Dentistry That Lasts: Engineering Principles Over Trends with Dr. Edward Feinberg
Manage episode 514660350 series 3661638
On this episode of Cosmic Confluence, host Yusuf digs into what truly endures in dentistry with Dr. Edward Feinberg—a clinician-educator trained in the lineage of full-mouth reconstruction and crown-and-bridge artistry. We unpack why periodontal bone health and root-level engineering should be the north star, how to judge new tech against long-term outcomes, and why implants are often a last resort, not the first. If you care about longevity, function, and aestheticsthat hold up over decades—not just quick workflows—this conversation gives you a precise, patient-first framework to make better dental decisions.
About the guest:Dr. Edward Feinberg is a restorative dentist and educator carrying forward a 70-year documented tradition in full-mouth reconstruction and crown-and-bridge. He teaches rationale-driven, step-by-step techniques anchored in biomechanics and periodontal health.
Key takeaways:Judge everything by bone and roots. X-rays (compared every ~2 years) track periodontal bone changes—the leading indicator for keeping teeth long-term.
Principles over products. Techniques and materials change; basic engineering and health principles determine longevity.
Temporaries are blueprints. Use provisional restorations to correct architecture and verify comfort before final work.
Be wary of “butt-joint” crowns. Dr. Feinberg argues CEREC-type milled ceramics and many zirconia crowns can leave micro-gaps and be hard to remove, risking failure or tooth damage.
Think systems, not pieces. Prefer comprehensive crown-and-bridge that redistributes forces, connects weak teeth, prevents food impaction, and stabilizes periodontal structures.
Implants are not the default. Save natural teeth when feasible; use implants judiciously and in the right indications.
Margins matter. Root-level impressions and margins near the bone improve grip and reduce recurrent decay (traditional copper band/aluminum shell methods).
Get second opinions. Dentists vary; if extraction/implant is proposed, confirm with a clinician skilled in complex restorations.
Website: theonwardprogram.com
Audience tip: When booking a consult, ask to review long-term case follow-ups (x-rays/photos) for similar treatments.
Includes monthly blog, 35 courses (some free), documents library, and contact details. Students may request a special code for full course access.
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