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Searching: healthy gum
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Message Board
Views: 2225 | Replies: 77
you're good to go. Most of the time. This is why i typically remove the entire coronal section of the tooth. Whats the benefit of leaving healthy tooth structure when you can just remove the entire coronal section. I am assuming you are asking rhetorically. Surely you understand the benefit
July 03, 2019
Bonding Products &Techniques
Message Board
Views: 1331 | Replies: 25
This young healthy patient broke off the lingual half of #4 down into the gums about 3mm. Very painful. Although clearly no pulpal involvement. Clearly sufficient tooth structure above the gum line but so deep on the lingual. How do you handle these? Why is he in pain if no pulpal involvement
February 23, 2021
Bonding Products &Techniques
Message Board
Views: 2727 | Replies: 78
who will never go to the periodontist again? PST may be viable. We don't do PST bc there are no RCTs evaluating its efficacy, especially in comparison to SECTGs. If someone were to try it, this would be a good case due to presence of at least some KG preop and healthy papillas. Whether it will relapse
January 28, 2016
Bonding Products &Techniques
Message Board
Views: 270 | Replies: 9
this. If you wait long enough to treat, you can also do a root canal. Why would you not treat this? Treat. Remember what this one looks like when you get in there, and go back to the x-ray afterward to make a mental note. Bleeding gums=unhealthy environment. Maybe you didn't see a bunch of plaque
October 19, 2015
Bonding Products &Techniques
Message Board
Views: 8910 | Replies: 151
the Pink will respond to the treatment:) it looks like you are on top of the bone or maybe 1 mm away. Thank you ! Being violated by ed... Is probably the best option for this tooth's survival.. Ed is nice :) but I saw a lot angry gums because of this issue . I am looking forward to see the follow
January 12, 2023
Bonding Products &Techniques
Message Board
Views: 230 | Replies: 3
and hold it against the teeth, then make marks at the location of all of the incisal edges with a pen/marker/whatever. This works well. Punch the central incisors 1 inch from the edge of the dam. And you can also sometimes place a 2A clamp right over the dam onto a 2nd bicuspid, without any punch. It will be more comfortable for the patient with a layer of rubber dam covering the tooth and gum, but doesn't hold as well as with a punch.
May 10, 2021
Bonding Products &Techniques
Message Board
Views: 323 | Replies: 6
This patient came to my office with a tooth broken off at the gum line and needed to go to work or lose her job at the Ruger Gun manufacturing facility.<br/>I considered how I could best help her. We could place a standard post and Buildup, but by using the multiple fiberglass reinforced
July 15, 2015
Bonding Products &Techniques
Message Board
Views: 461 | Replies: 15
So I had an interesting case come in, one that challenged me to think out of the box! New patient had recent endo re-tx done on #s 14-15 and was told he needed gum grafts BEFORE any crown work could be done. The patient was concerned about the structural integrity of the teeth as #14 DL cusp had
June 19, 2017
Bonding Products &Techniques
Message Board
Views: 321 | Replies: 5
Any tips to make them stick and not fall out after a couple of years. I have a 40 year old male, big guy with a big head pop out a couple class 5 every so often. He is coming in tomorrow. He is not a clenchernor grinder. The composites were initially done due to decay around gum line. At the risk
March 07, 2017
Bonding Products &Techniques
Message Board
Views: 699 | Replies: 15
. +++++ amazing stuff especially the clearTrichloracetic Acidsuperoxyl, white gums don't bleed Ray BertolottiRubber dam with floss ligature Doesn't H2O2 affect bonding??Do you have a brand name?we just get it from the pharmacy here in NZ as trichloracetic acid TCA its not a branded product as far as I
July 17, 2014
Bonding Products &Techniques
Message Board
Views: 6258 | Replies: 192
not have a lot of area. The tooth tested vital preop and the pulp looked very healthy. In 5 years? I see this tooth being just fine...with or without endo. From my experience I offered the patient the choice and he elected to choose the pulp cap-if I even give a choice.John-the preop symptoms were
August 24, 2005
Bonding Products &Techniques
Message Board
Views: 160 | Replies: 2
composite in. Works but sorta still falls out-sometimes. I always hear in this day and age there's no need for pins... but I cant get my damn composite to stick on crowns when B/U required. Hard to say without a photo. Are you talking about the entire cusp missing downto around the gum line and you
September 20, 2017
Bonding Products &Techniques
Message Board
Views: 321 | Replies: 7
your assistant is holding it down. If its light cure, Ill do a tack cure and remove the gelled cement with an explorer. And I always take a lost cement X-ray to make sure I got it all. Your life will be a lot easier if you are using a RMGI and not bonding. I like using gum soft picks to remove
June 09, 2020
Bonding Products &Techniques
Message Board
Views: 383 | Replies: 9
not expect it to be irritating to gums? My guess is that because it denatures collagen there could be a problem exposing it to intra oral soft tissue, which is generally more sensitive than, skin.This is response I got. Any questions?Bond saver D has the two active ingredients from gluma/ microprime in it. is the concentration less in bond saver D than...Sorry the response was from company.... Can't get into specifics, but I can say that this has not yet happened to me.
