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Message Board
Views: 353 | Replies: 7
in their patient's mouth on a daily basis, with gums that bleed every time they brush and... Most MDs don't give two cents about what's going on their own mouths, let alone their patient's. I'd tell the patient you disagree. However, if the patient has a stroke after she sees the periodontist, then who
April 16, 2014
Periodontics
Blog
the tooth by the crown (the sharp end) and rinse the root (the Gum end) without removing any of the root tissue attached to it. If you can (and it doesn't hurt too much), delicately insert the tooth into its socket. As an alternative, ensure the tooth and attached roots stay moist by placing
July 23, 2015
by GrayMoore
Message Board
Views: 425 | Replies: 6
irreversible pulpitis. You would actually be able to resolve this pain by just breaking the tooth at the gum line and leaving the roots inside. We however know that the remaining root is susceptible to infection and so we attempt to take the whole tooth out. I think for me the main determinant is a cost
April 16, 2017
Oral & Maxillofacial Surgery
Message Board
Views: 406 | Replies: 15
that do this type of surgery is do you raise a full flap from lower left premolar region to the lower right premolar region, or would you do two separate flaps from premolar to lateral incisor on both sides, leaving intact gum tissue in the mid-line? I feel that by leaving the mid-line tissue you would
May 11, 2016
Implantology
Message Board
Views: 136 | Replies: 3
in the ‘gum surgery’ I advised her it would need. Instead of giving in, I asked her permission to use digital imaging (Adobe Photoshop Elements is what i typically use) to show her the difference the gum work would make. I just wasn’t convinced she really understood the value
July 29, 2014
Cosmetic Dentistry
Blog
things you can do while wearing braces to avoid stains and other dental issues, like cavities and gum disease: Brush your teeth after every meal with a soft-bristled brush and fluoride toothpaste. Brushing is especially important before bedtime to remove debris and plaque that collect
September 19, 2016
by realsmiledentalspa
Blog
. Ease of fabrication of complex shapes 2. Sufficient mechanical and corrosion resistance 3. Appropriate aesthetic appeal. Restorations today are largely required as a result of trauma, decay, gum disease and aesthetics. The latter being a more recent area of high demand and one in which
June 13, 2014
by Sterngold
Blog
, such as mouth sores, white or red patches in the mouth, bleeding mouth or throat, a lump or growth in the neck, swelling of the gums, and paralysis of the neck. Jaw pain as a complication of cancer Sometimes, people only feel oral pain when their cancer has already progressed to a more advanced
June 08, 2015
by Charles Crawford
Message Board
Views: 428 | Replies: 7
1)1) Patient presented with large class V restoration 1 1/2 years ago and tooth was hurting. It looked to me like some sort of resorption extending well below gum line. 2)2) I did RCT and it proceeded uneventfully. I told him he would need
July 09, 2014
Endodontics -- The ENDO Files
Message Board
Views: 344 | Replies: 16
, history of...any chance her upper 3rd molars are near her...cold ->BAD typical TMJ precautions: warm moist heat to tmj and Muscles of mastication. high dose NSAID (when not contraindicated) for more acute phase, slightly restrict range of motion, no parafunctional habbits (gum chewing, finger nail biting
August 23, 2017
Pediatric Dentistry
Blog
or two to relieve pressure which may build up in the gums. Your tumors can have their own teeth as well – The occurrence of tumors in the body is still something which is not properly understood. To add to the confusion, some tumors are known to have hair, nails or teeth
August 29, 2014
by CharlesCrawford
Message Board
Views: 2717 | Replies: 61
, that may be a challenge with creating the correct emergence, not ledging, and not getting into the tissue to far sub-gingivally and being able to create a smooth polish. Then, if you have to remove that composite because there was stain or new decay, irritated gums, I am sure some people would prep
May 11, 2018
Cosmetic Dentistry
Blog
resins, you need to talk with your dentist. 7. Protect Tooth Roots Exposed by Receding Gums Gum disease is linked to a number of problems, but one is when the depth of pockets along the gumline deepens and exposes the roots of your teeth. This can lead to extreme sensitivity and increase the risk
