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Page 1 of 26
Message Board
Views: 618 | Replies: 50
not make a difference if they are not having a hypertensive crisis. Did they have any symptoms? headache, pounding sensation in their temples/gums? dizzy? chest pain? blurry vision? vomitting? No? then do the dang treatment. For the love of god. Suggest they see their md to get it controlled and take
May 07, 2026
Oral & Maxillofacial Surgery
Message Board
Views: 519833 | Replies: 24682
happens. The shank of the bur is thicker than the cutting flutes. So once I get 4mm down the shank is now grabbing gingiva and often rips unpredictably. Do you do mild gingivectomy first to avoid the shank of your bur tearing the gums? I have noticed in patients with healthy gums this isn't an issue
June 16, 2021
Oral & Maxillofacial Surgery
Message Board
Views: 519833 | Replies: 24682
and the gums were growing into the tooth Bone graft on the buccal Glidewell HT Implant 3.5 x 11.5mm (my 20th of 2026) My Blood of the Day Sorry no picture I removed this #10 about six months ago and the patient couldn't afford an implant that day, but did do a bone graft he is back now for the implant
April 23, 2026
Oral & Maxillofacial Surgery
Message Board
Views: 679 | Replies: 29
presentation, anyone have experience or thoughts about this? Did you take a periapical xray? I did. Everything looked normal. The gums look normal and healthy too. Good info. I have heard of repair of IAN and lingual nerve. Are the various branches of V2 too small to repair? Is this a regular
July 10, 2024
Oral & Maxillofacial Surgery
Message Board
Views: 118 | Replies: 1
, host factors, and time. That shift matters. It means your job is not only to ask what the patient takes. Your job is also to ask how inflamed the site is, how healthy the patient is, how much surgery you are planning, and whether you are about to create a biologic mess in bone that already has less
April 18, 2026
Oral & Maxillofacial Surgery
Message Board
Views: 239 | Replies: 9
is a healthy little girl. Gave mom referral for Removal and Biopsy. Let's see what it is when report comes back. Why send for pathology? It's a malformed wisdom tooth. Pretty common. OP: Pat your staff on the back, great looking panoramic image. Rick.......to get a good image like this, is it all about
November 08, 2025
Oral & Maxillofacial Surgery
Message Board
Views: 519833 | Replies: 24682
whatever block, I wait 10 minutes and PDL around the tooth. RARELY have to stop and add more. Also helps with post op bleeding. I used to try going higher/lower, wait longer, but with the PDL, I'm ready to proceed immediately. No more waiting to see if the patient is numb. 83 y/o otherwise healthy, #5
March 11, 2024
Oral & Maxillofacial Surgery
Message Board
Views: 158 | Replies: 4
Not a great picture but this extraction site is 3 weeks post op. It wasnt difficult, I had to section #19 and curette a periapical lesion. Bone grafted and closed. Everything went perfect. She is a very healthy 37 year old female. No medications, no medical history. No symptoms at all. Future site
May 10, 2022
Oral & Maxillofacial Surgery
Message Board
Views: 576 | Replies: 18
that the gum can grow over the top of it. ...and tell them it will hurt like crazy for the first 2 weeks or so , then slowly get better. If it doesn't hurt, your a god. I do these on the mylohyoid ridge and patients say it hurts a lot. Otherwise they think you f'd up. LOL No bisphosphonates
October 08, 2025
Oral & Maxillofacial Surgery
Message Board
Views: 276 | Replies: 0
25 year old male. Healthy. I found this radiopacity around tooth #5. He does chew tobacco and has the usual leukoplakia associated with his gums on the buccal vestibule around #5..........It looks no different from the leukoplakia on the buccal vestibule on the left side. Should I refer to an...
May 08, 2017
Oral & Maxillofacial Surgery
Message Board
Views: 325 | Replies: 10
are mesially tilted above the gum line which makes proper daily oral hygiene impossible. This looks like a very typical 3rd molar case. Remove all four at once. Prevent future problems while pt is young and healthy and heals well.
October 03, 2023
Oral & Maxillofacial Surgery
Message Board
Views: 280 | Replies: 9
Do you typically prescribe pre and or post-operative antibiotics for patients with Diabetes type I, who are otherwise healthy and in their 20s? Thanks! for controlled no If there blood sugar is bouncing up and down + poor OH then yes. If extraction is surgical or very difficult:... No, but I am
March 08, 2021
Oral & Maxillofacial Surgery
Message Board
Views: 480 | Replies: 1
to OMFS anyway. Educate patients on reverse link between gum health and sugar control. Unfortunately, those with a1c >7 either haven't been educated by their MD or just don't give a shit about being healthy (it's the latter).<7 is quite managable with diet exercise drugs. Fighting an uphill battle.
