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Medical Forum / General / Dentistry / October 2005

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Extraction and Filling

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kylecline@gmail.com - 20 Oct 2005 19:38 GMT
I've got a question and I'm hoping to get a bit of advice, maybe from a
dentist here or someone with experience.  I'm 31 and just got my first
cavity because my wisdom tooth on the lower left has oblique angle and
is pressing against the tooth in front of it.  Where it is touching,
there is a cavity.  So, my dentist says I should have an oral surgeon
extract the wisdom teeth on the left side, then come back in after it
is healed to get the cavity filled.  I went for a second opinion.  The
second dentist gives the same prognosis.  But he recommended a
particular oral surgeon and said that if I coordinate, he will come to
the oral surgeon's after the extraction and do the filling while I am
under general anesthesia.

So, I have a couple of questions:
1.  Is this something that is normal?  It seems strange to me that a
doctor would work in a different doctor's office.
2.  Why would the first dentist recommend the two-step procedure
instead of a one-step procedure?
3.  Is it possible to fill a cavity on a tooth that is adjacent to a
messy and swollen gum site of extraction?

I'll check for responses here and in my email.
Mark & Steven Bornfeld - 20 Oct 2005 19:48 GMT
> I've got a question and I'm hoping to get a bit of advice, maybe from a
> dentist here or someone with experience.  I'm 31 and just got my first
[quoted text clipped - 17 lines]
>
> I'll check for responses here and in my email.

    It is a bit unusual.  I think it's a great arrangement for you, given
that general anesthesia is anticipated.  This is a significant sacrifice
by the restorative dentist.
    As far as placing the filling, if it is a resin filling I can see some
potential problems, esp. regarding knocking out any clot, or perhaps
some oozing interfering with any bonding procedure.  If the socket is
tightly sutured, it probably wouldn't be a problem for the extraction.
But the dentist who sees you will be in a much better position to tell
if there are any real risks.

Steve

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

Dave King - 20 Oct 2005 20:53 GMT
>> I've got a question and I'm hoping to get a bit of advice, maybe from a
>> dentist here or someone with experience.  I'm 31 and just got my first
[quoted text clipped - 29 lines]
>
>Steve

Not to mention using an air-driven high-speed handpiece adjacent to an
open wound which will not be water tight regardless of suturing. It
isnt the cleanest of surgical environments to begin with. I have dealt
with enough post-op infections that arose a few days after cleanings
that were preceeded by wizzie removal by only a few weeks. I would
recommend waiting until the mucosa is healed alot better, say 4-6
weeks.

dave
Dartos - 20 Oct 2005 22:53 GMT
Excellent point DK!  Glad you chimed in.

Besides infection, I once created an air embolis working on a lower
second molar where there wasn't much attached gingiva on the lingual,
and this was without any recent extractions.  I wouldn't want to be
using a high speed until things had healed somewhat.

Dartos

> Not to mention using an air-driven high-speed handpiece adjacent to an
> open wound which will not be water tight regardless of suturing. It
[quoted text clipped - 5 lines]
>
> dave
Mark & Steven Bornfeld - 20 Oct 2005 23:41 GMT
> Excellent point DK!  Glad you chimed in.

    Me too!

Steve

> Besides infection, I once created an air embolis working on a lower
> second molar where there wasn't much attached gingiva on the lingual,
[quoted text clipped - 12 lines]
>>
>> dave

Signature

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

W_B - 21 Oct 2005 15:20 GMT
Upper 1st premolar for ortho extraction.
Many years ago.

>Excellent point DK!  Glad you chimed in.
>
[quoted text clipped - 14 lines]
>>
>> dave

--

W_B
Take out the G'RBAGE
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