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Medical Forum / General / Dentistry / May 2005problems with crown prep
Yesterday had back molar prepared for crown and temp put on .Today the gum around the tooth is swollen and very sore there is also a large ulcer near the tooth also I think this could be because the saliva pad was cutting into this area when the work was being done why do they have such sharp edges on them?Anyway is this normal ? Thanks. > Yesterday had back molar prepared for crown and temp put on .Today the > gum around the tooth is swollen and very sore there is also a large > ulcer near the tooth also I think this could be because the saliva pad > was cutting into this area when the work was being done why do they > have such sharp edges on them?Anyway is this normal ? Thanks. Hard to tell. _Some_ inflammation around the gum may be seen, especially if the prep was made to under the gumline. This would be unusual in the back tooth area unless it would be needed to have enough tooth for the crown to grab onto. If it doesn't resolve tomorrow, I would say ask to have it verified by your dentist. Hope this helps SP  SignatureFinally: take out the TRASHH thanks for your reply.Yes there was not much tooth left so prehaps that is why it had to go under the gumline further than what is considered normal.Why did my dentist push this string type thing under the gum it had a bitter taste also, any way it is feeling a bit better today I am rinsing with this stuff which helps with the pain the worse thing is this large ulcer on the outside gum which I think is from the saliva pad.Thanks again The string is called 'retraction cord'. If a crown prep goes below the gumline, it can be more difficult to get the impression material to the bottom of the sulcus (the impression must record all of the detail of the preparation for the lab to make a good fitting crown). The retraction cord pushes the gum slightly away from the margins of the prep and the bitter taste was a hemostatic agent to stop blood seepage into the sulcus while taking the impression. Some patients like step by step descriptions of treatment, and others just want to get in and out with the fewer details the better. Did they wet the pad before removing it or just pull it straight off after treatment? Could also be an injury from the suction tip. Soft tissue usually heals quickly in the mouth. The idea is to create as little colateral damage as possible, but s**t happens. Fawks > thanks for your reply.Yes there was not much tooth left so prehaps that > is why it had to go under the gumline further than what is considered [quoted text clipped - 3 lines] > this large ulcer on the outside gum which I think is from the saliva > pad.Thanks again Thanks for you great answer i should really be asking my dentist these questions but he seems so rushed usually is running late and I suppose time is money.Any thanks . I guess that dental care is often delivered at a pace that precludes a lot of chit-chat. I much prefer the days that everything runs on schedule and I have plenty of time to discuss what I'm doing and why. I imagine the patients enjoy those appointments more than ones as you describe too. I'd like to say that I never have that problem, but it happens more often than I would like. Sometimes this is due to production goals of the office. Sometimes it is due to poor scheduling. Sometimes it is due to a high demand for one persons services. Often it is exacerbated by accepting low fees with some insurance plans where it's hard to make money without very high production. In my case, there is a larger demand for dental services than there are dentists to deliver those services. Add in the fact that I don't want to work six ten hour days per week, and I am often very busy each day. Something to consider, Fawks > Thanks for you great answer i should really be asking my dentist these > questions but he seems so rushed usually is running late and I suppose > time is money.Any thanks . Maybe there is some excess temporary cement collected around the gumline that wasn't removed. Could be that the area near the cheek was very dry and got irritated by the pad but the area needs to be dry to do certain procedures on the tooth too. ares > thanks for your reply.Yes there was not much tooth left so prehaps that > is why it had to go under the gumline further than what is considered [quoted text clipped - 3 lines] > this large ulcer on the outside gum which I think is from the saliva > pad.Thanks again |
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