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


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Social climber
Nov 30, 2012 - 09:23pm PT
Thanks for the informative responses and video!

Umm, you guys do Grills?

Big Mike

Trad climber
Nov 30, 2012 - 09:35pm PT
Thanks for this thread micronut! Do either of you guys deal with snoring or sleep apnea? My girlfriend has been bugging me to go to the local dentist and look into one of those mouth guard type deals..

Trad climber
Nov 30, 2012 - 10:39pm PT
Yes, I treat sleep apnea patients. CPAP machine is the gold standard. In BC you have to get a physician to diagnose the disease first, then prescribe a sleep appliance which the dentist will make. We have to make sure it won't make TMD issues worse and do a lot of other things, but then it can be places and adjusted over a few weeks. People do love them and they can be used in conjunction with the CPAP machine.

Micronut, have you ever done rapid root extrusion on teeth that were barely in bone (with say 5mm of buccal bone loss) before extracting (over 6 weeks) and then done an immediate implant? Pulling down all that new bone until the gingival margins are in the right spot works great.

MisterE, my wife did gold veneers for a guy when she was in SoCal.

Trad climber
Santa Clara, CA
Nov 30, 2012 - 11:19pm PT
Wow! Nice gesture, Scott!

I have always had horrendous teeth since I was a boy. Gotten worse since. I think I have a good guy working on me now. We're doing a 5 year plan to get me back in shape.

Essentially, I need crowns across the rims. Almost all of them. Had 5 extractions too! Just too much decay and that f*#ks with bacteria getting into your heart, from what I hear.

I trust these guys. Fellow Italians. Paesanos. 'Infantino' is the practice.

One thing I hate about dentists is extractions!!! Madonna! I can handle drills and shots in the face, but yarding on a tooth is killer!

Dec 1, 2012 - 09:37am PT
" If everybody starts flossing, I'm outta work"

Well the dentist said it!

Flossing really changed my mouth. (that battery powered brush stepped it up a notch too!) Now I just have to deal with that old damage.......

Thank you Micronut and all you dental folk. I know where I'll make my next appointment.

Bob Jensen

Gym climber
Dec 1, 2012 - 09:59am PT
I just broke number 30 in half and had to have it pulled and grafted for the implant. Good news is you get the thing pulled and you have 9 months before you need to shell out the big bucks for the post and then you get another three months to save for the crown.

All in know is every time I open my mouth at the dentist it's a grand so micro yer 300 patients away from paying of that loan.

Thanks for the help thread.

Sport climber
mammoth lakes ca
Dec 1, 2012 - 10:54am PT
Tooth...A retired , old fart dentist mentioned that using baking soda was a good way to clean teeth..? What's your take on that...? Old wives tale..? RJ

Sport climber
mammoth lakes ca
Dec 1, 2012 - 11:02am PT
Thanks locker...I'll get that credit card number to your secretary as soon as i dig it out of my wallet...RJ

Trad climber
Dec 1, 2012 - 11:28am PT
Baking soda is the additive in some toothpaste that is equivalent to the sand in sandpaper.

You need it on your toothbrush as badly as you need it on your floss.

In reality, just the physical disturbance of smooth floss between your teeth, or nylon bristles massaging between your teeth and just under your gums will do the trick.

Toothpaste helps with all sorts of things (it's big business - bigger than actual dentistry itself) but those things aren't needed if you just brush and floss.

I can recommend it just for the simple reason that it won't cause problems other than excessive abrasion on your enamel if you go overboard with it.

Sport climber
mammoth lakes ca
Dec 1, 2012 - 11:38am PT
Locker...You get the one finger salute for that excessive charge of 165...Thanks tooth ...that makes sense with the baking soda...less is better..RJ

Sport climber
Boulder, Colorado!
Dec 1, 2012 - 01:51pm PT
I think it's been implied, but I want to make sure I understand something about flossing.

Like so many products, there are now a zillion types of floss to chose from. Are they equivalent? Or are certain kinds better? Some of friggin' ropes...who can get those between their teeth? Or worse, how do they get the stuck rope out?

Sport climber
Boulder, Colorado!
Dec 1, 2012 - 01:51pm PT
Oh, and by reading this thread, I was prompted to get up and floss right now.

(wipes floss projectiles off screen)

Sport climber
Boulder, Colorado!
Dec 1, 2012 - 01:58pm PT
Okay, one more question...

I have a fizzy water problem (e.g., club soda). I have a penguin (love it!). So is this as bad as coke? Less bad? Benign?

Thanks for this thread. It's terrific!

Trad climber
Topic Author's Reply - Dec 1, 2012 - 02:11pm PT
Hi Crimper,


Floss is floss really from a "does it work" perspective.

I like waxed because it feels a little more "grabby" in my mouth, and it tends not to shred. Un-waxed is totally fine too.

The thickness just depends on your contacts. If you have really tight contacts between the teeth, Glide (brand) is awesome. Gore tex if I'm not mistaken. Or some NASA type teflon, that stuff is super strong and absolutely will not shred.

If you have larger spaces, like pretty big, I like the "waxed dental tape". I use it in a couple spots, or I double up a regular strand to get in between where I have some slightly open contacts.

Day to day, I use floss picks. My wife buys the cheapo 100 pack and I floss while in my car. Theyre nice 'cause you don't have to get your fingers dirty and the dexterity required is far less than with fingers.

