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DRright after dental school, i took a ce course from a well-known european dentist on vertical preparation
then i spoke with more than 20 dentists who work with this concept, and decided to give it a shot
at first, i loved it
the results were beautiful
crowns seated subgingivally with tissue blanching
restoring severely broken-down teeth felt much easier, because even with a short ferrule, you can always gain more structure below the gingiva
but that part is also what i didn’t like
gingiva is unpredictable
to place the future margin, you’re essentially cutting through soft tissue
with a thin biotype, recession becomes a real risk
at 3–5 month recalls, i started seeing more variability in outcomes
and unpredictability is something i’m not comfortable with
i took another course, this time on bopt
i thought the issue might be my temporaries
but even after refining that, i still didn’t feel fully confident
so i went back to conventional margin prep
i still miss how vertical preps allowed me to save extremely broken-down teeth
but for now, consistency and predictability matters more to me
#verticalpreparation #vertiprep #bopt
@dr.artem.newyork
