Getting used to the mirror

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sammas

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I'm having a bad time using the mirror. I think it's really hard to establish the distal wall taper in crown/bridge preps. I was looking for some words of wisdom, or maybe just some encouragement; Misery loves company - did anybody else struggle with this?

I'm assuming it's a hard transition for most people to make. Did things one day just kinda click? I would enjoy hearing your stories.

Sammas
 
Everybody feels it's difficult using the mirror at first then as with all things you just get used to it , so just keep practising and a word of advice dont surrender to the temptation of using direct vision for the upper teeth coz if you get used to that your neck will suffer tremendously
 
Practice, practice, practice!!!!! Don't worry, there are alot of diamond ground mesial walls of teeth out there that you weren't planning on prepping, even in actual real world private practice settings😱 😀

One of the things, aside from cutting alot of practice teeth, is finding a routine, and then sticking to it each and every time. The repitition will help alot in your comfort level after a while. For example, my routine for a prepping a crown is
1. Occlussal/Incisal depth cuts (yes, I still make them even after having cut over 1000 crowns
😀 )
2. Occlussal/Incisal reduction (This I really find helps with the mesial and distal reductions since you've eliminated that 2 or so mm's of tooth that was blocking your view of the interproximal surfaces)
3. Rough buccal wall prepping
4. Rough lingual wall prepping
5. Rough mesial wall prepping
6. Rough distal wall prepping
7. Verify occussal/Lingual and/or Incisal reduction/clearance
8. Refine all walls/margins

That's my pattern for every crown that I've prepped for the last 6 years, and it's a pattern that one of my mentors started me on. I'm not saying follow it exactly, but find a patern that works for you, and keep repeating it, that will really help alot in the long run.

Also, once you leave the hallowed halls of dental school and enter private practice, you'll find that you'll be able to get whatever bur shape that/size/grit that YOU want, not what works best in your prof's hands. This I also found helped alot for my interproximal preps. I really like a extra coarse narrow diameter (0.8mm) falt end 90 degree, short shanked, short diamond grit length(5mm of diamond grit) cylinder for my interproximals, it works in my hands, but then when my partner tries to use it, he likes to say "how the hell can you use that little dinky tooth eater??" My reply, "to each and every there own!"😀
 
my bench instructor last quarter recommended practicing indirect vision with a slow speed ... so you don't eat up so many teeth in the process of figuring it out. I found that going slowly and really concentrating on/thinking about what you're doing worked best for me.

good luck!
 
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