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Message Board
Views: 53 | Replies: 0
22 year female came in on an emergency first time visit today with cc of retained #H of being sore and a pimple at her gum. #H is also loose - no spontaneous pain, facial swelling. and at present minimal discomfort to palpation/percussion. Mobility - class II From the PAN below you can see
February 04, 2014
Restorative Dentistry
Message Board
Views: 72 | Replies: 2
35 y.o. F, Med Hx Kidney dialysis OH good,posterior malocclusion. Presents w/CC Pain and bleeding from gum Intraorally - buccal papilla 14-15 sloughing, loose, easy bop. 6 mm. pocket B and P. No abscess. X-ray - no pathology noted. LA, scaled area, removed loose tissue, irrigated w/peridex
May 28, 2020
Periodontics
Blog
What is an implant and what is an implant crown?. Dr. Hornbrook discussed the difference in these two dental implant details and goes over the implant systems and crown and bridge options. If you can Imagine we have two teeth and for some reason we lost this tooth in the middle, whether it be gum
January 11, 2016
by Keating Dental Arts
Message Board
Views: 104 | Replies: 0
. Today the irritation around #11/12 and the palatal irritation have all improved - but he says it still feels like there is water under his gums. (I didn't know this was a concern two weeks ago). When I rub the tissue in a few select areas, sure enough the top layer slides back and forth, almost
August 20, 2014
Oral Pathology
Message Board
Views: 149 | Replies: 3
or two before coming into the office he noticed his gums were sore and puffy. The lesion does not appear to cross the midline and is only around 6-8. The facial aspect looks like a pyogenic granuloma. What does dentaltown think? Thanks. Jake I would think something foreign is lodged
December 13, 2015
Oral Pathology
Message Board
Views: 339 | Replies: 4
. Any thoughts? looks like a Ranula or Mucocele and I don't know how successful the surgery is in preventing it from...Aspirate itbut wear a splash shield Huh? This was an oral surgeon? Was he all out of knives that day? Never let the gums stand between you and a diagnosis.
September 01, 2016
Oral & Maxillofacial Surgery
Message Board
Views: 377 | Replies: 3
, there was what looked like a white sharp area of bone. I smoothed this down with a surgical handpiece Is there any other protocol that I may have missed that can improve the healing or prevent infection? Any advice much appreciated, - Chlorhexidine...Just cut it back enough that the gum can grow over...Should
December 27, 2018
Oral & Maxillofacial Surgery
Message Board
Views: 174 | Replies: 5
swelling in the gums? I would ask these questions first. Still not a bad idea for endo consult, but I wouldn't do it solely based on the x-ray.2 questions...why are you crowning those teeth and why are you sending for endo...Good questions. I wonder about the same things. Just Endo Ice them. If vital
July 12, 2017
Endodontics -- The ENDO Files
Message Board
Views: 91 | Replies: 0
after seat. Chronic gum irritation and discomfort reported by patient. She also reports she cannot eat comfortably due to food always getting in between 19 and 20. Roughly about .3mm open contact with no bleeding on probing and no clinical inflammation. I am wondering if I can fabricate a wrap around
June 06, 2016
Orthodontics
Message Board
Views: 150 | Replies: 4
Local orthodontist is informing patients not to have their teeth cleaned for 30 days after ortho removed. He is stating this protocol due to gum inflammation. I have never heard of this before, and have had patients from his office for over 20 years. His protocol is new, and mutual patients
October 24, 2018
Orthodontics
Message Board
Views: 129 | Replies: 5
? Any redness in mouth that isnt gum disease is thrush to me and i rx nystatin rinse. But Im a hack and send all oral path to omfs. Could it be oral lichen planus? It kind of has that appearance as far as I can tell from this image. Thanks LP may be the problem. I'll send her to OS for evaluation.
April 23, 2021
Oral Pathology
Message Board
Views: 105 | Replies: 2
that sits on the gum tissue? Appreciate any guidance! Wouldn't mess with the uneven gingival levels. No one cares on a premolar. I would bulk it out gingivally and facially though which like you said creates more of a ridge lap but you don't really have a choice in this case. I would
April 23, 2021
Cosmetic Dentistry
Message Board
Views: 126 | Replies: 3
roll on the numb side to try to prevent them from chewing their cheek. A bit more of a challenge when they need to put a mask over it. +1 to drcoopah. I do ask the above and also tell them to get them ice cream or milkshake... Nothing they can chew. Also an intra osseous injection with a device can really work magic. The soft tissue is barely numb jut the teeth and the gums are. Use no epi and they are numb for about 1h total with one full dose.
