 |
 | Home | Contact Us | FAQ | Search & Site Map | Link to Us |
 | Sign In | Join | Other 45 Sites in Network |
Medical Forum / General / Dentistry / December 2004Implant Vs. Bridge
I just had a 3 unit bridge fall out. One of the anchor teeth was not properly fitted. The bridge is in the back of my uppers. It begins with the next to last molar ( id on't know tooth #) and goes forward. Somedbody recommended getting implants..but I know they take anywheres from 3-6 months to get seated (if they are going to take) and have been told that they are not best for chewing teeth i.e. molars. Any opinions would be appreciated >I just had a 3 unit bridge fall out. One of the anchor teeth was not >properly fitted. The bridge is in the back of my uppers. It begins with the [quoted text clipped - 4 lines] > >Any opinions would be appreciated Well, on the down side, if you got an implant, you would have to put crowns on the two abutment teeth. I would go for the implant myself. The reason for this is that I hate floss threaders/superfloss. Also, if any of the other teeth develope problems, you won't have to worry about the whole 3 unit bridge. Is it possible to put some sort of 'temporary' bridge in (since the abutments are already prepared) until the implant is integrated into the bone? That would be the best of both worlds, a quick fixed solution now, and a nice easy to floss solution for the future. -- Adenosine Semi-informed Dental Consumer ? I hope I didn't confuse anybody.. I intend to keep #3 and double abut to #2. The last part of the bridge will be anchored to #6. #5 and #4 will be pontics. The crux of my question is as follows. If impants in 5 and 4 are doable my options are as follows: 1-implants in 5 and 4 with a core buildup/post crown in #3. 2 and 6 remain as is. If implants are NOT doable. 1-5 unit bridge anchored on 2,3,6, with the dummies on 4 and 5. The main problem if option 1 is doable is that after the extraction I need to wait a couple of months for the socket to heal before implant can begin. Then the implant needs to set and that takes another5 months or so. In the meantime I have no #5 tooth and it feels and looks strange. If I do the 5 unit bridge it is a quicker fix but then I have 3 teeth at risk. 2,3, and 6. If any of these teeth go bad (as did my #5) then the bridge is shot Sorry, but the BW is at my dentist and I will not be able to get until next week after my extraction of Root tip #5 . Give me an opinion please. > W_B > > Take out the G'RBAGE > wubbabubbazG@RBAGEyahoo.com > >I just had a 3 unit bridge fall out. One of the anchor teeth was not > >properly fitted. The bridge is in the back of my uppers. It begins with the [quoted text clipped - 20 lines] > Adenosine > Semi-informed Dental Consumer ? >I hope I didn't confuse anybody.. I intend to keep #3 and double abut to #2. >The last part of the bridge will be anchored to #6. #5 and #4 will be [quoted text clipped - 4 lines] >1-implants in 5 and 4 with a core buildup/post crown in #3. 2 and 6 remain >as is. KK. >If implants are NOT doable. >1-5 unit bridge anchored on 2,3,6, with the dummies on 4 and 5. K. >The main problem if option 1 is doable is that after the extraction I need >to wait a couple of months for the socket to heal before implant can begin. >Then the implant needs to set and that takes another5 months or so. In the >meantime I have no #5 tooth and it feels and looks strange. Well, can you get a removable partial denture in the meantime until the implant takes? It'll still probably feel strange, but at least the looks will be improved. > If I do the 5 >unit bridge it is a quicker fix but then I have 3 teeth at risk. 2,3, and >6. If any of these teeth go bad (as did my #5) then the bridge is shot >Sorry, but the BW is at my dentist and I will not be able to get until next >week after my extraction of Root tip #5 . I'd go for the implants if you can! Why reduce perfectly good teeth for the bridge (unless perhaps #2 is in awful shape itself). Implants may be able to get periodontal disease, but they cannot decay. And, if for some reason they DO fail, and you can't get another implant put in, you can always go for the bridge later. -- Adenosine Semi-informed Dental Consumer ? > I just had a 3 unit bridge fall out. One of the anchor teeth was not > properly fitted. The bridge is in the back of my uppers. It begins with the [quoted text clipped - 4 lines] > > Any opinions would be appreciated If the anchor teeth are already prepared for crowns and periodontally healthy, I'd still opt to re-do the bridge. If the teeth were intact I'd lean toward the implant. Implants in the area of the upper molars frequently require bone grafting, and something called a sinus lift, which adds to the complexity and expense. Steve >> I just had a 3 unit bridge fall out. One of the anchor teeth was not >> properly fitted. The bridge is in the back of my uppers. It begins with the [quoted text clipped - 8 lines] >healthy, I'd still opt to re-do the bridge. If the teeth were intact >I'd lean toward the implant. I agree with this! Excellent response! Joel > Implants in the area of the upper molars frequently require bone >grafting, and something called a sinus lift, which adds to the >complexity and expense. > >Steve If the teeth were intact would the need to be extracted for the implant? > >> I just had a 3 unit bridge fall out. One of the anchor teeth was not > >> properly fitted. The bridge is in the back of my uppers. It begins with the [quoted text clipped - 20 lines] > > > >Steve >If the teeth were intact would the need to be extracted for the implant? No, because if you extract the abutments (2) then you will need three implants. The design: Tooth-tooth-Abutment tooth- Pontic (or missing tooth)-Abumtment tooth If you extract it will be, Tooth-tooth-extracted-pontic-extracted- Joel >> >> I just had a 3 unit bridge fall out. One of the anchor teeth was not >> >> properly fitted. The bridge is in the back of my uppers. It begins [quoted text clipped - 23 lines] >> > >> >Steve >I just had a 3 unit bridge fall out. One of the anchor teeth was not >properly fitted. The bridge is in the back of my uppers. It begins with the [quoted text clipped - 4 lines] > >Any opinions would be appreciated What does the abutment under the bridge look like? Joel One of the abutments towards the front has only a root tip because the original dentist didn't fit the bridge property 4 years ago (according to my new dentist). Is this true. Should the bridge have lasted much longer if fitted properly. Decay got to the front tooth. Now the dentist wants to file down another front tooth that is in perfect shape to make a 4 unit bridge. What do you think? This is what bothers me. How can I be sure that the new tooth that is being filed down will not get decay under it just like the other one did. Thanks, Ken > >I just had a 3 unit bridge fall out. One of the anchor teeth was not > >properly fitted. The bridge is in the back of my uppers. It begins with the [quoted text clipped - 8 lines] > > Joel > How can I be sure that the new tooth that is being filed down will not get > decay under it just like the other one did. Did you post any photos of xrays? If so, sorry I missed that, but that is what the dentists here would need. It would anchor the academic discussion in the reality of your particular situation. Thanks SP  SignatureNot a real Addy, yet SP... are you talking about xrays of the original setup where the decay got underneath? I did not post