May 15, 2015
by jasonsteel
Message Board
Views: 471 | Replies: 9
of acrylic. Was the patient happy with the milled PMMA provisional? Unfortunately I don't have any answers to your problem. Pt. described Pain at area 27 which seemed related to an area of subgingival acrylic irritating the gums, but that was resolved with the migration
June 06, 2017
Fixed Prosthodontics
Message Board
Views: 577 | Replies: 7
into the gum by the canines. One option to avoid having the Valplast arm dig into the gum is to have the lab place a small space under the arm apical to the...Flexible dentures without a cast partial frame to support it are expensive chewing...I prefer duraflex. TCS is hard and not as easily
July 10, 2017
Removable Prosthodontics
Blog
the spaces between your teeth and gums more effectively than brushing alone. How to properly floss your teeth Proper flossing can be challenging at first so be sure to know some to make sure you’re doing it right and won’t actually damage your gums. Here are some tips that you should
July 08, 2015
by Charles Crawford
Message Board
Views: 396 | Replies: 8
disturbing. But then the kids get thirsty, have a lethal allergy to water and drink soda by the next day.I start by showing the child and parent with a hand held mirror the white line by the gums. The white line above the gums is called decalcification. Minerals that make our teeth strong are leaving
January 24, 2017
Pediatric Dentistry
Message Board
Views: 424 | Replies: 12
or more to get it all done... This case is probably is simple enough to design, but most likely will require the separate abutment and crown option. It's also possible that the abutment might require an interum telio abutment to help shape the gums to their final location. Gums can only be pushed
August 08, 2016
Implantology
Message Board
Views: 702 | Replies: 14
to hear if anyone has any thoughts on whether I handled this properly and thoughts on what it might be. S (CC): Mom says that 3 days ago she saw a small black spot on the gums behind the upper incisors that looked liked a bruise. It has spread and now changed and turned into red swollen gums with white
November 16, 2017
Pediatric Dentistry
Blog
teeth. 1. The Right Amount of Pressure One thing to keep in mind while you're brushing your teeth is that pressing harder with the toothbrush isn't going to give you better results. If anything, it's the opposite., wear at the gums and the enamel, and could prevent your teeth from growing in straight
April 02, 2019
by drmmills
Message Board
Views: 484 | Replies: 5
lingual now.I think it looks a little long. His son was making fun of him.2 strands of 30lb fishing line bonded with a little flowable to #7, 8, and 9.The patient had enough calculas and perio that a fish may climb out of his gums and bite the fishing line. <br/><br/>This is my first
July 29, 2015
Endodontics -- The ENDO Files
Message Board
Views: 513 | Replies: 10
not screwed retained? Also no concern about the gum attached to the distal of the premolar???I would do 2 screw retained single units. The tissue over the healing cap is not an issue. After crowns are made, get CT graft to increase attached tissue. You can address the attached tissue before or after
August 10, 2017
Fixed Prosthodontics
Message Board
Views: 113 | Replies: 3
healing abutments. I saw the patient at one week post op. We work together and I was more than happy to do the follow up and send him some pics. At about day 10, a bump pops up on the patients gum near the apical portion of one implant. He gets her back on clindamycin. By day 15, the other implant
April 10, 2021
Implantology
Message Board
Views: 714 | Replies: 10
a heavy shoulder. I've tried to be more conservative but I feel like I never feel like the margins are smooth enough and keep messing with them and inevitably they all end up over prepped. I pack double cord but even with that sometimes the gum flops over the margin. How can I do
October 16, 2023
Fixed Prosthodontics
Blog
, infection, and damage to adjacent teeth. One of the most common problems with wisdom teeth is that they may not have enough room to fully emerge from the gums. When this happens, they are referred to as impacted teeth. Impacted wisdom teeth can cause pain and swelling, and they can also lead
January 20, 2023
by Anass Habrah
Blog
