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Message Board
Views: 106 | Replies: 2
Hi,I am prepping this 7 unit FPD 21x 27Patient doesnt want have long Crowns of Pontics.How can we cover that .Can lab add some gum color acrylic near gum line.Any directions here appreciated.Thank you Yes pink acrylic can be done. From the look of that radiograph, your simple question could
November 22, 2021
Fixed Prosthodontics
Message Board
Views: 4771 | Replies: 89
and tell them there is infection. Verify this is being done in your practice.Yes, get that camera out and show them! Picture says it all. You may not notice a gum problem YET! A key word in any conversation. In the case of periodontal disease - you haven't lost any teeth yet! But you
February 25, 2016
Periodontics
Message Board
Views: 969 | Replies: 9
, porcelain veneers need to be replaced every 15 to 20 years; composites last roughly half as long. But veneers done poorly are a different story altogether: They can lead to major and irreparable health consequences, including rotting teeth, gum infections and disease, TMJ disorders, and other
May 06, 2025
Cosmetic Dentistry
Message Board
Views: 900 | Replies: 19
dentist for my next cleaning, and I was in for a word of surprise. Turns out ***this office*** never took the gum health measurements they were supposed to (ny new dentist was surprised that this could be possible, apparently it's the standard of care expected), neither did they check out the areas
August 05, 2015
Ask a Dental Consultant
Message Board
Views: 2753 | Replies: 60
that was less expensive and invasive than removing the molar, placing two implants, and restoring the bicuspid with a single crown. If the bicuspid was healthy she got a crown prep that was ill advised. Ed My general HIPPAA agreement states that we may disclose info relating to payment (we can
June 26, 2014
Ethical Issues
Message Board
Views: 2576 | Replies: 116
from there. Be the office that helps patients get healthy, not one that maintains disease! Good luck! I've never heard of anyone getting sued for lack of diagnosis of perio. Definitely never heard of a hygienist getting sued for this. Ignoring this article/list which seems to be from pinterest
October 14, 2021
October 2021
Message Board
Views: 1826 | Replies: 32
of whatever cords you are using. This provides more room for impression material. Be sure to pull out all cords before taking the impression. 3m retraction paste. The only time I do cord anymore are for anteriors where I want the gums to retract so I can drop my margins accordingly, or for class vs. Put
February 07, 2021
Restorative Dentistry
Message Board
Views: 59 | Replies: 4
evidence that consuming alcoholic drinks and greater body fatness increase the risk of MPL cancers. There is some evidence that consuming non-starchy vegetables, choosing healthy dietary patterns and drinking coffee might decrease the risk of MPL cancers. There is some evidence that consuming mate
March 29, 2021
Papua New Guinea
Message Board
Views: 374 | Replies: 13
So I have a tricky case: Patient reports with #9 central incisor PFM. It's large, bulky, opaque, and a terrible color. She has about 2 mm of gingival recession from margin to gum. We decide to replace this crown (and only this crown). The first crown comes back just slightly off as far as shape
July 15, 2015
Cosmetic Dentistry
Message Board
Views: 477 | Replies: 12
This 60 yo healthy lady presented for a complete exam. Upon x rays and visual, I noted that there was decay and a horizontal fracture of the root of 6. There was also a PAL on6. there was no deep probing and no symptoms. The bridge needed to go in order to save 8 from fracturing as well
December 14, 2015
Implantology
Message Board
Views: 427 | Replies: 12
by another dentist for two days and that it's not helping. I told her to continue take penicillin and to return if symptoms still persist or worsen. She complained that I wouldn't do anything to help her and started asking the assistants why I wouldn't just scale the swollen gum to make the pus go away. I
May 21, 2016
Periodontics
Message Board
Views: 1226 | Replies: 73
to tailor it to what you want. Does age related wear necessitate fixing? To be honest, not a lot of people fix these things unless they are causing anterior chipping and wear that they don't like. When I see it with secondary periodontal disease then yes. Bite problems cause gum issues in some patients
February 13, 2024
Cosmetic Dentistry
Message Board
Views: 709 | Replies: 33
