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Message Board
Views: 49 | Replies: 3
? thanks I would refer for a graft and see if that handles it. "Hey Mr. Jones, this is one of your main chewing teeth. As of right now it is a burning candle, and there is not a lot of wick left. We can rescue the tooth with a gum graft done by a specialist, but unless you are willing to go down that road
May 12, 2026
Restorative Dentistry
Message Board
Views: 440 | Replies: 11
to smooth the defect than restore it at all. Marshall Ok.. I think I understand, so the palatal tissue will reattach to this area? Some attachment and some recession possibly. However it heals, restoring above healthy gums is better than chasing the defect apically into the attachment. Marshall You
September 14, 2016
Restorative Dentistry
Message Board
Views: 742 | Replies: 31
take 2 seconds to figure out. There is too little to go off...need more... Sure as heck looks like caries apical to the restorative margin. Tell bro to floss and carry the floss down into the gums while hugging the side of the tooth, not just casually down the middle between the two teeth. Cervical
May 05, 2026
Restorative Dentistry
Message Board
Views: 2114 | Replies: 68
practice to fully holistic care, I developed the Great Oral Health patented system-a probiotic-based formula designed to restore balance to the oral microbiome and support healthier gums and teeth. You can explore our flagship system here: For those interested in expanding their knowledge
September 23, 2025
Restorative Dentistry
Message Board
Views: 3002 | Replies: 74
That is WAY more than a class 1 furcation. ...Dropped margin on #14. Placed in 2011 in my office. #15 was an old crown with recurrent decay. Sensitivity and recommended crown. Today, drop margin prep. Recurrent caries on #15 margin. ( not my crown) Healthy gum tissue around #14
April 19, 2014
Restorative Dentistry
Message Board
Views: 107 | Replies: 0
choice, potential chipping, compromises, etc. We removed everything broken and did bone grafts. He is now caries free and gums are healthy, joints have no sounds and he functioning just fine as is with no limitations whatsover. Terry posted he just builds these cases freehand in composite
September 24, 2020
Restorative Dentistry
Message Board
Views: 4361 | Replies: 175
need to research more. This isnt my work. Im literally giving you the research. If youre truly interested in learning how to create healthy gums and periodontium while doing sub G crown work, use the search bar here on Dentaltown and look up biologic shaping. It was all the rage here years ago
December 09, 2023
Restorative Dentistry
Message Board
Views: 4659 | Replies: 147
. Captek exhibits a biocompatible advantage where metal is exposed for margins. Captek's unique composite metal structure does not oxidize and is clinically proven to significantly reduce harmful bacteria and plaque, thus creating very healthy gums over time. and this composite metal structure also
January 30, 2023
Restorative Dentistry
Message Board
Views: 124 | Replies: 5
. Is clasped by existing partial. #15 Mesial decay under alloy. Tooth is clasped with current partial. #28 D decay at/under gum line Partials 15 MO and 28 D- direct amalgam will make this easy and last a long time. 22 is harder, but still very doable.-- caries removal. Fuji 2LC to build up most
April 16, 2026
Restorative Dentistry
Message Board
Views: 212 | Replies: 11
the biological width have overhangs on both the lingual and buccal. Gums are super inflamed and irritated. Any xrays of post op DME that you've done ? I'd love to see when its been successful. When I look at those x rayss the margins appears to be 3+mm from the bone. Maybe it's not biologic width and just
April 16, 2026
Restorative Dentistry
Message Board
Views: 129236 | Replies: 4116
back in New Brunswick for February and March. Life is good and weather has been warm and great!! Regards Terry enjoy your vacation. might want to stay away from the orchids of asia day spa.... give me 2 secs.... 5+ year recall a coming.... pre and post prophy.... healthy gums are normal here. I'm
November 01, 2021
Restorative Dentistry
Message Board
Views: 331 | Replies: 12
tell them they may need crown lengthening some day if the tissue doesn't cooperate. . Nobody has. I may stop saying it. Sorry Giacomo. I am the opposite, I will shy away from restoring #5 if it looks like this. I see too many people with their 1st upper premolars fractured at the gum line after being
April 29, 2026
Restorative Dentistry
Message Board
Views: 119 | Replies: 3
