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Message Board
Views: 248 | Replies: 18
Hi all,I have a full Mx prosthesis Im planning thats going to be supported by 5 - 6 implants.Buccal segments will be white only (aka gum fitted..FP1) whereas the Mx anterior area will needs 10mmof bone resection (like when making a hybrid) so it will need pink/FP3Around the canine area there start
September 20, 2020
Fixed Prosthodontics
Message Board
Views: 566 | Replies: 13
impressions as she had a cleaning right after and she doesn't think that's a good idea because I will have to cut her gums. This was news to me, I called the OS 2 times but never got a call back. He is retiring at the end of this month. Pt comes in and the tissues are an absolute disaster. Unfortunately
November 12, 2021
Fixed Prosthodontics
Message Board
Views: 523 | Replies: 24
know of any good machines for this? Is this overkill? Bumper...overkill...the longer you practice the more failures you will see. nature of the businessAfter placing about 150 implants, I can almost predict which ones are going to fail. Alcoholic, dry-mouthed, gum disease,smokers, caries, etc
January 04, 2017
Oral & Maxillofacial Surgery
Message Board
Views: 762 | Replies: 19
incompatible personality. Do you have more than 1 hygienist? True -- but i hate when patients who haven't been seen over 3 years come back and expect that their cleanings will be gentle, especially when there's a ton of crap on their teeth. Then blame the hygienist for making their gums bleed -- it's
May 12, 2018
Patient Communication / Education
Message Board
Views: 1468 | Replies: 40
of Asheville. we don't. some people say something but most don't. we are not FFS. we give some of them to the kids but not to adults. Interesting thread!buncha cheapskates. we even throw in a little minute glass (hour glass that dont make it to an hour). i'm at an fqhcwe give em a mug, some chewing gum
October 07, 2015
Marketing
Message Board
Views: 676 | Replies: 25
sure your lab loves your prepsI just go with a lighter chamfer this is an example. Here are the final restoration. Shoutout to my assistant who jumped in, packed cord like a mad person, on a patient who was not anesthetized. So I would love to see just a normal smile once the gum heals up
September 09, 2023
Restorative Dentistry
Message Board
Views: 1867 | Replies: 28
#3 and 4 prepped with shoulderless vertical margins. On #3 would you take the crown margin on the buccal down to the gum line or leave the roots exposed and place the margin in a more conventional location? Roots are glassy smooth and cleansable. Down to the gumline for me. Nice preps! I love
November 08, 2023
Fixed Prosthodontics
Message Board
Views: 1777 | Replies: 26
Young man needs my help .<br/>He has a job now and his life is on track .<br/>After dietry control and counselling , I decided to restore them with Equia Fort .<br/> Gums bleed just by looking at them class 3 bite Caries excavated Greater curve in place After placing
April 25, 2024
Restorative Dentistry
Message Board
Views: 75 | Replies: 0
was sent by UATL to Colombias Ministry of Health and Social Protection. According to its website, Smiles by Mario Montoya offers a suite of dental treatments. They include general dentistry such as root canals, dental implants, and cosmetic services such as gum bleaching and gum contouring (in which
March 25, 2025
Cosmetic Dentistry
Message Board
Views: 434 | Replies: 17
back in our office after a year hiatus and he had a FMR done that had open margins everywhere, 3 botched RCTs done for some reason that were already abscessed, in significant pain and his gum constantly throbbed. He cried n the chair when we told him it all needed redone and he would probably lose
December 04, 2025
Cosmetic Dentistry
Message Board
Views: 1473 | Replies: 46
and a complete set of radiographs. At that time I made a diagnosis of moderate generalized periodontitis (gum disease) based on my examination and review of your records and your dentition. I also considered your past history of periodontal therapy. I recommended four quadrants of scaling and root
February 10, 2017
Periodontics
Message Board
Views: 176 | Replies: 3
. The picture is very small, but it appears to be a...i will start there...I had similar case. Never received a firm diagnosis despite 4 Perio oral med guys and three biopsies. Some sort of inflammation obviously. I have photo like hers somewhere but here's what her gums looked like.
April 24, 2015
Oral Pathology
Message Board
Views: 199 | Replies: 2
do you use this laser for? Just about anything you'd use a 558 bur for ;) Endo - PIPS - search DT, lots more on that. Restorative - composite preps, gum troughing Surgery - extractions, crown lengthening, frenies Snoring tx Wrinkle tx Sorry for the short list--long day.
