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micronut
Trad climber
Fresno/Clovis, ca
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Topic Author's Reply - Oct 26, 2016 - 09:12pm PT
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Hey there Crimper.....I hope you're healing well. I kind of forgot this thread existed. So glad you got that thing out. Keep 800mg of ibuprofen circulating in your system twice a day and slap an ice pack on that cheek of yours just along the jaw line a few times a day for the next two days. Between the ice and the ibuprofen you probably won't need much of the narcotic.
Feel free to put a bag of tortilla chips, one cup salsa, 1/2 cup margarita mix and three shots of Cuervo into a blender over ice. Blend until frothy, salt the rim of your favorite glass and enjoy. You can also finish the worm out of the bottom of the tequila bottle and place that between your cheek and gum for about 15 minutes twice daily. In the event the socket turns necrotic and gets infected, please make sure to post photos.
All kidding aside, heal fast and fully. The extraction is way more difficult than the implant placement. Reach out to me if you have any questions at any time.
Dr. Micro
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micronut
Trad climber
Fresno/Clovis, ca
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Topic Author's Reply - Oct 26, 2016 - 09:16pm PT
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Also, my apologies to those of you up-thread that I never reached back out to. Sometimes I stay away from the Taco for a while and this thread must come and go without me noticing it. If you still have questions, feel free to repost or fire away with new ones.
Scott
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Russ Walling
Social climber
from Poofters Froth, Wyoming
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Oct 26, 2016 - 09:18pm PT
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Micro... Still waiting on the sack of falsies you were trying to score for me. Update please.
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Crimpergirl
Sport climber
Boulder, Colorado!
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Thanks Micro...No narcotics used (except some margaritas). I have gnawed VERY CAREFULLY on some corn chips. Unlike normal, I grow tired of eating them long before I rifle the entire bowl of them.
Head back today to get the "dissove-able" stitches out. They have not dissolved a bit! Can't wait to be rid of them - especially the one that I swear is in my tonsil.
I do fear I have some dry socket going on. Boo. I will do my best to post any bloody nasty photos (I regret not grabbing a photo of the pieces of that mofo tooth when the procedure was done).
Be glad when it's all over. Happy to have dental insurance that pays but a fraction of this. It's not much, but I'll happily take it!
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Reilly
Mountain climber
The Other Monrovia- CA
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What a coinkidink! Just back from my quarterly cleaning with my favorite
dental hygienist - Madame Torquemada. Rest assured, I DIDN'T ADMIT TO NOTHIN'!
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Crimpergirl
Sport climber
Boulder, Colorado!
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Seven evil stitches gone! The throbbing has diminished greatly. Looks like I may be avoiding the dreaded dry socket. Yay!
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SC seagoat
Trad climber
Santa Cruz, Moab, A sailboat, or some time zone
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^^^^^. Oh thank gawd.
Had one a million years ago and oh boy....oh boy....
Heal fast!!!
Susan
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Ben Harland
Gym climber
Kenora, ON
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I have a question that you may know the answer to: I'm interested in synthetic tooth enamel. A japanese dental researcher has been doing tests for some years on one and I haven't heard anything for five years or so. Is it coming soon? Is it a white elephant?
In the early days, it made the news media and I'd love it to get developed as a guy with enamel wear issues. Any opinion welcome!
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apogee
climber
Technically expert, safe belayer, can lead if easy
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OK, micro...here's a question for you....
I've been toying around with having several front teeth crowned...I've got a chipped front tooth that I've had since I was a kid, and for the sake of visual consistency, crowning several teeth at the same time seems like the only option. (Veneers don't seem to be an option, given the chipped tooth.)
What do you think of the CEREC process of creating crowns? Is it reliable technology these days? Does it do a good job of matching colors? Are the materials as durable as any other option?
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Fossil climber
Trad climber
Atlin, B. C.
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Micro - really, really good of you to offer this service. There should be more like you.
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jbaker
Trad climber
Redwood City, CA
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Thanks for doing this, Micronut! My dentist told me I need a planing and descaling. My wife and son went in the next week and were told the same thing. Is this a new (or newly covered procedure) that is legit, or just a new way to monetize patients?
