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Searching: healthy gum
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Message Board
Views: 246 | Replies: 10
overgrowth from getting into the deep part of the prep? or you just remove the gum again at the seating appointment? You get the crown back from the lab and cemented quickly (5-7 days) before the gums have a chance to grow. I always temporize. . Also, we get crowns back in less then a week from Glidewell
April 09, 2026
Prosthodontic Cases
Message Board
Views: 260 | Replies: 17
a simplified explanation? How do i determine if this is adatped centric or not? would i need to deprogram? Almost all people have a centric slide from CR to MIP. And MIP is fine to use if its healthy and repeatable and you are not planning to open the VDO. In this case its no longer healthy
April 08, 2026
Prosthodontic Cases
Message Board
Views: 264 | Replies: 16
I was taught to rest crown margins on healthy tooth. Isn't margin elevation just a fancy way of saying that the crown margin is resting on the build up? Why does it seem like that to me? Because it is exactly like that. 20 years ago out of school I was more apt to do a crown lengthening by the book
April 08, 2026
Prosthodontic Cases
Message Board
Views: 931 | Replies: 19
with no issues, this was a nightmare and the patient very upset Another one the same day, implant crown on #14 screw retained bruxir. Implant crown seats all the way but gum margin is short around 0.5-1mm on the buccal margin , lingual is flush. I took 2 impressions on that tooth again one with inplant
May 25, 2016
Prosthodontic Cases
Message Board
Views: 625 | Replies: 21
that I have met are so obsessive compulsive with their technique and provisional and cord etc. If this full mouth case is bleeding this much, she is not ready for final impressions. Not healthy yet. Since it's not your case, I don't suppose you have any pictures? +1 for the green lido. That stuff
January 20, 2016
Prosthodontic Cases
Message Board
Views: 383 | Replies: 6
This patient recently presented requesting fixed tooth replacement. She is aged 41 and healthy. <br/>So far I have just bonded the lower incisors about 1mm as they were close to being exposed from the wear. The upper central incisors and canines are extremely worn and close to pulpal
January 19, 2021
Prosthodontic Cases
Message Board
Views: 253 | Replies: 15
father treated if he was in this state. Great plan except for this part. Even if he was a healthy 40 year old, these teeth would have little value for a new prosthesis. thank you all for the comments. SO for my final plan I will extract all uppers for a full upper and save the 4 teeth
September 30, 2015
Prosthodontic Cases
Message Board
Views: 247 | Replies: 6
pretty aligned teeth, and the gums display isn't freaky. I bet 99% of their concern is the "flat" incisal shape of their maxillary anterior teeth combined with some whitening. We are talking: 1. incisal edge recontouring - this would make a TREMEMDOUS difference 2. bleaching 3. wear a nightguard every
October 15, 2025
Prosthodontic Cases
Message Board
Views: 502 | Replies: 10
Introduction: 48 year old male, presented due to generalized sensitivity of his teeth. The sensitivity has got to the point where he is no longer enjoying eating. He is fit (owns a gym) and healthy and takes only supplements. He reports suffering from reflux in the past which with a change
October 03, 2016
Prosthodontic Cases
Message Board
Views: 135 | Replies: 6
enough acrylic from the underside of the denture, to make sure that the denture fully seats on the gums, while the locator, male and female parts are there, without touching the denture. You need the denture to be sitting on gums without any interference, in order to be sure that it remains tissue
July 06, 2024
Prosthodontic Cases
Message Board
Views: 277 | Replies: 13
some time on optimizing non-visual aesthetics.@upnorthperio Why would the periodontist place such a large healing abutment so there's no tissue to work the pontic?collagen? restylne??? gum implantsI don't know what to think? Does he actually expect me to correct this gum issue or is he playing
October 03, 2018
Prosthodontic Cases
Message Board
Views: 748 | Replies: 24