March 21, 2018
Bonding Products &Techniques
Message Board
Views: 1000 | Replies: 23
to get better access. If it gets really bad- laser. IDo exactlylike phil does. Never seen a reason for a matrix. Sculpt with a plastic.Cord, surpass,sdr flow, trim with fine needle diamond. If gums are a mess and I can't keep it dry I use a greater curve. Also like Fuji if there's caries
September 16, 2016
Bonding Products &Techniques
Message Board
Views: 487 | Replies: 9
How should we isolate this? And what would be the best restorative material? Elevator and...greater curve band, cheek pad, amalgam or Fuji ix I use the greater curve bands too. HONESTLY, these need to be Crowned though. Maybe some of them, but not when it's decay along the gum line, likely from
February 20, 2016
Bonding Products &Techniques
Message Board
Views: 3597 | Replies: 103
curious, the troughing looked perfect.Only because I seem to have a harder time getting the job done with pulse on healthy keratinized tissue..........I really only use pulsed on areas where the patient isn't numb and that's only if they are feeling it after I've tried with continuous first. I have a similiar concern.Perhaps Marginal elevation with amalgam as the restorative material works better than composite.
April 24, 2014
Bonding Products &Techniques
Message Board
Views: 919 | Replies: 37
but came out w build up (so don't blame emax although I strictly use zirc ceramic in posterior single crowns)... could just be bad luck, or not enough ferrule, or not enough healthy tooth structure...or a combination of things. Depending on how much is left I'm likely ext and implant. You don't need RD
February 13, 2026
Bonding Products &Techniques
Message Board
Views: 442 | Replies: 17
of normal. Depends on the output. My Valo on the highest setting gets quite hot too - gums are hot at 3 seconds if they are not numb. That's putting out about 3200 though. Only the wimpy ones are really cool. If you want to test how hot it really gets put a blob of composite on your finger tip and feel
February 25, 2020
Bonding Products &Techniques
Message Board
Views: 1642 | Replies: 16
/alkaline rinse (CTX maintenance) xylitol gum and lozenges, but she's been missing her fluoride varnish appts. She should be getting varnish or SDF every 3 months. We'll be switching her to CTX treatment rinse if she can stand it. Mark Nice!That is some lovely dentistry. Lovely contour
November 26, 2019
Bonding Products &Techniques
Message Board
Views: 447 | Replies: 13
for full crowns and removing all this healthy tooth structure. In my practice the majority of crowns are milled emax overlays which preserve enamel which aids in bonding. Do it right and do it well the first time around and your wont have to replace them for 10/15 years. Yes cutting through and email
June 10, 2020
Bonding Products &Techniques
Message Board
Views: 28952 | Replies: 393
cannot fix everything that comes into our office. People will lose teeth or need gum shortening to expose what we need to attach materials to. I often wonder how people let their teeth get so F*cked up before they seek help. Oral hygiene? Fagedaboudet. The disgusting thing is when these patients
October 01, 2014
Bonding Products &Techniques
Message Board
Views: 482 | Replies: 7
Assume final restoration is composite and adhesive is total etch 5th gen. Deep cavity, near exposure: base or just etch/bond/composite? If base, CaOH or RMGI? Place base on freshly cut dentin thenafter base, etch/bond/comp? Pinpoint (healthy pulp) exposure: durelon/MTA/CaOH. Then etch
April 18, 2018
Bonding Products &Techniques
Message Board
Views: 598 | Replies: 13
if they brush once a day. My last troublesome pt. was a 20 year old female with red gums. Needs about 20 fillings. Each quad is a mess with the bleeding. This is one I tried the Viscostat Clear with no effect. Finally went to Lido 1/50 injections into the papilla and some Astringedent. That seemed
April 01, 2015
Bonding Products &Techniques
Message Board
Views: 959 | Replies: 12
assistants not to crank open the ring placement forceps before passing it to you. I use greater curve daily when restoring larger multi surface lesions. Esp along the gums. Like DOB+ on#15. Or MODBL ++ composicrowns. Other sectional systems are still necessary. V3 system with the tab matrix gives
January 08, 2017
Bonding Products &Techniques
Message Board
Views: 245 | Replies: 5
all need to be restored, unless there are cosmetic or sensitivity issues. Or if you, the dentist, feels the depth of the lesion may be deep enough to induce a pulpitis. Most abfractions are very cleansable and may be healthier left alone.There was a study done at Michigan (I think) a while ago
November 13, 2014
Bonding Products &Techniques
Message Board
Views: 297 | Replies: 8
for treatment. For a healthy adult I'm very happy to place an occlusal amalgam. It has plenty of silver in it, and doesn't need to be reapplied. When it arrests the caries lesion, it turns the tooth tissue black. There is one brand that includes an application of Potassium Iodide after the SDF, which forms a white precipitate: it is called Riva Star. It is still not advisable to use it in the aesthetic zone though.