May 16, 2018
Oral & Maxillofacial Surgery
Message Board
Views: 323 | Replies: 8
. No painkillers, just sore when he presses on gum Nothing on medical history, otherwise healthy 45 year old male, non smoker. What is the cause of the bone loss. What could i have done better? What can i do moving forward? Justthrowing out aguess... it doesn't sound like aninfection from original
August 21, 2017
Oral & Maxillofacial Surgery
Message Board
Views: 115 | Replies: 3
This patient is a 91 year old woman and she wants to get an upper removable partial to replace her missing teeth. I originally recommended exos of front left incisor and second upper left premolar seeing as they are broken at the gum line before sending her off for the partial. However, I
October 29, 2022
Oral & Maxillofacial Surgery
Message Board
Views: 935 | Replies: 18
I did SRP to one of my pts and noticed lots of blood coming out of her gum during the procedure. Bleeding during SRP is normal but it was almost 3 times more blood than other patients I saw. Pt called us 4 hours later that she still bleeds. I asked our in house OS and he told me that patients often
April 04, 2016
Oral & Maxillofacial Surgery
Message Board
Views: 170 | Replies: 2
Hello all, Patient needs to exo this non-restorable 1st molar that is broke below gum line. PA takes before and after crown broke off. I am thinking of sectioning the root into 3 in the beginning and may be easier to take one by one slowly with proximator. What tips do you guys have to avoid sinus
July 12, 2022
Oral & Maxillofacial Surgery
Message Board
Views: 362 | Replies: 3
2 months ago, I extracted #1,17,32 on a healthy 27 year old. There were no complications at the time of surgery. Pt returned about 3 days after surgery for eval stating the LL side was hurting quite a bit. #17 was just an elevator/forceps extraction, the tooth did take some effort to come out
July 13, 2016
Oral & Maxillofacial Surgery
Message Board
Views: 527 | Replies: 14
is more...especially if you could cause them more harm than good by your treatment. Keep him as comfortable as possible and dont extract if no pain or swelling is present. Smooth off rough edges/round off fractured teeth/even trim them to the gum line to make them more cleansable. I dont refer
October 27, 2020
Oral & Maxillofacial Surgery
Message Board
Views: 429 | Replies: 20
be considered. Thus, the results for implant failure outcomes may not warrant the indiscriminate use of antibiotics in patients who are healthy who are receiving dental implants. Investigators must conduct large-scale RCTs to determine the efficacy of AP and various regimens, independent
February 17, 2021
Oral & Maxillofacial Surgery
Message Board
Views: 931 | Replies: 42
What do you think guys as to the cause of this swelling and how would you go about it? 34-yr-old healthy female Slow growth, noticeable by the patient in the past 3 years. Appreciate a discussion of the different diagnoses. 34 year old healthy female. You talking the area palatal to #15.when
May 28, 2024
Oral & Maxillofacial Surgery
Message Board
Views: 1906 | Replies: 57
For esthetics? For money? For fun? I cant believe the treatment plans Im seeing. It makes me sad to see people suggest pulling 20+ healthy teeth just because theyre ugly or the patient doesnt like them. We lose respect as a profession by failing to provide the patients with the correct information
May 23, 2024
Oral & Maxillofacial Surgery
Message Board
Views: 1506 | Replies: 14
Basically a simple extraction on tooth #31, 6 weeks ago, on a healthy 20 yo male. Originally thought it was just a dry socket, and did the usual of using dry socket paste, amoxicillin and then clindamycin. After a couple of weeks with the situation looking about the same, tried having patient
April 24, 2014
Oral & Maxillofacial Surgery
Message Board
Views: 244 | Replies: 2
Healthy 27 year old white female comes to office with mild discomfort and slight swelling into buccal gingiva around tooth #19. Tooth had endo a couple of years ago and she never had it restored - decay info furcation. I extraced tooth by doing envelope flap on buccal, sectioning roots
July 30, 2014
Oral & Maxillofacial Surgery
Message Board
Views: 913 | Replies: 36
about legal problems. When a patient is in severe pain for days with a tooth rotted off below the gum line, we extract it. I know of no other way to handle these dilemmas, but I am open to suggestions from those who know more than I do. I'm surprised any GPs want anything to do with these Zometa/Xgeva
January 05, 2020
Oral & Maxillofacial Surgery
Message Board
Views: 523 | Replies: 19
