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Message Board
Views: 338 | Replies: 11
So I just had a patient literally ask this Doctor, what makes you think cleaning my teeth every 3 months will help controll my gum disease I was a bit taken aback. I wanted to say just 10 years of school and like thousands of studies. What makes you think it won't? Put it back on them. If all
February 06, 2025
Periodontics
Message Board
Views: 1459 | Replies: 15
said they were already redone 2 times last 2-3 years. I recommended new crowns. Within 2 wks, she was scheduled, crowns were prepped and temp was made. During the cr prep, found the gum overgrown between 2,3, and to try to achieve the ferrule, margin had to be deep. She came back about a wk later
November 29, 2016
Legal Issues
Message Board
Views: 483 | Replies: 15
aspect of this tooth and is sore when she flosses. She says it comes and goes, but seems to be pretty sore now and that is why she came in. When I looked in her mouth, I could see some irritation on the buccal aspect to the point that a hole has formed on the buccal of the gums below the crown. So I
August 30, 2018
Implantology
Message Board
Views: 635 | Replies: 28
Hello everyone,I have a patient who wants to do lower anterior veneers and she is coming for consultation.Please see photos, I will recommend gum grafting first, then wax-up and veneers, 10 would be the ideal. She did years ago upper veneers and now wants to match them.She refused gum grafting few
July 31, 2022
Cosmetic Dentistry
Message Board
Views: 1279 | Replies: 16
. (If you had termites you would wait for your house to fall down to fix it.) Car analogies do too. Construction and cars work mostly with men! I used my sleeve to explain periodontal disease. Put my finger behind it and said things like build up/calculus gets underneath and your gum goes out
May 06, 2023
Dental "Pearls"
Message Board
Views: 2683 | Replies: 57
Patient came from another State on emergency basis to restore #6. He is a severe Bruxer. Suggest PET and implant placement. #6 was sliced mesio distally, palatal portion removed, socket cleaned from gutta percha and epithelium. Incisal portion of buccal part filed down below the gum line
February 08, 2016
Implantology
Message Board
Views: 1045 | Replies: 37
with hot water, then dry and use gum drops (Richwill Crown Removers). May take several trys/several gum drops. I think normal functioning would in fact give the opposite effect, and make the crown sit even tighter. If its not interproximal then its definitely intaglio surface just holding it on. I would
February 27, 2018
Fixed Prosthodontics
Message Board
Views: 37434 | Replies: 3912
? When their first tooth erupts or around their first birthday - whichever comes first! They sure are handy when you smile. So keep your teeth around a while! Dr. Seuss Tooth Fairy Time Pregnant women who receive treatment for gum disease can reduce their risk of giving low birth-weight babies
May 24, 2018
Patient Communication / Education
Message Board
Views: 6247 | Replies: 180
to access and clean decay greater curve band for excellent isolation with dry shield in place. Restored base with Fuji 2 and bulkEZ buildup. 6 month recall patients gum looked normal and healthy. I know my work isn't perfect but like I said I
February 04, 2017
Ethical Issues
Message Board
Views: 6799 | Replies: 120
. An example is this case that I just saw this afternoon. Patient is 45 years old. No symptoms or any cavity on tooth #31, #32 is completely buried but gum around it is healthy and there is no tenderness there. No tenderness to percussion on #31. (Maybe I should have cold tested it #31 but I
August 24, 2016
Oral & Maxillofacial Surgery
Message Board
Views: 519863 | Replies: 24682
on bone you WILL grab the gum You can also up a cheap #9 molt on the gum to act as a shield against the bur. I have MANY nicked up and scratched up molts. If you want to join us in Guatemala, you can travel with another Aussie that I believe is coming in October. Not sure for sure, I don't think
May 04, 2014
Oral & Maxillofacial Surgery
Message Board
Views: 3845 | Replies: 93
amazing how little there is to do on patients that come in very regular 6 months...no cavities, no cavities, no cavities.... That is impossible to have all healthy patients. No one brush and floss and every one drinks some kind of drink with sugar and soda or both I have never had a patient
December 21, 2015
Practice Management & Administrative Forum
Blog