them. How do you post an xray picture. Normally when a bridge is made shouldn't it be tight so that decay does not get under the anchor teeth? > > How can I be sure that the new tooth that is being filed down will not get > > decay under it just like the other one did. [quoted text clipped - 6 lines] > -- > Not a real Addy, yet >SP... are you talking about xrays of the original setup where the decay got >underneath? I did not post them. >How do you post an xray picture. Take a digital picture of the film taped to a window. Post the picture as an attachment. Dr. SteveM and B; and Joel cannot recieve attachments via Usenet, mail them directly. Or ask nice and I will do it for you if you wish to send the pix to me. >Normally when a bridge is made shouldn't >it be tight so that decay does not get under the anchor teeth? A multitude of factors are at work in this situation. The short answer is usually yes but...for a variety of reasons bridges and crowns can (and do) fail. -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE > Take a digital picture of the film taped to a window. > > Post the picture as an attachment. > Dr. SteveM and B; and Joel cannot recieve attachments > via Usenet, mail them directly. Or ask nice and I will do it > for you if you wish to send the pix to me. Or he can open an accout with one of the free web sites and post it there. SP SignatureNot a real Addy, yet w_b.. thanks for the offer.. sounds like a great idea. I will get my hands on a digital camera and do this. I assume it is best for the sun to be shinin. Otherwise I can put a lamp on the outside of the window. Regards, Ken > >SP... are you talking about xrays of the original setup where the decay got > >underneath? I did not post them. [quoted text clipped - 20 lines] > wubbabubbazG@RBAGEyahoo.com > Take out the G'RBAGE >SP... are you talking about xrays of the original setup where the decay got >underneath? I did not post them. >How do you post an xray picture. Normally when a bridge is made shouldn't >it be tight so that decay does not get under the anchor teeth? If you have an x-ray, you tape it to a window and snap a picture with a digital camera. Alternatively, I scan the x-ray in a normal scanner at 120 DPI and 24-bit TruColor. I backlight the x-ray. A third way is many dentists use digital x-rays that can be e-mailed to a patient. Joel >> > How can I be sure that the new tooth that is being filed down will not >get [quoted text clipped - 7 lines] >> -- >> Not a real Addy, yet > SP... are you talking about xrays of the original setup where the decay got > underneath? I did not post them. > How do you post an xray picture. Normally when a bridge is made shouldn't > it be tight so that decay does not get under the anchor teeth? This is a total misconception. The joint between restoration and tooth is ALWAYS vulnerable. Re: xrays- you need a digital camera that can get in close enough to get a detailed photo of them. Cheers SP SignatureNot a real Addy, yet >One of the abutments towards the front has only a root tip because the >original dentist didn't fit the bridge property 4 years ago (according to my >new dentist). OK so it has root canal treatment but no post to support the bridge. >Is this true. Could be ......... x-rays might be helpful here. > Should the bridge have lasted much longer if fitted properly. My record for observing nice brisdgework is a ladty who had one installed 68 years ago. Lots of my bridgework is still there after installation 20 and 30 years ago. (I am the dentist, not the patient). >Decay got to the front tooth. Happens .... >Now the dentist wants to file down another front tooth that is in perfect >shape to make a 4 unit bridge. What do you think? How much $ versus the implant costs? > This is what bothers me. >How can I be sure that the new tooth that is being filed down will not get >decay under it just like the other one did. Yes, that's the old catch-22 for bridgework ...... >Thanks, Ken >> [quoted text clipped - 13 lines] >> >> Joel OK so it has root canal treatment but no post to support the bridge. Is this true. YES > Could be ......... x-rays might be helpful here. > [quoted text clipped - 14 lines] > > How much $ versus the implant costs? Joel, my concern isn't as much with the $ as it is with what will work best. If I go with implants, what do I chew on while the implants are "taking" for 3-6 months. And isn't the procedure for implants more invasive. What are the chances that the implants will take. I don't know the tooth #'s but it starts on my next to last molar on upper right and heads towards the biscup. 3 units. Thanks for you info, Ken > OK so it has root canal treatment but no post to support the bridge. I am good at posts. Some dentists are not good with posts. No matter how badly the tooth is busted, as long as it is not split down into the root (longitudinally) then I fix it. Joel >Is this true. YES >> [quoted text clipped - 28 lines] >Thanks for you info, >Ken If the second dentist was not present while the first dentist did the work, he cannot say if it was done right or not. It may have been the best result possible with the conditions available at that time. Yes, there are terrible hacks in this world who screw up everything, but those are very few. Decay got to the tooth because you consumed too much acid and sugar for your metabolism and level of home care combined with the conditions of your mouth. Any bridge will make home care more difficult. The front tooth is easier to clean, so will normally do better than the back one. Stop cutting down good teeth (assuming the teeth do not have big fillings). Have yourself properly evaluated for parafunctional habits, then get an implant. If you are talking about double abutments, an implant may well be much cheaper. 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. ...................... > One of the abutments towards the front has only a root tip because the > original dentist didn't fit the bridge property 4 years ago (according to [quoted text clipped - 26 lines] >> >> Joel Steve, what is a parafunctional habit? Also, how can implants ever be cheaper than a double abut. An implant is around $1600 plus the cost of a crown on top of each implant. A 5 unit bridge with a double abut isn;t much more than a 5 unit bridge with a single abut. The only additional cost would be a post/core buildup. Is this correct? Ken > If the second dentist was not present while the first dentist did the work, > he cannot say if it was done right or not. It may have been the best result [quoted text clipped - 52 lines] > >> > >> Joel >Steve, what is a parafunctional habit? > [quoted text clipped - 5 lines] > >Ken Assuming the teeth do not need any root canal therapy or any core work, the cost would be: a 5 unit bridge will be more than $4,500. Two implants would be about the same cost or less. Most likely, the abutment teeth will need more ore work and perhaps other things which will raise the cost. .. Stephen Mancuso, D.D.S. Troy, Michigan, USA Writing on a tablet PC,so forgive me if the PC misreads my poor handwriting. >Most likely, the >abutment teeth will need more ore work Gold mining right ? -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE "> > > >Ken > Assuming the teeth do not need any root canal therapy or any core [quoted text clipped - 4 lines] > .. > Thanks Steve, an implant still needs a crown correct. So if I get 2 implants and 2 crowns we're talking about $5K correct. A 5 unit bridge would be around $4500. Truthfully, I am not very concerned about the cost. My primary concern is what will last the longest and what is easiest to repair if something goes wrong down the road. Your opinion. I assume impants usually take... I would hate to have to wait 3-6 months and be told sorry it didn't work. Any figures on how reliable they are. Thanks Again, Ken >"> > >> >Ken [quoted text clipped - 16 lines] > >Thanks Again, Ken Try for the implant. I would if I was in your position. .. Stephen Mancuso, D.D.S. Troy, Michigan, USA Writing on a tablet PC,so forgive me if the PC misreads my poor handwriting. >Try for the implant. I would if I was in your position. >.. >Stephen Mancuso, D.D.S. And didn't have a master endodontist as a friend ? -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE >Steve, what is a parafunctional habit? A parafunctional habit is something you do, as a habit, which does not have any function to your body. Eating, talking, swallowing are all functional. Clenching and grinding are parafunctional habits. These habits are occuring, for most people, during sleep. These parafunctional habits are extremely destructive due to the intensity of this activity. .. Stephen Mancuso, D.D.S. Troy, Michigan, USA Writing on a tablet PC,so forgive me if the PC misreads my poor handwriting. >I just had a 3 unit bridge fall out. One of the anchor teeth was not >properly fitted. The bridge is in the back of my uppers. It begins with the [quoted text clipped - 4 lines] > >Any opinions would be appreciated Realistically, one implant, maybe a bone graft, and two replacement crowns is around $5K. A new bridge should be less. So are we on the same page here? Joel No dentist, but if the anchor teeth are allright, can they not be restored with gold onlay or inlay plus the implant. If possible, avoid the crowns. Huh? Gail >No dentist, but if the anchor teeth are allright, can they not be restored with >gold onlay or inlay plus the implant. If possible, avoid the crowns. Huh? > >Gail I always start with basics: A mouth with teeth is better than a mouth with dentures (artificial plastic jobbies). So, based upon resources ($) the treatment varies. Yeah implants are good, but you gotta have dough. Some nice bridgework can be fabricated from $100 to $300 per unit (wholesale lab cost to the dentist), plus materials, plus profit, plus overhead costs. PER UNIT. So if its a failed bridge, my own costs can be $300 or $600. One missing tooth with ONE anchor on each end is THREE UNITS. Two missing teeth would be FOUR UNITS ..... etc. Now if you are a brand new patient and its someone else's old bridge, then it is going to cost you, unless you have some Cheeze-O-Rama insurance that would FORCE the dentist to limit his fees to say $630 per unit, regardless of whether the insurance will cover it or not. Why would the dentist participate? Well, its to draw in NEW BUSINESS. But beware. I know already you need the scaling and root planing ($800) and two crown lengthenings ($500 a pop) and THANK GOD! Its not on your Cheeze-O-Rama insurance menu just yet. Oh you say it is? Sorry, then you need the CEREC. Did I forget the laser surcharge? Ummmmmmmm...... Let's start over .... Joel M. Eichen DDS Yes, start over. Implant + crown = $ 2 onlays = $ 3 unit bridge = $ Where does the crown lengthening come in and what exactly does that mean. How can you be sure the scaling and root planing are needed? Maybe so, but not necessarily. In any case, they would be needed for both procedures, implant,onlays and bridge? You are speaking of procedures other than gingivitis.? What is the most desirable option? regardless of expense. People have priorities. Many people have no insurance or not enough to even speak of. Gail >Yes, start over. > >Implant + crown = $ $3K total. >2 onlays = $ Well if a bridge is there now, inlays/onlays will not do. The teeth are already prepared, meaning you will need two replacement crowns. $600 to $900 each. >3 unit bridge = $ 3 times UNIT price could be $1800 TOTAL if $600 per unit, or $2700 TOTAL is $900 per unit. >Where does the crown lengthening come in and what exactly does that mean. If a crown is too short, meaning too little of the crown is exposed, we "lengthen it" by reducing the bone ....... It comes in when needed, or sometimes when not needed! >How can you be sure the scaling and root planing are needed? Because if the plan limits the doctor to an oppressively low fee for the three unit bridge, the money has to be made up somehow. THERE is no free lunch. ANYWHERE. If 1/2 the docs wil lnot work with the plan, and the other half will, something is going on. >Maybe so, but not necessarily. In any case, they would be needed for both >procedures, implant,onlays and bridge? >You are speaking of procedures other than gingivitis.? EVERYBODY in this world has gingivitis. Joel >What is the most desirable option? >regardless of expense. I say bridge. A good bridge. There is a bad bridge there now. I agree with steve Bornfeld. If the teeth on either side are unmolested (no corwn, no filling) then I would prefer implant. Joel > People have priorities. >Many people have no insurance or not enough to even speak of. True. Same for money. Some have money, others have not enough to even speak of. >Gail Most of it understood. Except "If the teeth on either side are unmolested (no crown, no filling)" Then something held the supporting teeth and why cannot those factors holding the supporting teeth be restored with inlays. "EVERYBODY in this world has gingivitis." Even children? or I have seen people with no gum recession, (doctors in older years) Do they have gingivitis. At what age is it like to begin for most? I know it varies, but just a guess. >Most of it understood. >Except "If the teeth on either side are unmolested (no crown, no filling)" >Then something held the supporting teeth and why cannot those factors holding >the supporting teeth be restored with inlays. An inlay is "INLAID" inside a tooth while an only is an inlay that overlays the cusps. A crown preparation removes all that tooth structure ..... It fits like a tin can OVER the stump. If you got a stump, no inlay or only is ever possible INLAID def. Decorate the surface of by inserting wood, stone, and metal Think of an inlaid tile floor. >"EVERYBODY in this world has gingivitis." >Even children? or I have seen people with no gum recession, (doctors in older >years) Nope, but everybody over 18. >Do they have gingivitis. >At what age is it like to begin for most? >I know it varies, but just a guess. Of course if the tooth is a stump, only a crown will do. But you said, "if the teeth on either side are unmolested" that is taken to mean the teeth were never filed down to that extent. In making a 3 unit bridge, crowns are not necessary on the supporting teeth at first placement. Not even desirable if the two teeth are in good condition. So why not continue with inlays if the supporting teeth are still allright. According to the dentists, though, they never are. It seems like crowns are their first choice. They may be right. And not for a moment, would anyone think a three unit bridge would be $600. More like $1500. If this has gone too far, and I am way off base, you are free to take a breather. The subject of dentistry has so many variations, even a dentist can be excused. Gail >Of course if the tooth is a stump, only a crown will do. But you said, "if >the teeth on either side are unmolested" YUP, then inlay will do. Ken said, I just had a 3 