October 29, 2014
Laser Dentistry
Message Board
Views: 67 | Replies: 1
://m.youtube.com/watch%3Fv%3D6oBZaht3nNo&cd=1&ved=0CCcQtwIwAA&usg=AFQjCNFUNhY_fpqxKQTe1FNEPVcEEbcbPw&sig2=XrJzIke4naf-ASNcbV3FLwIf they take poor impressions they could burn their gums with the gel. Not to mention making sure they are cavity free before starting whitening and that the treatment will give
March 20, 2014
Bleaching / Whitening
Message Board
Views: 136 | Replies: 1
of surgery. As long as you get the implant completely housed in bone then as you know the bone responds to the forces placed on it. I'd place a healing collar on it that is a few mm's above the gum line to get the densification process started and then maybe transition to a temp abutment out of occlusion before you make the final restoration if your concerned
September 13, 2017
Implantology
Message Board
Views: 267 | Replies: 10
Female patient 52 years old with severe pain on her gum, patient has been referred out for a biopsy and further treatment but wondering what the differential diagnosis would be just from clinical view without biopsy... Thank you! one more picture Yikes, I'd go with SCC. Desquamative Gingivitis
November 12, 2020
Oral Pathology
Message Board
Views: 76 | Replies: 2
18YO Female, Hispanic, unremarkable med history came in today for a new patient exam. She stated she had been kissing someone a lot, like for a long time. The next day her gums were bleeding and since then she wakes up with bloody saliva in her mouth. She wondered if kissing could have caused
August 31, 2020
Periodontics
Message Board
Views: 112 | Replies: 1
minutes without meds. She reports tenderness when feeling her gums distal to #14. While inspecting the area I noticed a very small (~0.25 mm) opening. My explorer went down to tooth. Took a PA of the area and the tooth appears to have something happening (resorption?). Is it resorption or something
January 23, 2017
Oral & Maxillofacial Surgery
Message Board
Views: 208 | Replies: 2
that were adjacent to a crown with bisacryl. Removal was a little tough but usually came out with the temp crown. Good Luck! DuraSeal is an acrylic that sets to a hard bubble gum consistency. It can generally be removed in one piece with a hand instrument, and can be placed without any cement. Reliance company makes it.
January 05, 2021
Restorative Dentistry
Message Board
Views: 164 | Replies: 3
on the first one, then do it again after the gums have healed as needed. It takes an extra step but my lab would do a cad-cam acrylic crown very cheaply. We would cement that and repel after healing. Do you have the preop temporary matrix? You can just trim around the gingival margin to give extra bulk
December 08, 2021
Restorative Dentistry
Blog
As reported by the , a team of researchers from the University of Sydney, and other Australian and U.S. institutions, enrolled 273 aboriginal Australians who had periodontitis (advanced gum disease) in a parallel-group, randomized clinical trial. The difference between the two groups was that one
August 19, 2014
by DrTupac
Message Board
Views: 190 | Replies: 5
? lower? Pictures would...can she wear...Retainer at night, gum it during the day? Or retainer with pontics full time. You can look into those hugger bridges with the open occlusal, but why bother. I wouldn't in the posterior. Definitely would not do anything too permanent. Sometimes patient's
June 04, 2015
Cosmetic Dentistry
Message Board
Views: 202 | Replies: 1
and cleared to drive. If he doesn't floss, his gums will bleed more. He can use things like chlorhexidine mouthwash and triclosan-containing toothpastes to reduce the gingival inflammation and, therefore, bleeding when he cleans his teeth. Is he taking aspirin as well? Being on dual anti-platelet therapy
August 11, 2017
Oral & Maxillofacial Surgery
Message Board
Views: 337 | Replies: 7
short (almost at the level of gum). Will this cause any problem for night guard making? thanks...Not necessarily. The retention can come from the other teeth and the night guard can still extend over the second molars. You just need to be sure to get the most accurate impression of the area. There is very little margin of error there. thanks...