Looking for new tips to motivate your patients in caring for their teeth? Here are 6 tips to share with your patients for healthy teeth! Healthy teeth Getting people to take care of their teeth is one of two things. It's either easy and you don't have to do any work - or it's like pulling teeth
November 26, 2018
by jasonsteel
Message Board
Views: 1769 | Replies: 37
tough. Send your surgeon a sugical guide as well. It will help him determin the final position of the gum line. Tough case.. Did you do the case? Keep in mind that you need to do osseous recontouring (and not just a gingivectomy) or else you wasted your patient's time (because the tissue
November 04, 2022
Periodontics
Message Board
Views: 3066 | Replies: 95
comment/concern, when we have healthy tissue and locate the restorative margin at or above the gum, the lab can more easily design the gingival embrasures for home care. The problem with subgingival placement and inflamed tissue is if the gingival embrasures need to be opened, it's not a problem
October 31, 2014
Implantology
Podcast
Episode 20: Huddles and Ninjas Just like a professional sports team, huddles are essential to a healthy and productive dental practice. In this episode, we are going to discuss how you can use your huddle to create support systems for healthy practice. Also, we learn what a picture ninja is! Make sure to check outand download the free resource to creating a healthy environment. Be Healthy and Practice Safely!
October 25, 2017
by Dr Juanita Benedict
Message Board
Views: 519863 | Replies: 24682
from the last week. Healthy patients- nice dudes While elevating the #18 the crown on #19 popped off- cleaned it up and recemented at the end. Each one took about 45 minutes or so. No bloody pictures as I was running behind. Prior RCT teeth are so dang brittle #14 de coronate, surgically split roots
September 30, 2016
Oral & Maxillofacial Surgery
Message Board
Views: 3139 | Replies: 92
not staying in place. I really should have gotten a photo to show it but this area of tooth loss is tucked in a tight spot. He has sharp/narrow recession resulting in almost vertical lines of gums and the cervical extent of the lesion is 6-9mm apical to the crest of the ridge interproximally
January 27, 2020
Restorative Dentistry
Message Board
Views: 3153 | Replies: 50
...there are obviously a lot of people in the world with gum disease and people that need endo. often have it...just a little gum disease is all it takes...which means there is no crestal lamina dura...if there is no crestal lamina dura, you can penetrate that bone with a short skinny needle...like
July 02, 2018
Endodontics -- The ENDO Files
Message Board
Views: 1374485 | Replies: 39850
. I remember I'd be chewing gum while walking into the gross lab. Instantly, the gum would taste like formaldehyde and dead people. I couldn't spit the gum out quick enough. I will be donating my body to science after I die. I may be a cadaver. If so, immediately after I die I will request
January 16, 2014
Just Plain Bitching and Moaning
Message Board
Views: 4800 | Replies: 152
improvement. Im taking records Monday. The tissue at seat appointment looks inflamed on your case. I hate to say this but u may need to replace these crowns. This happened to me on 6 porcelain veneers. The blood is the problem. The temporaries irritate the gums. So when redoing the veneers I put patient
May 09, 2023
Cosmetic Dentistry
Message Board
Views: 127 | Replies: 4
Hope everyone is healthy and doing okay Landlord offered half off April May with no extension or April May free with 2 year extension. Lease ends 2020 with 3 5 year renewable options. Which would you choose and why? TIA! Were you planning on renewing anyway?How about, take the two months free rent
April 05, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 496 | Replies: 18
and plaque formation under the implant, gums were maybe a little irritated... maybe. So took the implant off cleaned and polished the underside of the abutment and crown. put it all back together. cold, percussion, palpation tested everything in the upper and lower quadrant everything else tested
October 06, 2021
Dental "Pearls"
Message Board
Views: 534 | Replies: 15
it is about money and that patient will be a PITA. Get rid of them.Mr. Smith, I'm 100% certain you have active periodontitis, also know as gum and bone disease. If you need more time to digest this information or if you'd like a second opinion, I completely understand. However I would urge you to attain
February 10, 2016
Periodontics
Message Board
Views: 494 | Replies: 16