it to allow you to get a significant amount of tooth structure back above the gum line. Im not so sure about retrieving that post. if we went for the hail mary of partial extraction, I would probably just restore #6 in its own and not as a retainer for any FPD. I have read some on DT about partial
August 23, 2023
Prosthodontic Cases
Message Board
Views: 4019 | Replies: 71
used itero exclusively for all of my crown and bridge for the last 3 years. Its a wonderful tool, but gum retraction is extremely important.IMO, you need to start using a 2 cord technique. I pack two cords as soon as my prep is done and let them sit while placing the build up. After refining the prep
December 07, 2023
Prosthodontic Cases
Message Board
Views: 324 | Replies: 7
you offer between hybrid and bridges? 2. Would you tx plan the case differently than me? Any additional tx or anything else I should do for better diagnosis? 3. What's the correct order of treatment? How is a bridge different from a hybrid? No porcelain/zirconia gums on the bridge
December 04, 2015
Prosthodontic Cases
Message Board
Views: 108 | Replies: 0
Q1. Upper left supererupted. 15 is the worst and it almost touches the lower gum tissues. It is better toward anterior but 12 is also supererupted. How would you solve this problem? - I am thinking about RCT upper and put crowns 12, 13, 14 and 15 to create space for lower implants. - I heard
February 26, 2015
Prosthodontic Cases
Message Board
Views: 89 | Replies: 2
Hey guys, 70 yo woman came in today with a 6 unit max bridge (teeth broken off at the gum line). Abutments 6/7/10/11. Currently she has a max partial(2yrs old) that attaches to teeth 2 &15. Even though the bridge is not attached to the teeth she is able to wear it with the upper partial
April 21, 2016
Prosthodontic Cases
Message Board
Views: 985 | Replies: 23
and the gums are inflamed in the front. Hard to tell if the composite extends all the way to the gum, and is irritating the tissue due to poor margins? Or is she in a gummy smile situation, with mouth breathing, causing dryness and gingivitis, in need of imcreased home care frequency? This is something
September 13, 2017
Prosthodontic Cases
Message Board
Views: 172 | Replies: 3
There are only 2 things that destroy teeth- bacteria and forces. Here, this gentleman is in his Terminal Dentition due to both. He was previously told that someone could 'cut the gums and put some crowns on the remaining teeth. I don't think so. I admit that with this one, I am open to all your
August 31, 2016
Prosthodontic Cases
Message Board
Views: 80 | Replies: 4
Walk in patient yesterday with CC: I think I need dentures and implants. 51 y/o male, been 12+ years without a regular dental visit. He came to my office straight from one of those All on X type offices. He wants to fix his anterior teeth so he can eat comfortably, but also has gum pain
May 05, 2021
Prosthodontic Cases
Message Board
Views: 40 | Replies: 0
55 y/o healthy Caucasian male CC front teeth are loose and I prefer fixed options smoker but willing to quite. truck driver. Cl II mobility on 8, 9, 23, 26 Cl III mobility on 7, 10 What fixed treatment options would you present to him?
September 23, 2019
Prosthodontic Cases
Message Board
Views: 97 | Replies: 2
has generalized moderate to advanced bone loss and hopeless prognosis on the upper anteriors, the upper anteriors are also supraerupted and splayed. She is unhappy with the appearance of her front teeth and is concerned about her gums. I referred her to a periodontist. She is following up
March 13, 2019
Prosthodontic Cases
Message Board
Views: 393 | Replies: 11
This 58 YO with CC Loose teeth upper right and left back and tender gums there and elsewhere He is convinced that the gold crown caused his problems being too long. He has no signs or symptoms of TMD. There was no discomfort to apexification, full ROM in all excursions but exhibited premature
November 07, 2014
Prosthodontic Cases
Message Board
Views: 58 | Replies: 3
a month ago, and she hadn't heard back from either. The patient stated that her bridge had come out and one of the teeth underneath it had broken even with the gum tissue. She pointed to #11. She had a scan from the OMFS, but I shot one of my own so I could put it into BSP since I was more familiar
October 08, 2019
Prosthodontic Cases
Message Board
Views: 193 | Replies: 0