tell him how important it is to have healthy, non-bleeding gums in order to do good tooth colored fillings. I try to help him understand the decay process and cavity risk factors. I tell him that dental care is expensive and that unless we can control the factors that lead to the problems we see
March 26, 2014
Restorative Dentistry
Message Board
Views: 3281 | Replies: 43
files and enable uploading. Ed With all due respect I would have had those teeth crown lengthened. The inter proximal tissue will be an area of chronic inflammation. Will the crowns last a long time if cord is placed prior to cementation? Sure but I like pink healthy gums at final impression stage
February 06, 2015
Restorative Dentistry
Message Board
Views: 374 | Replies: 12
the retention of any indirect restoration here after caries excavation. This is a short tooth (probably bc of patient's age) and there doesn't look to be much healthy tooth structure above the gum line. If it is as bad as it looks, I might clean it up the best that I can, try to slip a tofflemire
April 03, 2024
Restorative Dentistry
Message Board
Views: 553 | Replies: 8
to keep gum tissue healthier or to remove the viscostat staining, it has been shown to cause the micoleakage under temps and definitive restorations which can lead to the subsequent failure of porcelain restorations.Hope this helps.Regards,LynnLynn MawhinneyUltradent Products, Inc.The material
November 06, 2014
Restorative Dentistry
Message Board
Views: 3700 | Replies: 69
imho....other option is to buy a Biolase EpicX diode laser and trough your prep. Hope something here helps!Keep it simple. Ensure the gums are healthy, supra or equi gingival preps where possible and H&H impressionI too had issues with keeping the preps dry before the impression. I changed two things
April 07, 2016
Restorative Dentistry
Message Board
Views: 28 | Replies: 2
with conditions such as osteoporosis, often achieve the same success rates as younger adults. The key factors are bone density, gum health, and medical clearance. Some insurance providers even extend partial coverage for seniors, though policies vary. Dentures vs. dental implants for seniors Dental
April 10, 2026
Restorative Dentistry
Message Board
Views: 334 | Replies: 5
long term healthy teeth and gum, the long game. If something is an urgent need, then obviously tell them what you see. If you see some wear, open margins, etc. look at the history. If they have been like that for years, take a picture, show the patient, explain this looks a little suspicious to me
February 24, 2018
Restorative Dentistry
Message Board
Views: 4700 | Replies: 84
or premolar, healthy gum tissue, good isolation, chill patient, good assistant, etc). Here's my process: 1. 330 bur approximating outline and box-form 2. Switch to the larger pear-diamond bur and smooth it all out and finish the needed extensions. 3. Flame bur to bevel all margins. This seriously takes
November 10, 2016
Restorative Dentistry
Message Board
Views: 2162 | Replies: 49
in healthy gums. If it hits my already-bonded adjacent preps, I've got a real problem. And even if I'm perfectly gentle, if the adjacent teeth are bonded, I'm pretty concerned about resin cement flowing over them and getting cured. Cuz then I'm really screwed, and I might not even know it bc it's
February 22, 2016
Restorative Dentistry
Message Board
Views: 1228 | Replies: 42
for buccal and lingual surfaces just above gum line; 4. To maximize retention: a. Make sure all opposing walls are nearly parallel; b. Make occlusal surface concave; c. Make retention grooves. 5. Pack #2 or #1 cord in case of healthy gums. Cord packing determines accurate fitting of margin all
May 25, 2024
Restorative Dentistry
Message Board
Views: 139 | Replies: 7
. perio condition is slightly reduced but gums are healthy and I believe stable. Im looking for ideas to treat this restoratively. I discussed ortho with her and she was not receptive. she came in asking about an extraction and implant for that area which think would be extreme given the overall
January 24, 2014
Restorative Dentistry
Message Board
Views: 6919 | Replies: 94
and disadvantages to placing a crown edge above the gum margin. Advantages are you save solid tooth structure, easier to clean crown edge with toothbrush, healthier gums, easier to get and confirm a perfectly fitting crown, and decrease chances of gum recession, root canal, and decay
February 11, 2016
Restorative Dentistry
Message Board
Views: 624 | Replies: 16
determination will be made when periodontist (Dr. Mark Klabunde) flaps and reshapes.Lab made provisional and back to Mark.3 months later, gums are clean and healthy. Mark did a fantastic job reshaping the teeth and I really just needed to scribe a finish line.Provisionals relined with Jet acrylic
October 11, 2015
Restorative Dentistry
Message Board
Views: 463 | Replies: 12