Its funny, I don't think I could've predicted this one. I assumed low cosmetic expectations considering shes rolling with gums for the last year or more. So as others have said stick to your guns. What it looks like is the tooth isn't the correct shape. You fixed the rampant decay
April 08, 2025
Restorative Dentistry
Message Board
Views: 421 | Replies: 11
sounds, or chronic headaches, I think this book might help. It's also a great tool for your team and referring doctors. Thanks for all you do to help your patients. I'd love to hear your thoughts if you check it out. Mac Surely every dentist sees TMD every day! It's not an infection like decay or gum
February 13, 2026
TMD and Occlusion
Message Board
Views: 152 | Replies: 3
Pt broke #14 at gum line and #13 has RCT and crn with decay on distal. Pt in 90s but does not want removable and does not want to be without teeth. no stay plate either. she is is opting for ext #13, 14 and bridge #12-15 visit 1- prep 12 and 15 -impression make temp bridge-indirect visit 2 -ext
October 13, 2016
Restorative Dentistry
Blog
. This pus cause bad smelling mouth and other diseases as well. You can easily Google “ and find a good doctor. These infected tooth cause some other things as well Gums swelling that will also be spread to the other parts of face, head, neck etc. This will also cause other issues with other
May 03, 2016
by Tariq Drabu
Message Board
Views: 346 | Replies: 9
71 year old female Asian Bruises easily Meds: Crestor Otherwise health, has had a a full check-up with blood work - normal Stressed about dental visit and has been having some life stresses at present... During her cleaning visit she started to form these blood blisters on her gum (mid morning
August 17, 2016
Oral Pathology
Message Board
Views: 438 | Replies: 22
thinners. To me he has something systemic going on that is presenting itself as a dental problem. 17/18 should bother him but not spontaneously bleed. This is a guy that probably would see an MD unless it was a last resort, a rough sort not looking healthy for his age. Nothing on his Med Hx
August 25, 2021
Medical Emergencies
Message Board
Views: 624 | Replies: 17
crown Fast forward a year - he contacts us and wants all his money back - he saw a dentist (corporate office) for a bump on his gum, but NO PAIN -other dentist recommended retreat endo -started endo but couldn't gain access - cut off the crown -he removed some gutta percha but not all; one canal
July 21, 2016
Legal Issues
Message Board
Views: 541 | Replies: 24
- Another great article! i just made several mystery shopper calls this morning. I love helping dentists locate missed opportunities and turn them around. I encountered too many rings before the phone was answered, staff chewing gum, not knowing the website address, voice mail picking up during
August 22, 2016
July 2016
Message Board
Views: 750 | Replies: 27
and I know that teaching has served my patients in the manner I would like to be treated.That being said, consider the amount of healthy enamel and dentin you would need to eliminate to access these. Even if they were active, in 1 year you would find that the size of the restoration would be very
November 22, 2019
Restorative Dentistry
Message Board
Views: 610 | Replies: 14
What does everyone do? I typically do a re-eval 6-8 wks after initial therapy and evaluate gums and take new probing depths, then perio maintenance at 4 months. I do the re-eval at no charge to the patient. I started a new associateship a few months ago and the owner doc combines re-eval
March 11, 2020
Periodontics
Message Board
Views: 875 | Replies: 29
, they were pretty bleachy before She came in for her cement check today.........She wants them whiter! Told her to pound sand she is too old. Tissue looks good at 5 days out. They always want them whiter! Back in the day, A3 or A2 was the color of healthy teeth. Now unless it is at least B1
April 04, 2014
Cosmetic Dentistry
Message Board
Views: 279 | Replies: 20
After thirty four years I still struggle with treatment plans on elderly patients. Last week I had an almost 89 year old with multiple problems. Totally with it and healthy for his age. Not even sure where to begin. I hate the thought of full dentures and even partials. loose front tooth ( post
August 31, 2020
Restorative Dentistry
Message Board
Views: 1153 | Replies: 22
before I go to see them, and I don't really do anything about it. I can say that most such cases, and there are many, continue on like that, with no symptoms, no shift in the gum line, and unless I tell them that it is going to kill them ,they don't mind it at all. So what's the trouble? Why