and remove buccal bone to remove? Do you think based<br/>on the PDL space it would be pretty solid? I wouldnt be surprised one bit if you need to section and trough. Is it hurting him? You may want to refer that if they are 90 and not in the greatest health pt. is a healthy 90 year old. no blood
March 12, 2025
Oral & Maxillofacial Surgery
Message Board
Views: 203 | Replies: 6
45 yr old female . #32 asymptomatic . remove or leave alone ? It will serve as a stop for the upper molar. leave it. If there is no obvious caries and no issues with gum inflammation, I am also inclined to leave it alone. However, I would warn the patient that it could cause issues in the future
December 02, 2025
Oral & Maxillofacial Surgery
Message Board
Views: 417 | Replies: 5
I've read on here about some people cutting a molar to just above the gum line before sectioning the roots in order to improve visibility. I want to try this. What's the procedure for this? What bur to use? Do you just grind it down like the occlusal reduction of a crown prep?Thanks I use either
June 21, 2014
Oral & Maxillofacial Surgery
Message Board
Views: 1792 | Replies: 31
will be okay. Reflect a full thickness flap. Midcrestal incision is perfect. Images above from their respective vendors - names kept with the pictures. Used with thanks! Sounds like a great place to use Bubble Gum therapy. If you have never tried this noninvasive simple treatment option you might give
December 15, 2022
Oral & Maxillofacial Surgery
Message Board
Views: 879 | Replies: 18
to the gingival margin of #31from the intubation or extubation.missed that why would you jump to osteomyelitis?are you immune compromised? hx of chemo or radiation? DM? I'm assuming no to all ... osteomyelitis on a healthy individual with no such hx ... seems ... unlikely .... It fits every symptom and sign I
September 20, 2016
Oral & Maxillofacial Surgery
Message Board
Views: 624 | Replies: 16
Hut and I told him to go to the bathroom and pull his lip down and see if he saw anything in his gum. He did, you could hear him walking through Pizza Hut and going into the bathroom. He said, DUDE! There is a shoe lace in my gums! The pot head obviously never brushed his teeth I told him to pull
February 08, 2021
Oral & Maxillofacial Surgery
Message Board
Views: 920 | Replies: 32
When I think of gum grafting, I think of periodontists. But seeing as how so many implant cases require soft tissue grafting, it would make sense that oral surgeons would be just as well versed as periodontists. Grafting tissue so that you can have an ideal esthetic and functional result
August 04, 2022
Oral & Maxillofacial Surgery
Message Board
Views: 446 | Replies: 13
hello, how would you deal with an emergency in your clinic: un schedualed patient preagnent with a lower molar roots coverd with soft tissue, sure thing a surgical extraction: she has an purulentabcess on the gums bucaly and lingualy. she is on ab for 3 days prior arriving at your clinic. do you
January 01, 2017
Oral & Maxillofacial Surgery
Message Board
Views: 1906 | Replies: 57
Who said anyone who gets paid more is ripping people off? I know. Right? Right. In the scenario listed above, a young lady wanting an anterior implant, there is growing evidence that this is probably not the best treatment modality due to continued facial growth and eruption patterns as teeth...
October 17, 2024
Oral & Maxillofacial Surgery
Message Board
Views: 1390 | Replies: 23
anyday.You are moving gums out ofthe way regardless. IFit doesn't move immediately with an elevator I trough the interproximal bone. The patient will heal just fine and be happy you weren't digging for an hour. This is old man bone....old man bone doesn't always cooperate. PDL
April 01, 2018
Oral & Maxillofacial Surgery
Message Board
Views: 787 | Replies: 11
a bit foolish. I don't have the pano on that case, but I want your thoughts on this case.Patient Age 42, healthy. - pocketing around 2nd molars and trapping food between 31 and 32. There are obvious risks here with extractions. Your thoughts.If that was my #32, it would stay right there until I
June 13, 2016
Oral & Maxillofacial Surgery
Message Board
Views: 363 | Replies: 12
70 year old healthy male, #15 needs ext due to fracture. M bone loss. Per endo PDL can seen around all roots. Would you extract it, or refer to your friendly oral surgeon? Think it would be a straight forward ext? this is either the easiest ext or your schedule busting nightmare, so it depends
May 11, 2021
Oral & Maxillofacial Surgery
Message Board
Views: 511 | Replies: 11
a young healthypatient in his 30's with no issues on his anamnesis,had aThrombocytopenia and got hospitalized one month after tooth extraction. 10 daysafter the extractionhe was in the clinic for check up and he was fine. after a month he was hospitalized becouse of bleedings from all over his...
