Search Results

Searching: healthy gum
Results: 613
Displaying 1-50 of 613
1 2 3 4 5
Page 1 of 13
Message Board
Views: 433 | Replies: 46
. Mandibular dentition is extremely worn from wear especially the mandibular anterior (#23-26) but not terminal.<br/><br/>Referrals: OS referral and Ortho referral given. OS explained that maxilla can be ethically TX planned as an all on 6 but mandibular teeth were fairly healthy. Ortho consult
May 06, 2026
Fixed Prosthodontics
Message Board
Views: 122 | Replies: 1
I replaced an old PFM crown on 19 that was a root canaled a long time ago with a zirconia back in May. Patient comes in two months later says that when she drinks water, she feels a pop on that tooth?!?strangest thing ever, Ive never heard of this before no pain no percussion sensitivity the gums
July 25, 2023
Fixed Prosthodontics
Message Board
Views: 519 | Replies: 23
healthy gums around the prep. Agree with this. Use ferric sulfate rubbed in with this brush tip. If staining is a concern follow up with peroxide and rinse.Laz use the clear viscostat, no stains. This is exactly what I do. Also remember that Green Lidocaine 1:50k epi injected locally helps a great
October 04, 2021
Fixed Prosthodontics
Message Board
Views: 307 | Replies: 6
to help the patient, but attempting veneers will not help her. I would encourage the patient to get her gums healthy and get all the decay out and make a splint to help with occlusion and she will be stable until she's ready for comprehensive tx. There is a good chance she's a candidate
January 15, 2021
Fixed Prosthodontics
Message Board
Views: 3739 | Replies: 60
bond will break down and become leaky much faster than a GI restoration. I also like the fluoride aspect of GI in this situation. One thing I also notice with these composite marginal elevations is I see more irritated gingiva where as the fuji ix usually has pink healthy gums (of course assuming
November 13, 2014
Fixed Prosthodontics
Message Board
Views: 1038 | Replies: 16
and I try to persuade my patients for a metal collar on molar pfm's....and I mix my own cement. Hang in there. how healthy is this patient's gum? Alot of bleeding? You might need to use diode laser when you prep this to coagulate. Almost crown lengthening...
February 11, 2016
Fixed Prosthodontics
Message Board
Views: 3952 | Replies: 62
for short cuts or time-saving new methods, we sacrifice predictability. Old school--healthy gums, cord, heavy/light one step. Full arch models where indicated. Accurate opposing model. Ya know, like we learnt in school. Yep. These things stuck around because they work. My biggest issue is the accurate
August 07, 2016
Fixed Prosthodontics
Message Board
Views: 646 | Replies: 13
Hi, I have questions about the broad topic, subG. SubG always bothered me simply because I can't visualize what's down there. Maybe it's also due to the fact that I see a lot of perio patients and I know how important it is to keep our gum healthy. Here is the main reason I just created
February 21, 2015
Fixed Prosthodontics
Message Board
Views: 310 | Replies: 13
Pt is 65 yo female with hi lip line, and of course hi aesthetics desire. The front bridge is over 30 yrs old. Due to the bone loss, the left side of the bridge has moved facially and now there is a space b/w 10-11. The CC is anterior bridge. Of course she needs to get her gum healthy
July 26, 2018
Fixed Prosthodontics
Message Board
Views: 1064 | Replies: 28
temps, though I cannot argue that individual temps would be easier to clean and maintain. I just make sure my splinted temps have room to allow for a floss threader and I have started have patients use peridex while in the temps to keep the gums healthier. If pt has good anterior guidance
October 20, 2016
Fixed Prosthodontics
Message Board
Views: 6080 | Replies: 196
the roots, the tissue around the anterior teeth really tightened up and I had more open gingival embrasures, and some black triangle disease, but the patient was so happy that her gums were healthy that it was not an issue in the provisionals.............. Anyways, heres the lips at rest
November 26, 2017
Fixed Prosthodontics
Message Board
Views: 5771 | Replies: 130
than stuffing cord esp down a not so healthy gingiva. The gum will simply receded from the trauma of shoving something which looks like a rope, under a scope! Dino I am not a big fan of triple tray impressions due to past bad experiences, but if one going to use a triple tray, a rigid metal
November 13, 2014
Fixed Prosthodontics
Message Board
Views: 159 | Replies: 1
, the buccal side got no problem. I don't want to remove healthy tooth structure and I plan to put a crown margin around mid third of the tooth. As long as it has about 3mm ferrule, retention shouldn't be a problem IMO. Is this a good idea or shall I just put the crown margin at the gum line? And is a crown with margin at mid third considered onlay or is it still a crown? Keep it in the middle third. Way easier to clean. Its still a crown
