203. Bill Strupp, DDS, FAACD - Managing Complex Esthetic Cases
Dec 19, 2023
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Dr. Bill Strupp, an Accredited Fellow with the American Academy of Cosmetic Dentistry, discusses managing complex esthetic cases. Topics include diagnosis and treatment planning, managing speech in restorative cases, determining the vertical dimension of occlusion, and the importance of central relation in full-mouth rehabilitation.
Prioritizing long-term tooth health and functionality is crucial when creating restorations.
Meticulous attention to detail in elements such as diagnosis, treatment planning, and occlusion management forms the foundation of every restorative case.
Deep dives
Importance of preserving dentition integrity
The podcast emphasizes the importance of creating restorations that preserve the integrity of a patient's dentition for a lifetime. The focus is on ensuring that if a restoration needs to be replaced in the future, the patient does not lose the biology associated with it. This approach aims to prioritize long-term tooth health and functionality.
Managing complex restorative cases
The podcast discusses the management of complex restorative cases. It highlights the essential elements involved in these cases, such as diagnosis and treatment planning, tissue health, core build-ups, preparations, occlusion management, implant placement and restoration, impressions, provisionals, cementation protocols, and maintenance. These elements form the foundation of every restorative case and require meticulous attention to detail.
Considerations for complex cosmetic and restorative dentistry
The podcast explores specific considerations in complex cosmetic and restorative dentistry. It delves into the importance of establishing the vertical dimension of occlusion, creating bite records in centric relation, and addressing the horizontal plane of the case. Additionally, it discusses managing forces, angulations, and phonetics in complex cases, along with the impact of patient expectations on cosmetic outcomes.
Preserving tooth structure and occlusion management
The podcast emphasizes the importance of preserving tooth structure while managing occlusion in restorative dentistry. It acknowledges the need to balance preserving tooth structure with creating structurally sound restorations. The discussion highlights the significance of having adequate space for all-ceramic restorations, maintaining cusp-fossa relationships, and managing occlusal forces to ensure the long-term success of restorative treatments.
Dr. Bill Strupp was the inaugural speaker at the AACD founding meeting in 1984. Dr. Strupp is an Accredited Fellow with the American Academy of Cosmetic Dentistry®, one of only 88 people with an AACD fellowship in the world. Fellowship is the highest level of achievement recognized by the American Academy of Cosmetic Dentistry. The status of accredited fellow of the AACD is granted after completion of all requirements.This office is the only dental office in the world that has two fellowship members of the American Academy of Cosmetic Dentistry®.
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