. These proposals are very helpful, but they may not be representative of the most desirable shape of the final restorations. Because the finished crown need to function in the mouth and allow dental excursions and most dentists prefer cuspid guidance. Cuspid guidance means that when a patient moves their lower jaw laterally their canine tooth bears the brunt of the occlusion. Although other teeth can be used to bear the forces created by lateral jaw movements, most dentists pr...