May 18, 2016
Fixed Prosthodontics
Message Board
Views: 1771 | Replies: 29
I did #30, 31 crowns 1.5 years ago. Pt still had pain on chewing and received root canal on #30 by enodontist shortly after, and access was filled with composite. Today, pt complained gums between 30 and 31 hurt and bleed when flossing. What's causing this problems? Bad crown margins? Biologic
June 27, 2018
Fixed Prosthodontics
Message Board
Views: 352 | Replies: 12
crowns. Typically these teeth are still all there, just covered in gums. And gums do not attach to enamel. So just prep it way subG, place a double cord and impress it. It will work very nicely. You do not need a laser and you do not need to cut any gums away. Try not to butcher too much gum
November 25, 2025
Fixed Prosthodontics
Message Board
Views: 3743 | Replies: 64
is not too hard...if anything it's too light. Gums look healthy. PD's normal. No bleeding. Percussion hurts on both 18 and 20...both apical and lateral. No signs of root fracture. TMJ normal, no pain to palpation on muscles. Pain tends to get worse as the day goes on and is always
September 23, 2019
Fixed Prosthodontics
Message Board
Views: 832 | Replies: 7
suffice? Case by case every time.I always prep Supra gingival when I can. I also explain to the patient why I prepped above the gumline and have them look at it in the mirror. I give them the choice of dropping the margin to the gum line, but I explain to them that it requires I take away healthy tooth
December 13, 2016
Fixed Prosthodontics
Message Board
Views: 101 | Replies: 0
will be editing this case to show the progression<br/>2015-10Oct-28Her main concerns: 1) upper left tooth (#12) is broken off at the gum line and she's worried about saving it 2) she is having pain in the upper right tooth (#6) which has since her initial visit received RCT 3) bleaching and all
December 14, 2015
Fixed Prosthodontics
Message Board
Views: 265 | Replies: 9
ridiculously long.What options are available for some temps material wise that we can test the concept of pink gum before progressing to the finals Im porcelain.My lab tells me they cant do pink with PMMA?I was under the impression you could?? If not, are there any other options?Any other ideas? There are pink
October 20, 2021
Fixed Prosthodontics
Message Board
Views: 949 | Replies: 14
concerns? Drop it below the gums. No esthetic conerns? Keep it high and dry in enamel. Adjust prep as necessary given decay/restorations/abfractions/etc. My preference if to be high wherever possible.The tooth in the image looks very healthy. What would make you inclined to place a crown
February 27, 2016
Fixed Prosthodontics
Message Board
Views: 361 | Replies: 6
can remain healthy. We use an all tissue laser to do this. Once we get you numb I prepare your tooth with the drill as usual. I will then use the laser to remove some of your gum tissue and some of the bone. Once I have done that I will use the drill again to put an edge on your tooth where the crown
October 23, 2023
Fixed Prosthodontics
Message Board
Views: 2862 | Replies: 56
with limited clearance that many have on their restorative tray, or have available. The fine diamond football used for adjustments makes a fine margin prep bur. It can provide a nice chamfer margin suitable for emax and other crown designs. If you don't run it real fast, it may also not rip up the gums
October 29, 2019
Fixed Prosthodontics
Message Board
Views: 2333 | Replies: 71
just counter that with normal healthy people dont get decay underneath the gums so a well buried margin will do incredibly well for many years - EVEN if the margin is not completely flush. being comfortable prepping deep also makes it possible for you to save teeth that others would deem hopeless. i
September 15, 2023
Fixed Prosthodontics
Message Board
Views: 374 | Replies: 17
it feels unstable. Her gums are sensitive. It hurts if she wedges her fingernail between 8 and 9. I've adjusted it out of occlusion and made her a new night-guard. The teeth are testing normal to temperature. The fit of the bridge was great. Abutments are healthy and minimally restored. Any insights
February 08, 2018
Fixed Prosthodontics
Message Board
Views: 1392 | Replies: 37
Today. We have deep decay, tartar bleeding gums and patients who don't care.We do our best to remove decay, do a good seal with the filling material, build up, prep, a good impression and hope for a good lab work.The periodontal tissue has a great chance to be healthy if we produce good fitting
January 20, 2020
Fixed Prosthodontics
Message Board
Views: 447 | Replies: 13
no decay after removing the crown and everything looked very healthy. New crown fits great, good contacts and occlusion is perfect. 2 weeks later she is back again saying that she is still only sensitive to milk...I'm stumped. Not percussion sensitive, nothing lingers, I can blow air on it all day
