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Medical Forum / General / Dentistry / December 2005Crater Tooth Needs to be Pulled - How?
My Molar (the last tooth next to removed wisdom) was through a gum lengthening and route canal and fianlly capped 5 years ago. Now the cap is popping off and my dentist says there is some bone loss uner the tooth. When the cap is off and the tooth is exposed, there lies what looks like a crater of a tooth nicely surrounded by gum and sitting deep within and beneath the gum, with very shallow razor thin walls protrding above the gum on the left and right. I can remove and put the cap back on at my desire. My dentist recommends removing the tooth by his oral surgeon friend. The guy that referred me to him. ***How will a tooth like this be extracted when there is nothing to grab?*** The tooth is like half of an orange that was gutted half way down in the center and the peel and some orange is still left surrounding the crater. Or think of it like a 3/4 filled bowl of milk. The bowl is my gum and the milk is my tooth. >***How will a tooth like this be extracted when there is nothing to >grab?*** Don't worry about it, this is done every day. >The tooth is like half of an orange that was gutted half way down in >the center and the peel and some orange is still left surrounding the >crater. Or think of it like a 3/4 filled bowl of milk. The bowl is my >gum and the milk is my tooth. Interesting metaphors. / -- Whamatus Bemona W_B wubbabubbazG@RBAGE at yahoo dot com Should not be a problem -- I've done hundreds of these, and I'm not an oral surgeon. For an oral surgeon, this would be a typical and common situation he encounters several times every day. Good luck and let us know how it went! > My Molar (the last tooth next to removed wisdom) was through a gum > lengthening and route canal and fianlly capped 5 years ago. Now the cap [quoted text clipped - 12 lines] > crater. Or think of it like a 3/4 filled bowl of milk. The bowl is my > gum and the milk is my tooth. Cool. I guess you are a dentist, or if not are you guy who works out of the trunk of his car? Joel All teeth are removed by smeaking up under the gum and snatching the tooth out. I can also explain in layman's terms if any of the above is too sicentific. Joel > My Molar (the last tooth next to removed wisdom) was through a gum > lengthening and route canal and fianlly capped 5 years ago. Now the cap [quoted text clipped - 12 lines] > crater. Or think of it like a 3/4 filled bowl of milk. The bowl is my > gum and the milk is my tooth. Smeaking is like sneaking ....... OK, so you are saying that a tool will be used to sneak inside the gum, and grab the tooth to pull it upward? Why not drill a small bolt through the tooth to create an extension and pull on that? I mean, I'll be numb, and the tooth is RC'd anyway. I don't like people playing with my gums. They're sensitive. If you are numb, how would your gums be sensitive? If you try to pull that tooth, it will crumble, it has to be pried out. We have special tools for that. Often the gum tissue must be manipulated a bit to allow room to place those instruments. It is very easy stuff. Usually is less traumatic to manipulate the gums a bit and pry it out than to try to get it out without working the gums a bit.  Signature""""" Philip Atooth {Tooth mechanic extraordinaire} """" > OK, so you are saying that a tool will be used to sneak inside the gum, > and grab the tooth to pull it upward? Why not drill a small bolt > through the tooth to create an extension and pull on that? I mean, I'll > be numb, and the tooth is RC'd anyway. I don't like people playing with > my gums. They're sensitive. Philip is correct. Teeth aren't really 'pulled' anyway. The attachment fibers between the teeth and gums are torn/severed and the bone is usually expanded around the root slightly. This allows the tooth to be removed. Just grasping the tooth and pulling will net you a broken tooth or root. It has to be wriggled loose first. Kind of like removing a post in the ground. If you don't work it loose, you won't be able to lift it out. (another fence post analogy....oh oh <G>) Dartos > If you are numb, how would your gums be sensitive? If you try to pull that > tooth, it will crumble, it has to be pried out. We have special tools for > that. Often the gum tissue must be manipulated a bit to allow room to place > those instruments. It is very easy stuff. Usually is less traumatic to > manipulate the gums a bit and pry it out than to try to get it out without > working the gums a bit. >Kind of like removing > a post in the ground. If you don't work it loose, you won't be able > to lift it out. (another fence post analogy....oh oh <G>) How does W_B turn that into a brick wall analogy ? Signature/ Amatus / > Philip is correct. > [quoted text clipped - 17 lines] >> traumatic to manipulate the gums a bit and pry it out than to try to get >> it out without working the gums a bit. I guess we'll see if he's up to the challenge. :-) D >>Kind of like removing >>a post in the ground. If you don't work it loose, you won't be able >>to lift it out. (another fence post analogy....oh oh <G>) > > How does W_B turn that into a brick wall analogy ? You must break up the mortar before you remove the brick. >I guess we'll see if he's up to the challenge. > [quoted text clipped - 6 lines] >> >> How does W_B turn that into a brick wall analogy ? -- Whamatus Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com >You must break up the mortar before you remove the brick. ooh! Well done! >>I guess we'll see if he's up to the challenge. >> [quoted text clipped - 6 lines] >>> >>> How does W_B turn that into a brick wall analogy ? >>Kind of like removing >> a post in the ground. If you don't work it loose, you won't be able >> to lift it out. (another fence post analogy....oh oh <G>) > >How does W_B turn that into a brick wall analogy ? We don't need no education We don't need no thought control No dark sarcasm in the classroom Teacher leave them kids alone Hey teacher, leave them kids alone All in all it's just another brick in the wall All in all you're just another brick in the wall -- Whamatus Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com I didn't think we'd leave you speechless. :-) Dartos >>>Kind of like removing >>>a post in the ground. If you don't work it loose, you won't be able [quoted text clipped - 16 lines] > Take out the G'RBAGE > wubbabubbazG@RBAGEyahoo.com I don't need no arms around me And I don't need no drugs to calm me I have seen the writing on the wall Don't think I need anything at all No, don't think I need anything at all All in all it was all just bricks in the wall All in all you were all just bricks in the wall >I didn't think we'd leave you speechless. > [quoted text clipped - 21 lines] >> Take out the G'RBAGE >> wubbabubbazG@RBAGEyahoo.com -- Whamatus Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com >>>Kind of like removing >>>a post in the ground. If you don't work it loose, you won't be able [quoted text clipped - 16 lines] > Take out the G'RBAGE > wubbabubbazG@RBAGEyahoo.com If yeh don' eatcher meat, yeh can't get any pudding! How can yeh get any pudding if yeh don't eatcher meat? Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 >>>>Kind of like removing >>>>a post in the ground. If you don't work it loose, you won't be able [quoted text clipped - 14 lines] >> >> Whamatus >If yeh don' eatcher meat, yeh can't get any pudding! How can yeh get >any pudding if yeh don't eatcher meat? > >Steve Right on bro ! / -- Whamatus Bemoana wubbabubbazG@RBAGE at yahoo dot com I don't think they play that on my radio station. Signature/ Amatus / > >>>>>Kind of like removing [quoted text clipped - 28 lines] > wubbabubbazG@RBAGE > at yahoo dot com > I don't think they play that on my radio station. Then you are listening to the wrong station. You should be able to fix that. One of my favorites for the office is "Comfortably Numb". :-) Dartos Tomorrow our radio station is playing Beethoven all day in honor of his birthday. We were at the open rehearsal (at Orchestra Hall) last night to His 9th Symphony (Ode to Joy) Signature/ Amatus / > >> I don't think they play that on my radio station. [quoted text clipped - 6 lines] > :-) > Dartos > Tomorrow our radio station is playing Beethoven all day in honor of his > birthday. We were at the open rehearsal (at Orchestra Hall) last night to > His 9th Symphony (Ode to Joy) Beethoven..... Beethoven.......... hmmm...... Wasn't he the keyboardist for the Velvet Underground for awhile there???? SP SignatureTake out the TRAASH to reply >> Tomorrow our radio station is playing Beethoven all day in honor of his >> birthday. We were at the open rehearsal (at Orchestra Hall) last night to [quoted text clipped - 6 lines] > >SP What about Falco ? -- Whamatus Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com > >> Tomorrow our radio station is playing Beethoven all day in honor of his > >> birthday. We were at the open rehearsal (at Orchestra Hall) last night to [quoted text clipped - 9 lines] > What about Falco ? > -- groupie sp SignatureTake out the TRAASH to reply >> I don't think they play that on my radio station. > [quoted text clipped - 5 lines] >:-) >Dartos Comfortably Numb Hello... hello... hello Is there anybody in there Just nod if you can hear me Is there anyone at home Come on... come on now I hear you're feeling down Well I can ease the pain And get you on your feet again Relax... relax... relax I'll need some information first Just the basic facts Now can you show me where it hurts There is no pain, you are receding A distant ship smoke on the horizon You are only coming through in waves Your lips move but I can't hear what you're saying When I was a child I had a fever My hands felt just like two balloons Now I've got that