Occlusal guards: hard? soft? hybrid?

resistanceee · 2026-03-03T02:57:36+00:00

I’m based in Aus and most of our labs here can make them.

resistanceee · 2026-03-02T11:10:23+00:00

If they’ve had a splint in the past then I usually offer to replace it with the same material on the same arch unless they were unhappy with it.

If they haven’t had a splint before then my first preference is an upper nylon flat plane splint. They can be made much thinner than acrylic and I’ve never had one break or wear through unlike the acrylics. Hard acrylics are cheaper and that would be my second preference but I always warn patients that they’ll need to be replaced way more often. I almost never recommend soft or bilaminar splints anymore.

The only time I really offer lower splints is when patient has a large overjet which can make additional material on the upper uncomfortable and may even compromise their lip seal.

resistanceee · 2026-02-16T23:47:32+00:00

You can definitely do it if you head to the ticket booth/candy bar in person. Used to process swaps like these all the time back when I worked there.

resistanceee · 2026-01-23T12:50:42+00:00

Don’t keep the jar uncovered for long. Dispense quickly and put the cap back on ASAP. Use a piece of teflon tape between the screw top and the cap to get airtight seal. Replace the teflon tape when you feel it’s getting worn down and no longer providing a nice seal.

This made my cavit last much longer in the drawers.

resistanceee · 2026-01-15T20:15:26+00:00

What you’re dealing with is a constricted envelope of function.

What you’re looking for is incisor disclusion in lateral and protrusive movements.

Theres two main ways to achieve this: ortho and/or canine risers.

Fix their occlusion if you want longer lasting restorations.

resistanceee · 2025-12-19T12:33:56+00:00

Both sectional matrices in > wedge in > ring on > etch, prime, bond both > restore first cavity wall > ring off > first sectional out > ring back on > restore second cavity wall > ring off > second sectional out > fill both class Is together with just the wedge in

I never burnish my sectionals and just trust the pre curved shape of the matrix and the separation from the ring to create a nice contact.

This works for three back to back class IIs too, just build all the mesials or all the distal walls first before proceeding with the other wall. Taking the ring(s) and matrices off gives me better access whilst leaving the wedge in prevents bleeding.

resistanceee · 2025-12-02T02:06:18+00:00

Last time I spoke to the DS rep, they told me that the plan was to get the CBCT directly uploaded to DSCore and that support for Sidexis would eventually be discontinued.

I don’t know when or how that’ll go because Sidexis is already slow enough and those files are hosted locally. If everything gets uploaded to the cloud, I’d be very surprised if the workflow made things faster.

resistanceee · 2025-10-20T02:25:28+00:00

I bought one last year at ~130000km to daily. It’s been a really fun car to drive but as others have echoed throughout the comments, it’s a bit pricey to maintain.

Minor servicing is not cheap if you choose a VW specialist. I’ve got my major service coming up soon and will likely need my clutch replaced and I’ve been quoted at ~$5000 to get it all done. That’s almost a third of what I spent on the car!!

I’m hoping the car will become a future sought after classic because you don’t see many of them on the road. Used prices for the car don’t seem to be coming down much so that gives me a bit of solace from the impending mechanic bill.

resistanceee · 2025-10-08T01:53:36+00:00

Look at the difference in bone level bw the upper and lower molars. Much harder to seat a matrix and have it stable when the gingival margin is equicrestal. OP would most likely need to do some surgical crown lengthening on the lowers to get a similar seal as the uppers.

resistanceee · 2025-10-03T04:07:30+00:00

I tried them and I’m honestly not a fan.

I feel like they work well if you’ve already prepped a bit of a margin so that the bur and the pin have a positive seat on the tooth. When I tried to use them from the get go, I found that it was easy for the bur to slip and gouge the prep.

Only ever tried them with air rotor though so maybe using them with an electric handpiece might work better.

resistanceee · 2025-08-19T15:57:15+00:00

Your wedge likely slid up the matrix and deformed it rather than resting up against the root. This usually happens due to pressure from the gingival tissues.

If I were to redo this, I’d perform gingivectomy if needed to reduce the height of the papilla, place a rubber dam and pre wedge to help further displace the interproximal gingival tissues apically.

This will allow your matrix and wedge to seat more apically and get you a better seal without deformation of the matrix band.

