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Medical Forum / General / Dentistry / January 2005

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Cosmetic dentist, treatment plan

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Rich - 06 Jan 2005 22:59 GMT
Is it possible to come up with a good treatment plan based on a molding of
teeth alone, without seeing any x-rays?

I'm 10% finished with orthodontic treatment. My teeth aren't terribly
crooked and I'm needing veneers anyway after ortho treatment. The dentist's
plan is to have the braces removed, wait about a month or two for the teeth
to move back a little, then he believes that he can fix my teeth up with
porcelain and then put a retainer on them for awhile. Does this sound like
anything you've ever heard of?

Is it off the wall for him to give me a treatment plan without seeing
x-rays. Of course I have these braces on, so I guess that would mess up the
x-ray?

And I'm second guessing my decision to even consider this. I'd wait until
the end of ortho treatment but these things are driving me absolutely nuts.

Thanks
Mark & Steven Bornfeld DDS - 06 Jan 2005 23:09 GMT
> Is it possible to come up with a good treatment plan based on a molding of
> teeth alone, without seeing any x-rays?

    It's unwise to propose a treatment plan without all necessary
information.  Has the dentist not examined you personally?

> I'm 10% finished with orthodontic treatment. My teeth aren't terribly
> crooked and I'm needing veneers anyway after ortho treatment. The dentist's
> plan is to have the braces removed, wait about a month or two for the teeth
> to move back a little, then he believes that he can fix my teeth up with
> porcelain and then put a retainer on them for awhile. Does this sound like
> anything you've ever heard of?

    Did you tell the dentist you were planning to discontinue orthodontic
treatment?  Does the orthodontist know?

> Is it off the wall for him to give me a treatment plan without seeing
> x-rays. Of course I have these braces on, so I guess that would mess up the
[quoted text clipped - 4 lines]
>
> Thanks

    I'd tell your orthodontist about your discomfort, and have all three of
you discuss your problems, your treatment goals, and come to an
agreement on the best way to get to point A to point B.

Steve

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

Rich - 07 Jan 2005 00:16 GMT
> > Is it possible to come up with a good treatment plan based on a molding of
> > teeth alone, without seeing any x-rays?
>
> It's unwise to propose a treatment plan without all necessary
> information.  Has the dentist not examined you personally?

Yes, he looked in my mouth for about 15 minutes straight. But no x-rays.

> > I'm 10% finished with orthodontic treatment. My teeth aren't terribly
> > crooked and I'm needing veneers anyway after ortho treatment. The dentist's
[quoted text clipped - 5 lines]
> Did you tell the dentist you were planning to discontinue orthodontic
> treatment?  Does the orthodontist know?

Yes I told him, and no the orthodontist doesn't know yet.

> > Is it off the wall for him to give me a treatment plan without seeing
> > x-rays. Of course I have these braces on, so I guess that would mess up the
[quoted text clipped - 8 lines]
> you discuss your problems, your treatment goals, and come to an
> agreement on the best way to get to point A to point B.

The problem is I don't see my orthodontist. I see his assistants. I haven't
seen his face since my first consultation with them. He's a big wig. He
doesn't even make trips to the local office here in my town. They have
several locations and spread themselves pretty thin. This is one thing that
bugs me.

Rich

> Steve
>
[quoted text clipped - 3 lines]
> Brooklyn, NY
> 718-258-5001
Tony Bad - 07 Jan 2005 01:14 GMT
> The problem is I don't see my orthodontist. I see his assistants. I haven't
> seen his face since my first consultation with them. He's a big wig. He
[quoted text clipped - 3 lines]
>
> Rich

In some states that isn't legal, however, it seems to be fairly common practice.

T
carabelli - 07 Jan 2005 01:26 GMT
"Rich" <nomore@spam.no> wrote ................

> Yes, he looked in my mouth for about 15 minutes straight. But no
> x-rays..............

..............> The problem is I don't see my orthodontist. I see his
assistants. I haven't
> seen his face since my first consultation with them.

IMO, that stinks.

>He's a big wig. He
> doesn't even make trips to the local office here in my town. They have
[quoted text clipped - 3 lines]
>
> Rich

I don't like what I'm hearing.  The treatment plan sounds plausible but who
knows from where I'm sitting.  I think it is time for you to get a second
consultation from a general dentist and one that will consult with your
ortho before starting any treatment on you (assuming here that he even
remembers anything about you).  Even if you have completed 10% of treatment
there can be unexpected relapse problems that the general dentist won't
expect unless he is familiar with your pre-ortho condition

carabelli (ortho - one office)
Rich - 07 Jan 2005 01:57 GMT
> "Rich" <nomore@spam.no> wrote ................
>
[quoted text clipped - 24 lines]
>
> carabelli (ortho - one office)

Sounds like a plan. I'll do that.

Rich
StovePipe - 08 Jan 2005 19:08 GMT
> The problem is I don't see my orthodontist. I see his assistants. I haven't
> seen his face since my first consultation with them. He's a big wig. He
[quoted text clipped - 3 lines]
>
> Rich

Hey Zeuss.... Thay would sure bug ME.... The dentist is obligated to see
you (ethically if not legally),  prescribe modifications, etc... The
assistants can do the work, but the dentist MUST be present, always...
At least that's how it is here in Kannaadaa
SP
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