November 23, 2017
Cosmetic Dentistry
Message Board
Views: 1210 | Replies: 29
see any radiographic calculus. My guess there was psuedopocketing. I would definitely not recommend SRP's. Don't we need need to have probing depths in the range of 4mm+ for a need to srp. You could have 50% radiographic bone loss but if the patients gums have receded and probing depths are 1-3mm I
February 04, 2019
Periodontics
Message Board
Views: 409 | Replies: 11
but the bone levels on #9 arent great and with the hx of trauma not sure what the long term prognosis would be. My initial thought would be to ext #7,9 and 10, place implants at 7 and 10, bury the implant at 8 and restore with a bridge from 7-10. I dont like taking out a healthy (right now at least
November 23, 2022
Implantology
Message Board
Views: 484 | Replies: 13
bodies and define for us what a perfect mother should do with her breasts. Excellent point there that I didn't even think of...more $$$ for all the sleep specialists, lactation consultants, pediatricians and us. I really hope all the kids will be healthier and family bonds will be stronger as were
July 12, 2022
Pediatric Dentistry
Blog
in the long run. By identifying potential health problems early on, you can avoid costly treatments and procedures down the line. For instance, gettingand cleanings can help you prevent cavities and gum disease, which can require expensive treatments like fillings, root canals, and even oral surgery
May 02, 2023
by Dentaltownexpert
Message Board
Views: 579 | Replies: 14
almost like the lower natural embrasure here. Even if you leave a little hole, that's ok, it can be cleaned with a cotton tip and peroxide rinse. Think of it like the ovate pontic is a finger pushing down on the center of the gums and only in the very center. Then the rest of the gingiva will move up
December 28, 2022
Implantology
Blog
candies are off-limits. Invisalign eliminates these restrictions since you can remove the aligners while eating. 4. Improved Oral Hygiene is simpler with Invisalign. You can brush and floss your teeth as you normally would, reducing the risk of cavities and gum disease during treatment. Things
February 05, 2025
by teethexpert
Blog
If a filling is loose or broken, then food can become trapped and impacted, causing inflammation and pain. Receding gums When the gum has receded (or shrunk) the more sensitive part of the tooth, the dentine, becomes exposed and can cause sensitivity and pain. A tooth abscess This is incredibly
February 16, 2017
by Tariq Drabu
Blog
a specialized dental tool, the dentist takes the tooth from the gum line. This is usually done with the intention that the pulled tooth will be replaced with an implant or bridge, except for in cases of overcrowding or wisdom teeth removal. Decayed or rotten teeth Teeth that have become decayed
September 29, 2015
by Charles Crawford
Blog
There is a growing body of scientific research exploring the relationship between mental health and dental health. Here are some examples of recent studies: A study published in the Journal of Periodontology in 2020 found that individuals with depression or anxiety were more likely to have gum
March 16, 2023
by southgablesdental
Blog
alcohol-based mouthwash, unless specifically recommended by your dentist. Instead, look for a mouthwash with fluoride in it as fluoride helps reduce tooth decay. Look also for ingredients like antimicrobial agents to help fight against gingivitis and other gum diseases and astringent salts and odor
June 18, 2015
by Charles Crawford
Blog
. Proper brushing of the teeth, cheeks and roof of the mouth for at least twice a day as well as flossing must be practiced to remove bacteria, plaque and other buildup that may be trapped between the teeth and gums. It’s also the best way to prevent gum diseases, which can be the cause of bad
May 14, 2015
by jasonsteel
Message Board
Views: 124 | Replies: 0
We are in a new era of diagnosing and treating periodontal disease and it’s time to get series about helping patients improve the health of their gums. In this Thriving Dentist Show, Gary interviews his friend Dr. Chris Kammer about the clinical and financial benefits of helping patients
September 30, 2014
Periodontics
Message Board
Views: 572 | Replies: 24
