Lee Ann Brady, DMD's Dental Blog

Retraction Paste Technique Sensitivity

Lee Ann Brady — Thu, 01 Dec 2022 18:08:32 +0000

One of my favorite clinical products is retraction paste, but using it means we need to be aware of the technique sensitivity and issues that may arise. So why do I love it? Retraction pastes are the best hemostatic agents we have available today. Unlike the liquid versions they can not be absorbed into theRead More

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The Next Generation of Glass Ionomer Cements

Lee Ann Brady — Fri, 18 Dec 2020 18:19:44 +0000

Over the last 10 years or so, there have not ben advances in resin modified glass ionomer cements until now. GC America brought their new FujiCem Evolve to the market and took this category of materials a giant step forward. I will admit to being a skeptic when it was announced. I wondered how canRead More

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A Fantastic New Temporary Cement

Lee Ann Brady — Sun, 02 Jun 2019 14:38:30 +0000

The search for temporary cements has been a long one over the last decade as my practice has moved away from porcelain fused to metal full coverage as the go to indirect restoration. The difference in mechanical retention, aesthetics and final placement protocols places different demands on our temporary cements. There are quite a numberRead More

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Tissue Blanching When Seating An Implant Restoration

Lee Ann Brady — Wed, 29 May 2019 16:06:45 +0000

One of the most important and difficult pieces of implant prosthodontics is mimicking the beauty of the biology. The tissue position, color and properties are often what gives away that this is dentistry not a real tooth. One of the ways we can understand our impact on the tissue position is to watch for blanching.Read More

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Is It Time To Get An Intra-oral Impression Scanner?

Lee Ann Brady — Fri, 24 May 2019 21:19:37 +0000

I have had the opportunity over the last decade and a half to work on many of the intra-oral impression scanning systems currently on the market. Playing with new technology, however, is different than using it day to day. One of the most common questions I have been asked over the years is, are youRead More

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Does Your Team Order The Dental Materials You Want?

Lee Ann Brady — Wed, 13 Feb 2019 18:06:41 +0000

So today I went to take a Centric Relation bite record for a patient so we could fabricate an occlusal appliance. After I dry the upper teeth and reach for the bite registration silicone I realize I don’t recognize the material in the gun. While trying to complete the procedure I rotate the gun toRead More

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Not All Zirconia Is Created Equal

Lee Ann Brady — Wed, 30 Jan 2019 16:37:35 +0000

Most dentists think of zirconia as the highest strength, all-ceramic material that they can use to balance esthetics and durability. It is the material we go to for patients with occlusal risk, for second molars at higher risk of fracture and for all-ceramic bridges. When you start to discuss zirconia you will hear flexural strengthsRead More

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White Spot Lesions & ICON

Lee Ann Brady — Fri, 06 Apr 2018 10:29:18 +0000

White spot lesions can be very frustrating for us as well as our patients. Over the years I have tried many solutions with marginal results and predictability. This year I have ben using a new product from DMG America called ICON and have been impressed with the results. ICON is a translucent resin infiltrate. TheRead More

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Air Abrasion Made Easy

Lee Ann Brady — Wed, 04 Apr 2018 02:25:31 +0000

I am a big fan of chair-side air abrasion. It is an incredible clinical tool to clean temporary cement off a tooth prior to adhesively placing a final restoration, prepare certain restorative materials for bonding and even complete some small cavity preparations. For years I have pushed through the inconvenience of the equipment for airRead More

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Prophy Paste Abrasiveness

Lee Ann Brady — Tue, 02 Jan 2018 16:36:05 +0000

As a follow-up to the recent post on the abrasiveness of toothpaste, I thought we would look at prophy paste. Prophy paste, even the fine is generally more abrasive then over the counter toothpastes. In addition it is applied using a prophy cup going at 20,000 rpm’s with much more pressure. Even though the incidenceRead More

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Toothpaste Abrasiveness

Lee Ann Brady — Thu, 28 Dec 2017 19:59:09 +0000

I’ll admit that the abrasiveness of over the counter toothpastes has not been something I have always thought about. The increasing use of monolithic ceramic restorations that get their esthetics from stain and glaze has brought this concern tot he forefront. The abrasiveness, measured most commonly as the RDA, relative dentin abrasiveness, is also anRead More

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Tongue Position & Nose Breathing

Lee Ann Brady — Tue, 22 Aug 2017 19:58:31 +0000

When we nose breath our tongue is elevated against the anterior portion of the palate and held there with gentle pressure. This position mechanically pulls the base of the tongue forward increasing the size of the airway. At the same time the gentle pressure and movement of the tongue to this position helps to strengthen the tongue and keep it strong.

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Announcing My Return To The Pankey Institute!