February 22, 2016
Fixed Prosthodontics
Message Board
Views: 2333 | Replies: 71
a subgingival margin is not the best choice. Is it though? The amount of crowns I had to redo because of high margins from the dentist before me. We do agree thar healthy people dont get decay below the gums right? Which is why I have my approach. When you give somebody a crown you might as well
October 01, 2023
Fixed Prosthodontics
Message Board
Views: 488 | Replies: 7
to knock the tissue back a tad and visualize the sulcus.On cases like this I will take the diamond bur and remove interproximal bone and gum tissue. Yes it is not ideal but better than a poor fiting crown like you shows.It will bleed like crazy.Use the greater curve bands or #2 matrix bands to get
May 02, 2019
Fixed Prosthodontics
Message Board
Views: 277 | Replies: 6
composite to save a lot of healthy tooth structure. Right, wrong, or need more information? need more info, what is the opposing occlusion like, what caused the fracture, what are patient habits, how long has it been like...Thanks, will try to get these answers. The patient is a 23 yo male, he had fallen
December 08, 2017
Fixed Prosthodontics
Message Board
Views: 942 | Replies: 22
and 5. Make the saddles so they go down the gums a bit so if #5 has to be removed, it's not going to change things too much.. The filling on 5 can be used like an overdenture tooth for the RPD, Make sure they know that #5 needs to be brushed without the RPD in... Thanks Fred. I should have
March 24, 2017
Fixed Prosthodontics
Message Board
Views: 954 | Replies: 32
comfortable for you) I used cord for fifteen years and for the last fifteen, I haven't. The crown margins look good and I do not damage the epithelial attachment. 00 Knit-Pak for both layers Fischer's Ultrapak cord packer from Ultradent Packing cord in healthy tissue is more difficult. I started
January 28, 2022
Fixed Prosthodontics
Message Board
Views: 1666 | Replies: 41
out there with zeroshort tomedium-termfailures. Now I present a single case where I tested the further limits: The 6-unit is still in function 6 years later and everything is healthy. The patient has heavy function. The 5-unit fractured within 3-months. I replaced and then it had a hairline
August 18, 2021
Fixed Prosthodontics
Message Board
Views: 2552 | Replies: 90
worrying about it. It will be much better for you to take the heat and take it out, than to have her go to urgent care for gum pain and have them trash you about leaving something there and not realizing it. This is one of those rare cases where I think its OK to not be totally forthright. if you looked
April 20, 2022
Fixed Prosthodontics
Message Board
Views: 789 | Replies: 12
receded. There is a blue/grey hue in the photo where the canine is prepared. As you say you did not use retraction cord etc.... so its not core tucked under the gum causing this coloration. Most likely subgingival calculus, that you probably did a scale & clean at some stage, removed it then got
December 12, 2014
Fixed Prosthodontics
Message Board
Views: 2366 | Replies: 70
guys, but in my practice the teeth that need crowns are badly damaged with old broken decayed restorations with margins way below the gum lines surrounded by granulation tissue that bleeds like a MFKR after I remove the restoration and decay. Otherwise they would not need a crown. It aint Dentistry
May 12, 2022
Fixed Prosthodontics
Message Board
Views: 918 | Replies: 23
facially and lingually. In this case I would be inclined to do endo, cast P&C, and a PFZ or PFM crown with long bevel margins.Immediate implant could work if you can work out all the details previously mentioned. Here's a 90 year old patient that broke off #8 below the gum line. # 8 root fracture
December 06, 2014
Fixed Prosthodontics
Message Board
Views: 1147 | Replies: 20
and barreled it. Does that make sense? Should I have bonded the area and had a smoother margin? Looks like you have enough tooth to resin bond an emax crown. If no symptoms, why do...No to the endo and no I would not want a bonded margin, I like margins on healthy tooth structure. I'm not sure
March 28, 2016
Fixed Prosthodontics
Message Board
Views: 165 | Replies: 3
If a patient needs a crown on #30, but doesnt't have an anteior and canine guidance, what should we do? Do we just leave the patient with bite interference? Wouldnt it cause problems such as bone loss, gum recession, toothache and attrition? "it depends". I try to eliminate lateral interferences
September 21, 2025
Fixed Prosthodontics
Message Board
Views: 2621 | Replies: 75
the margins when they trim the gums away on the model?Laz Yes. Thats the margin. Trim away the stone gingiva and youre done. Thats the beauty of it. You instruct the lab to place the margin at either a. the gumline or b. the cord, whatever is the structure they see that intersects with the vertical