So, I get through explaining the etiology of perio dz and consequences if left untreated (bone loss, teeth loosening, tooth loss, and even systemic dangers associated with gum disease), and I go over sc/rp protocol and 3 mo recalls to monitor pt's periodontal condition. And I have even showed
June 11, 2016
Periodontics
Dentaltown News
CHICAGO—In a recent study published ahead of print in the , Brazilian researchers have found that consumption of alcoholic beverages can have adverse effects on the health of a person’s gums, aggravating existing cases of severe periodontal disease or increasing periodontal disease
June 30, 2015
Blog
away the gums and provides easy access for bacteria and other germs to the tooth and open gums. So this needs to be taken care of by every individual. It is always recommended to brush twice daily, but it needs to done gently with proper care. The primary symptom of all these issues is inflammation
January 09, 2016
by Tariqdrabu
Message Board
Views: 182 | Replies: 4
will be to obtain proper primary closure. Delayed grafting works well if you wait about 6 to 8 weeks, when the gums are covering the extraction cite completely. You can then make a simple incision, graft, and close with actual gums and have a much easier time closing. Depending on the case, it might be worth
August 27, 2020
Implantology
Message Board
Views: 6919 | Replies: 94
margin. I let them know when I seat them you will see a little shade difference at the gum line and explain its because I saved some of your tooth structure by not removing it and made the tooth healthier and easier to clean. Well mine were all ceramic so it wasn't the black line
February 03, 2017
Restorative Dentistry
Message Board
Views: 5440 | Replies: 84
. CRAP! My gums got sore when I used it. WTF? After a couple weeks, I just felt like my gums were even more firm. Well, my first research in perio was in 1976, which was about 6 years before that. I'd had alot of hospital training in perio surgery, and I did 100% of my own surgery. So I started
May 19, 2018
Periodontics
Message Board
Views: 343 | Replies: 14
Have not needed to remove many implant crowns but will be doing one soon. I suspect cement issue. Exudate from under gingiva when I push on gum. Implant is Zimmer although brand name should not impact answers. Implant placed by periodontist. Custom abutment, margin usually 1 mm below FGM. Bruxzir
February 08, 2024
Implantology
Blog
living facilities, and as health declines, that the care of the mouth is something that goes by the wayside. Patients with heavy plaque and unhealthy gums are more likely to deal with respiratory infections and are subject to many other illnesses, including blood sugar issues and issues with regulating
January 06, 2014
by Carrie @ Natural Gumption
Message Board
Views: 736 | Replies: 17
chocolate does if you have a piece of chewing gum in your mouth...it just melts it away) or you may end up with chocolaty mess of fixodentlol! thanks. Can i suggest dental product companies come up with something that dissolves the adhesive..hint hint..I find it easy. I tell my assistant to get it bone
March 21, 2018
Removable Prosthodontics
Blog
addiction seldom realize the long-term negative outcomes it entails. At a rehab facility, you get help and foster awareness regarding these ill effects. Seeking treatment is a tangible step toward getting in control again. Gum Disease Besides ruining your teeth, alcoholism can cause severe damage
October 11, 2023
by FFD419
Message Board
Views: 308 | Replies: 17
Specialist recently placed 2 implants in lower edentulous arch in both canine area. Patient will get zest locator abutments and over denture.I know to measure the top of implants to top of gum to obtain the height.My understanding is lets say, if I measure the top of the implant to the top
May 07, 2025
Implantology
Message Board
Views: 233 | Replies: 3
I have no shame. ;) I literally tell my patients that when I don't know, I will try to get the answer from this great forum. :) Anyway, my patient was concerned about her bruised gum. She woke up on Wednesday and it looked very bruised and swollen above #8 and she said the inflammation extended
May 21, 2018
Oral Pathology
Message Board
Views: 248 | Replies: 3
She is now 8 and her centrals are starting to break through bone. She is a late exfoliator. Has anyone ever cut the gums Incisal to the centrals to help them to come out? Yes it is done all the time. Most of the time it isn't necessary to do so from a health perspective as the teeth will typically
October 03, 2016
Pediatric Dentistry
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