Lee Ann Brady — Wed, 31 May 2017 13:55:30 +0000

I am excited to share with you the news that I am rejoining The Pankey Institute as Director of Education, overseeing curriculum and faculty development as well as teaching selected courses at the fabulous facility in Key Biscayne. Of course, I’ll still be blogging at leeannbrady.com and curating restorativenation.com, as well as presenting at dentalRead More

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Zirconia Implants

Lee Ann Brady — Fri, 14 Apr 2017 20:21:30 +0000

This week we had a patient in the office with a complex treatment planning dilemma. A number of years ago she lost tooth #10 and replaced it with a bridge from the central to the canine. The bridge decision was based on the fact that she has severe metal allergies. The allergy testing was doneRead More

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Creating Dental Anatomy in Composite

Lee Ann Brady — Sun, 09 Apr 2017 15:41:18 +0000

One of my goals with composite restorations is to do as much of the forming and shaping prior to picking up a curing light as I can. The material is very sculptable before it is cured and access tot he surface of the tooth is easier with hand instruments versus rotary. Once I have placedRead More

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Condensing Composite

Lee Ann Brady — Sun, 02 Apr 2017 21:36:47 +0000

Composite Instruments with disposable tips eliminate the issues of cleaning off cured composite and avoiding scratching or damage to the surface. Posterior composite placement is very different than in the anterior. We use the term condensation, although it really creates the wrong image and behavior. Composite is really not condensed as much as it isRead More

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No More Gold Composite Instruments

Lee Ann Brady — Sun, 19 Mar 2017 22:53:20 +0000

Over the years I have had a love hate relationship with composite instruments. In the search for something that the composite did not stick to I have tried the gold tipped variety, the anodized version and even plastic versions. They all work great when they are brand new out of the package. The challenge isRead More

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Announcing Restorative Nation!

Lee Ann Brady — Thu, 02 Mar 2017 18:18:22 +0000

I am excited to announce RestorativeNation.com, a private social network and dental learning community with in-depth educational videos, Curator’s video journals, webinars, clinical tips and even treatment planning challenges. The idea for the site came from watching dentists at my lectures and courses get excited, engaged and empowered about practicing dentistry. But then they goRead More

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Updated Invisalign Protocol

Lee Ann Brady — Wed, 22 Feb 2017 15:36:16 +0000

For many years now I have delayed putting on the composite attachments for Invisalign until one week into care as a way to give patients a chance to settle in, get used to the trays and begin some initial tooth movement. My blog post about this approach prompted my good friend Dr. Nancy Ward toRead More

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Esthetic Zone Ratios: Part Two

Lee Ann Brady — Mon, 13 Feb 2017 01:53:35 +0000

The second of the esthetic zone ratios looks at tooth proportion. Upper anterior teeth look their most esthetic when the ratio comparing width to length is between 70-80%. This proportion can be measured on a computer screen in pixels using programs like Keynote or Powerpoint and inserting the image into a slide and adding aRead More

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Esthetic Zone Ratios: Part One

Lee Ann Brady — Mon, 09 Jan 2017 22:01:03 +0000

Esthetic Zone Ratios is an approach to smile design, and can be used in conjunction with or as a replacement for other smile design systems. The first of the four ratios compares the width of the esthetic zone, all of the teeth visible between the commissures at a full smile, and the width of the anterior segment, from distal of the canines.

The post Esthetic Zone Ratios: Part One first appeared on Lee Ann Brady, DMD's Dental Blog.

New Alternative for Pulp Capping

Lee Ann Brady — Fri, 04 Nov 2016 12:10:13 +0000

At a recent lecture I was giving as we went over techniques and materials for pulp capping I got the chance to learn about a great product. An endodontist in the audience asked if I had ever heard of EndoSequence BC RRM from Brasseler. He specifically encourages it’s use for direct pulp capping over anRead More

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An App for Sleep Apnea

Lee Ann Brady — Thu, 27 Oct 2016 21:27:34 +0000

Sleep issues and sleep apnea is a very serious concern today for our patients health. I have been giving patients an Epworth sleepiness self assessment for several years. It is a great way to find out if patients should pursue their sleep with a physician and inquire about having a sleep study. Another incredible indicatorRead More

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Composite Blending: Choose Value First

Lee Ann Brady — Thu, 15 Sep 2016 17:35:43 +0000

Shade matching is one of the greatest challenges in esthetic dentistry. The appearance of a tooth is a combination of it’s reflectiveness and translucence, plus the Chroma and hue of the dentin and the enamel combined. We judge the final “shade” in value, chroma and hue. The value is often discussed as a white toRead More

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Eye Protection for Dental Patients

Lee Ann Brady — Mon, 11 Jul 2016 13:38:25 +0000

I know when you saw the title of this post many of you thought, why is she writing about eye protection for dental patients, it's basic, everyone does this.

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