January 22, 2022
Pediatric Dentistry
Message Board
Views: 243 | Replies: 4
The question is how much ferule can you get? inb4 the inevitable back and forth about the importance of biological width Its all about ferule . How old is this patient? Occlusal scheme? When In doubt, extract and implant IMO.Gr8 The way I look at this tooth is... it is broken down to the gum line
September 10, 2022
Fixed Prosthodontics
Message Board
Views: 46 | Replies: 0
it seams) upper crowding lower space one technique to procline upper teeth- can use with any bracket system this was a tip edge class so using those brackets Personally I use self-ligating brackets Jumped bite, canine in -just closing space -not how much better gums look in upper -molars now in class I -no cross elastics used -just got interference of front teeth out of the way so now patient can bite in correct position finishing case
September 10, 2022
Orthodontics
Message Board
Views: 129 | Replies: 5
Is this an Astra implant? Thats a fully seated abutment with a platform switch. Check for gum issues or if its loose. If not,it looks amazingly successful. Looks to be an Astra TX, either 4.0S or 5.0S, and yes, abutment is fully seated. Thanks Is the (digital) impression coping for OsseoSpeed
November 09, 2022
Implantology
Message Board
Views: 103 | Replies: 3
or cough drops or something else? i had a dude once that sucked aspirin or something that caused those marks. Factitious habit? Had a kid in residency picking at his gums with his fingernail. Looked like this.
March 01, 2023
Pediatric Dentistry
Message Board
Views: 478 | Replies: 2
It was a question how to avoid greyish gum when we restore anterior implants. This is one of the case. Not ideal of course.<br/>Patient came to my office on Emergency basis to restore fractured #9. Patient was diagnosed with Constricted Bite, but doe not want to do anything else besides
October 24, 2023
Implantology
Message Board
Views: 240 | Replies: 6
this, they are at risk. Have patient get from Amazon the following to be applied topically multiple times per day especially before bedtime Oxyfresh Pro Relief Gel Promollife Tooth and Gum Oil (last thing applied before bed
July 10, 2023
Periodontics
Message Board
Views: 86 | Replies: 1
.... a partial with metal framework is questionable......because the lower teeth will just bang into the metal...but isn't there a type of partial where front teeth swing into place on a hinge?so that the framework doesn't cover the gums in upper anterior?? other idea was just talk him into just pulling
August 30, 2022
Restorative Dentistry
Message Board
Views: 106 | Replies: 3
I have a patient who is preparing to undergo a bone marrow transplant and I am getting his mouth ready for the big day. He has two healthy implants at 2 and 5, but his remaining upper teeth need to come out. Is it advisable to do an upper RPD with these two implants as the abutments? He does
September 05, 2018
Removable Prosthodontics
Message Board
Views: 156 | Replies: 3
that this particular biofilm is a big problem, compare to healthy commensal biofilm. Only dentists do not understand... I wander...! ? Hyperactivity of biofilm during periodontitis: https://youtu.be/pV9NajKzaE4 Parasites feeding on PMN, loosing immune system capacity during active periodontitis: https
March 21, 2015
Periodontics
Message Board
Views: 209 | Replies: 4
Pt is 89 years old but healthy. Existing upper teeth has rampant caries and pt can't chew with it. She has large palatial tori what oral surgeon will reduce . Oral surgeon will extract all her upper teeth and deliver FUDMy plan was to start with tori removal, heal then make FUD/extract. Pt
May 28, 2014
Removable Prosthodontics
Message Board
Views: 171 | Replies: 1
She came in to my office seeking an implant consultation. Originally from Romania, 39 y.o. healthy, caucasian. I have not seen any blood work and there was no diagnosis by any previous doctor other than periodontitis. She has an upper complete denture, flipper in the lower. Most of the remaining
September 21, 2021
Oral Pathology
Message Board
Views: 759 | Replies: 51
Cheers! You can't go wrong with a dialed in Google Ad campaign setup, watched like a hawk and optimized over time by a pro. Your monthly budget will depend on your market but you can hyper target larger cases such as All-On-X and implants for dentures etc quite effectively with a healthy budget
September 20, 2019
Marketing
Message Board
Views: 197 | Replies: 1