be a dull, persistent ache. Dental pain is typically a sign of underlying issues in the oral cavity, such as tooth decay, gum disease, tooth abscess, or tooth fracture. In some cases, it can also be caused by problems not directly related to the teeth, such as sinus infections or diseases of the jaw
December 03, 2023
by FFD419
Blog
or periodontal disease, implants aren't the only path forward. Alternatives like gum therapy, bridges and dentures come with their own set of costs and benefits. Gum therapy, for instance, can prevent the need for more intensive treatments down the line, potentially saving money. On the other hand, bridges
February 13, 2024
by FFD419
Blog
be hard to see and clean, promoting bacterial growth that may result in infection or gum disease. - Cysts: Occasionally, wisdom teeth can lead to the formation of cysts, which can damage tooth roots and bone support. Procedure Details Before the Surgery Preparation for wisdom teeth removal involves
June 08, 2024
by FFD419
Blog
such as bone or gum grafting, which increases the expense. Dental implants are not suitable for all patients. If the jaw bone has deteriorated to the extent that it cannot support an implant, the patient will benefit from another restoration. Patients with thinner gums may not like how the implant
June 11, 2024
by Dr. Ali Modiri, DDS
Message Board
Views: 1110 | Replies: 18
or two after the apt. I've done a couple same day, but that requires knowing the implant is well oriented and gums easy to work with. I really like being able to design the abutment then crown in a few minutes and know how it works with the gums. Been there done that with all sorts of other
June 19, 2016
Implantology
Message Board
Views: 636 | Replies: 15
I've never done this. I've always just placed a healing cap and had the gums heal around it. So I have a putty from a waxup, and temporary abutment. I'm planning on making it screw retained. Do I flap like I would if I was placing a healing cap and just let the gums heal around the temp
March 17, 2014
Implantology
Message Board
Views: 895 | Replies: 28
irregularity in the proximal box of a class II - gum implants, yeah you heard me, GUM IMPLANTS. Why are on earth are black triangles still a thing?? In a world where people can get plastic surgery to look like cats, we are still using pink friggin porcelain??? Make it happen Santa. Sincerely, Dr. Aaron
December 22, 2017
Restorative Dentistry
Message Board
Views: 1624 | Replies: 36
a rubber dam after you clean out decay from the buccal with a 6 round these are a piece of cake!!! Just got to learn how to do rubber dam...drop a...How do you rubber dam for the distal of the last...Most often you put a clamp on the tooth and it pushes the gums out of the way and the rubber dam slips
August 12, 2016
Restorative Dentistry
Message Board
Views: 503 | Replies: 24
under an overdenture. However, these roots are usually at or above the gumline. I do think the gums will start to somewhat grow over the root. However, I think that they will be chronically inflamed. Also if you have any sort of leakage or if the chronic gum irritation gets too bad, it is going
November 18, 2015
Fixed Prosthodontics
Message Board
Views: 734 | Replies: 19
decides to go to a Whitening Salon and it doesn't work out I guess that's the way the gums fall. :-) If this passes then it will only be a matter of time and the states will require a new whitening license for the whitening salon owners to protect the public from more people than the just
February 13, 2016
Legal Issues
Message Board
Views: 833 | Replies: 19
A 6 year old AA female presents today with severe bleeding that started last night/this morning (Friday). Four days ago (Monday) she had SSCs done on I and J. Mom said that the child had no issues until this morning. I took a look inside the mouth and the gums around I and J were bleeding like
February 09, 2016
Pediatric Dentistry
Message Board
Views: 1324 | Replies: 24
there is no infection present at the moment. I couldn't really find out why she is having discomfort. There are 3 things I could think of. 1. There was unusually excessive amount of gum tissue above the implant when I was taking impression. More than half of the impression coping was buried under the gum
February 02, 2017
Periodontics
Message Board
Views: 655 | Replies: 15
the gingival zenith issue I would not do anything until the braces are off and the patient scrubs his gums with sulcular brushing and wait till the dust settles. There are many possible treatments that will be helpful for the esthetics. First is getting the poofy gums down to where