In dental school, I was taught to remove carious dentin with the largest round bur that I could use. How do people practice today? The line between carious dentin and healthy dentin can be vague and I always want to use the best tools to get the job done. For a large amount of caries I use a #8
March 09, 2026
Restorative Dentistry
Message Board
Views: 622 | Replies: 26
slapped a few EMAX crowns no there. Cheaper and very long lasting when enough bulk can be achieved. Somewhere in my distant past I remember someone teaching us about protective contours. I have a bunch of those referenced articles too..... So I offer this picture below, where the gums were so
July 22, 2014
Restorative Dentistry
Message Board
Views: 696 | Replies: 22
osseous surgery be helpful? Probing depths were 5 mm around #30 on lingual only with bleeding. All other areas of her gums were healthy. Thanks all! Anything else you note in the radiograph is helpful too. there is a biologic width violation. remove the crown on 30. place in temp for 1 month
September 26, 2015
Restorative Dentistry
Message Board
Views: 1557 | Replies: 35
again but we did have thorough discussion at the recall so I don't know if we'll ever figure it out. My hygienist recommended dipping the proxa brush in mi paste, which I thought was a good idea. Post op. Her gums were very healthy and did not bleed at all so we did composite. Nice... Acid reflux and/or diabetes could be involved. Medication trays with Flouride, MIpaste, Remin or something like that. Butler soft picks can help.
May 19, 2016
Restorative Dentistry
Message Board
Views: 5703 | Replies: 107
for a interproximal how can you afford to keep your office open?Some advice for bleeding other then trying to get there gums healthy. Rubber damn and prewedge to protect the papilla. Or ferric-sulfate (Astringedent) in a 1cc syringe and a brush tip.LazTo those who vote NO, have you ever tried out an electric
August 12, 2019
Restorative Dentistry
Message Board
Views: 71 | Replies: 1
explain not have pain is not the same as not having a problem. I show some pictures of teeth that are broken off a the gum line and the person had no pain. I then say something like "this person had no pain, but clearly the tooth is not healthy" and then further elaborate "your tooth is not as far gone
January 22, 2026
Restorative Dentistry
Message Board
Views: 5570 | Replies: 74
was and the white , decalcified areas. She is motivated and she really bought into it and her gums are now very healthy and the teeth are harder. I can see no change on the margin of the abutment. She has changed the habits of the entire family. This is happy dentistry. I will not give up on patients. I
January 25, 2018
Restorative Dentistry
Message Board
Views: 1078 | Replies: 25
are in the way and you can't seat your band properly, don't be scared to do a small gingivectomy. There's many ways, such as electrosurgery, scalpel, diamond burs, but my favorite is using thermacut burs without water. This often gives little bleeding if the gums are reasonably healthy. If the bleeding
December 03, 2025
Restorative Dentistry
Message Board
Views: 3670 | Replies: 363
WHERE PLAQUE ACCUMULATES AND A PATIENT AND HYGIENST CAN'T CLEAN BECAUSE OF THE IRREGULAR SURFACE. 4: The gingivae in the case Uwe posted seem to show signs of health, pink stippled gums and no recession or pocketing? If the gums are healthy initially and there is no evidence of gum disease
August 08, 2007
Restorative Dentistry
Message Board
Views: 932 | Replies: 32
is placed to fill the preparation and cavitation then cure for 20 seconds and then contour with a 7901/flame tip carbide to remove any overhangs. This approach/technique has worked very well for me gazillions of times. If gum tissue is healthy then you can prep without a rubber dam and isolate
November 19, 2021
Restorative Dentistry
Message Board
Views: 1690 | Replies: 50
. This is as she presents, no fancy clean-up. Her gums are pink and healthy, and not bleeding! We still have some work to do on the lowers, then consider replacing missing teeth. Beautiful work, Richard, and a great service to a patient! Thanks for sharing This is great! The BEST part of this story
June 05, 2019
Restorative Dentistry
Message Board
Views: 520 | Replies: 34
Hi Townies, I saw a new patient, 41 yo female. Her teeth are all short with gum covering half of the length. The plan is to remove the braces, then decide if it's a gingivectomy case or crown lengthening case. If it's the former, I can do it with my diode laser. Please review the FMX taken
July 18, 2025
Restorative Dentistry
Message Board
Views: 596 | Replies: 28