September 29, 2018
Bonding Products &Techniques
Message Board
Views: 875 | Replies: 9
, carboxylate cement, is not cytotoxic and is the most neutral material, allowing a covering that does not irritate pulpal tissue. Hypochlorite will cleanse the area, control bleeding in a healthy pulp that is suitable for pulp capping. Can I reopen this discussion. Have a new dentist in the practice
March 30, 2016
Bonding Products &Techniques
Message Board
Views: 8910 | Replies: 151
for impressions in 2 weeks. EdI found images of the tissues when the patient returned in three weeks for cementation after the impression was made at 2 weeks. The margins are indeed subgingival but the tissue was very healthy. I placed retraction cord and cemented the crowns with Fuji Plus. Not ideal
April 11, 2014
Bonding Products &Techniques
Message Board
Views: 4455 | Replies: 60
the healthy remaining dentin at the cervical? Is the remaining tooth really brittle? I personally do not believe it is. I am glad Cory has sparked your interest. Ed Also knife edge margins with zirconia cemented. I put a lot of knife edge margins like gold preps up very high above the cervical height
March 19, 2021
Bonding Products &Techniques
Message Board
Views: 861 | Replies: 21
the overhang? The patient complains of getting floss stuck between 13/14 and 14/15. Gingivitis has set in but the patient claims that her gums usually don't bleed when she flosses. It looks like those were done with a toffelmire- very straight contacts that don't match the contours of the tooth
March 27, 2019
Bonding Products &Techniques
Message Board
Views: 417 | Replies: 6
#7 broken BELOW THE GUM LINE<br/>patient is leaving town, know they need an implant, does not want something removable and of course....it is friday afternoon at 5:00<br/>after much discussion and discussing the BRAN Benefits, Risks, Alternatives, and NO TREATMENT<br/>We did
March 23, 2018
Bonding Products &Techniques
Message Board
Views: 3597 | Replies: 103
to do that due to removing so much pericervical dentin. <br/><br/>So my choice was to do an entirely supragingival cerec emax crownlay with distal margin finished on composite and maintaining all that healthy cervical enamel/dentin which is the only strength this tooth has left.<br/>
April 03, 2014
Bonding Products &Techniques
Message Board
Views: 28952 | Replies: 393
blew away the cingulum. I have seen many minimal prep porcelain 3/4 crowns on these boards. .3 mm preps on the facial. David Hornbrook comes to mind. I have also seen my share of fractured at he gum line laterals over the years. ........but this is a thread about a simple way to do resin
September 16, 2013
Bonding Products &Techniques
Message Board
Views: 570 | Replies: 28
to the gum tissue almost as much as to the tooth, and if margins are subgingival, esp interproximal, it's a challenge to clear out. I find it easier to clean Unicem in these scenarios bc it doesn't adhere to soft tissue. Should I just use Unicem always bc i can predictably clean remove xs??? ...Looking
November 24, 2019
Bonding Products &Techniques
Message Board
Views: 364 | Replies: 12
but she is happy right now because the braces finally came off. She is very notorious about her hygiene. Do you think the teeth will keep being healthy if she has this type of maintenance or, in your experience, these will contribute to perio or other issues? I have had no experience with a case like
January 03, 2017
Bonding Products &Techniques
Message Board
Views: 922 | Replies: 33
just to prep the distal , For endo, I usually placed clamp 1 tooth behind and use #2 or 4 round bur surgical lengthAnd sometimes I even use the clamp on the gum to engage better.