April 11, 2014
Cosmetic Dentistry
Message Board
Views: 101270 | Replies: 5445
biscuits? I work in the dental field. We can diagnose your gum disease from across the room. It's a talent and a curse. I was afraid to see this new patient today because on his new patient chart after the question Why did you leave your last dentist” he put “Too old.” I
August 10, 2014
Jokes.....(Clean)
Message Board
Views: 504 | Replies: 12
: Discretionary Examination: Extra Oral: Obvious skin lesions: No Intra-Oral: Evidence of attrition: Anteriors Evidence of erosion: No Evidence of gum recession: Minor Evidence of unopposed & unsupported teeth: No Evidence of mechanical wear to fillings: No Oral Hygiene: Adequate Tooth staining
January 23, 2014
Implantology
Message Board
Views: 787 | Replies: 24
okay, local RP/SC with localized antibiotic delivery also wouldn't be a bad route to go, if gingival inflammation is an issue. Sometimes stuff gets stuck in gums around implants, sometimes in gums around teeth, and pain ensues. Sometimes people cut their gums flossing and keep cutting it every day
September 25, 2014
Implantology
Message Board
Views: 160 | Replies: 0
: an invasive teeth-cleaning procedure along the gum line, usually done over three or four visits. While the procedure can be helpful if a patient suffers from severe gum disease, it can erode gum tissue that cannot grow back. Dentists can charge between $800 and $1,200 for each procedure, while
May 18, 2021
Legal Issues
Message Board
Views: 135 | Replies: 1
beneficiaries with disabilities. The lawsuit filed by RDHAP alleges that Californias new preauthorization process and 58% rate cut to periodontal maintenance (a treatment for gum disease) often leave Californias institutionalized Medi-Cal recipients without critical dental care. In 2018, HHS, through CMS
January 26, 2021
Medicaid and Welfare Issues
Message Board
Views: 321 | Replies: 15
process much easier if crown of the 3 is exposed by removing gum , of course warn patient might not work and chance of root resorption. probably safer to take the canine out elastic threads like zing string- i have never had much luck with these, personally I had previously done a few cases like
February 27, 2022
Orthodontics
Message Board
Views: 481 | Replies: 30
This is 28 year old male with missing laterals. He's had an acrylic flipper for many years. Oral surgeon said implants are not an option due to limited space and orthodontist said can't make more space. His gums are inflamed and pretty soft/squishy on the linguals of canines and centrals and come
June 18, 2024
Restorative Dentistry
Message Board
Views: 446 | Replies: 20
if you decide to go with it. There are dark ads and then there's this ad. Do you think the American Dental Association should contact whoever did this ad and see if they can make one for dentistry? Your teeth are rotting-and you might not even feel it yet. Bad breath. Bleeding gums. Loose teeth
November 12, 2025
Marketing
Message Board
Views: 117 | Replies: 2
Assuming normal/healthy occlusion, low/medium caries risk, no symptoms, No periapical pathology/radiolucencies, healthy/ stable gingiva and periodontium, good OHI, been going consistently to the dentist, etc. (Basically - everything good). No previous X-ray is available for comparison. Please I
April 11, 2019
Restorative Dentistry
Message Board
Views: 66 | Replies: 3
For the 1st 20 years of my practice, no one did. Now the assistant takes BP before a crown seat on everyone. In 38 years I have only decided not to treat the patient based on BP a few times, and I knew it before the cuff went on. Malamud told me in the '80's that if the patient is healthy enough
May 02, 2026
Practice / Family Management for Women Dentists
Blog
and educate them about oral hygiene properly. Flossing Remind your patients to floss all the time. Making posters that are friendly reminders could be a good idea. Here at ouroffice, the residents of Grosse Pointe area are given flossing tips. To ensure your patients maintain a healthy dental habit
November 03, 2017
by Sammalouf
Blog
Energy drinks are notorious for providing extreme amounts of energy and caffeine, but they are also terrible for your teeth and your overall health. Luckily, there are healthier options to choose from that can still provide you with much-needed energy without making you take a trip to the dentist
April 09, 2020
by drmmills
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