compromising whatever teeth she has left. I really don't know what she has underneath the bridge. She broke 13 and 15 close to the gum line ( had crown lengthening) and even with rct post and build up, only 15 is a solid tooth. 13 is too small. You can see on the pics that I didn't elven occlude with her
December 25, 2019
Removable Prosthodontics
Message Board
Views: 805 | Replies: 27
apparently has the bone of a healthy black man. I started off sectioning the tooth into two separate roots but every time I sectioned or trephed the bone and used my luxator or elevator, it would fracture off right to that point. At the 20 minute mark, I took the second x-ray. Afterwards, I decided
January 25, 2014
Oral & Maxillofacial Surgery
Message Board
Views: 758 | Replies: 25
not going to be able to tell how bad the cavity/crack/old-filling on the tooth is until I clean it out. There is a small chance that there won't be enough healthy tooth structure for me to make a crown that will last. If that is the situation, I wouldn't feel right making you pay for a crown
May 09, 2014
Fixed Prosthodontics
Message Board
Views: 663 | Replies: 18
understand that their visit is not just a cleaning. They will be screened for oral cancer, their gums will be checked for any signs of periodontal disease, any existing restorations will be evaluated and yes, they will have their teeth cleaned and polished. You also need to be sure whoever
September 18, 2017
Ask a Dental Consultant
Message Board
Views: 640 | Replies: 11
. It really is the true art of dentistry.One other pretty good book: Motivational Interviewing in Dentistry: Helping People Become Healthier
October 06, 2017
Patient Communication / Education
Message Board
Views: 653 | Replies: 11
this patient healthier. If something goes bad and there is a post op infection issue are you ok defending not treating it when we know its a chronic infection? A case like this, I don't either clear or not, but give the results of my exam to the orthopod and let him decided. Chronic infection....it is my
November 16, 2015
General Health
Message Board
Views: 509 | Replies: 16
are falling apart, their gums are bleeding and smell like garbage, and the cost is just too much for them. But that grand they just dropped for a doggy prophy is money well spent! I had dogs most of my childhood, and I don't remember many people spending that kind of money on them. The attitude toward
January 31, 2023
Practice Acquisitions
Message Board
Views: 934939 | Replies: 348121
in the mega rich trailer trash vote I did. That was my first presidential election. Geez, you guys are fancy as fuk. I just hand them a mirror and say likey like? Yeah, supporting a genocide is very healthy sign of mental stability. Would you call people who supported the Holocaust psychologically
August 06, 2024
Politics - DO NOT Enter if easily offended
Message Board
Views: 949 | Replies: 28
across the street from me stated they hardly order any filling material. It's all crowns and onlays. Oh and everyone has gum disease and requires an $800 cleaning even if they have no bleeding and 2 mm pockets. Totally agree with you Sparrow.. the HMO patients think they are better off paying less
October 03, 2025
Associates Corner
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: 201 | Replies: 13
fracture an the...Twice the lever action force vs a single crown. some articles seem to say one wing is the way to go, have you ever had a tooth fracture at the gum line in a similar situation or heard of it in a similar situation there are other articles or threads like theseA tooth prepped
April 11, 2018
Fixed Prosthodontics
Message Board
Views: 39 | Replies: 0
I have taught lots of common sense communication skills to dentist by dumbing it down and putting it in every day language. One of these techniques is The three ways.. there are three ways people have problems with their teeth. Two, decay and gum disease, are infections and the other is the way
April 26, 2016
TMD and Occlusion
Message Board
Views: 348 | Replies: 6
Now that I'm working I inherited ongoing cases andget to see someone else's prep. I was taught at the school to have marginspretty close to gum level. I know that ideal axial height is about 4mm (and dr lane talked about thisin his course). Sohere's my question, if I can get axial wall more
August 02, 2016
Restorative Dentistry
Message Board
Views: 84 | Replies: 3
discomfort. He said because of the heart attack, he stays completely away from NSAIDs comments? thanks Hey Charles, We tell them to wait 15 minutes, but if they get in the shower fairly soon, just to use gum in the shower while the warm water beats against the muscles.thanks...The gum chewing