A husband went to the police station to file a missing person report for his missing wife: Husband: - I lost my wife; she went shopping and has not come back yet. Inspector: - What is her height? Husband: - I never checked. Inspector: - Slim or healthy? Husband: - Not slim can be healthy. Inspector
May 23, 2014
Jokes.....(Clean)
Message Board
Views: 212 | Replies: 2
45 healthy with missing teeth 14, 18, 19.Teeth 20 and 21 are to be extracted.Pt is healthy, adequate bone and space for implant tx.Patient wants implants and the least expensive options. Of course individual implants for each missing tooth are ideal. The other options I am thinking of are:1
August 18, 2014
Fixed Prosthodontics
Message Board
Views: 109 | Replies: 1
teeth. She's got the LR432, LL34. I know a 3-3 lower bridge is the ideal but I have a healthy unrestored LR2 in the way. I'm not keen on extracting a healthy toothbut obviously a double abutment that sideisn't ideal either. I need opinions on what's best to do? I'm leaning towards the double
January 16, 2017
Fixed Prosthodontics
Message Board
Views: 155 | Replies: 5
when it is there? Is it a sinus tract that can be traced with GP point ? Sialometaplasia? Probing normal. No endo on teeth. Teeth and area totally asymtpomatic. Lesion is asymptomatic. Ill get PA and BW loaded soon.Last a few weeks then goes away and comesback In the same spot. Patient is a healthy
May 07, 2022
Periodontics
Message Board
Views: 81 | Replies: 4
I have a healthy 40 y.o. patient that I did a biopsy on the lower arch (red spongy tissue). The diagnosis was chronic mucositis, epithelial hyperplasia, and epithelial atypia or reactive etiology. I prescribed clobetasol and it helped a little bit but the redness came back as soon as he stopped
April 16, 2025
Oral Pathology
Message Board
Views: 156721 | Replies: 22628
horseshit that I can't work out in any capacity to keep at risk people healthy. If you want to make a difference, enforce a health passport that reflects age and health (which can include vaccine status). Instead we lockdown young and healthy people and pivot when the worker shortages start. Now we
January 10, 2022
Politics - DO NOT Enter if easily offended
Message Board
Views: 457 | Replies: 16
got egg'd 3 years in a row? Coincidence? :)I give out BIG candy bars and market that I'm the 5th dentist that recommends sugared gum for my patients that chew gum. Bless you, Rance. Bless you.Did you ever think you would see the Tooth kissing the Tooth Fairy? We give away free candy by the bag
September 07, 2016
Marketing
Message Board
Views: 462 | Replies: 15
why you had a preference for the canines, thanks for giving it! Makes sense. Makes sense. How do you temporize this? Would taking ing a diamond to the gums help create an ovation Pontic? If so, do I need to prep tooth and gum, temporize, wait, impression? Temping is really hard
January 12, 2015
Cosmetic Dentistry
Message Board
Views: 280 | Replies: 10
% h202 and still do the stuff they are good for I recently started using a water pik and I see the allure vs flossing. Proper flossing is good. Snapping floss down and then back up, like 99% of people do, does nothing but make your gums bleed......and then they stop doing it. For me, a water
January 18, 2020
Hygiene Discussions
Blog
What is a tooth extraction? A simple tooth extraction involves removing a tooth that has erupted through the gums completely and is visible in the mouth. A surgical extraction consists of removing teeth that have either not erupted or have erupted only partially. The dentist performs both simple
September 09, 2021
by Anass Habrah
Message Board
Views: 187 | Replies: 8
I saw my fair share of kids with ALL etc in residency. They had all been diagnosed, treatment/in remission, by the time I had seen them. So Im out of my zone here a bit.Mom calls because her 2 year old white son son been to a few doctors for gum problems. They all do strep tests, flu tests
January 21, 2021
Pediatric Dentistry
Message Board
Views: 49 | Replies: 0
to answer the question from your new patient who asks, How it it possible I have a gum infection when I saw my last dentist every six months and he NEVER told me I had any issues at all with my gums?! Register RIGHT NOW at Exactly what to say to your new patient emergency
January 06, 2016
CE Comments / Suggestions / Events
Message Board
Views: 323 | Replies: 6
This patient came to my office with a tooth broken off at the gum line and needed to go to work or lose her job at the Ruger Gun manufacturing facility.<br/>I considered how I could best help her. We could place a standard post and Buildup, but by using the multiple fiberglass reinforced