unit bridge fall out. Joel >that is taken to mean the teeth were never filed down to that extent. In >making a 3 unit bridge, crowns are not necessary on the supporting teeth at >first placement. YUP possible, you are right! > Not even desirable if the two teeth are in good condition. >So why not continue with inlays if the supporting teeth are still allright. Yes. Good plan. >According to the dentists, though, they never are. It seems like crowns are >their first choice. They may be right. They are easier to do than inlays or onlays but worse for the tooth and gums! Joel >And not for a moment, would anyone think a three unit bridge would be $600. >More like $1500. If this has gone too far, and I am way off base, you are >free to take a breather. The subject of dentistry has so many variations, >even a dentist can be excused. >Gail The $600 was part of $300 to $600 lab cost ....... depending on whether the lab charges $100 or $200 per unit ...... (plus dentists' overhead of course). > "EVERYBODY in this world has gingivitis." > Even children? or I have seen people with no gum recession, (doctors in older > years) > Do they have gingivitis. > At what age is it like to begin for most? > I know it varies, but just a guess. EVERYBODY.... and they ALL need 1000$ worth of gum treatments... if not, I can't put my kids (the Pipettes) through day care.... and even then, I can only afford to eat bread and hot water three times a day.... and I dress in blue jeans seven days a week, and I only have ONE lab coat, and I have to drive my dental Laser to and from work (it's as big as a Zamboni anyways...) and I sleep on the floor in an unheated shack, and I've used the same tooth brush since I was a teenager.... EVERYBODY....... ................ ;-) SP SP SignatureNot a real Addy, yet >> "EVERYBODY in this world has gingivitis." >> Even children? or I have seen people with no gum recession, (doctors in older [quoted text clipped - 6 lines] >I can't put my kids (the Pipettes) through day care.... and even then, I >can only afford to eat bread and hot water three times a day.... Hot water????? You have HOT water, you lucky duck you. Joel > and I >dress in blue jeans seven days a week, and I only have ONE lab coat, and [quoted text clipped - 5 lines] >SP >SP SP, Slight exaggeration. Still, would everybody not be needing gum care, as one dentist said, in Europe, they never had periodontal treatments. I did not get the answer to how good is their periodontal health in that case. What is your opinion. Also, he said he is an MD, as someone here said it is required in Europe. So when inevitably I mentioned Crohns, he knew what it was. That is a highlight I wish everyone would be aware of. Gail > SP, > > Slight exaggeration. .......................... YOU WOULD BE SURPRIZ-ED...... Still, would everybody not be needing gum care, as one > dentist said, in Europe, they never had periodontal treatments. I did > not get the answer to how good is their periodontal health in that case. > What is your opinion. BEGIN: clown Last time I was in Europe was at my brother's Wedding in Suiszzse. I didn't notice many Europe-ians falling down the ski hills tripping over teeth that had been knocked or fallen out. As the rumor had NOT it, the Europe-ian streets were NOT paved with teeth that had fallen out.... END: clown I cannot say. Linda (BC hygienist) said she had a colleague go over and work in Geneva and found that they had quite a lot of perio disease. I think the location is lesss important than the personal habits. > Also, he said he is an MD, as someone here said it is required in Europe. > So when inevitably I mentioned Crohns, he knew what it was. That is a > highlight I wish everyone would be aware of. > Gail Gail: Crohns' disease is one disease of which there are many. You must try to put it in perspective... Every little bowel irritation is not Crohns'.... And this antidepressor thing... well.... try and prove it. Then I would listen more closely. But if I ever run across a patient with Crohns', I will enquire as to the medication status of the immediate entourage. Now, I really must to put the front porch under a huge plastic canvas to keep the snow out. Cheers; JMO; YMMV; long live the king; one cross to a prisoner; don't sweat the small stuff; The Force be with you; etc....... ;-) S.......... P SignatureNot a real Addy, yet Know you are not really very interested in crohns, but I must clear up the misconceptions when they appear. "You must try to put it in perspective." To me, nothing could be more in perspective. " Crohns disease is one disease of which there are many." Totally wrong. Crohns is ONE disease which manifests itself differently in any part of the body. It is like being struck by lightning and the affected part is where the lightning struck. Thereby the myriad of symptoms from brain to toes and treatments given accordingly. Every little bowel irritation is not Crohns." Of course not. If it were, every stomach ache would be crohns. Crohns requires a stimulant (anti-depressant and anti-anxiety drugs the most common, but other stimulant drugs included) to set off the lightning bolt within a mind/body connection. The damage is such that it begs research. Next problem is someone to see it in action, which most refuse to do. "Try and Prove it" With enough money, it could be done. If you ever see a patient with crohns, treatment could vary as much as the symptoms. Prednisone, 6MP etc etc. Surgery to remove the colon, surgery for resections etc. Truly, should not be posting all this, as it scares some people. And many have never occasion to be familiar with crohns. They are the lucky ones, but for the unlucky ones, they too should have the benefit of knowing and trying to correct the situation. Or at least someone in their acquaintance that can point them in that direction. (They don't listen, is the worst part) I take this very seriously, as it can and does happen to ANYONE, family included. Too serious for the average person. Clowning is better. Dr. Crohn concluded it is caused by an environmental factor. I agree with him. Why don't you put up a permanent wood cover for your porch or something similar. Gail Promise not to mention this again. Just let it slide. > "Try and Prove it" > With enough money, it could be done. I told you Gail: go talk to a grad student in Psych and get a survey done of the old folks' homes where you got the theory in the first place. Nail down the statistics. THEN, and only then, will the sceintifics listen; only then will they have the RIGHT to conclude that this theory is sound. SP Re: the porch; if you lived in Kebec, you'd understand. Maybe in the dead of winter, I'll take some pictures and you will understand. Cheers, cottage cheese, battle ships, Alien DNA..... SP SignatureNot a real Addy, yet Often wondered how canvas can be heavy enough or secure enough to be bolted down where the weather would not decimate it. Many parties at the synagogues bring in party tents etc, and they are very beautiful for the day. But for the winter? especially over a porch, I thought a durable roof of wood or some material could be built bolted into the ground with concrete. If some day, you find yourself with time, maybe you could compose an ad that could be placed in newspaper personals, seeking a student in Psych or Pediatrician for the crohns purpose. I once placed an ad with fair results, but nothing that would prove anything. But I really don't expect you to take the interest or time it