The Dental Topic Thread: I'd like to be a resource if needed


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Trad climber
a semi lucid consciousness
Nov 27, 2012 - 10:18pm PT
Awesome, THANKS THANKS... I may have a question later... I will take it offline. You are a kind hearted person!

Trad climber
Brea ca.
Nov 27, 2012 - 10:23pm PT
Thanks for this thread micro....

Regarding extractions and implants, I have had multiple extractions, and need to have another done soon. The last time I had one done, they recommended a bone graft, which was quite a bit more money than I could afford, but i paid for it anyway. Is the graft to make it easier to add an implant later? Or is it for another reason? I'd never been told I needed one before, and was curious as to why I would need one now.

Trad climber
Nov 27, 2012 - 10:35pm PT

you can have an implant if there is bone to put it in. Adding bone to a fresh hole in your jaw is the best/easiest/cheapest way to ensure there will be.

Things have changed recently and now we always recommend a bone graft in a location where an implant or even a partial denture could be used later. People change their minds, I want them to have that option.


Social climber
Nov 27, 2012 - 10:41pm PT
OK, Micro: bridge or implant?

I got a couple that need it, and the bridge looks like a quick solution, but the implant seems like a better long-term solution requiring some money and time sacrifice out of the gate...


Thanks again for being a resource for something that is difficult for many of us.

Erik Wolfe

Sport climber
mammoth lakes ca
Nov 27, 2012 - 10:55pm PT
I always wanted to look like Freddy Mercury....RJ

Trad climber
Nov 27, 2012 - 11:35pm PT
Implants are normal to floss/live with.

If you get a bridge, what do you do with it if one of the teeth gets a cavity? The whole bridge (3 teeth) is affected. It happens a lot because bridges are a pain to floss under and get neglected. Plus, every time you drill a tooth, you chance killing the nerve and needing a root canal.
Why increase that risk to adjacent teeth with a bridge?

If you have no bone to put an implant in, or smoke, or have gum disease, not many dentists will jump at the chance to lower their 95% success rate record by putting an implant in that environment.

So then you could get a bridge with a very thin replacement tooth hanging between the other two so that you can clean/access the space between a lot easier. Makes it airy, almost can clean it out with your tongue, but it also would look funny if it is in a visible location.

Just some things to think about before you commit.


Social climber
somewhere that doesnt have anything over 90'
Nov 28, 2012 - 12:12am PT
Thanks for your offer! I just liked you on facebook.

I just had dental implants in Mexico and I heard that Mexicans are coming to the states now because implants are becoming more affordable here.
Is that true?
Ken M

Mountain climber
Los Angeles, Ca
Nov 28, 2012 - 01:46am PT
Thanks, docs!

I've wondered over the years about waterpics....useful, or gimmick?
They seem to have stayed around.
Mighty Hiker

Vancouver, B.C.
Nov 28, 2012 - 01:50am PT
What about the various mechanized toothbrushes? Do they work well? Who should use them?

Boulder, CO
Nov 28, 2012 - 01:53am PT
Ok. About once a year, a thread gets started by someone in need of dental advice

...raises guilty hand....

Trad climber
Nov 28, 2012 - 01:55am PT
I give waterpiks away to invisalign/ortho patients along with the newest sonicare toothbrushes when they start treatment.

Sonicare toothbrushes are amazing. You just hold it still over each tooth for 5 seconds per side (3) and angle it up into the gums a few degrees when you brush the front or back. I have seen big improvements with patients in 6-12 months when they start brushing - either they weren't brushing before, or that toothbrush is actually working better than not. I think that a lot of people act like they are sawing their teeth off with regular toothbrushes which isn't effective, so learning to use a new toothbrush that works properly - even if they don't brush more times per day - can actually make a difference.

Using waterpiks are better than doing nothing, but if I could only use that or floss, floss would be the best choice.

I just met a guy who has used a chewed up stick his whole life to clean his teeth. I gave removed 4 of his back teeth, then gave him a toothbrush.

Trad climber
Topic Author's Reply - Nov 30, 2012 - 11:41am PT
Mr E. I like this little video. It pretty much sums up my feelings.

There are RARE times a bridge is a better option. Usually when gum disease has undermined the bone and cosmetically an implant would be impossible. But with good bone and gum grafting, we can usually move people towrds implants.