July 15, 2015
Bonding Products &Techniques
Message Board
Views: 222 | Replies: 5
This patient F52, is a speech pathologist. She has clients staring at her mouth and lips daily, as she treats them. Her chief concern is the esthetics of her teeth and gums. She also complains of increasing sensitivity and food trapping within the black triangles of her teeth. The food traps
April 16, 2018
Periodontics
Blog
to ignore because each oral practice is prescribed by a dentist to perform a specific function in your mouth. Brushing your teeth and tongue will help prevent plaque buildup, flossing will help clean your gums and the spaces between your teeth and rinsing with mouthwash kills the bacteria in your mouth
May 14, 2015
by jasonsteel
Message Board
Views: 532 | Replies: 25
placement is actually giving you a hard time?The contact between her teeth is really too tight & floss does not pass between them to place the dam :Morover ,the clamp when I place it ,I hurt her gum ,then she refuses to cooperate agian.I feel really so sad to hurt her gum ): .Finally ,I use Dr.Denny
January 02, 2015
Restorative Dentistry
Message Board
Views: 345 | Replies: 8
Hello, This patient is 48 y.o. I delivered the abutment and crown on #19 two months ago. Everything went smoothly at delivery, no issues. Two months later, this patient is complaining of mild pain to chewing in the area of the implant and an itching sensation in her gums. She is also concerned
March 22, 2018
Implantology
Message Board
Views: 424 | Replies: 7
is a great guy (it always happens to the nice ones) and he comes in later at about 4:45 for me to look. The implant crown and abutment (most of it) is in his hand. The gum has already closed over the top of the implant. X-ray shows the abutment fragment and screw still seated nicely in the implant.<br
October 26, 2017
Implantology
Message Board
Views: 598 | Replies: 10
lesion on a tooth with a PFM crown. Several months later...RCT, BU and a new crown. After consulting my insurance, I tell my patients of our new office policy. Ultimately you will be liable if you have seen them year after year without proper diagnosing caries, gum disease, etc. Maximum
April 01, 2015
Patient Communication / Education
Message Board
Views: 482 | Replies: 13
has a slight odor but not too strong. I will be recalling the patient in 5 days. Did I missed anything? Thanks. TThis looks like a slam-dunk I don't Floss and brush very often. His gums look puffy, red and bulbous for sure. But I have seen much much worse. In cases like this I always
June 08, 2017
Oral Pathology
Message Board
Views: 329 | Replies: 12
time. Explain to your patient that this may NOT work and it may cost to redo implant, crown, or both. might want to have a laser handy too. Gum tissue may be covering the platform a bit.This.... it's almost assured that gum tissue will be on top/in the platform.It's odd that a tri lobe abutment
September 04, 2019
Restorative Dentistry
Message Board
Views: 107 | Replies: 1
cleaning while you talk about your two minute drill of OH. Then recommend the Philips products of the Sonicare toothbrush and Airfloss (or WaterPik) and GUM interproximal brushes. Also use OTC Biotene mouthwash and drink enough water to turn the urine a pale yellow. Thirdly, suggest a tray to apply
April 20, 2014
Sensitivity
Message Board
Views: 735 | Replies: 18
done. Thankfully, no post op sensitivity ^^ However, the contact is too tight when I floss using Mint Waxed Reach brand floss. Some of my floss got cut. When I manage to floss, it cuts into my gum and I am concerned that this will eventually cause gum recession or pain. What would be the solution
July 29, 2019
Restorative Dentistry
Message Board
Views: 398 | Replies: 15
I am working on treatment planning the following case and would appreciate any input:68 yr old FemaleTooth #12 broken crown and fiber post off at gum line. Some post remains in the tooth.Existing bridge from 15-13.Crowns on 11/21Patient not interested in implants or removables prosthetics.First
January 10, 2022
Restorative Dentistry
Blog
probes are often used to poke around inside of your mouth and explore the teeth. Sickle probes are used to look for cavities and other issues, while periodontal probes focus on the gumline and look for any gum recession or signs of gum disease. Additionally, dental drills are used to remove decay on your
September 19, 2022
by FFD419
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