 |
 | Home | Contact Us | FAQ | Search & Site Map | Link to Us |
 | Sign In | Join | Other 45 Sites in Network |
Medical Forum / General / Dentistry / March 2005What'd YOU do???
Before: http://tinypic.com/21ogw1 About 9 months after: http://tinypic.com/21oh03 Into the theoretical and practical debate as to whether or not mankind is better off with or without Am, and into the high propositions of some here who claim to not need this horrendous substance to promote oral health, I throw these two pictures (as I have said I would... I have others, but these are really quite representative of my practice). The lady is a fifty-ish college Philosophy prof who is as out there as can be, and is prone to depressive bouts during which her oral health obviously suffers. The question, without starting a war, SVP, is how in the name of Ste. Appolonia could I have put in anything else under the circumstances? THIS is what it is all about, and not high sounding theories on both sides. Thanks SP  SignatureNot a real Addy, yet > Before: > [quoted text clipped - 22 lines] > Thanks > SP Looks like real herodontics. Done, I assume, with the world's longest matrix bands! I can see how a ten-meter matrix band can get such a good margin on the distal of #13 and the mesial of #14, but what is that other restoration on the distal of #14? http://tinypic.com/21oh03 Congrats on a tough case. - dentaldoc Stove-Man, That is about as good a job as anyone could have done on those teeth. Far better than 90% of our brother-dentists could do. Those teeth would do best with indirect restorations. In the total un-willingness of the patient to get indirect restorations, amalgam is the only material I would consider that far up the root (and under the gingiva). In my hands, I would like to see porcelain bonded to these teeth. My experience has been a lot fewer RCT on teeth with caries that close to the pulp using bonded porcelain. The most difficult and the most important part of this kind of treatment is proper informed consent about the life the restorations and the likelihood of future RCT. 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. ...................... > >> Before: [quoted text clipped - 39 lines] > > - dentaldoc > Stove-Man, > [quoted text clipped - 3 lines] > get indirect restorations, amalgam is the only material I would consider > that far up the root (and under the gingiva). Good, thanks. I'm having real blockages trying to picture how you would get your impression, optical or otherwise. > In my hands, I would like to see porcelain bonded to these teeth. Even knowing that the patient falls off the deep end periodically, and her oral health suffers during those times? > My experience has been a lot fewer RCT on teeth with caries that close to > the pulp using bonded porcelain. I know that... you theorized that it may be because you don't have to temporize the teeth while the lab makes the onlay/crown. Less trauma to the tooth. > The most difficult and the most important part of this kind of treatment is > proper informed consent about the life the restorations and the likelihood > of future RCT. Yes. That is difficult. How long do you spend educating the patient about that once the exam is over? Thanks SP SignatureNot a real Addy, yet A little late but nice work SP Dan > A little late but nice work SP > > Dan 10-Q, Dan SP SignatureNot a real Addy, yet You try to do the education prior to scheduling the restoration. During the diagnosis and treatment plan appt. Make sure the patient knows this is not what you need to do to this tooth to get a reasonable life out your work and that you will not guarantee it beyond the first few months. I prefer to discuss "predictability" of dental work. I can predict that one type of restoration is will probably not fail in the next ten years while the patient is vacationing on the beach in Costa Rica. I cannot predict when the other type will fail and where the patient will be when that happens. The risk is up to the patient's desires and finances. 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. ...................... > >> Stove-Man, [quoted text clipped - 34 lines] > Thanks > SP > Looks like real herodontics. Done, I assume, with the world's longest > matrix bands! Nope, automatrix plus tofflemyer band vertically > I can see how a ten-meter matrix band can get such a good margin on the > distal of #13 and the mesial of #14, but what is that other restoration > on the distal of #14? Garden variety composite (Grandio by VOCO, IIRC) > http://tinypic.com/21oh03 > > Congrats on a tough case. Thanks > - dentaldoc SP SignatureNot a real Addy, yet |
Reply to this Message |
 Sign In
 Join
 My Latest Posts My Monitored Threads My Blog My Photo Gallery My Profile My Homepage Start New Thread Enable EMail Alerts Rate this Thread
|
©2008 Advenet LLC Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.