May 15, 2016
Sleep Apnea / Snoring
Message Board
Views: 270 | Replies: 9
this. If you wait long enough to treat, you can also do a root canal. Why would you not treat this? Treat. Remember what this one looks like when you get in there, and go back to the x-ray afterward to make a mental note. Bleeding gums=unhealthy environment. Maybe you didn't see a bunch of plaque
October 19, 2015
Bonding Products &Techniques
Message Board
Views: 121 | Replies: 4
I have a patient whom has an implant bridge from #2-4, stock abutments on #2 and #4. The bridge is ill fitting and does not stay on. I would like to reimpress for the bridge but use the existing abutments as they are good. What is the best way to re-impress considering the gum tissue has grown over
March 30, 2016
Implantology
Dentaltown News
. This varnish is gluten-free, sweetened with xylitol and is available in strawberry, bubble gum and mellow mint flavors. Oral-B Practitioner Series Prophylaxis Paste is formulated with an optimal consistency that virtually eliminates splatter and clings to tooth surfaces to help remove stains. This gluten
October 21, 2015
Blog
creams. What are the pros of using dental implants? As , as they are secured into the gums rather than sitting on top. Mini implants are a much more efficient way to keep dentures in place than adhesive creams, as they cannot be removed without the user physically attempting to remove them. Who needs
July 08, 2015
by Charles Crawford
Message Board
Views: 88 | Replies: 0
THE TERMITE ANALOGY WORKS WHEN YOU PRESENT PERIO Loose tooth? Looks long in the tooth? Let it get looser. Then pull it and give me an implant. What to say to this? Mr. Jones, your gum condition is so severe is like you have a serious problem with termites in your house. The long, loose tooth
September 27, 2016
Periodontics
Message Board
Views: 167 | Replies: 6
will struggle to get this to look good. I like challenges but this wouldn't be one for me. Triangular long teeth is difficult. Most important in this case is where is the lip line on smiling. Do they show gums on talking or smiling. If so do yourself a favor and refer. If they don't show gums thenimmediate implantscould be done by someone experienced.
June 12, 2023
Implantology
Message Board
Views: 172 | Replies: 15
thing I remember about that lecture. I went to dental school in Buffalo. I had a few patients that pronounced gums as gooms. Happens at least weekly here in Wisconsin! goooooooms Did they have a gum-boil on their gooms? Speaking hygiene its ; Pee-AYYY- zo. Speaking endo, its Peezo. pee-ay-zow
July 28, 2023
Periodontics
Message Board
Views: 304 | Replies: 8
and the occasional slit gum at the seating appointment. I need to communicate with the lab better. Gently, They always seem to over correct. When I've had these kind of blanched cases.. I've always numbed the tissue up, tightened the crown to the proper torque value and sent them on their way. I've never had
March 14, 2024
Implantology
Message Board
Views: 726 | Replies: 13
like this? She actually does NOT have high expectations. She has been living with these veneers for the last 10 years and finally she just wants a little improvement. Her chief concern was the gum line on #8 which has recession plus the color differences in the veneers since they were done
November 18, 2015
Cosmetic Dentistry
Blog
. In addition, when cleaning your teeth, veneers might make it more challenging to reach your gum line. You may be more susceptible to gum disease as a result of this. 8 to 10 Years of Lifespan Traditional veneers have a typical lifespan of 8 to 10 years, with high success rates of up to 20 years. However
August 12, 2021
by Anass Habrah
Message Board
Views: 82 | Replies: 4
as a provider is to have my patients take out their aligners less in the first place, having active gum to chew helps achieves this goal! here is the website for more information on Active. style=margin: 10px 0px 10px 10px; border: .2em dashed #666; width:85%; padding:10px; color:#505050; font: italic
February 24, 2020
Orthodontics
Message Board
Views: 475 | Replies: 7
and #11 were minimal preps. 3. How do you avoid the bleach from getting on the gums? I have tried toopragatein the past and even cheek retractors but it still happens. What is the remedy beside cold water to get rid of them (see final picture) 4. how does the try in paste work with veneers
January 19, 2019
Cosmetic Dentistry
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