Tips, Tricks & Fixes Archives

Bitewing radiograph showing proximal contact and embrasure space between posterior teeth

Embrasure Space Recapture

August 27, 2025 Michael Trudeau Daily Fix, Tips, Tricks & Fixes

The embrasure. I don’t think most clinicians give enough thought to the embrasure. It’s the contact in three dimensions. It is dictated often by tooth position and or restorative. As long as there is sufficient

Radiographs, CBCT and clinical photos of maxillary central dens in dente with large apical lesion

Decompression of a Dens in Dente Central Incisor

October 22, 2024 Michael Trudeau Large Lesion, Tips, Tricks & Fixes

This was an interesting tooth. It had a large talon on the palatal leading to a c shaped dens in dente or tooth within a tooth. There was a very large apical finding. Symptoms didn’t

Serial periapicals of avulsed maxillary central with external resorption, and clinical photo

Decoronation of an Ankylosed Tooth

November 29, 2023 Michael Trudeau Weekly Fix

Decisions…decisions. A very young looking 10 year old girl presented after an avulsion of tooth number 9 with a very short extra-oral dry time, immediately replanted and subsequently splinted. The decision of whether to initiate

System S

October 23, 2023 Michael Trudeau Tips, Tricks & Fixes

When you’re filling with rubber you got options. Carrier based, cones, and System S, otherwise known as the Squirt. I first learned of the Squirt from Joey Dovgan in 2008 whilst at Einstein and while

Custom Resin Matrix

November 13, 2019 Michael Trudeau Weekly Fix

Terminal teeth are tough to band and keep rubber dam isolation. So we came up with an alternative- the custom resin matrix. Using green opaldam we make a custom matrix to pack amalgam with or

Periapicals and access photo of maxillary molar with Dycal used to adapt the matrix band

Dycal Help with Matrix

January 28, 2019 Michael Trudeau Daily Fix, Tips, Tricks & Fixes

The distal invagination of maxillary molars can create a bit of a challenge when adapting a matrix band. There are lots of matrix options, but if your normal armamentarium is a Tofflemire and band, then

Root Tip Endo

January 17, 2019 Michael Trudeau Weekly Fix

Consider these observations: These are but a few of the many documented cases of root tip endos that I’ve seen over the years in practice. The patients are all asymptomatic, albeit clearly not functional. We

Periapicals and access photos of regenerative endodontic case on an immature mandibular premolar

Considering Revascularization, Regendo

August 8, 2018 Michael Trudeau Weekly Fix

This was a regendo case, or at the time almost 10 years ago we referred to these cases as revascularization. This tooth belonged to a young Asian girl who had a dens invaginatus. We

Periapicals of luxated maxillary lateral and avulsed central after splinting and root canal treatment

Trauma, Resorption, and Decoronation

July 20, 2018 Michael Trudeau Resorption, Weekly Fix

This little guy caught a fly ball… in the mouth. The lateral was laterally luxated. The central was avulsed and replanted with a dry time of 15 minutes. The lateral was repositioned and splinted. I

Crown Repair

July 13, 2018 Michael Trudeau Weekly Fix

A quality crown repair is important for successful patient centered outcomes. What’s desired is a quality core and an esthetic closure. There are options in achieving these goals, and presented here is just one

Category: Tips, Tricks & Fixes