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Medical Forum / General / Dentistry / October 2008

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How dentists give TMJ problems

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oralhealth@comcast.net - 29 Oct 2008 22:38 GMT
A few weeks ago, I constructed a temporary 4 unit bridge on lower left
posterior(18-21).  She is missing teeth 15 and 16.  I made #18 thick
because she was going to travel 1000 miles for a wedding and I did not
want it to break.  The next day she called me complaining of opening
her mouth.  I told her it could be the injection shots.

She came back from her trip, did not call me, but saw her physician
and he gave her antibiotics.  I saw the patient a few days later, she
had a hard time opening her mouth.   The problem: the temporary bridge
caused protrusive interference.  I put the real bridge on, and all her
symptoms went away.

She was a new patient I had seen months earlier. and I took her out of
group function then.  She was so relieved after I had taken her out of
that occlusion.  She had complained of "TMJ" problems.

...David DiBenedetto, DMD,  the infamous author of "Insider's guide to
gum disease, orthodontics, and dentistry..."
Mark & Steven Bornfeld - 29 Oct 2008 23:11 GMT
> A few weeks ago, I constructed a temporary 4 unit bridge on lower left
> posterior(18-21).  She is missing teeth 15 and 16.  I made #18 thick
[quoted text clipped - 14 lines]
> ...David DiBenedetto, DMD,  the infamous author of "Insider's guide to
> gum disease, orthodontics, and dentistry..."

    That's a tough one.  I think sometimes I'm not careful enough checking
for protrusive interferences on posterior restorations.
    Nice tidbit--thanks.

Steve

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Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

oN - 30 Oct 2008 11:57 GMT
.....

> That's a tough one.  I think sometimes I'm not careful enough checking for
> protrusive interferences on posterior restorations.
> Nice tidbit--thanks.
>
> Steve

....
If the rasons of temporaires are cold-hot-sweet-bite sensitivity, use
ormocer bonds. (Admira or...) and do it before an impression. Sensitivity
will be lost, and teet will be biocompatible protected. Gums will be just
perfect.

All the best,
Proka
 
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