November 20, 2018
Sleep Apnea / Snoring
Message Board
Views: 486 | Replies: 5
Some photos to help with the poll.... CHOICE A: CHOICE B Depends on location,gingiva and implant depth. I would prefer B, but in some cases A is fine. The problem with A is gums are going to be sore when you seat final crown.Depends on cosmetic location. Seems to me you
January 08, 2016
Implantology
Message Board
Views: 144 | Replies: 4
For a patient having a hard time with hygienewith metal brackets is the regular sonic toothbrush a good option? Or waterpik? Thx Sonicare sonicare sonicare. It's so good that we give them to every ortho patient. All they have to do is hold the brush between the brackets and gum lineWater pik
October 17, 2016
Orthodontics
Message Board
Views: 100 | Replies: 1
Fellow came in as an emerg, lower first molar crown popped off chewing gum. Recurrent decay, heavy staining, fracture of the lingual wall which was inside the crown. RCT was done by another DDS in the city, crown was done <5 years ago elsewhere as well. The second molar was yanked due
February 02, 2015
Restorative Dentistry
Message Board
Views: 53 | Replies: 1
place a filling around the bridge about 3 weeks ago in an effort to save the bridge. It was sore to bite at first, then she noticed a loose piece that was coming off of the gums and a bad taste and smell coming from the area. This is what she presented with today...and I am at a loss. Pretty clear
September 22, 2016
Periodontics
Message Board
Views: 347 | Replies: 4
Sad news today: WOW.... The comments after the article...... General population is entirely ignorant about what it is we do and how we do it!Stinks that first dentist couldn't freeze Autumns gums with a needle. What the hell kind of reporting is this? Did a high school student write it? Comments
October 08, 2019
Anesthesiology
Message Board
Views: 205 | Replies: 3
those teeth to the gum, they will recur as soon as you get some recession in just a few years. However, if the patient is terminal or can not go through the surgery then you can rub some silver nitrate on them. I am not sure how effective it is, but beats not doing anything. ParsaDirect restoration
June 01, 2019
Restorative Dentistry
Message Board
Views: 196 | Replies: 6
I had a 7 year old boy come in today with pain and bleeding gums from #23-#25. Mom had told me that it has gotten worse since last Thursday. I also noticed that the inside of his lower lip had multiple small lesions. What would be the cause of these lesions and what would you recommend
September 08, 2016
Pediatric Dentistry
Blog
slice pressed to the roof of the mouth for 90 seconds can help by increasing saliva flow Stick out your tongue--and scrape it, to reduce bad breath and protect against gum disease, colds and . Robert G. Tupac, DDS, FACP, Inc., Diplomate, American Board of Prosthodontics (661) 325-1275 | 5060 California Ave., #170, Bakersfield, CA 93309
June 25, 2014
by DrTupac
Message Board
Views: 144 | Replies: 2
Patient came in with CC of large growth and swelling on upper right cheek area. Said that she was brushing her teeth and the head fell off her electric brush causing her to jam her gums with the metal post. Six days later this was there. X-ray showed a failing #3 RCT also. Incised the lesion
March 09, 2016
Oral Pathology
Message Board
Views: 226 | Replies: 5
PERIO You've lost bone anywhere there's recession. In this case the root is covered with calculus. It's a contributing factor. Lets look at it this way- if you tell the patient they have gingivitis and they get a normal cleaning they leave your office thinking they have normal gums. That's
September 12, 2014
Periodontics
Message Board
Views: 224 | Replies: 3
granuloma. I was leaning toward referral to OS for excision. My best guess would be PG as well. Id refer to OMFS or perio Could be the beginnings of a pyogenic granuloma, other considerations for a bump on the gum; peripheral ossifying fibroma and peripheral giant cell granuloma. If does not resolve, incisional biopsy indicated. Any recent radiographs?
