hello and welcome to chairside live I'm your host Megan strong thank you for joining me
in today's episode we're taking you back to the first-ever Glidewell dental symposium held this
year November 2017 in Dallas Texas it was a full day symposium focusing on tools and techniques for
clinical and business success 11 incredibly bright and talented dental leaders hit the stage one of
which was dr. Stephen Barrett so if you weren't able to attend the symposium have no fear because
chair side life is here to give you a front-row seat to some of the action you may have missed in
this clip from dr. Barrett's presentation quality Provisionals for aesthetic success he's given us
the scoop on all of the advantages of bio temps Provisionals let's listen in dr. Stephen Barrett
has been practicing dentistry for over 25 years he began his career by joining the private group
practice Greenberg dental and orthodontics which now has over 80 different locations in Florida dr.
Barrett currently serves as the clinical director and senior partner at Greenberg where he directs
the in-house continuing education program and mentors dentists as they joined the practice
in his presentation quality Provisionals for aesthetic success dr. Barrett will provide
tips on how to increase case acceptance and patient confidence through simple techniques
when we think about some of the advantages of biotin Provisionals we're going to think about
aesthetics and typically we think about the form or the shape of the tooth but there is
a very emotional component related to aesthetics and I'm going to share with you this morning some
videos from some of my patients as they are taking a look at their Provisionals for the
first time when you think of aesthetic changes we can change arch form in our Provisionals gingival
recontouring we can develop ovate pon --tx we can change the lengths of teeth whether we're
shortening them or changing the position these are not bio temp Provisionals right these are not
aesthetic Provisionals but yet I see these all the time as I travel around and I have hundreds
and hundreds of photographs this is a bio temp 5 through 11 a very aesthetic looking provisional
and I believe that it's a stepping stone to the final result so any changes that you'd like to
incorporate into the case you want to do that into your provisional if we're changing the arch form
we can ask the lab to go ahead and change the arch form for us and if you look at it in the
patient's mouth we've done that and you really can see it when you look at a lateral view and
this is how the patient leaves the office if you're gonna do crown lengthening you can put
in a nice quality provisional and it's a great predictor of the final case a case we're doing
crown lengthening a nice bio temp provisional and we'll want to incorporate into that provisional
all the things that we would like in our final restorations and we can remove the provisional
we get great healthy tissue we see it a great case in a nice healthy environment and we have
a very happy patient and if you look at the patient before and after you can tell we've
made a tremendous change in her life this is a patient that had some aesthetic concerns so this
is the provisional the day that we started her treatment we did some gingival recontouring on
5 6 8 & 8 & 9 and this is how we left her after about an hour and a half a treatment she's still
numb in this photograph but you can already see the changes that were making in her smile and if
we look at her full face again she's slightly numb because this was right after the seating
of the provisional we've already starting to make some changes for her I can wear this for the rest
of my life now don't even bother ordering it no you ready ready - yes beautiful you're not gonna
see me here often now yes I will miss you so much thank you guys you're welcome it's my really big I
can't live like numb so what you thought it would look like her better no I never thought it would
look this good awesome yeah I never thought of and have this much nice smile now I can have lots of
selfies so that's kind of the reaction that you like to get for your patients when they look at
their Provisionals we're gonna look at another patient this is Rosie and obviously there are
some concerns with number 7 being super erupted in a can't - her smile everything that I do usually
starts with an aesthetic mock-up and that's a way for me to not only visualize what I want to
do but it helps the patient to visualize what I'm going to do for them this is the bio temp
provisional the day that we seated it and we're trying to develop an ovate Ponte con number
seven and you can see from a lateral view that we've done a pretty good job and this is how she
leaves the practice eight weeks later she comes back we're going to do final impressions and I
wasn't really thrilled with eight and nine and I wanted to add a little length to those T's so we
did a little more gingival recontouring reworked a provisional and when she left that day she's
slightly numb in this photograph but look at a difference that we made in her smile and we're
certainly headed in the right direction this is another case this is Casey Casey's 17 years old
and recently she had seven eight nine and ten done so crowns that were just recently done if you look
at it from a lateral view there are some things that we'd like to change not only the color but
also the length and the arch form we certainly can improve upon that so we're gonna ordering
a bio temp provisional this is fiber reinforced and this is what the immediate placement of the
provisional and from a lateral view we can see we've really corrected the color the length the
arch form issues that we started with and if you look at her full face smile as she leaves
the office certainly much happier person the nice part about this case this happened to be
on a Friday afternoon she's 17 years old and what's more what's important to a 17 year old
Saturday's homecoming and so she sent me a picture of homecoming and she can smile in her provisional
so that makes me happy some other advantages that you can achieve with bio temp Provisionals
certainly strength we can add fiber or wire great retention if there realign properly they'll stay
on really well just as a tidbit I cement mine with IR M and they are color stable so this is what the
wire would look like that may be if you're using a large splints maybe it's going to be in there for
six months or more you can use fiber if the bite is tight if it's going to be a shorter duration
and they'll stay color stable so in these two photographs there's eight weeks between when we
did the case and then the color hasn't changed at all to me this is the most important thing
right and this is important for everybody in this room you want to preview the final case
we all would like to have predictable outcomes fewer remakes and better lab communication so
this is a bio temp provisional and this is the final case and you can see how they mirror each
other this is where the case started that's the provisional and the final case and if we look
at our patient you can see what a change that we've made in her in her life if you need help
designing the case someone walks in this patients missing number six there's some implants that are
missing so what am I going to do with the spacing right that's part of doing a bio temp provisional
it's going to be done in a digital environment so the lab is going to do a mock up they'll send me
the mock up I can approve it and I like what they did we went ahead and fabricated the provisional
and this is the provisional in place and this was the digital mock-up and if you look at that
compared to the final case it's a great predictor of what the case is going to look like and then
the final case referrals from patients really for me and my practice this is really important that
patients want to come back a lot of patients have had bad experience with their Provisionals and we
want to change that building confidence in the doctor and in the staff but really in the eyes
of the patients we want to build confidence unless chair time so let's look at sandy
so nice reaction there's some emotion there I always ask my patients to contact me whether
it's a text or an email phone call let me know how they're doing they're Provisionals which I asked
sandy to send me a few pictures this is what she sent me so my question is do you think she likes
her temporaries she thinks she's a great referral source for our practice I think so thank you dr.
Barrett and again if you weren't able to attend the first Glidewell dental symposium be on the
lookout for news about upcoming events that you won't want to miss and you can always follow us
on social media you can find us on Facebook and Instagram to make sure you are always in the loop
well that about wraps it up for this episode of chairside live so a map of everyone here
at Glidewell dental thank you for watching and I'll meet you right back here next time
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