Any advice for this would be welcome.<br/>Patient has tooth #8,9 worn down with insufficient space to restore. I crowned #9 about 2 years ago. Patient broke this off and now has temp essix appliance.<br/>I referred to perio for crown lengthening but perio said insufficient crown to root ratio to do CL.<br/>Patient is 70 years old healthy female.<br/>Thanks
May 12, 2015
Prosthodontic Cases
Message Board
Views: 165 | Replies: 2
Hi, I have a patient that will get teeth #11 and #12 extracted and wants a bridge. I've discussed implant and partial dentures as well with pros/cons of each, but she insisted on getting the bridge. Can I use #10 and #13 as abutment teeth or are they too weak? They are both healthy teeth
December 09, 2014
Prosthodontic Cases
Message Board
Views: 210 | Replies: 2
A healthy 20yo male patient with poor oral hygiene presented with a dislodged crown #6. Pt reports slight sensitivity but no prolonged response to cold. The existing crown prep is short and slanted on buccal causing limited retention. Would you try new build up (with retention groove? Where
September 01, 2021
Prosthodontic Cases
Message Board
Views: 169 | Replies: 11
37 y/o patient. Missing #24 for many many years and all he wants is to fix his lower anterior teeth. Not interested in braces or implants He obviously does have activeperio, once the gum disease is stabilized, I would like to get your opinion about treatment options given that the lower
September 19, 2018
Prosthodontic Cases
Message Board
Views: 183 | Replies: 6
on vacation. He told me he has severe throbbing in his gums when he runs and that the bonding in this case causes him severe pain when it chips.... not quite adding up IMO. He has also had a dentist already tell him he needs 30k in treatment and could not afford it. I'll probably punt to a prosthodontist
August 17, 2016
Prosthodontic Cases
Message Board
Views: 485 | Replies: 9
of Pepsi per day since she was a teenager. She also has a history of bruxism and claims to wear a nightguard occasionally. TMJ healthy, no clicking/popping/deviation. Perio stable.<br/><br/>Posterior teeth severe worn down. Extremely limited space interocclusally for crowns.<br/>
November 14, 2017
Prosthodontic Cases
Message Board
Views: 327 | Replies: 2
I have a young gentleman who had an onlay done years ago on #30, now it's fractured. I decided to replace it because his enamel is otherwise healthy.... now the lab is saying the BruxZir may not be a good idea because the lingual margin is thin.... and a composite onlay might do better
February 26, 2018
Prosthodontic Cases
Message Board
Views: 152 | Replies: 1
15 y/o African-American female came in to our clinic upon referral from a GP re: an expansile lesion in the anterior maxilla, and to evaluate for possible jaw tumor. She reported that her gums were painful in that area, and that she bleeds spontaneously. NKDA. No significant medical history
October 31, 2014
Prosthodontic Cases
Message Board
Views: 83 | Replies: 0
Hello all,<br/>Need help with treatment planning.<br/>How would you treat this healthy, 81 yr old patient?<br/><br/>Lower arch is fixed and all connected. I attempted to patch the fractured porcelain with composite awhile back since the porcelain was starting to open up
December 05, 2016
Prosthodontic Cases
Message Board
Views: 219 | Replies: 6
her some time this week to go over options. She's mid 50's. Healthy and stable occlusion. Do you guys have any ideas or opinions? Not being an expert on the matter, the first thing that I notice when I look at the x ray is that there is a clear and very wide PDL space around 6. So
June 22, 2015
Prosthodontic Cases
Message Board
Views: 426 | Replies: 18
Hello, I'm a fairly new dentist about 5 years out. I haven't had much experience with more complicated prosthodontic/implant cases. I had a 65 year old healthy woman present with a dislodged FPD #28,29 with a cantilever on #30. My first thought for restorative was to have oral surgeon place
March 28, 2017
Prosthodontic Cases
Message Board
Views: 246 | Replies: 3
to repeat the past. The patient needs improved posterior support for their dentition. I have been sucked into this before. It's incredible how much quicker dentistry fails when posterior teeth are lost. I would consider the type of restoration you are discussing in a circumstance with a healthy posterior set of teeth, but there is no glue that holds what you are talking about together. The patient's previous restoration is worthless. Good luck!
