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Medical Forum / General / Dentistry / April 2006Molar Band question
Hope it's okay to post here-- I'm an adult with braces, just got my lower ones on today. Because my molar on the right side has such a large filling, they put a molar band (ring?) on it. I was showing the braces to my husband later in the day, and he noticed that the banded tooth is now a bluish-gray color, whereas it was relatively white before...is this normal, or is it something I should be worried about? Should I report this to my orthodontist? There's no pain there whatsoever, could it possibly be a reflection of the steel ring? I've tried to find any info online but failed. TIA, Carolyne in TX > Hope it's okay to post here-- > [quoted text clipped - 15 lines] > TIA, > Carolyne in TX I'm inclined to say it's totally to be expected, but really no one will be able to tell without looking. I assume you are going back to the orthodontist--ask them. Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 >> Hope it's okay to post here-- >> [quoted text clipped - 21 lines] > > Steve Here's a picture: http://tinypic.com/view/?pic=spw46o Yes, I will be contacting her asap--just wondered if this might be some sort of emergency situation or something. I appreciate the advice! Carolyne >>> Hope it's okay to post here-- >>> [quoted text clipped - 29 lines] > > Carolyne The blue stuff is cement oozing out around the band. I don't use any cement this color, but I know the orthodontists do--my daughter returned from the ortho last week with the same blue-colored cement. Perfectly OK. Nice photo BTW--looks like a professional job! Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 >>>> Hope it's okay to post here-- >>>> [quoted text clipped - 38 lines] > > Steve Oh, not the bright blue stuff--I realized that is the cement. What concerns me is the actual color of the *tooth*--it was as white as the teeth around it before the band, and now it is bluish-gray-- significantly darker than the picture shows because I was taking the pic of my own mouth and it was awkward. :-) Are teeth transparent enough to 'absorb' the color of the steel band? My brother was hit in the face with a baseball years ago, and his front tooth 'died' and turned the same color my molar is--that's what was worrisome. Thanks for the compliment about the pic! <blushes> I try! :-) Carolyne > Oh, not the bright blue stuff--I realized that is the cement. What > concerns me is the actual color of the *tooth*--it was as white as [quoted text clipped - 12 lines] > > Carolyne Yeah, between the large amalgam and the band there's a lot of metal in and around that tooth, and the enamel is translucent, so it will look darkish. The tooth looks fine on the photo. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 I use the light cured "blue glue" all the time for band cementation. It makes it much eaiser to remove the extra cement once the band is removed, you don't miss as much as if the cement was the same color as the tooth. I agree with the last post about the translucent enamel being the cause of the seemingly discolored tooth structure. dr. Braces >> Oh, not the bright blue stuff--I realized that is the cement. What >> concerns me is the actual color of the *tooth*--it was as white as [quoted text clipped - 18 lines] > > Steve > I use the light cured "blue glue" all the time for band cementation. It > makes it much eaiser to remove the extra cement once the band is [quoted text clipped - 3 lines] > > dr. Braces Thanks. I assume it's resin. My daughter had headgear inserted into a buccal tube. It cranked the band off. They used this blue stuff to replace it--so far, so good. Steve >>> Oh, not the bright blue stuff--I realized that is the cement. What >>> concerns me is the actual color of the *tooth*--it was as white as [quoted text clipped - 18 lines] >> >> Steve Yeah it's some sort of resin, most are light cure, which is harder on some kids who just don't want to say still and even with dry angles, it's hard to keep it dry. Most of the time I use 3M Keytac cem, a glass ionomer, which has "anti cafity" material in it to help. Sometimes the resin based systems change color from pink to clear, or from blue to clear, when set and heated, and change back to blue or pink once air/water syinge is sprayed on it. dr. braces >> I use the light cured "blue glue" all the time for band cementation. >> It makes it much eaiser to remove the extra cement once the band is [quoted text clipped - 32 lines] >>> >>> Steve > Yeah it's some sort of resin, most are light cure, which