December 14, 2016
Oral & Maxillofacial Surgery
Message Board
Views: 760 | Replies: 21
16y.o healthy femaleSome discomfort on LLThis is daughter of a friend. She was refd to OS by her DDS.Just curious how you would approach this...Thanks I would. Nice case. Flap for all areas. Uppers might need a little osteoplasty and should roll out with elevation. The lowers will need some buccal
December 30, 2019
Oral & Maxillofacial Surgery
Message Board
Views: 588 | Replies: 23
for her next Hba1c and deny treatment, or can we do something more like a month, and instruct pt to get another hba1c in a month? Would this reading of hba1c be valid to use considering she had a recent one done? Generally pretty mobile teeth. Clinically very unhealthy gums obviously. As someone who
December 28, 2021
Oral & Maxillofacial Surgery
Message Board
Views: 218 | Replies: 3
Referring to more involved extractions The question should be: what clinical indications does scientific literature provide for antibiotic prophylaxis? Here's the answer: Will a lawyer sue you for not prescribing an antibiotic after a surgical extraction and the patient ends up in the hospital?...
May 19, 2025
Oral & Maxillofacial Surgery
Message Board
Views: 462 | Replies: 12
NP today. Rampant perio. Mobile teeth everywhere. 31-32 are floating in a sea of infection and gum tissue. Class III mobility. I advised both require extraction. Wife says she wants meat-head type husband to help her decide. I tell husband to look in his wife's mouth with me to see these teeth
November 03, 2017
Oral & Maxillofacial Surgery
Message Board
Views: 462 | Replies: 12
and uneventful surgery as possible. This is a slam dunk easy peasy extraction. 1. Numb 2. Add more anesthetic into the gums around the root tips and into the pus filled area 3. Use practically any instrument (301, crane pick, 77R, Woodson, Periosteal Elevator, Warwick James, etc). Just push
November 13, 2025
Oral & Maxillofacial Surgery
Message Board
Views: 509 | Replies: 13
socket heals. pt reported back after a week,the pain had reduced,pt was feeling better when he came. i could examine a bit more properly ,noticed decay on the disto buccal aspect of UR 8 below gum margin.since it was UR 8 which was tender to percussion,decided to extract this tooth.once the area
May 20, 2017
Oral & Maxillofacial Surgery
Message Board
Views: 1311 | Replies: 35
. However, I am concerned about the bleeding and poor condition of her gingiva. Her gingiva may be like gum that has been in the sun all day (IE can't suture) 2) Gross debridement and extract her mandibular anterior teeth. Allow the site to heal for 4 weeks and re-evaluate for further extractions
March 12, 2017
Oral & Maxillofacial Surgery
Message Board
Views: 300 | Replies: 9
Hi guys, I would really appreciate your help! I am a periodontist. I performed a soft tissue graft procedure on #19 and #20 facial on a patient about 6 weeks ago. The patient is a female in late 30s. I used donor tissue, got her numb with 1:100k lido via facial infiltrations. Incisions were all...
December 15, 2021
Oral & Maxillofacial Surgery
Message Board
Views: 1393 | Replies: 18
and if good do one quad then observe bleeding. Good Luck.Need more info. Just how thin is this guy (do you know INR)? Is he covered in bruises from everyday activity? Is he otherwise healthy? I take out a lot of teeth and have no problem with INR below 3. lower is better. had a few cases that required
April 17, 2019
Oral & Maxillofacial Surgery
Message Board
Views: 439 | Replies: 11
42 y.o. adult - #32 just poked through the skin. No gum irritation at this time. Do we leave it alone or recommend extract? Extract has potential implications to 31 as well. I know once I wisdom tooth has poked through the tissue there is increased risk for pericoronitis infections. Thoughts
January 18, 2017
Oral & Maxillofacial Surgery
Message Board
Views: 274 | Replies: 8
Hi, Looking for some input. 32 y.o. healthy male (+) smoker presents w/pain and gross caries #15-wants ext. Difficult surgical ext done about 4 weeks ago. Pt. was on antibiotics and recommended finishing. -1 day post-op call pt. reports doing fine -1 week later see pt. for pain/swelling, slight
January 13, 2016
Oral & Maxillofacial Surgery
Message Board
Views: 285 | Replies: 10
Has anyone done a decoronation procedure? Healthy teen female presents with #7 failing endo due to internal resorption. After consulting endo and ortho, agreed plan between ortho and endo is to decoronate #7 to preserve bone, and have pt wear a bonded denture tooth to temporarily replace #7 until
September 04, 2021
Oral & Maxillofacial Surgery
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