Restorative Dentistry: Why Crown & Bridge Still Matters — Long-Term Outcomes vs “All-on-4” Implants | Dr. Edward Feinberg

Dr. Edward Feinberg—four decades in restorative dentistry and director of Onward—explains why fundamental engineering and biological principles must guide restorative choices. This episode contrasts crown & bridge techniques that preserve natural teeth with modern implant trends (including “all-on-4”), highlights common mistakes new dentists make when evaluating technology, and outlines practical steps to design restorations for longevity and cleanability. If you want clear guidance on when to save teeth, when to choose implants, and how to avoid predictable failures, listen for clinical examples, treatment philosophy, and Onward’s teaching approach to predictable crown & bridge success.

About the Guest :

Dr. Edward Feinberg is a restorative dentist and educator with over 40 years of clinical practice. Trained in multi-generational crown & bridge traditions, he directs the Onward teaching program and is finishing a textbook that codifies seven decades of documented restorative outcomes. His work emphasizes preservation, engineering-based design, and stepwise clinical rigor.

Key takeaways:

• Preservation-first: prioritize saving natural teeth where possible; crown & bridge can create stable, long-lasting architecture.

• Engineering matters: restorations must follow mechanical and biological principles to resist bacterial infiltration and minimize failures.

• Crown design: properly executed crown & bridge ties teeth together, redistributes forces, and prevents recurrent decay when sealed correctly.

• Technology filter: new tools are valuable only if they conform to established clinical principles; digital/cheap in-office crowns can reproduce old “butt-joint” failures.

• Implant limits: implants are not a universal fix — overloaded or hard-to-clean implant prostheses (e.g., excessive superstructure) predict failure.

• All-on-4 cautions: flattening ridges and placing broad fixed superstructures can compromise future options and oral hygiene, risking irreversible outcomes.

• Material selection risk: extremely hard ceramics (e.g., some zirconia use) can damage underlying tooth structure and complicate future maintenance.

• Stepwise workflow: follow methodical steps, correct early errors, and accept revisits to ensure a predictable final result.

• Patient education: informed consent and offering choices builds trust and long-term relationships; preservation often improves quality of life.

• Clinical humility: be your own critic—don’t accept marginal results; long-term health over immediate convenience or profit.

Where listeners can connect with Dr. Edward Feinberg  :

• Website: http://www.theonwardprogram.com/

• Instagram  | YouTube

 

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Disclaimer: This video is for educational and informational purposes only. The views expressed are the personal opinions of the guest and do not reflect the views of the host or Healthy Mind By Avik™️. We do not intend to harm, defame, or discredit any person, organization, brand, product, country, or profession mentioned. All third-party media used remain the property of their respective owners and are used under fair use for informational purposes. By watching, you acknowledge and accept this disclaimer.  

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