Lastly, there's a bit of an art to flossing that many people don't do. YOU GOTTA WRAP THE FLOSS BACK AND FORTH A BIT ON EACH SIDE OF THE CONTACT SO YOU COVER THE WHOLE SURFACE OF THE TOOTH. Ie: you need to think of it like you towel off your back. Teeth are convex. if you just snap it up and down, you aren't covering enough surface area to remove all he plaque. It doesn't take any longer. Just gotta do it with a little "wrapping" side to side. NO SAWING.


"You don't have to floss every tooth. Just the one's you want to keep."


Trad climber
Topic Author's Reply - Dec 1, 2012 - 02:26pm PT
Big Mike,

Sleep apnea is a real kiler and it messes with your other systems on a cellular level. Oxygen is your friend in a big way and the cumulative effect of hypoxia are a real issue for folks long term. See a sleep apnea specialist and start conservative. Then work toward more and more aggressive means. On the left side of the spectrum would be a dental appliance that oens/holds the lower jaw open and thus opens the airway a bit while you sleep. A major improvement for many people. The next step is a CPAP machine, then perhaps some combination of the two. On the far opposite end is surgery to open the airway and remove excess tissue that collapses on itself whle at rest. All of these can be great options.....BUT YOU NEED A GOOD DIAGNOSIS! A dentist is a great start......but somebdy who has training in sleep apnea and has been making appliances for quite a while and can tell you about his extra training and his success failures in treating apnic patients. Dental students do not learn enough about the art of treating sleep apnea in school.

A sleep study is the definitive way to get a diagnosis. You need to be measured for o2 intake and CO2 blow off. Over time. The numbers tell your story. How many episodes of "holding" long each episode, etc. Your skeleton and soft tissues of he airway also play a big role. So does neck diameter. Actually, there are great studies that show a direct correlation between neck diameter, weight, sleep apnea and sudden/premative death. Scary.

There's a great guy who is doing great things for people here in Fresno actually. If you really are BIG, Mike, PM me and I'll get you in to see him.

Lastly, sleep apnea stuff/treatment is often covered by medical, not dental. Cool eh?


Way out there....
Dec 1, 2012 - 10:35pm PT
Where Can I find a great, FREE dintist? I need help.

Social climber
Dec 1, 2012 - 11:01pm PT
Nobody's said "diastema" yet.

Tee Hee.
Ken M

Mountain climber
Los Angeles, Ca
Dec 4, 2012 - 12:32am PT
On the issue of Sleep Apnea:

I've treated many people with this, and have struggled with it as an issue when I was medical director of a group. Seemed like most everything was a waste of money.

It was accurately said that CPAP is the gold standard of treatment. It is also accurate that >90% that people who start on CPAP stop using it within 9 months.

It's as bad as flossing!

I think there are no great answers. When Niteguards help, that's great and simple.

I'm actually trying to put together a study on a novel approach: Use of Diamox. There is some evidence that it does change the numbers in studies, but not enough evidence to make recommendations. Wouldn't that be ironic?

Gym climber
It's not rocket surgery
Dec 6, 2012 - 10:35pm PT
How's it going Tarbuster?
I am having all 4 quadrants surgically cleaned, on #2 now.
Effen painful, long overdue.
Question to the Docs.
Do you prescribe/advise a stool softener with the viks?
I know it's kinda gross, but, no one told me....
I have appreciated this thread Micronut and Tooth and your advice since you started it. Thank you.

Sport climber
Boulder, Colorado!
Dec 6, 2012 - 11:17pm PT
Okay, a question.

About 1.5 years ago, at the suggestion of my dentist, I had a crown put on my back, lower left molar. It didn't bother me at all, but she said it had a big crack. I thought I'd be a responsible adult and get it fixed before it became trouble.

(I won't do that again!)

After the temp crown was put on, it started hurting. I've had a cracked tooth before that needed a root canal and I know what that feels like. That is what this felt like. So I had to go off to the must surly dentist in Boulder to get the root canal.

After it's done, my tooth still hurts. I get the permanent crown. I tell my main dentist at that time it still hurts. And every time I've been to the dentist since, I tell her that my tooth still hurts. Every time she tells me it can't hurt because it's had a root canal. Frustrating.

Finally, on my own after the pain had worsened greatly, I went to a new guy to get him to look at it and redo the root canal (or what ever needed to be done). The tooth had become increasingly painful. I had to go out of town for 3 weeks in a row and didn't want to get caught on the road suffering. This is about 4-5 weeks ago.

He pokes, he squirts water, pushes air - all that good stuff and announces I have a "complex" case. The tooth I'd had a root canal on was pressure sensitive ("duh" I'm thinking! - I'd pay someone to pull it for the instant relief!). And he says the sensitively (I call it slobber sensitivity since everything makes it hurt) is the tooth in front.

He does a root canal on the tooth in front (he was good!). I think that is tooth 19.

Since them, the very back tooth still hurts and I still feel like it'd be great relief to have it pulled. And the tooth in front of #19 now hurts like a mo-fo: it is now slobber sensitive. Sigh.

Is there such a thing as a chain-reaction tooth sensitivity. I suppose I can go back and get yet another root canal on the tooth in front of #19, but will that make the next one hurt too? I feel the sensitivity all the way into my front left teeth. It is primarily cold sensitively, though wind hurts a lot too.

Would love your thoughts on this. Hope it makes sense.

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