September 03, 2021
Fixed Prosthodontics
Message Board
Views: 673 | Replies: 13
in area of #6 and I thought it was decemented. I tried to remove the bridge but it wasn't successful. After using floss under #6 I realized that tooth was snaped on gum level. I explained patient we need to remove Bridge and provide TX options : rct +post and core for #6, crowns for #6 and #11
August 27, 2021
Fixed Prosthodontics
Message Board
Views: 170 | Replies: 5
Hello. #9 layered zirc with dark line at gum. Should I prep more sub g? Please see photos. Thank you for your ideas. This tooth likely has endo. I suggest some internal bleaching. It will help a lot and it will allow a less opaque crown, leading to less contrast. If internal bleaching
September 09, 2023
Fixed Prosthodontics
Message Board
Views: 5315 | Replies: 144
always easy but still the first cord took 25 secs but the 2nd one took a full minute. The loop and lasoo technique can be really fast. Those double cord impressions make my gums hurt just looking at them. If you hate dealing with cords, try this technique: get a fine flame diamond and do a light
January 08, 2015
Fixed Prosthodontics
Message Board
Views: 866 | Replies: 9
Hi, If a patient has abfraction and/or gum recession, where would you put a crown margin? In abfraction case, would you do class V as a core build up and then prep for a crown? In gum recession case, would you put crown margin on cementum to hide the margin or would you offer gum graft to hide
July 16, 2018
Fixed Prosthodontics
Message Board
Views: 98 | Replies: 1
Had a cr come off today that was cemented last week. Short prep, yes, but not overly drastic. I re prepped, and found the issue was a bit of gum overhanging the lingual of the second molar. So, i did a bit of a laser gingi and then took an imp. I take a light body impregum and then medium body
February 22, 2016
Fixed Prosthodontics
Message Board
Views: 460 | Replies: 6
Hi all, I'm a fairly new grad with almost 1 yr of experience. I have done a good number of crowns but from time to time the F/B margin would be exposed. I explained to the pts that as long as margins are sealed it's actually better for the gum health but some of them don't take it well
June 02, 2015
Fixed Prosthodontics
Message Board
Views: 76 | Replies: 2
intaglio or sandblast and make retention dimples, do the same in the acrylic gum. Clean very well, moisten acrylic with a microbrush dipped in monomer, mix jet acrylic (runny) and put in place. Hold for a bit, clean, let it cure, polish. Has hold up for quite some time. Pt does needs to know
August 25, 2025
Fixed Prosthodontics
Message Board
Views: 463 | Replies: 12
Hello All, 40 year old female patient would like more permanent long term restoration to restore her upper front teeth. She expressed no history of grinding or bruxism. Medically healthy. She is considering veneering crown or porcelain veneer restoration instead of composite fillings that were
August 18, 2018
Fixed Prosthodontics
Message Board
Views: 415 | Replies: 15
Patient came on Friday because #10 fractured to the gum line. Obviously non restorable. Really tried to talk the patient into an implant, but he wouldn't go for it. #9 had an ugly crown with recurrent decay and #11 had a large decay on the M (pulp tested normal). Pt wanted to go with a bridge. So I
September 19, 2017
Fixed Prosthodontics
Message Board
Views: 761 | Replies: 17
agree with the extraction, it's an old crown fractured below the gumline, non-restorable). I know I will need to prep #14 and 12 before extraction, but I'm not sure how to go about temporization and final impression when I have a fresh socket (the patient is healthy and not taking any anticoagulants
February 13, 2014
Fixed Prosthodontics
Message Board
Views: 1035 | Replies: 34
....unfortunately, the occlusal reduction ate up most of my retention. I would guess his preps are too short. Either he over-reduced the occlusal or he did not go below the gum or the teeth started out short or the preps are too teepeed. If the occlusal is over-reduced, he may need to add build-up
April 07, 2014
Fixed Prosthodontics
Displaying 1-50 of 613
1 2 3 4 5
Page 1 of 13
Dentaltown Magazine
May 2026
Dentaltown Magazine May 2026 Read Current Issue Read Archived Issues
Sponsors
Townie Perks
Townie® Poll
What’s actually driving most of your new patient flow right now?
  
Site Menu
Message Boards Magazine Continuing Education Podcasts Pods & Blogs Classifieds Dental News Events Townie® Poll Ebooks Townie Choice Awards
Company Info
Contact Us Advertise With Us Howard Farran DDS, MBA Policies and Agreements
Site Help
The Dentaltown Team, Farran Media Support
Phone: +1-480-445-9710
Email: support@dentaltown.com
©2026 Dentaltown, a division of Farran Media • All Rights Reserved
9633 S. 48th Street Suite 200 • Phoenix, AZ 85044 • Phone:+1-480-598-0001 • Fax:+1-480-598-3450