Blog Posts


Posted September 2, 2024

Cementation of Full Crowns: Two Scenarios

Crown cementation is an essential part of ensuring successful outcomes. In this article, adapted from Dr. Ruiz’s book, Supra-Gingival Minimally Invasive Dentistry: A Healthier Approach to Esthetic Restorations, we go through the what the cementation of full crowns looks like in different scenarios. Preparation for a full-coverage all-ceramic crown Crown preparations that are supragingival minimally invasive are encouraged. As tooth... read more »


Posted June 15, 2024

Which is More Predictable? Mechanically Retained Dentistry With Subgingival Margins or Supragingival Minimally Invasive Adhesive Dentistry?

Source: Supra-Gingival Minimally Invasive Dentistry: A Healthier Approach to Esthetic Restorations, published by Wiley-Blackwell Mechanically Retained Dentistry with Subgingival Margins is Less Predictable and Less Durable Because of the long history of crowns and of traditional restorative procedures and rules, it is easy to believe that these procedures are better and more predictable. It is fair to say that almost... read more »


Posted May 15, 2024

Restorative Material Options Specific to Bonded Onlays

Source: Supra-Gingival Minimally Invasive Dentistry: A Healthier Approach to Esthetic Restorations, published by Wiley-Blackwell The choice of restorative materials for partial or full coverage supragingival minimally invasive onlays or partial crowns is of paramount importance. Patient satisfaction and the success and longevity of the restoration depend on this choice. There are many restorative materials for partial coverage onlays, including gold.... read more »


Posted May 1, 2024

Which Is More Esthetic? Mechanically Retained Dentistry With Subgingival Margins or Supragingival Minimally Invasive Adhesive Dentistry?

Source: Supra-Gingival Minimally Invasive Dentistry: A Healthier Approach to Esthetic Restorations, published by Wiley-Blackwell Mechanically Retained Dentistry Is Less Beautiful It is interesting that one of the primary reasons given for placing margins subgingivally in dentistry fails so often. Historically, restorative margins have been placed subgingivally because of the desire to hide the unsightly margin of opacious crowns, usually PFM... read more »


Posted April 16, 2024

Which Is Healthier? Mechanically Retained Dentistry With Subgingival Margins or Supragingival Minimally Invasive Adhesive Dentistry?

Source: Supra-Gingival Minimally Invasive Dentistry: A Healthier Approach to Esthetic Restorations, published by Wiley-Blackwell Mechanically Retained Dentistry With Subgingival Margins Is Less Healthy As already stated, the negative effects of subgingival margins are not usually considered in dentistry. Traditional mechanically retained dentistry uses multiple techniques and protocols which leave subgingival margins. But what are the consequences of these techniques? A... read more »


Posted April 2, 2024

Which Is Easier? Mechanically Retained Dentistry With Subgingival Margins or Supragingival Minimally Invasive Adhesive Dentistry?

Source: Supra-Gingival Minimally Invasive Dentistry: A Healthier Approach to Esthetic Restorations, published by Wiley-Blackwell Against common belief, traditionally mechanically retained dentistry with subgingival margins is far more complicated than modern supragingival dentistry. But why is this the case? In this article, we will compare the difficulty of mechanically retained dentistry with subgingival margins and supragingival minimally invasive adhesive dentistry. The... read more »


Posted March 26, 2024

Supra-Gingival Minimally Invasive Adhesive Dentistry: A Healthier Paradigm

Source: Supra-Gingival Minimally Invasive Dentistry: A Healthier Approach to Esthetic Restorations, published by Wiley-Blackwell What is Supragingival Minimally Invasive Adhesive Dentistry? Supra-gingival minimally invasive adhesive dentistry is a method of restorative dentistry that uses a number of modern techniques, as well as the benefits of adhesive dentistry, to avoid crowns or any restorative procedure that may cause preventable subgingival margins. ... read more »


Posted February 13, 2024

Onlay Bonded Cementation (Step By Step)

Source: Supra-Gingival Minimally Invasive Dentistry: A Healthier Approach to Esthetic Restorations, published by Wiley-Blackwell A crucial step in ensuring a correct retention and marginal seal of bonded restorations is bonded cementation. Clinicians are at times greatly concerned about bonded cementation of indirect onlays or veneers and don’t embrace this technique. Some may prefer a full crown procedure because traditional crowns... read more »


Posted January 21, 2024

Universal Principles for Supragingival Minimally Invasive Preparation

Source: Supra-Gingival Minimally Invasive Dentistry: A Healthier Approach to Esthetic Restorations, published by Wiley-Blackwell Traditional GV Black-inspired preparation rules do not apply to direct composite techniques. These include  Extensions for prevention No enamel without dentin support Geometric shape preparations Creating gingival clearance by dropping the box  To facilitate the development of more appropriate preparations for direct bonded composite restorations, understanding... read more »


Posted January 20, 2024

Can Direct Composite Restorations Be Reliable and Efficient?