willing to give you a long appointment sometime soon to get this done. How would you like to proceed? I was always worried about liability. Still I wasnt going to be the one to tell someone they could not have a transplant. Unless, they had an obvious abscess or infected gums. I just signed it. I
February 26, 2026
Restorative Dentistry
Message Board
Views: 212 | Replies: 2
on lymph nodes on that side. Patient went to MD and got antibiotics, retorted to my office after 2 days. There are no symptoms on the teeth or gums but base of the tongue has white lesion( looks like a fungal infection) I took PA and Bite wings, there was a tiny excess cement on the distal, I
November 18, 2024
Restorative Dentistry
Message Board
Views: 476 | Replies: 14
tell me xylitol half decay and regrows gum tissue I just talked to a patient about her receding gums and she is going to use massage and coconut oil to regrow them. She's a nurse. The sentence in bold tells me all I need to know. I don;t know about that but I do know xylitol cures constipation well
June 18, 2025
Restorative Dentistry
Message Board
Views: 1566 | Replies: 47
of the crowns and gums look healthy at the next recall so it's all good by me. The margin has to be a feather edge as well. Lol...I just read it further and realized that it broke. Either way...I've done plenty like this because patients can't afford implants etc and they do work. I've done
May 14, 2014
Restorative Dentistry
Message Board
Views: 186 | Replies: 2
One of my patients came in with irritated and bleeding gum after a class 5 filling after 2 weeks.It looked like there was a little piece of #00 cord left behind which I took out right away and also gave her peridex rinse.Advised her to rinse with warm saline as much as possible and come back
January 25, 2018
Restorative Dentistry
Message Board
Views: 359 | Replies: 12
: Article opinions: A study has found that people with poor oral hygiene or gum disease could be at higher risk of developing Alzheimer's compared with those who have healthy teeth. Researchers from the University of Central Lancashire
June 04, 2019
Restorative Dentistry
Message Board
Views: 173 | Replies: 10
up on a contact. Neighboring implant restorations don't budge at all so the contact on your new crown or bridge has to be dead on or the new restoration won't seat without adjustments. I imagine scan body/ impression coping was not fully seated and crowns made at that position. Now gum tissue
February 19, 2026
Restorative Dentistry
Message Board
Views: 218 | Replies: 11
Hello. We have this younger patient who originally had a PFM for many years, and over the years it was changed to a PFZ, however the color at the gum line always stayed the same. The shade is a bit off too. What do you recommend in this case? What is the best material to mask any darkening here
July 15, 2023
Restorative Dentistry
Message Board
Views: 3670 | Replies: 363
profile of the crown from the soft tissues, or as above to remove a hiding place for bacteria/endotoxins? 4: The gingivae in the case Uwe posted seem to show signs of health, pink stippled gums and no recession or pocketing? If the gums are healthy initially and there is no evidence of gum disease
August 08, 2007
Restorative Dentistry
Message Board
Views: 47639 | Replies: 2574
. If they do, I try to talk them into a gold onlay instead of a butcher-the-dentin porcelain crown. The gums are oh-so-healthy with onlays or gold crowns prepped above the gingival margins. Got to watch out when the opposing molar has a porcelain crown, however. It will wear through gold with time
June 04, 2013
Restorative Dentistry
Message Board
Views: 187 | Replies: 9
I am late to the party in using SDF in my practice. I don't have a lot of kids in my practice but I have started using SDF more regularly particularly in my senior population. I saw a woman today who is 82 years old but otherwise fairly healthy. She has a five unit 9x11x13 pfm fpd that is probably
June 19, 2025
Restorative Dentistry
Message Board
Views: 5763 | Replies: 217
-- dentistry is and always has been a business. As professionals our primary aim within a business model is to help our pts. obtain and maintain healthy teeth and gums for life, IMHO. Esthetic dentistry is truly a retail venture. But the practice of dentistry has become much more of a gray area
August 02, 2012
Restorative Dentistry
Message Board
Views: 146 | Replies: 2
I have a 59 y/o female healthy patient who came with #11 (pardon the upside down and flipped image) being asymptomatic. Would you restore #11 and how would you do it or would you extract the tooth and prepare for an implant? Thank you in advance for your input. from what you have presented
November 10, 2016
Restorative Dentistry
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