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micronut
Trad climber
Fresno/Clovis, ca
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Topic Author's Reply - Nov 4, 2016 - 02:48am PT
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Apogee the CEREC in-house milling system is the bomb. The machine alone is around $100,000 and there is significant training for a dentist to get on board with the technology. Most guys who purchased one and do all the training really know what they are doing. But there is a learning curve to it as a practitioner. I would ask the guy how "long have you been doing this?"
It's pretty high-tech CAD/CAM technology and the key is getting good aesthetics. It's a total no-brainer on back teeth but they mill those things out of solid blocks that don't have a lot of color variance. To do a front tooth and make it look nice and translucent and natural takes real skill and some baking time in the kiln/oven after they hand paint the final product usually. So for back teeth they just mail it out of a white this block that is pretty close to a natural tooth. Front teeth are a different animal altogether and often a laboratory technician who stacks the porcelain and bakes it and does the creative process of colorization can get you a better long-term cosmetic crown that you will be happy with.
Look your dentist in the eye and ask him if he would put the ceric crowns on his front teeth or have a lab do it. If you have a lab do it it will take an extra week or so but you might end up with a better smile. If they can do the custom colorization in house then I would probably go for it. Bottom line, do not let them cement those crowns unless you absolutely love them. Even if they have to remake it and eat the cost after the try-in. Tell them that ahead of time. You need to see those crowns in your mouth without cement Tatian before committing to saying yes I'll buy them. Once they cement/glue them and they are yours to keep. I would probably even asked to walk outside and see them under different lighting then in the dental chair. It's a huge investment and you need to love them or you'll kick yourself.
And to answer your question, yes. The material (eMax usually ) is just as durable if not more durable than your typical porcelain restorations.
Good luck. And remember, you can always go gold up front. Lasts forever.
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micronut
Trad climber
Fresno/Clovis, ca
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Topic Author's Reply - Nov 4, 2016 - 02:55am PT
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Jbaker,
Scaling and root planing is a valid procedure if you have the beginnings of gum disease. There is normally a 2-3 mm pocket around the tooth but if bacteria get down inside that pocket and start to breakdown of the soft tissues you get tartar buildup and bleeding and eventually bone loss from gum disease.
If that pocket is in the four-five millimeter range then deep scaling and root planing is required as a simple cleaning will not be able to get deep enough to get rid of the inflamed tissue and subgimgival build up.
If the pocketing becomes 6-9 mm we do gum surgery to repair the damage.
Scaling and root planing is not indicated for pockets less than 4 mm deep. Ask to see your periodontal charting and have them show you in your mouth where the deep sites are. Also, ask them if you should be seeing a periodontist.
Many general dentist offices use it as a money earner. I see it all the time and they often talk patients into it who do not need it.. Many are just good and diligent and use it on their patients when they need it or refer them to a periodontist like me. A Periodontal office does the deep scaling over four visits. One hour each visit for each of the quadrants. You will get anesthetic and they will numb you good and thoroughly. You should not need any pain medication after the work other than motrin. Pretty mild procedure. And our office it is $240 per quadrant. That's in a moderate sized town in California. That should give you some idea of what you're looking at.
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micronut
Trad climber
Fresno/Clovis, ca
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Topic Author's Reply - Nov 4, 2016 - 02:57am PT
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Thanks Fossil. This thread is actually kind of rewarding believe it or not.
And as far as the Dremel tool is concerned. You would be surprise what I see.
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Reilly
Mountain climber
The Other Monrovia- CA
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A Dremel? I wish! Madame Torquemada just uses her Swiss Army knife!
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High Fructose Corn Spirit
Gym climber
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Nov 30, 2016 - 07:49pm PT
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Crimpergirl, if you're still around, could you share what your molar symptoms were before you elected to get your tooth pulled and implanted.
What was your pain history with this particular tooth. Did it start making noises weeks, months or years before you made the decision to get it pulled?
Knowing what you know now, is there anything you would've done differently at any point along this process? re root canal, etc?
Very curious here.