requires. It's just more complicated to implement, yet it is so simple to alleviate the suffering and so important for so many. And coincidentally as per your signature, was having cottage cheese. Gail > Often wondered how canvas can be heavy enough or secure enough to be bolted > down where the weather would not decimate it. Many parties at the synagogues > bring in party tents etc, and they are very beautiful for the day. Has to be canvas: we're Catholic; it commemorates the times when the Christians were thrown to the lions in Rome. > But for the winter? especially over a porch, I thought a durable roof of wood > or some material could be built bolted into the ground with concrete. Here in Kebec, there is nothing bolted into the ground: we float 2 feet above the ground... if not, the Polar Crocodiles would get our children and elderly. We Kebec-ians have long since mastered the art of floating 2 feet above the ground... Ya gotta see it... > If some day, you find yourself with time, maybe you could compose an ad that > could be placed in newspaper personals, seeking a student in Psych or > Pediatrician for the crohns purpose. Not enough time... that is for YOU to do.... the ad bit is wrong, IMO.. GO to the UNIVERSITY.... get a grad student... those people are nutz enough to study ANYTHING... like Krazy Kebec-ians floating 2 feet above the non-bolted-into ground. If there is one thing Kebec is famous for, it would be our virgin ground with the lack of bolts in it.... People come from..... well, at least the next street over.... just to see it. We have Grad Students floating around in lab coats carryin' clip boards too.... But, I WILL pay attention to the med histories of my patients,and ask if there is anyone in the family with Crohns', and if there are any others taking stimulnts or antidepressants or Jello or Gatorade or play frisbee football with baloons, or run naked through the air yelling 'catch me... tee hee hee...' or what ever... I'll ask them while I'm drilling into a Am filled tooth and ask them to SWALLOW all the dust and gunk... and then we'll float 'em out the door and have fun makin' 'em crash into the others floating around the waitin' room, and yell out 'WHO ALL IS ON ANTIPERSONNEL MINE MEDICATION IN HERE....?' And then we'll throw 'em salami sandwiches,,, with anti Crohns' medication 'em.... and then we'll measure the level of Mercury in the tooth paste tubes we give as free samples... and I'll write a paper: 'The effect of Crohns' on the Mercury level of ground bolts in Kebec...', and I'll be famous, and I'll float over to the Jay Leno shew... and he'll ask me about my nomination for the Nobel prise for Dentistry... and I'll tell him I'm so HAPPY I COULD JUST BURP.... and I will burp loudly, and we'll have a burping contest: who can say the most words on an page of the Oxford English Dictionnary while burping, and the winner gets to take home a live boa constrictor snake... and we'll all live happily ever after.. Amen.... > And coincidentally as per your signature, was having cottage cheese. You see.......???? That PROVES that LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL > Gail SP SignatureNot a real Addy, yet >> Often wondered how canvas can be heavy enough or secure enough to be bolted >> down where the weather would not decimate it. Many parties at the synagogues >> bring in party tents etc, and they are very beautiful for the day. > >Has to be canvas: we're Catholic; it commemorates the times when the >Christians were thrown to the lions in Rome. So the Catholics are commemorating Sukkoth at the synagogue? >> But for the winter? especially over a porch, I thought a durable roof of wood >> or some material could be built bolted into the ground with concrete. > >Here in Kebec, there is nothing bolted into the ground: we float 2 feet >above the ground... How about those long awnings that cover the entire driveway to avoid snow shoveling? That is so cool! > if not, the Polar Crocodiles would get our children >and elderly. We Kebec-ians have long since mastered the art of floating [quoted text clipped - 7 lines] >GO to the UNIVERSITY.... get a grad student... those people are nutz >enough to study ANYTHING... Including the Sukkoth tents at the synagogue? > like Krazy Kebec-ians floating 2 feet above >the non-bolted-into ground. If there is one thing Kebec is famous for, [quoted text clipped - 7 lines] >taking stimulnts or antidepressants or Jello or Gatorade or play frisbee >football with baloons, or run naked through the air yelling 'catch me... Definitely not on Sukkoth. >tee hee hee...' or what ever... I'll ask them while I'm drilling into a >Am filled tooth and ask them to SWALLOW all the dust and gunk... and >then we'll float 'em out the door and have fun makin' 'em crash into the >others floating around the waitin' room, and yell out 'WHO ALL IS ON >ANTIPERSONNEL MINE MEDICATION IN HERE....?' Can this be done outdoors ...... say under a tent ........ on a certain holiday? > And then we'll throw 'em >salami sandwiches,,, with anti Crohns' medication 'em.... and then we'll [quoted text clipped - 7 lines] >while burping, and the winner gets to take home a live boa constrictor >snake... and we'll all live happily ever after.. Amen.... No salami sandwiches permitted on Sukkoth, but other than that I agree. Joel >> And coincidentally as per your signature, was having cottage cheese. >> >You see.......???? That PROVES that LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL >> Gail >SP > So the Catholics are commemorating Sukkoth at the synagogue? This is one that I'm not familiar with... But then you-all have quite a few holidays... Actually so do WE, but most are not observed. IIRC, there are more religeous holidays in Catholic countries in Europe. > How about those long awnings that cover the entire driveway to avoid > snow shoveling? That is so cool! Excellent, JME.... This is EXACTTLY what I am talking about... but then, you've been here... you've probably seen 'em. In many NA cities, they're illegal, due to the eyesore effect. Here, we can have 'em up from All Hallow's Eve to some time in April. Then they must come down. > Including the Sukkoth tents at the synagogue? This is one that I'm not familiar with... But then you-all have quite a few holidays... Actually so do WE, but most are not observed. IIRC, there are more religeous holidays in Catholic countries in Europe. > Definitely not on Sukkoth. This is one that I'm not familiar with... But then you-all have quite a few holidays... Actually so do WE, but most are not observed. IIRC, there are more religeous holidays in Catholic countries in Europe. > Can this be done outdoors ...... say under a tent ........ on a > certain holiday? This is one that I'm not familiar with... But then you-all have quite a few holidays... Actually so do WE, but most are not observed. IIRC, there are more religeous holidays in Catholic countries in Europe. > No salami sandwiches permitted on Sukkoth, but other than that I > agree. This is one that I'm not familiar with... But then you-all have quite a few holidays... Actually so do WE, but most are not observed. IIRC, there are more religeous holidays in Catholic countries in Europe. > Joel I've been taking lessons in posting from SWNMNBM.... > >SP SignatureNot a real Addy, yet >> So the Catholics are commemorating Sukkoth at the synagogue? >> >This is one that I'm not familiar with... But then you-all have quite a >few holidays... Actually so do WE, but most are not observed. IIRC, >there are more religeous holidays in Catholic countries in Europe. Yeah in the olden days, every exuse was a good excuse ...... rather than earn their fourteen cents ,,, a holiday was better. >> How about those long awnings that cover the entire driveway to avoid >> snow shoveling? That is so cool! > >Excellent, JME.... This is EXACTTLY what I am talking about... but then, >you've been here... you've probably seen 'em. In many NA cities, they're >illegal, due to the eyesore effect. No I love them. It shows how clever people are. Plus the lights on in the garage gives it a psychodelic effect ...... just around dusk ,,, with tons of snow all over the place. > Here, we can have 'em up from All >Hallow's Eve to some time in April. Then they must come down. [quoted text clipped - 4 lines] >few holidays... Actually so do WE, but most are not observed. IIRC, >there are more religeous holidays in Catholic countries in Europe. Actually, its a one-upsmanship thing. You see someone doing something and you add your own little twist ...... pretty soon it gets him thinking ...... >> Definitely not on Sukkoth. >> [quoted text clipped - 21 lines] > >> >SP SP, You are unrivalled in detail. Your post covered EVERYTHING. Gail > SP, > > You are unrivalled in detail. Your post covered EVERYTHING. > > Gail It ain't detail, it's the blathering of an un-beautiful but disturbed mind. SP SignatureNot a real Addy, yet >Often wondered how canvas can be heavy enough or secure enough to be bolted >down where the weather would not decimate it. Many parties at the synagogues >bring in party tents etc, and they are very beautiful for the day. Yup and for Sukkoth too. >But for the winter? especially over a porch, I thought a durable roof of wood >or some material could be built bolted into the ground with concrete. >If some day, you find yourself with time, maybe you could compose an ad that >could be placed in newspaper personals, seeking a student in Psych or >Pediatrician for the crohns purpose. Yup. > I once placed an ad with fair results, >but nothing that would prove anything. But I really don't expect you to take >the interest or time it requires. Is this for the ad or for the tent? >It's just more complicated to implement, yet it is so simple to alleviate the >suffering and so important for so many. >And coincidentally as per your signature, was having cottage cheese. Yup, especially on Sukkoth. >Gail >Crohns requires a stimulant (anti-depressant and anti-anxiety drugs the most >common, but other stimulant drugs included) to set off the lightning bolt >within a mind/body connection. The damage is such that it begs research. No, no it doesn't -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE PS- About insurance and money. INSURANCE never pays for dental care. MONEY always pays for dental care. Insurance plans do not want you to know that they collect MONEY from policyholders and then PAY OUT MONEY minus (PROFITS + their OVERHEAD) to the dentists as payment for dental care. Money minus "X" always equals less money. .............. and less dentistry! AGAIN. no free lunch! Joel >Yes, start over. > [quoted text clipped - 15 lines] > >Gail >Some nice bridgework can be fabricated from $100 to $300 per unit >(wholesale lab cost to the dentist), plus materials, plus profit, plus [quoted text clipped - 3 lines] >missing tooth with ONE anchor on each end is THREE UNITS. Two missing >teeth would be FOUR UNITS ..... etc. No Way! Hour "Lab Fee" may be $ 300-600 but your total overhead to make a 3- unit bridge is far greater .. Stephen Mancuso, D.D.S. Troy, Michigan, USA Writing on a tablet PC,so forgive me if the PC misreads my poor handwriting. >>Some nice bridgework can be fabricated from $100 to $300 per unit >>(wholesale lab cost to the dentist), plus materials, plus profit, plus [quoted text clipped - 6 lines] >No Way! Hour "Lab Fee" may be $ 300-600 but your total overhead to >make a 3- unit bridge is far greater TRUE. CORRECTION: My own costs "irrespective and exclusionary to overhead" may be ..... $300 or $600. One missing tooth with ONE anchor on each end is THREE UNITS. Two missing teeth would be FOUR UNITS ..... etc. >.. >Stephen Mancuso, D.D.S. >Troy, Michigan, USA > >Writing on a tablet PC,so forgive me if the PC misreads my poor handwriting. Why does it make a difference if it is somebody else's bridge? Is it less expensive to go back to the original dentist and have him redo the bridge? If you are a brand new patient and its someone else's old bridge, > then it is going to cost you, unless you have some Cheeze-O-Rama > insurance that would FORCE the dentist to limit his fees to say $630 [quoted text clipped - 15 lines] > Let's start over .... > Joel M. Eichen DDS > Why does it make a difference if it is somebody else's bridge? Is it less > expensive to go back to the original dentist and have him redo the bridge? First, the dentist has no business taking responsibility for someone else's work, unless the patient accepts that the new dentist doesn't have the whole picture in hand when s/he works on it. Second, yes, going back to the original dentist would theoretically be cheaper, provided you did YOUR job: did you go back for cleanings and examinations regularly? Did you take care of your bridge, including going under it with the floss threader, etc? Some people take better care of their cars than they do their own mouths... I don't mean to imply that this is the case here, but you may want to answer that for yourself. JMO SP SignatureNot a real Addy, yet >Why does it make a difference if it is somebody else's bridge? Is it less >expensive to go back to the original dentist and have him redo the bridge? Profit motive. My roof, if it leaks, then the new roofer MUST rip EVERYTHING out to reseal it, including the wood, the joists, the flashing, the downspout, everything. If its HIS OLD ROOF, then he slaps down some hot tar. Both work equally well. Stick with the same dentist if humanly possible ..... Sometimes its not possible. Joel Yes, this has happened to me. A beautiful four unit bridge failed after three years because I ended it on a root canal treated tooth (I miscalculated). When the abutment broke, I made a FIVE unit bridge, but only charged the patient the difference between the four and the five unit bridge. He had nice insurance and was in general, a good guy. Joel >If you are a brand new patient and its someone else's old bridge, >> then it is going to cost you, unless you have some Cheeze-O-Rama [quoted text clipped - 16 lines] >> Let's start over .... >> Joel M. Eichen DDS > Sometimes its not possible. > [quoted text clipped - 10 lines] > > Joel Why should this be? If the terminal abutment has a strong post in it, I don't see why you would then include another tooth. Am I missing something.... AGAIN???? SP SignatureNot a real Addy, yet >> Sometimes its not possible. >> [quoted text clipped - 15 lines] >something.... AGAIN???? >SP The anterior abutment broke the root! I had to remove the root and remake the bridge to include one more tooth. Joel >>> Sometimes its not possible. >>> [quoted text clipped - 22 lines] > >Joel Have done that alot. If you can salvage the posterior abutment and the pontic, Section the anterior abutment crown from the FPD, prepare the new anterior abutment. This can be done before extraction of the non-restorable root tip. Decide when to extract the non-restorable abutment. Cement the posterior abutment and pontic. This must be rock solid, no