October 24, 2020
Prosthodontic Cases
Message Board
Views: 602 | Replies: 15
areas. Patients still seem to complain about how they look. Thank you for all the replies. Sent it out for cast metal framework. I am very cautious with Valplast. I consider it as a true gum stripper. it sinks upon mastication and this will put traumatic pressure on the abutments' marginal gingiva
May 06, 2019
Prosthodontic Cases
Message Board
Views: 160 | Replies: 4
moment about taking care of his teeth and gums, then start rehab. He has a lot going on for 22 years old (possible drugs?). I tread lightly with non-immediate family members. If he's getting treated at another dentist, I'd keep it that way and stay out of any advice on further treatment. You can't
July 07, 2021
Prosthodontic Cases
Message Board
Views: 1005 | Replies: 21
acrylic to the posteriors? So next visit is delivery?The black pen inkon the denture, is where you marked how much the gums pull up when he smiles on the custom tray/try in?YUP! And another correct answer! And the final correct answer! His CC was his current FUD was great in terms of retention
December 27, 2016
Prosthodontic Cases
Message Board
Views: 1079 | Replies: 18
with pigmentation of gingiva and gum recession. She is considering replacement of the bridge with crown to facilitate oral hygiene.<br/><br/>What are her options ? Any other treatments except gingival grafting? <br/>What is the cause of pigmentation? <br/>This thoe of pigmentation is usually
April 06, 2014
Prosthodontic Cases
Message Board
Views: 371 | Replies: 13
from their mouth. First, I focus on connecting this tooth pain to an infectious bacterial process in their mouth. I use analogies like one person with the flu coughing in a room with twenty healthy people. Those close to the sick person will get sick quicker but all are at risk. I don't believe one
August 30, 2015
Prosthodontic Cases
Message Board
Views: 409 | Replies: 5
practice in Sarasota - 78 years old is not that old if the patient is healthy. I treat a lot of patients in their 80's and 90's - a common statement we hear is if I knew I was going to live this long I would have gotten implants a long time ago... It is a quality of life issue. At that age the ability
May 12, 2018
Prosthodontic Cases
Message Board
Views: 184 | Replies: 1
Healthy female patient in her 50's. We are treating only the upper arch for now. She had an immediate implant-supported, screw-retained, complete upper denture placed by a periodontist and denturist about 6 months ago. (7 platform-switched biohorizons implants with with multi-unit abutments
October 19, 2017
Prosthodontic Cases
Message Board
Views: 204 | Replies: 6
Healthy 50 ish female missing all teeth except 2,3, 14, 15. I am thinking to make a metal based RPD, full palate coverage, and akers clasps around the molars on both sides. How does this sound?? any suggestions welcomed. Full palatal coverage to compensate for lack of anterior support. It sounds
August 18, 2016
Prosthodontic Cases
Message Board
Views: 190 | Replies: 5
brushing and flossing We recommended waterpik. Is it wise to go with a hybrid design, keep the bridge (acrylic wrap around design) away from gums and leave enough space between gingiva and bridge for waterpik? I might not do it, rather refer to a prostho, but I just want to be sure before I refer
September 18, 2017
Prosthodontic Cases
Message Board
Views: 315 | Replies: 6
she hates. If she would to smile relaxed she would show much moreof the gums. This is a very difficult case andIthink it will need some extreme intervention if she really wants to change the smile. Pink porcelain will never ever really match the tissue color. The thing is if it is noticable from
July 12, 2015
Prosthodontic Cases
Message Board
Views: 399 | Replies: 11
and bridge procedure with implants or are you forced to stick to the menu?Does the high smile line bother the patient? If it does the bone can be reduced at time of extraction and prosthesis can be ovate pontics with no gum colored acrylic in the anterior. I do it with dentures so I feel it would work
July 08, 2015
Prosthodontic Cases
Message Board
Views: 346 | Replies: 8
32 year old fit and healthy male. History of sugary drinks but that was years ago. He reports no history of gastric reflux, feels as though he doesnt brux although his wife reports on occasion she hears him grinding.No headaches or sore muscles or tmj pain on wakening. Doesnt snore but does have
March 20, 2020
Prosthodontic Cases
Message Board
Views: 316 | Replies: 8
Had a strange situation today with a silicone imp (putty and lightbody in a stock plastic tray) on a LL7 onlay prep (the patient has a couple of lower molars missing and some gum recession- undercuts?), I struggled with removing the tray for a while and was an awkward situation, this is something
June 27, 2021
Prosthodontic Cases
Message Board
Views: 430 | Replies: 15
made me think and ask for some advices on solving this case the way it is .Great observations and concerns... At the same time, I actually see very little incisal wear of the lower anteriors. How old is this patient and why did the teeth end up at the gum line? Caries or mechanical failure
January 23, 2019
Prosthodontic Cases
Message Board
Views: 422 | Replies: 11
the tooth to create the pontic site. The goal is to preserve your pontic while maintaining the tissue support. I use a large 6 or 8 round bur for this. Try not to nick the gums but go as close as you can to graze it. Some more pics to show different angles
February 28, 2021
Prosthodontic Cases
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