Also, implants will not become prone to recurrent decay. If you do a bridge, and in five years one of those prepared/abutment teeth holding the bridge in gets decay, you have a real situation. This can mean re-making a new bridge, or losing a tooth and making an even longer, more expensive, weaker bridge.


Trad climber
Topic Author's Reply - Nov 30, 2012 - 11:47am PT
Good answers by Tooth on all the above questions.

The key is effectively removing the soft, filmy plaque (teeming with bacteria) every 18-36 hors. That's all you gotta do, you just have to do it gently and thoroughly and effectively. You can do it with a nice regular soft need for all the expensive tentacles and curb feelers on some of these things these days............and some good old fashioned floss. Its what I do and I get all that stuff for free.

But, if you have kinda low motivation or sensitive gums or build up plaque quickly or just want the best thing with the least dexterity and skill needed, the Sonicare is awesome. Get one. Use it. You'll get good grades from your pretty hygienist at your next visit.

But with the Sonicare, just let it do the work. Just hold it gently with your fingers. Hold it with three fingers if you are an OCD scrubber and already dealing with recession.

Trad climber
Topic Author's Reply - Nov 30, 2012 - 11:56am PT

If its at all possible, make sure you have the bone graft placed when the tooth comes out. Especially if the tooth is difficult to extract, resulting in some destruction or removal of the socket wall. It's expensive, I know (My surgical extraction fee is $195.00 and the bone graft is $500.00) but you maintain the integrity of the site for a nice implant or possibly a bridge down the road. If not, that "hole" will resorb a good bit, not always, but 90% of the time 20%-60% bone volume reduction is expected according to some studies.

If the bone "goes away", you may not be an implant candidate down the road. Or, you might, but will need the bone grafting before the implant, which can actually cost quite a bit more due to the complexity of grafting a skinny ridge vs. just filling the hole at the time of extraction. My "ridge graft fee" can creep up into the $1000.00 range for a one hour appointment, with graft material, collagen matrix/membrane and screws to hold the graft in place.

Talk to your dentist/surgeon and let him know you really want the graft. If its a financial burden, let him know you believe in the graft but just can't do it. I often give away/pay for people's grafting if they are really in need and are genuinely unable to pay for it since I believe in it so strongly.


Trad climber
Central Valley, CA
Nov 30, 2012 - 03:31pm PT
+2145154512151212510 for Micronut!

He's worked on my grill a couple times. Class act.
John M

Nov 30, 2012 - 04:11pm PT
Just wanted to say.. Tooth and a few other dentists have answered questions for people for years now on the taco.

thanks Micronut and Tooth and all of you other dentists. This is way cool.
Mighty Hiker

Vancouver, B.C.
Nov 30, 2012 - 04:22pm PT
Yes, thanks to both our toothy friends!

Are there alternatives to the soniccare device to consider? If there are sub-types, is any one preferable to others?

Despite diligent flossing and brushing, I have to get my teeth professionally cleaned three or four times a year, and my dentist has suggested the sonic care.

Mountain climber
San Diego, CA
Nov 30, 2012 - 05:09pm PT
Thanks for your willingness to share your wealth of knowledge! That is a really cool thing to do. I'm thinking about doing the same kind of thing on here for my profession!

Trad climber
Topic Author's Reply - Nov 30, 2012 - 08:49pm PT
Thanks Yall, glad to help out a bit. This stuff is fun and easy for me. Like showin a newbie at the gym how to tie in. Its kinda second nature and fun to help.

Mighty Hiker,

Yeah, the others are pretty comparable in their ability to clean plaque. Honestly, plaque clings so loosely to the teeth you can get it off with little more than a light whisk and a spray of air sometimes. You can't remove tatar/calculus anyway, which is just mineralized plaque. The whole point is to use something you like so you'll use it.

The Sonicare cleans "Beyond the Bristles"...meaning it actually vibrates the plaque off at a micrioscopic ie: sonic level. It moves in a somewhat elliptical pattern and whisks off the plaque with the sonic frequency. You just have to get the bristles close, where the tooth meets the gum.

The others are just rotary. Meaning they spin or oscillate nicely, but the brsitles need to contact the plaque mass. I like the Braun and the Oral B as well. But if you're gonna shell out the coin for something with batteries, go with the sonic care. But ALWAYS GO SOFT or you'll be gettin gum grafts faster than Mark Hudon can jug a fixed line.

Nov 30, 2012 - 08:57pm PT
"The tooth will set you free."
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