My #31 (right bottom furthest rear molar) has been presenting once again with enough discomfort that I've shifted to left-side chewing all the time now. I'm ready to defer 100% to my dentist who thinks we need to drill out an old composite, see if there's any infection under it and proceed from there. This is to happen next week.
In the interim I'm wondering if it might be a case of just grinding my teeth as that possibility was raised as well.
So I remembered this thread and your posts and was wondering what your history profile regarding said tooth was. Maybe anything you can describe in this regard might be helpful? Any feedback welcome. Thanks.
Did your tooth x-rays show anything pathological? My x-ray on this tooth continues to show healthy roots.
For the next few days I'm going to be sleeping with a plastic tooth guard that once upon a time I had casted for bleaching - just to see if this could prevent any suspect grinding and aid healing. Wouldn't that be something if that was all it was. Fingers crossed.
If it turns out I in fact need a root canal, which I hear can be problematic, I might just bypass this altogether and go straight for an implant, which the dentist says is strong as anything. I'd love to have that capability and feeling of max strength back.
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Jaybro
Social climber
Wolf City, Wyoming
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60 yr old with minimal ACA policy, a mouth full of holes, dropped fillings,cracked crowns, broken teeth, no money.
Where should I start?
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G_Gnome
Trad climber
Cali
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In Thailand!
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skcreidc
Social climber
SD, CA
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I bought a Dremel tool a while back. There was a warning on it: "Not for use in dental applications". Why do they need that warning?
This is one litigious society we live in. On the other hand do the RPM go high enough on those suckers?
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micronut
Trad climber
Fresno/Clovis, ca
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Topic Author's Reply - Dec 1, 2016 - 10:17am PT
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My #31 (right bottom furthest rear molar) has been presenting once again with enough discomfort that I've shifted to left-side chewing all the time now. I'm ready to defer 100% to my dentist who thinks we need to drill out an old composite, see if there's any infection under it and proceed from there. This is to happen next week.
In the interim I'm wondering if it might be a case of just grinding my teeth as that possibility was raised as well.
So I remembered this thread and your posts and was wondering what your history profile regarding said tooth was. Maybe anything you can describe in this regard might be helpful? Any feedback welcome. Thanks.
Did your tooth x-rays show anything pathological? My x-ray on this tooth continues to show healthy roots.
For the next few days I'm going to be sleeping with a plastic tooth guard that once upon a time I had casted for bleaching - just to see if this could prevent any suspect grinding and aid healing. Wouldn't that be something if that was all it was. Fingers crossed.
If it turns out I in fact need a root canal, which I hear can be problematic, I might just bypass this altogether and go straight for an implant, which the dentist says is strong as anything. I'd love to have that capability and feeling of max strength back.
Fructose,
Heres a couple thoughts.....
1. Yeah, let the dentist go in there and excavate first. Once he gets in there a few things will dictate the next step. He will either
a) remove the decay ad do a filling. Done. All better.
b) if the decay is extensive (ie. more that 1/3 the tooth) you might need a crown over the top to keep it from fracturing down the road.
c) if the decay is REALLY deep and into the pulp you will need a root canal and a crown. This gets expensive but if the endodontist gives it a good prognosis and the dentist thinks he can make you a great crown, then that's still better most of the time than extraction. My wife just had this done and we decided to do the root canal and the crown becauyse she still had lots of good tooth and root down there and I personally know the endodontist and the dentist and they do impeccable work.
d) he will keep excavating and find that there just isn't enough sound tooth structure (or a fracture is seen or suspected) and the tooth will be deemed hopeless.
In which case you would move toward extraction, a bone graft (minor deal...just involves putting some freeze dried cadaver bone into the hole like potting soil to help grow new bone and provide for a nice solid base for the implant) and a dental implant. This is a fantastic option and one that will most likely last you the rest of your life. I do a few hundred of these a year and patients love them once its all done.
A big filling, root canal and a crown can run you a few thousand dollars and if the tooth is still a bit dodgy then sometimes its prudent just to go with the implant and pay a bit more.....rather than end up with an implant in a few years anyway.
Hope that helps!
Scott
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