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Medical Forum / General / Dentistry / November 2004

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Implant has to be re-done

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Claus - 17 Nov 2004 08:15 GMT
I had my lower molar extracted, bone graft placed and then an implant
inserted over the past several months. A week after having my implant
inserted, I went to my regular dentist for my 6 month cleaning and he
noticed on the x-rays that there was still a piece of the root tip
left over in the cavity that is now bone graft.

Now, I have to have the implant removed, the left over tips/pieces
taken out, bone graft replaced, then wait another 90 days to heal so
the implant can be replaced.

My question is: Is my oral surgeon sloppy or is this something that
just/can happen(s)? The oral surgeon claims he did not see the piece
on the full mouth x-ray but my regular dentist saw it on one of the
small x-rays.
Joel M. Eichen - 17 Nov 2004 12:44 GMT
>I had my lower molar extracted, bone graft placed and then an implant
>inserted over the past several months. A week after having my implant
[quoted text clipped - 10 lines]
>on the full mouth x-ray but my regular dentist saw it on one of the
>small x-rays.

Unusual ......

Joel
Steven Bornfeld - 17 Nov 2004 14:34 GMT
> I had my lower molar extracted, bone graft placed and then an implant
> inserted over the past several months. A week after having my implant
[quoted text clipped - 10 lines]
> on the full mouth x-ray but my regular dentist saw it on one of the
> small x-rays.

    Thanks for the clarification.  This makes a little more sense.  The
small intraoral films do capture greater detail.  I'd still want to know
if the removal is absolutely necessary.

Steve
Dr Steve - 17 Nov 2004 15:29 GMT
What is a small intraoral film?

Signature

~+--~+--~+--~+--~+--
Stephen Mancuso, D.D.S.
Troy, Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

>
>> I had my lower molar extracted, bone graft placed and then an implant
[quoted text clipped - 17 lines]
>
> Steve
Joel M. Eichen - 17 Nov 2004 15:44 GMT
>What is a small intraoral film?

Another name for it is the itty, bitty peripaical.
Mark & Steven Bornfeld DDS - 17 Nov 2004 16:30 GMT
> What is a small intraoral film?

    An archaic device, similar to those new-fangled radioactive
sensors--except they're more flexible, don't have wires attached, and
are single-use, which patients appreciate in this age of infection phobia.
(;-)!

Steve

Signature

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

Dr Steve - 17 Nov 2004 17:45 GMT
Think phosphor plates.  softer and more flexible than film.  Thinner than
film.  The outer sheath is disposable, but the plate is re-usable.  Keeps
the cost down.  Patients like it very much.

Signature

~+--~+--~+--~+--~+--
Stephen Mancuso, D.D.S.
Troy, Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

>> What is a small intraoral film?
>
[quoted text clipped - 4 lines]
>
> Steve
Mark & Steven Bornfeld DDS - 17 Nov 2004 20:47 GMT
> Think phosphor plates.  softer and more flexible than film.  Thinner than
> film.  The outer sheath is disposable, but the plate is re-usable.  Keeps
> the cost down.  Patients like it very much.

    That's the type of sensor that gets maybe 20-30 exposures before it
wears out?  Whose system is that?

Steve

Signature

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

Dr Steve - 17 Nov 2004 23:15 GMT
It gets hundreds of exposures per plate.  My first set lasted five years.  I
only replaced them because they slowly accumulate tiny scratches and
eventually, the images are not good enough for bragging about.  You could
still see everything you wanted to see, but they did stand up to my level of
expectation with the patina on them.

Signature

~+--~+--~+--~+--~+--
Stephen Mancuso, D.D.S.
Troy, Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

>> Think phosphor plates.  softer and more flexible than film.  Thinner than
>> film.  The outer sheath is disposable, but the plate is re-usable.  Keeps
[quoted text clipped - 4 lines]
>
> Steve
Mark & Steven Bornfeld DDS - 17 Nov 2004 23:18 GMT
> It gets hundreds of exposures per plate.  My first set lasted five years.  I
> only replaced them because they slowly accumulate tiny scratches and
> eventually, the images are not good enough for bragging about.  You could
> still see everything you wanted to see, but they did stand up to my level of
> expectation with the patina on them.

Thanks.

Steve

Signature

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

Joel M. Eichen - 17 Nov 2004 17:54 GMT
>> What is a small intraoral film?
>
>    An archaic device, similar to those new-fangled radioactive
>sensors--except they're more flexible, don't have wires attached, and
>are single-use, which patients appreciate in this age of infection phobia.
>(;-)!

And they do not cost $5,000 to replace when the dental hytgienist gets
too rambunctious!

>Steve
Dr Steve - 17 Nov 2004 18:02 GMT
Phosphor plates are $25 and last for a few years before replacement.

Signature

~+--~+--~+--~+--~+--
Stephen Mancuso, D.D.S.
Troy, Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

>
>>> What is a small intraoral film?
[quoted text clipped - 8 lines]
>
>>Steve
Mark & Steven Bornfeld DDS - 17 Nov 2004 20:52 GMT
> Phosphor plates are $25 and last for a few years before replacement.

       
    Sorry I didn't read this before my last post.  Really last a few years?
  I had heard different, but, they could have been wrong.

Steve

Signature

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

Dr Steve - 17 Nov 2004 23:16 GMT
If you use these in a big clinic with 20 DA's, 10 RDH's and 8 DDS, then the
plates will scratch up sooner as non one will care.  In a small practice
they last forever.

Signature

~+--~+--~+--~+--~+--
Stephen Mancuso, D.D.S.
Troy, Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

>
>> Phosphor plates are $25 and last for a few years before replacement.
[quoted text clipped - 3 lines]
>
> Steve
Claus - 18 Nov 2004 04:45 GMT
According to my oral surgeon, its best to do it now before the bone
takes a hold of the implant. I'm not looking forward to starting from
scratch again but oh well, if its gotta be done...its gotta be done.

> Phosphor plates are $25 and last for a few years before replacement.
>
[quoted text clipped - 9 lines]
> >
> >>Steve
W_B - 17 Nov 2004 18:16 GMT
>> What is a small intraoral film?
>
[quoted text clipped - 4 lines]
>
>Steve

Thanks for the chuckle.
--

W_B

Take out the G'RBAGE
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