Source: Supra-Gingival Minimally Invasive Dentistry: A Healthier Approach to Esthetic Restorations, published by Wiley-Blackwell Direct composite restorations are the most common procedures in restorative dentistry. However, since many clinicians find direct composites to be complicated, unpredictable, and sometimes unprofitable as third-party compensation is in decline and clinicians deal with extreme fee competition, a time efficient, predictable technique is crucial for... read more »


Posted January 17, 2024

What You Need To Know About Supra-Gingival Restorative Dentistry

In the ever-evolving field of dentistry, practitioners are continually exploring innovative approaches to enhance not only oral health but also the overall aesthetics of a patient's smile. One such groundbreaking technique gaining prominence is Supra-Gingival Restorative Dentistry, a holistic approach that prioritizes conservative restoration techniques while achieving stunning smile transformations. Preserving Natural Tooth Structure Unlike traditional restorative dentistry, which often... read more »


Posted January 13, 2024

The Parameters of Dentofacial Esthetics Used for Smile Design

Source: Supra-Gingival Minimally Invasive Dentistry: A Healthier Approach to Esthetic Restorations, published by Wiley-Blackwell As any clinician knows, patients come in for esthetic dental treatment not just so that their teeth look better, but for their smile and entire face to improve. They want “big picture” results. Because of this, it’s important that we keep in mind dentofacial esthetics, which... read more »


Posted January 5, 2024

The Principles of Supra-Gingival Dentistry

Source: Supra-Gingival Minimally Invasive Dentistry: A Healthier Approach to Esthetic Restorations, published by Wiley-Blackwell Supra-gingival, minimally invasive dentistry is a modality or style of dentistry which uses the latest materials and innovative techniques to keep restorations (fillings, crowns, veneers, onlays, etc.) above the gum line. This new and innovative approach uses the most minimally-invasive techniques available. This approach assumes that the most... read more »


Posted December 22, 2023

Occlusal Disease: The Silent Enemy

Source: Supra-Gingival Minimally Invasive Dentistry: A Healthier Approach to Aesthetic Restorations, published by Wiley-Blackwell What Is Occlusal Disease? Disease is defined as an “abnormal condition of an organism as a consequence of infection, inherent weakness or environmental stress, that impairs normal physiological function.” While negative effects of occlusion have typically been referred to as “problems or conditions,” based on the... read more »


Posted

The Three Major Categories of Onlay Preparation Based On Tooth Condition

Source: Supra-Gingival Minimally Invasive Dentistry: A Healthier Approach to Aesthetic Restorations, published by Wiley-Blackwell As any clinician who values minimally invasive dentistry understands, it is always preferable to retain a supragingival margin and preserve tooth structure to make restorative dentistry healthier. However, the recommendations for bonded onlays/onlay preparation have traditionally been for simple cases that fulfill strict requirements, such as... read more »


Posted December 19, 2023

Learn How To Elevate Restorative Dentistry Using the Supra-Gingival Approach

In the ever-evolving field of dentistry, practitioners are continually seeking innovative approaches that prioritize patient comfort, aesthetics and long-term success. One such paradigm shift steadily gaining momentum is Supra-Gingival Restorative Dentistry – an innovative technique that not only addresses the clinical challenges of dental patients but also emphasizes achieving predictable outcomes. Working Above Patient Gum Line Supra-gingival restorative dentistry focuses... read more »


Posted December 15, 2023

The Seven Signs and Symptoms of Occlusal Disease

Source: Supra-Gingival Minimally Invasive Dentistry: A Healthier Approach to Aesthetic Restorations, published by Wiley-Blackwell For clinicians who are passionate about minimally invasive dentistry, understanding occlusal management can encourage healthier, more supragingival minimally invasive dentistry because the fear of fractured restorations often forces the dentist to cut crowns rather than use partial coverage. The Occlusal Disease Management System is incremental, based... read more »


Posted November 17, 2023

Unveiling the Advantages of Supra-Gingival Restorative Dentistry Training

In the field of dentistry, staying at the forefront of technological advancements is crucial for dental professionals to provide optimal patient care. One such progressive approach, gaining ever-increasing traction, is Supra-Gingival Restorative Dentistry, an innovative method that focuses on therapeutic procedures above the gum line. Minimally Invasive Techniques Supra-Gingival Restorative Dentistry places a strong emphasis on minimally invasive techniques. By... read more »