Humble Opinions Needed For Dental Disaster

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Bob Maxwell - 28 Mar 2006 20:02 GMT

I'll keep it short and to the point this time.

I have 2 molars on the top, broken off at gumline, need to be
extracted. 1 eye tooth, barely there also needs to be extracted.
Only good teeth on top are two front.
Bottom has 1 molar broken at gumline, abcessed and molar behind that
is broken almost to gumline - both need extraction.
Questions - should I have all extractions done at once or several
visits? General or local anesthesia? (I have had 3 other teeth
extracted with just local - all went ok - BP is an issue sometimes)
Should I just go ahead and have all my top teeth extracted and get a
nice denture or leave those 2 and get a partial?
Last question, how difficult is it to extract teeth that have broken
off below the gum line and are nearly covered back up by the gum?
ANY opinions/help/advice would be greatly appreciated.
BMAXWELL

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Mark & Steven Bornfeld - 28 Mar 2006 21:39 GMT

> I'll keep it short and to the point this time.
>
[quoted text clipped - 12 lines]
> ANY opinions/help/advice would be greatly appreciated.
> BMAXWELL

    Unless you're anxious, I'd opt for local anesthetic. If you're going
for general anesthetic, I'd be more inclined to remove all teeth at
once, to eliminate the need for repeat anesthetics.
    If you're having a local anesthetic, it's mainly your preference
(unless there's something we don't know about the clinical picture). If
the molars and eye teeth are truly non-restorable, it's unlikely that
retaining the two upper front teeth are going to help you much with a
partial denture. Unless you're a severe gagger, I'd go for a full
denture on the top.
    On the bottom, it's not clear to me if the 2 broken-down teeth are the
only remaining teeth. I will expend considerably more effort trying to
prevent a patient going to a full denture on the bottom than I will on
the top.

Steve

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

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