 |
 | Home | Contact Us | FAQ | Search & Site Map | Link to Us |
 | Sign In | Join | Other 45 Sites in Network |
Medical Forum / General / Dentistry / September 2005Advice please
My wife had number 37 (lower molar) removed after it split. Some weeks later she bit down hard while eating and number 36 split as well. That also had to be extracted (yesterday) as it had become infected. So now she has two missing on the same side. What would be next logical step? Is it possible/wise to do inserts for these teeth (assuming everything else is ok). What are the risks involved with inserts? The fillings in those teeth wern't particularly large and the two teeth the other side appear to be similar. Would it make any sense to do any precautionary work on these or is that tempting fate? >My wife had number 37 (lower molar) removed after it split. Some weeks later >she bit down hard while eating and number 36 split as well. That also had to >be extracted (yesterday) as it had become infected. So now she has two >missing on the same side. Step One: A complete survey and diagnosis about ALL of someone's teeth. Then when there is an unexpected splitting, the patient is informed beforehand! And the dentist is more-or-less on the line. Joel >What would be next logical step? Is it possible/wise to do inserts for these >teeth (assuming everything else is ok). What are the risks involved with >inserts? Yes inserts are a good idea. The insert can be an IMPLANT after the bone thoroughly heals (3 mo- 6 mo) or it can be a fixed, non-removable bridge, or it can be a removable partial denture. The defining characteristics have to do with what is doing on the other side of the mouth and what is doing with the patient's financial ability and/or committment. False teeth can appear and function like natural teeth. Joel Joel M. Eichen DDS >The fillings in those teeth wern't particularly large and the two teeth the >other side appear to be similar. Would it make any sense to do any >precautionary work on these or is that tempting fate? > >My wife had number 37 (lower molar) removed after it split. Some weeks later > >she bit down hard while eating and number 36 split as well. That also had to > >be extracted (yesterday) as it had become infected. So now she has two > >missing on the same side. Thanks for the reply - it seems those numbers she gave me must be local Belgian numbers or something. They don't match drawings on the web. According to this diagram... http://www.mistupid.com/health/teeth.htm the numbers are... 18 - extracted a few months ago 19 - extracted yesterday 1, 16,17 and 32 were all extracted 20 years ago. So she has three missing now on one side 17,18&19. > Yes inserts are a good idea. > > The insert can be an IMPLANT after the bone thoroughly heals (3 mo- 6 > mo) or it can be a fixed, non-removable bridge, or it can be a > removable partial denture. I guess with 17 missing that would limit the bridge options? > The defining characteristics have to do with what is doing on the > other side of the mouth The dentist/consultant that extracted 18 and 19 suggested her regular dentist might recommend capping 29,30,32 to prevent them going the same way. These teeth have amalgum fillings in the center of the tooth but they don't look really huge. > and what is doing with the patient's financial > ability and/or committment. I think she's mainly worried about the other side failing in the same way. > What would be next logical step? An NTI device.  Signature/ Amatus / > My wife had number 37 (lower molar) removed after it split. Some weeks > later [quoted text clipped - 12 lines] > other side appear to be similar. Would it make any sense to do any > precautionary work on these or is that tempting fate? > > What would be next logical step? > > An NTI device. Arent they usually worn at night? Can they stop you chewing too hard while eating? > Aren't they usually worn at night? Can they stop you chewing too hard > while > eating? You cannot use enough force *while chewing* to damage teeth. IF the teeth are already damaged from years of night-time clenching, or if the enamel is undermined from caries, then normal eating can be the tiny bit of pressure required to chip pieces off. But, chewing will not damage the teeth. Signature/ Amatus / > >> > What would be next logical step? [quoted text clipped - 3 lines] > Arent they usually worn at night? Can they stop you chewing too hard while > eating? Amatus Cremona Wrote: > > Aren't they usually worn at night? Can they stop you chewing too hard > > while [quoted text clipped - 12 lines] > > Amatus Amatus, Although isn't it possible to wear teeth down if your bite is off? My husband has an underbite. One of his top front teeth (sorry I do not know the number) is becoming significantly worn down due to chronic (and inappropriate) contact with his lower teeth. His dentist has suggested buildng this tooth up and re-setting his jaw. (The whole break the jaw, realign, rewire etc.). He relaly does not want ot undergo this extensive procedure. But my point is, chewing can wear teeth down prematurely when they are not aligned properly.. correct? (or not) Thanks, Sue SignatureSue >His dentist has suggested buildng this tooth up and re-setting his jaw. >(The whole break the jaw, realign, rewire etc.). He relaly does not >want ot undergo this extensive procedure. If he is short on money his wife can do it for him. > > Aren't they usually worn at night? Can they stop you chewing too hard > > while [quoted text clipped - 4 lines] > undermined from caries, then normal eating can be the tiny bit of pressure > required to chip pieces off. But, chewing will not damage the teeth. Thanks. I think it must have been the caries. She actually felt one tooth crack when eating. The dentist removed the filling and told her that it had a vertical crack/split. > Thanks. I think it must have been the caries. She actually felt one tooth > crack when eating. The dentist removed the filling and told her that it > had > a vertical crack/split. I hate to sound like a broken record, but vertical cracks, fractures, splits, are not due to caries nor are they due to chewing. Those are created by parafunctional activity. Signature/ Amatus / > >> > Aren't they usually worn at night? Can they stop you chewing too hard [quoted text clipped - 13 lines] > had > a vertical crack/split. >> Thanks. I think it must have been the caries. She actually felt one tooth >> crack when eating. The dentist removed the filling and told her that it [quoted text clipped - 4 lines] >splits, are not due to caries nor are they due to chewing. Those are >created by parafunctional activity. I was thinking more like parafunctional jeans designers ........ >> Aren't they usually worn at night? Can they stop you chewing too hard >> while [quoted text clipped - 4 lines] >undermined from caries, then normal eating can be the tiny bit of pressure >required to chip pieces off. But, chewing will not damage the teeth. There is another set of nightguards for night-time chewing and daytime clenching ....... |
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.