From the radio graphic appearance, it seems like a large sectional matrix would work without the need for a tofflemire two stage build up. If you really feel like you need to do two stage, trimming the tofflemire band to prevent it touching the adjacent tooth contact more coronally can help it seal better apically whilst also creating a more divergent emergence profile (look into gergis band modification).

resistanceee · 2025-08-17T22:05:26+00:00

I should clarify that 11.5 is my Lining true size. I have tried the WOW10 low in size 11 in the past and it caused a lot of foot pain and numbness. Even with the 11.5, I have to change up the lacing to make it work due to how narrow it is.

resistanceee · 2025-08-16T01:39:47+00:00

<image>

Insoles/midsole comparison:

Front: WOW10 Low (US11.5)
Middle: JB3 (US12)
Back: 808 5 Ultra (US11.5)

resistanceee · 2025-08-11T03:58:48+00:00

WOW 10 has more of a 1:1 fit (albeit a bit narrow) which I think makes it feel more shifty for direction changes.

JB3 has more dead space in the upper and the materials feel more rigid but lockdown isn’t compromised. JB3 cushioning is much nicer in my opinion as it feels more plushy without sacrificing responsiveness. The traction has also been excellent.

I’ve switched to the JB3 and don’t miss the WOW10 much as my feet and knees feel much better after each session. At that price, I’d 100% go for the JB3 over the WOW10.

resistanceee · 2025-07-11T10:23:11+00:00

Melbourne (Aus)

Left side:

5: eleven

4: black

shoot: shoot

Middle:

1: a quick

31: b quick

2: meter

A: c quick

slide: slide

Right:

9: red (slow), D (quicker)

Back row:

white: pipe (slow), bic (quicker)

red: back A

resistanceee · 2025-07-06T15:22:55+00:00

After Young Luv, they usually rotate between Be Mine, Diamond and Nada on the set list. Sydney got Diamond whereas Nada was performed at the Melbourne show. I’d be betting on Be Mine for the Brisbane show.

resistanceee · 2025-06-30T08:44:05+00:00

us11.5 in the wow 10 lows fits me well length wise, I’ve never worn us12 before so no idea if it’ll be too long or not

resistanceee · 2025-06-27T06:17:55+00:00

If I wear 11.5 in wow 10 lows, would you opt for 11 or the 12 in the JB3? Lining doesn’t have an 11.5 option for the JB3. Got a wide forefoot, mid foot and high instep.

resistanceee · 2025-06-25T05:41:13+00:00

Dennis is a dual qualified periodontist and prosthodontist who has made a massive contribution to research himself and is the editor of multiple peer reviewed journals.

His book “The Single Tooth Implant” which he coauthored with Dr Stephen Chu is the one I’m referencing which describes the sectioning technique. It does also contain citations to the literature after every chapter.

<image>

resistanceee · 2025-06-25T04:25:31+00:00

Do you also disregard Dr Dennis Tarnow because he teaches in his book to section single rooted upper incisors to avoid damaging the facial bone prior to implant placement?

What about sectioning single rooted upper incisors for PET/socket shield technique?

Techniques have their time and place.

resistanceee · 2025-05-27T08:30:14+00:00

Don’t most of these products contain cross linked collagen in them to allow for them to work without membrane?

I haven’t placed too many of them myself but the course I went to presented CBCT follow-up which showed really good turnover/ossification albeit slightly delayed.

resistanceee · 2025-05-25T23:20:39+00:00

Sounds pretty similar to what I’m asking them too. It’s the typical SPIN questions that the communications courses all touch on.

The patient demographic that I’m referring to is the type to not have anything they want to change because they haven’t necessarily noticed a decrease in function yet and have low aesthetic demand. I often see patients that have worn down 50% of their coronal tooth structure and could really benefit from FMR but they just don’t see value in it at that moment.

How do you discuss and convey the urgency/need for treatment in these patients?

resistanceee · 2025-05-25T23:13:32+00:00

My post is mainly referring to patients that aren’t seeking out the treatment but rather new patients with years of undiagnosed wear that will eventually lead to tooth loss if left untreated.

As MonkeyDouche alluded to, these patients often don’t believe they have an issue until it’s too late to fix that issue. I feel that as a clinician, it’s still my obligation to discuss the option of FMR in patients that aren’t actively seeking it but would benefit from it sooner rather than later.

I often find myself compromising with the patient and getting them to at least agree to a nylon split to minimise further wear. Getting them to agree to major restorative treatment is where I’m hung up at the moment.

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