September 20, 2023
Bonding Products &Techniques
Message Board
Views: 28952 | Replies: 393
the gums? how are you managing the gums in general?Patient unhappy with composite #9Do you wedge prior to placing the composite? If not, is it just that the rubber dam is stretched so thin that you end up with a closed contact?Also, what thickness of rubber dam is that?Thanks for the posts! That last
May 03, 2010
Bonding Products &Techniques
Message Board
Views: 1185 | Replies: 28
be found to be a main cause and how would we solve the occlusal problem once identified. One if my professors was Dr. Angelo Caputo who showed in his lectures some very compelling photo elastic studies demonstrating the stress on teeth through mall-occlusion. The stress manifestied right at the gum
February 01, 2025
Bonding Products &Techniques
Message Board
Views: 1293 | Replies: 20
the section matrix wedges Bond and cure. -- Placing the wedges before the tofflemire makes sure you get optimal curing of the bonding without the matrix in the way. The wedges prevent the bonding from irritating the gums and creating a heme problem. Bonding without the matrix getting the bonding
April 29, 2017
Bonding Products &Techniques
Message Board
Views: 762 | Replies: 16
length of the prep? Rather then stop the margin at the gum line, they would extend by a mm, sometimes more, thus extending the axial wall length by going sub g. It also meant less axial reduction, leading to a wider prep. These two elements were considered to be advantages helping to keep a crown
November 14, 2014
Bonding Products &Techniques
Message Board
Views: 1967 | Replies: 35
today. Very easy and can be used for any bonding in the dentistry. 3) As for cement, any dual cement will be ok. Concentrate on the bonding technique rather than the brand of cement (clean dry tooth without bleeding gums, etc) I personally use a very economic brand made in Korea with very good
October 09, 2024
Bonding Products &Techniques
Message Board
Views: 527 | Replies: 18
I like presenting cases where I failed, which seems to be more frequent than I like. I completed a case recently on a young healthy male with primary caries on #18-M.I removed caries, placed greater curve band, etched, gluma, bonded, cured. Due to contamination I then rinsed and bonded and cured
March 21, 2024
Bonding Products &Techniques
Message Board
Views: 28952 | Replies: 393
bands.ALSO- having no luck with this single tooth technique. cant get rubber off the tooth, cant get clamp to stop cutting the gums- more practice??Yes, just practice. Try placing the clamp a couple of times without the dam on just to get the feel for it. Then slide the dam on and stretch it until
December 27, 2010
Bonding Products &Techniques
Message Board
Views: 825 | Replies: 53
you prep place a cord. it helps I do that every time to retract the gums and helps to control bleeding and can finish nicely while keeping the area dry I prep class V composites the same way I would prep it for amalgam i.e. retentive features. Total etch and Fuji II LC or flowable and packable
October 11, 2025
Bonding Products &Techniques
Message Board
Views: 1122 | Replies: 19
using 2 adhesives primarily (with a healthy dose of Kanca's materials to prove the concept). universal adhesives are really all not that different from other generations including the results, if you use them properly. Why did I stick with 2 of them? pH and film thickness, assuming both had a phosphate
January 26, 2019
Bonding Products &Techniques
Message Board
Views: 6258 | Replies: 192
planning looms but we are looking at 'fires out'.... Here we have decay removed...about 367 micro exposures on healthy tooth structure..that is all decay removed, solid enamel margins (believe it or not) on the margins-even subg. No RD, no Isolite...for all bonding procedures, we had a HVE right
January 25, 2010
Bonding Products &Techniques
Message Board
Views: 1061 | Replies: 27
would have probable fallen into the same trap.I'd be digging into that everytime and would find decay 99 out of 100 times. Wouldn't worry about thi at all what were you suppose to do? Looking at it it almost seems to go healthy tooth gray to black like decayI'd damn sure charge for the new build up
May 04, 2014
Bonding Products &Techniques
Message Board
Views: 1239 | Replies: 26
the gingival (often using a butterfly type clamp like we used to use for gold foil), but honest preference lately since I started using it, is to use Titan as the sealer followed by Injectafil by Apex. The self curing aspect gives me more confidence at the gum line. fmn Thanks for this post.. I was just
June 06, 2014
Bonding Products &Techniques
Message Board
Views: 4605 | Replies: 61
Is the dark and white area on the margin a concern to anyone? In the back of my mind I hear my dental school days telling me that that you need a clean healthy margin so recurrent caries doesn't occur. Am I off on needing to remove that? What does not having the tab accomplish? I just bend it out
July 07, 2017
Bonding Products &Techniques
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