feeling once again I can't explain, you would not understand This is not how I am I have become comfortably numb I have become comfortably numb Okay... okay... okay Just a little pinprick There'll be no more aaaaaaaah! But you may feel a little sick Now can you stand up... stand up... stand up? I do believe it's working, good That'll keep you going through the show Come on it's time to go There is no pain, you are receding A distant ship smoke on the horizon You are only coming through in waves Your lips move but I can't hear what you're saying When I was a child I caught a fleeting glimpse Out of the corner of my eye I turned to look but it was gone I cannot put my finger on it now The child is grown The dream is gone And I have become Comfortably numb -- Whamatus Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com Okay... [Okay... ] Now Just a little [Okay... ] web trick There'll be no aaaa...mal...gam.... But still you'll FEEL a little sick Now can you web surf... [web surf...] I do believe it's QuickTime... Six [web surf...] ? That'll keep you looking at the show Some little facts you didn't know.... ....Phuck All That.... www.pinkfloyd.co.uk SP SignatureTake out the TRAASH to reply >Okay... > [Okay... ] [quoted text clipped - 16 lines] > >SP Good one ! -- Whamatus Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com > >....Phuck All That.... > > [quoted text clipped - 3 lines] > > Good one ! Seriously: check out that web site. Lotta good clips SP SignatureTake out the TRAASH to reply >I don't think they play that on my radio station. Yeah, not much to choose from in Peoria. -- Whamatus Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com > >How does W_B turn that into a brick wall analogy ? > [quoted text clipped - 8 lines] > All in all you're just another brick in the wall > -- ....So you ride yourselves over the fields and you make all your animal deals and your wise men don't know how it feels to be thick as a brick. Ho Ho Ho SP SignatureTake out the TRAASH to reply >> >How does W_B turn that into a brick wall analogy ? >> [quoted text clipped - 17 lines] >Ho Ho Ho >SP Excellent. -- Whamatus Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com Isn't a split sometimes cut in the gum and the tooth taken out, and then the gum sewed back up. Is it ever done and is that a good method or are there drawbacks to it. Gail > If you are numb, how would your gums be sensitive? If you try to pull that > tooth, it will crumble, it has to be pried out. We have special tools for [quoted text clipped - 13 lines] > > be numb, and the tooth is RC'd anyway. I don't like people playing with > > my gums. They're sensitive. Thanks, I know that you gave me good advice before. I posted an image what my tooth might look like from the side at my http://www.mywebnj.net/tooth.gif web site. I think it's missing the Enamel and Dentin. Again, it's like a crater and lyes beneath the gum line. It's the last bottom left molar in my mouth since all my wisdom teeth are removed. The thing I'm concerned about and that you may not see in the image is that when looked at from a "birds eye" view, the tooth appears like it has become semi-impacted, because the gum looks like it has grown over and around the flattened tooth. Would one need to cut the gum around it to obtain a hold on it, or still smeak between the gum and tooth to dis-lodge and extract in a situation like this? Guessing in the dark here, not a dentist. Perhaps it has been answered so no further comments by the dentists. Perhaps breaking up the mortar and then removing the brick is like cutting the gum, and removing the tooth. If some of the examples do not fit nor can be interpreted, might as well give up. It doesn't seem to be as big a problem as we may think. Gail > Thanks, I know that you gave me good advice before. I posted an image > what my tooth might look like from the side at my [quoted text clipped - 7 lines] > to cut the gum around it to obtain a hold on it, or still smeak between > the gum and tooth to dis-lodge and extract in a situation like this? > Would one need > to cut the gum around it to obtain a hold on it, or still smeak between > the gum and tooth to dis-lodge and extract in a situation like this? Maybe yes, but first thing I'd do is section the roots,and then try to elevate one against the other to lift them out. If needs be, the gum may be opened like opening an envelope for better access. I don't think this tooth will be that much of a problem, in spite of bombed-out appearance. Cheers SP SignatureTake out the TRAASH to reply great. thanks. Just for curiosity, what kind of tooth extractiin situation is a problem? >great. thanks. Just for curiosity, what kind of tooth extractiin >situation is a problem? None, they're all easy, some are just easier than others. -- Whamatus Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com |
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