November 20, 2020
Oral Pathology
Message Board
Views: 196 | Replies: 5
probing every 3-5 yrs Every recall we spot probe, meaning walk probe around every tooth and write down anything over 4mm. If DH is writing down more than a handful of 5's then there is no prophy that day. Instead, pt is told gum situation has broken down we then do full mouth probe and decide what
March 07, 2019
Periodontics
Message Board
Views: 122 | Replies: 1
I've an elderly lady who attended with a very sore mouth and sore gums - sore enough she's struggling to brush. Her doctor had prescribed a steroid mouthwash and sent her to me. Her saliva was quite stringy so we started with nystatin mw to eliminate any candida infection. It didn't
July 01, 2018
Periodontics
Message Board
Views: 132 | Replies: 2
Hi, Got a patient with 40 % bone loss on #15 and not mobile. Has deep carrious lesion into pulp that goes Sub-G distal. Had her remove her third molars hoping the gum margin would drop distal around the cavity but even still it goes sub-g. Problem is if you have a tooth that isnt loose but has
April 04, 2016
Periodontics
Message Board
Views: 330 | Replies: 8
New patient, 47 year old male with clean health history, all asymptomatic; presents to have his teeth cleaned. Has been told he has gum disease in the past (some 44 mm pocketing, a couple of 5's), may have had s/rp in the past, not sure. What do you make of the odd appearance of the gingival
January 03, 2017
Oral Pathology
Message Board
Views: 104 | Replies: 0
cusp. I am hesitant here for full coverage, the fracture is right at the gum line(if not below it slightly), getting ferrule on the lingual would mean carrying the margin down a millimeter further. Most conservative.......buildup with composite Haven't done an inlay, would this be a potential
April 02, 2014
Restorative Dentistry
Message Board
Views: 155 | Replies: 1
I had a new patient come in the other day complaining of her gums hurting. xrays were taken and she had good bone levels. No decay evident. On oral eval I noticed mobility on teeth 17-20 as well as pockets between 5-6mm. Pt is in a high stress job and stated that she clenches her teeth a lot
June 12, 2014
TMD and Occlusion
Message Board
Views: 380 | Replies: 4
, but he cannot get a consultation soon enough Thanks in advance If you dont see any periapical lesion, often gingival irritation spreads into the periodontal space in the approximal regions casing throbbing pain and chewing sensitivity during temporization. If you get bleeding gums, probably thats
May 22, 2021
Endodontics
Message Board
Views: 304 | Replies: 8
Anyone have any idea what this is? Patient says all the dentists hes been to over the years have said the gum in growing under the bridge. Its swollen just in this area, heavy BOP. There is buccal exostosis all over the mandible m, but asymptomatic except in this area. Im thinking of excising
January 21, 2022
Oral & Maxillofacial Surgery
Message Board
Views: 122 | Replies: 3
New patient came with gum irritation after veneers #8 and #9. The margins were not he best but it looked to far away to be source but I sent her to a periodontist. He decide that surgery was necessary. Her is post op from last May. Also, notice how #8 seems to have super erupted. I couldnt
November 08, 2023
Periodontics
Message Board
Views: 522 | Replies: 4
acrylic on their gums. Plus if you need to adjust or repair a duraflex or valplast partial they are a nightmare.If you need to tighten or loosen the clasps you can soak it in hot water Thanks, I will give a try next time. How about the stability with those themoplastic clasp? Its pretty good in my experience. They have a nice snap in when you seat them. What lab do you use for this appliance?
March 18, 2024
Removable Prosthodontics
Message Board
Views: 162 | Replies: 4
have the hyper flexible joint kind, along with thin stretchy skin. There is a periodontal EDS that causes severe early onset gum disease with tooth loss. My youngest son has the most common type, hyper flexibility, and he had braces with no complications. It was discovered through genetic testing after testing for RA was negative. Mom says it is type 2, hyper flexible.
April 24, 2024
Pediatric Dentistry
Message Board
Views: 216 | Replies: 5
the extractions? Looks like 14 cleared. Which incisors have erupted? I might give 3 more time if the child is a younger dental age. pt. is having gum discomfort with the distal of J; Ortho requested extractions of A, J. uploaded the Pano. Fine to leave them- small root remnants should
July 25, 2024
Pediatric Dentistry
Message Board
Views: 134 | Replies: 3
cant find one. my buddy says to use something like Interval LC which you shove in the prep and it remains soft enough that you can pick it out during delivery. That sounds pretty easy which Im all about. Duraseal works well as a temp. Just flow it in with no matrix. It sets about bubble gum
February 25, 2025
Fixed Prosthodontics
Message Board
Views: 11 | Replies: 0
Top Dental Health Risks Facing Men in 2025: Poor Hygiene, Oral Cancer, and Gum Disease Dr. Jeff Reynolds highlights that men are significantly more prone than women to neglect dental hygiene. Theyre less likely to brush twice daily, floss regularly, or maintain twiceyearly dental visits.This
July 24, 2025
Patient Communication / Education
Blog
Although the Chinese have known for centuries that green tea is a miracle worker when it comes to your health, the Western world only recently discovered it, thanks to certain scientific studies. This means that if you want to be healthy and live longer, you must drink green tea on a regular basis
June 19, 2015
by Tariq Drabu
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