is harder on > some kids who just don't want to say still and even with dry angles, [quoted text clipped - 5 lines] > > dr. braces I doubt you'd want to use a light-cure resin under a stainless steel band. But I use an adhesive in the office (Lute-it, by Pentron) that is light cure, but has a catalyst for self-cure applications (crowns, for instance). I have to ask my daughter's orthodontist what he uses--he appears to use some kind of total-etch bonding system--everything is in single-dose packets--very convenient--probably very expensive. Steve "Steven Bornfeld" <dentaltwinmung@earthlink.net> wrote ................. > I doubt you'd want to use a light-cure resin under a stainless steel band. > But I use an adhesive in the office (Lute-it, by Pentron) that is light [quoted text clipped - 5 lines] > > Steve I'm sure it works, just need a bright light and plenty of time. I have found that since I have minimal attachments welded onto the band (tube only) adaptation and final fit of the band is much better than can usually be achieved with the multiple options (tube, slot, HG tube ect.). Surprising the good old ZNPO4 works better than ever. Less decalcifications and loose bands. Sometimes simpler is better. If you wrap metal all around a tooth normal light diffraction will be reduced and the tooth will look darker. Even a small bonded bracket can produce changes in optics that alarm patients/parents. Easy to explain if you know what is occurring. Yeah Steve, there are all kind of great anchorage adjuncts out there. Kinda hard to explain nicely that you want a screw surgically placed to aid in anchorage control. Don't see much of that around here anyway. Those things are an open wound AFAIK - risk/reward deal. carabelli > "Steven Bornfeld" <dentaltwinmung@earthlink.net> wrote ................. > [quoted text clipped - 19 lines] > produce changes in optics that alarm patients/parents. Easy to explain if > you know what is occurring. Exactly what my ortho said this morning when I went to check!! Thanks, everyone for your input!! Very reassuring! :-) > Yeah Steve, there are all kind of great anchorage adjuncts out there. Kinda > hard to explain nicely that you want a screw surgically placed to aid in > anchorage control. Don't see much of that around here anyway. Those things > are an open wound AFAIK - risk/reward deal. > > carabelli we have been placing minipins "screws" for a few years now, and they work wonders for anchorage! intrusion, extrusion, class II correction, you name it! they are great most of the time we use a special topical for placement and no local, unless we encounter any problems, which is rare. i'll get the name of the topical if anyone wants, it's a compounded specially for us. Dr. braces > Even a small bonded bracket can produce changes in optics that alarm > patients/parents. Easy to explain if you know what is occurring. [quoted text clipped - 5 lines] > > carabelli > we have been placing minipins "screws" for a few years now, and they > work wonders for anchorage! intrusion, extrusion, class II correction, [quoted text clipped - 5 lines] > > Dr. braces No local?? Where are you putting these? Steve >> Even a small bonded bracket can produce changes in optics that alarm >> patients/parents. Easy to explain if you know what is occurring. [quoted text clipped - 5 lines] >> >> carabelli all over, maxilla, mandible, between roots, etc. >> we have been placing minipins "screws" for a few years now, and they >> work wonders for anchorage! intrusion, extrusion, class II correction, [quoted text clipped - 19 lines] >>> >>> carabelli about 80-90% only need topical no local, some they just need local no matter what. >> we have been placing minipins "screws" for a few years now, and they >> work wonders for anchorage! intrusion, extrusion, class II correction, [quoted text clipped - 19 lines] >>> >>> carabelli > about 80-90% only need topical no local, some they just need local no > matter what. I don't get it. Usually when I'm in bone I need to use something a bit (ahem) stronger. Steve >> Oh, not the bright blue stuff--I realized that is the cement. What >> concerns me is the actual color of the *tooth*--it was as white as [quoted text clipped - 18 lines] > > Steve Thank you! That's a relief! <whew> I'll still be checking with my ortho, just to be sure, but I'm not so worried now. Appreciate it! Glad I found this group--if I have any more questions or problems I forget to ask, I'll pop in here and see what you well informed posters say! :-) Carolyne in TX |
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