mobility Take a 'pick up' impression that includes the margins of the new anterior abutment prep with the posterior segment of the 'old' FPD. Have a new anterior abutment and pontic constructed and soldered to the posterior part of the 'old' FPD. Did this on a 76 yo and it looks fine at all of the subsequent recalls. Pt is now 92. Have done this on other geriatric patients as well. -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE > Have done that alot. > [quoted text clipped - 7 lines] > Cement the posterior abutment and pontic. This must be > rock solid, no mobility As you all know, I'm as thick as the wall behind you, and so I want to be clear on this: do you mean cememt rock solidly with TEMPORARY CEMENT? If not, how does one do a pick up impression in the next step? > Take a 'pick up' impression that includes the margins of the > new anterior abutment prep with the posterior segment of > the 'old' FPD. > > Have a new anterior abutment and pontic constructed and > soldered to the posterior part of the 'old' FPD. > Did this on a 76 yo and it looks fine at all of the subsequent > recalls. Pt is now 92. > > Have done this on other geriatric patients as well. > W_B Thanks, SP SignatureNot a real Addy, yet >> rock solid, no mobility >> >As you all know, I'm as thick as the wall behind you, and so I want to >be clear on this: do you mean cememt rock solidly with TEMPORARY CEMENT? Yes temporary cement, otherwise you can't get it back off. Check the occlusion carefully on the 'sectioned' part to see if there is any movement. You can take the 'pick up' impression in a triple tray. >If not, how does one do a pick up impression in the next step? >> Take a 'pick up' impression that includes the margins of the [quoted text clipped - 3 lines] >> Have a new anterior abutment and pontic constructed and >> soldered to the posterior part of the 'old' FPD. -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE > >As you all know, I'm as thick as the wall behind you, and so I want to > >be clear on this: do you mean cememt rock solidly with TEMPORARY CEMENT? [quoted text clipped - 3 lines] > to see if there is any movement. You can take the 'pick up' > impression in a triple tray. OK, got it, thanks! SP SignatureNot a real Addy, yet >> >As you all know, I'm as thick as the wall behind you, and so I want to >> >be clear on this: do you mean cememt rock solidly with TEMPORARY CEMENT? [quoted text clipped - 6 lines] >OK, got it, thanks! >SP You do realize that you must capture the new anterior abutment prep it this same impression right ? -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE > >> >As you all know, I'm as thick as the wall behind you, and so I want to > >> >be clear on this: do you mean cememt rock solidly with TEMPORARY CEMENT? [quoted text clipped - 15 lines] > wubbabubbazG@RBAGEyahoo.com > Take out the G'RBAGE .... Why? ... is it running away??... ;-) Yes I realize you want it all in one impression, and the posterior part of the bridge must stay in the impression. I would do this by having 2 chords in the sulcus around the anterior and Monoject syringing in light body VPS as I remove the first cord and then waiting till it hardens. Then I would use more light body over the whole thing and taking the pickup with soft putty. This gives better soft tissue IMO Cheers SP SignatureNot a real Addy, yet >.... Why? ... is it running away??... ;-) > [quoted text clipped - 6 lines] >Cheers >SP No, no, no... You have misunderstood me. This is immedialtely before the impression. Fixate the posterior segment of the previously modified FPD after checking for movement visually and with articulating paper. Temp cement the salvagable portion of the bridge. Make shure that you can get it off. Place cord in the sulcus of the new anterior abutment and wait for the retraction to take effect. Sorry if this is too detailed but you, SP, you regularly report to be "thick as a brick" You are taking more steps than necessary to make a good FPD impression. Do it all at once. Use light body for the new anterior margins and heavy body in the triple tray. I should have never even told you about this particular technic. It is only for masters. BTW this can only be done after the extraction of the anterior abutment, prepping the new abutment, and construction of a stable provisional, and healing has taken place. A custom tray is a recommendation for the feeble minded dentist. This is a 4 - 6 week process. There have been only 3 to 5 cases in my career that warranted this attention to detail. If there is no line up you may as well extract. An eclectic treatment to be sure. Take the impression all at once with the material from the same manufacturer. Currently using the GC stuff in the guns. If we get a bad one... Then the crappy one goes in the trash and we take a new one. That has only happened when some SalesCreep has talked me into trying-out their latest, greatest, expensive crappola... Always tend to go back to the GC Exaflex that has worked well for 20 yrs for me. YMMV. I can't keep giving you these free lessons. -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE > >.... Why? ... is it running away??... ;-) > > [quoted text clipped - 8 lines] > > No, no, no... I think I was un clear. I realize that the posterior segment is in the mouth with solid TempBond. > You have misunderstood me. > This is immedialtely before the impression. [quoted text clipped - 11 lines] > Sorry if this is too detailed but you, SP, you regularly report > to be "thick as a brick" 'S' OK, Am readin' it slowly. > You are taking more steps than necessary to make a > good FPD impression. Well, in my hands, filling just enough light body VPS in the MonoJect to do one or two abuttments, while gently pulling out the second Gengbraid cord, and letting it harden, so the putty will not distort it has been the only way to go for me. Heavy Body doesn't give me the soft tissue well, never has, and IMO the technician needs this info as much as s/he needs to see a good finish line. BTW the MonoJect is the one that has the clear interchangable curved tips. I don't cut off anything, because I want the finest stream of material in the sulcus that I can possibly get. > Do it all at once. Use light body for the new anterior > margins and heavy body in the triple tray. I've never liked the triple tray, but if I try the Hoos and Horst(sp?) Hydrophillic/Hydrophobic technique on my next case, I'll use one. I ordered full mouth triple trays, and they sent the half arch crapola. I don't want to have the technician guess at the disclusion on the other side of the mouth. > I should have never even told you about this particular > technic. It is only for masters. I Don't doubt it... > BTW this can only be done after the extraction of the > anterior abutment, prepping the new abutment, and construction > of a stable provisional, and healing has taken place. > A custom tray is a recommendation for the feeble minded dentist. Then I'd make 21 o' them. > This is a 4 - 6 week process. > > There have been only 3 to 5 cases in my career that warranted this > attention to detail. If there is no line up you may as well extract. > An eclectic treatment to be sure. FWIW, I wouldn't try this for real, and my technician ( one of the same ones that does the school cases, wouldn't accept it either). > Take the impression all at once with the material > from the same manufacturer. I use President from Whaldent Coltene. Soft Putty and Light Body tubes. No gun. Regular