Dear Colleagues,

We hope this message finds you healthy! We are excited to share this newsletter with you about some information our office and a few recent cases and a few clinical pearls to help you in your practice.

Our office is staffed by 2 Board Certified Prosthodontists—Dr. Avinash Bidra and Dr. Xiao Chun Li who are committed to excellence and offer only the highest quality of dental treatment. Dr. Bidra (owner) also serves as Director of the Prosthodontics Residency Program at UConn Dental School in Farmington, CT.

Our office is located right in the center of Glastonbury and we serve patients who travel from various parts of Connecticut. Patients in our practice travel from numerous states across the country.

As specialists, we are not only committed to helping patients with advanced dental needs, but also committed to helping other dentists who need help serving their own patients. Whether you are looking to just get some guidance on difficult cases that you want to complete on your own, or stuck halfway or need help referring patients with complex situations such as occlusal plane issues, vertical dimension challenges, multiple failing teeth, restorative space issues, or bone grafting failures or implant misangulation or implant failures, we are here to help!

As an educator for 15 years, Dr. Bidra loves to teach!

We will offer complimentary consultation for your patients and refer them back to you for their maintenance after treatment is complete. We are out of network with all dental insurances but will offer your patients a very fair and reasonable price for their treatment. Our office is certified for IV sedation and we will provide a safe and comfortable "one stop" experience for their dental treatment. Please check out the cases of the month and please visit our website at for additional such cases. Thank you for your time and look forward to working with you!

This patient was referred to Dr. Bidra by her general dentist and periodontist as she had severe periodontal disease that had been managed for many years by deep cleanings, and she was refractory to treatment. Unfortunately, all her teeth were mobile and were failing and she had severe bony destruction. Patient also had severe gummy smile that made the case more challenging! Full mouth extractions and double jaw All on 6 / All on 4 treatment was completed with immediate loading following the Teeth in a Day protocol. No bone grafting was done and bilateral pterygoid implants were placed in the maxilla for increased support.

The patient eventually received Monolithic zirconia bridges. Total time in treatment was 8 months.

This patient was referred to Dr. Li by her general dentist. The patient had a history of missing multiple posterior teeth, severe generalized bruxism, resulting in generalized wear with compensatory eruption, compromised smile esthetics, altered occlusal plane, and loss of VDO. Through conservative preparations adhering to prosthodontic principles, a majority of the teeth were successfully preserved without any need for endodontic treatment. Vertical dimension of occlusion was increased and a full mouth diagnostic waxup was performed to confirm and then a combination of implant and natural teeth supported zirconia crowns were employed to restore the occlusion, function and esthetics. Total time in treatment was 8 months.

Make a copy abutment before cementing any implant restoration!

What is a copy abutment? A copy abutment is an abutment that you can generate chairside by filling your implant crown or bridge with any kind of a quick setting material like silicone, lab putty etc. The purpose of a copy abutment is prevent excess residual cement in the mouth during cementation of implant crowns or bridges. 

Any residual cement that is left uncleaned can lead to harmful biological complications (like cement induced peri-implantitis), esthetic complications, implant failure and even medical-legal complications.

Once the copy abutment is fabricated, and you are ready to cement your crown in the mouth (after the abutment is torqued and sealed), use “just enough cement” in the crown and quickly cement your implant crown over the copy abutment, clean up all the excess cement around the copy abutment, remove and quickly insert the crown over the actual abutment in the mouth and have the patient bite down into occlusion. This will GUARANTEE that you will have very minimal (if any) residual cement in the mouth! After the cement is set, do take a peri-apical radiograph after cementation to ensure no proximal cement remains and for proper record keeping.

All the best with your next crown cementation!

We offer complimentary consultations and will refer patients back to you for maintenance after treatment is complete.