set, Retarder if I'm doing 46 teeth at the same time. (Like the Prime Minister and his Wife side by side). It's from the same box in the same clinic in the same city with the same distributor (robbers) in the same country and crosses the same boarder from the same manufacturer. The retarder makes it handle like a polyether. > Currently using the GC stuff in the guns. If we get a bad one... > Then the crappy one goes in the trash and we take a new one. No argument there: if it takes more than 10 seconds to read the finish line in any one tooth, I have problems and I re-do it. > That has only happened when some SalesCreep has talked me > into trying-out their latest, greatest, expensive crappola... > Always tend to go back to the GC Exaflex that has worked > well for 20 yrs for me. I'm gonna ask for a sample of that. It is not a popular one up here I don't think. > YMMV. > > I can't keep giving you these free lessons. I can't keep sendin' y'all free solar war heads either....OPPS!!! Wadn't supposed to say that was I? I'll talk to ya from jail..... > -- > W_B > > wubbabubbazG@RBAGEyahoo.com > Take out the G'RBAGE Thanks SP SignatureNot a real Addy, yet What is a crown legthening? Is there anyway the old crown can be used. It fell off because the front tooth was rotting due to poor sealing. > >No dentist, but if the anchor teeth are allright, can they not be restored with > >gold onlay or inlay plus the implant. If possible, avoid the crowns. Huh? [quoted text clipped - 37 lines] > Let's start over .... > Joel M. Eichen DDS > What is a crown legthening? Your gum tissue is moved farther up towards the root tip. This is to expose more tooth to grab on to for the new bridge, and also to place the bone edge far enough away from the crown edge so the gum tissue stays healthy. > Is there anyway the old crown can be used. It fell off because the front > tooth was rotting due to poor sealing. Then no, I don't think you want to put a loose-fitting crown back in your mouth, unless it can be relined. JMO SP SignatureNot a real Addy, yet >> What is a crown legthening? > >Your gum tissue is moved farther up towards the root tip. This is to >expose more tooth to grab on to for the new bridge, and also to place >the bone edge far enough away from the crown edge so the gum tissue >stays healthy. I thought it was that the bone was removed, not that the gums were moved. Something about biologic width and 3mm. -- Adenosine Semi-informed Dental Consumer ? > >> What is a crown legthening? > > [quoted text clipped - 9 lines] > Adenosine > Semi-informed Dental Consumer ? Almost Exactly right; it's 2.75mm, but I don't usually say that to the patient. I tell them that we want to move the gums away from the edge of the crown, period. In the front, we do try to NOT move the gums if possible; just the bone. One must still figure on losing about 1mm of gumline to recession after the surgery. FWIW, I have seen so many crowns in the mouths of my elderly patients that have been placed in violation of the biologic width, with no ill effects that I can see, that I question the whole concept somewhat. That said, I did closed crown lengthenings with the Laser on all the anterior crowns that I placed before the Laser went belly-up. That way you're pretty sure you won't get recession after you place your crowns. Cheers SP Cheers SP SignatureNot a real Addy, yet >> >> What is a crown legthening? >> > >> >Your gum tissue is moved farther up towards the root tip. This is to >> >expose more tooth to grab on to for the new bridge, and also to place >> >the bone edge far enough away from the crown edge so the gum tissue >> >stays healthy. Yes you got it right, but I can see how the patient might get confused here. >> I thought it was that the bone was removed, not that the gums were >> moved. Something about biologic width and 3mm. [quoted text clipped - 19 lines] >Cheers >SP >>> What is a crown legthening? >> [quoted text clipped - 5 lines] >I thought it was that the bone was removed, not that the gums were >moved. Something about biologic width and 3mm. WoW! Pretty decent from a non-dentist. QUITE GOOD. QUICK QUESTION: Are you really Vaughn Simon is disguise? He is the only guy who knows this. Webby is another very sophisticated dental patient. And that Jan Drew ...... quite a Break Dancer I hear. Joel Joel >>>> What is a crown legthening? >>> [quoted text clipped - 20 lines] > >Joel No, I've just been reading too many of Dan Melker's posts on the 'other white meat' dental site. -- Adenosine Semi-informed Dental Consumer ? >>> What is a crown legthening? >> [quoted text clipped - 5 lines] >I thought it was that the bone was removed, not that the gums were >moved. Well they both are 'moved' in laymen's terms. Apically repositioned flap after ossisection. >Something about biologic width and 3mm. 2mm -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE >> What is a crown legthening? > >Your gum tissue is moved farther up towards the root tip. This is to >expose more tooth to grab on to for the new bridge, and also to place >the bone edge far enough away from the crown edge so the gum tissue >stays healthy. One SLIGHT difference of opinion here ...... You got it right but I am clarifying a bit more ... Joel Hypertrophic GUM TISSUE ---> gingivectomy. Tooth busted below bone ----> crown lengthening (a.k.a. osseous recontouring) >> Is there anyway the old crown can be used. It fell off because the front >> tooth was rotting due to poor sealing. > >Then no, I don't think you want to put a loose-fitting crown back in >your mouth, unless it can be relined. If a post is installed, and a post-core is fabricated using a reverse post-core technique that it fits snug as a bug in a rug, not like the Puss-in-Boots you describe! You know Puss-in-Boots crowns? >JMO >SP > >> What is a crown legthening? > > [quoted text clipped - 23 lines] > > You know Puss-in-Boots crowns? No, that is new on me.... but then so much IS.... One minor correction/clarification: HyerPLASIC gum tissue = gingivectomy. HyperTROPHIC gum tissue = cleaning, supra or sub gingival P.R.N. > >JMO > >SP Thanks SP SignatureNot a real Addy, yet >> You know Puss-in-Boots crowns? >> >No, that is new on me.... but then so much IS.... One minor >correction/clarification: HyerPLASIC gum tissue = gingivectomy. >HyperTROPHIC gum tissue = cleaning, supra or sub gingival P.R.N. Puss-In-Boots was a cat character (cartoon) who wore those huge boots that hookers sometimes wear ...... they go up to the thigh and fit very loose ...... It mimics many crowns! Joel >Puss-In-Boots was a cat character (cartoon) who wore those huge boots >that hookers sometimes wear ...... they go up to the thigh and fit >very loose ...... Voice of exp ? Your chosen type of female companionship right ? Cause you have no other option ? Nevermind, you can afford it JME. -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE >>Puss-In-Boots was a cat character (cartoon) who wore those huge boots >>that hookers sometimes wear ...... they go up to the thigh and fit [quoted text clipped - 6 lines] > >Nevermind, you can afford it JME. This is information I gained from watching TV ........ >What is a crown legthening? >Is there anyway the old crown can be used. It fell off because the front >tooth was rotting due to poor sealing. REPLY CONTROVERSY AHEAD ......\ I have done extactly that hundreds of times. In walks a patient on medical assistance with zero possibil |
Enable EMail Alerts
Start New Thread
Reply to this Message