Re: Can this tooth be saved??

From: Joel M. Eichen, D.D.S. (joeleichen_at_yahoo.com)
Date: 06/07/04 

Date: Mon, 07 Jun 2004 06:54:25 -0400

MORE.......

MORE,,,

On June 6, 2004 at 9:07:52 PM 'brian' posted....

The average lifespan of a 3 unit bridge is an incredibly short 6.1
years. I can't quote the study, but it was noted at a recent CE course
that I attended for 3I implants. I'm sure that most dentists would
prefer a FPD given the already crowned bi, and a possibly large
amalgam on the molar. Implants will never be a large restoration
choice in this country until they are a covered procedure by ins
companies. The average general dentist and prosthodontist restore very
few implants per year. Given a choice, most patients will take the
option with insurance coverage. We can dither all day about what is
right, but the facts speak for themselves. Implant dentistry is great,
but there is a reason that implants are not being restored in many
offices.

On June 6, 2004 at 9:38:46 PM 'fmn1116' posted....

----------------
On 6/6/2004 8:03:42 PM apollonia wrote:
i've done a couple of these as hemisections with two crowns. i
might consider that here, only because the roots are so dang long that
i would probably have to hack out all the implant supporting septal
bone to get them out.

either way you look at it.... this is one ugly tooth.

----------------

If the endo was better, this would be a good case to do some
pre-prosthetic ortho with rapid extrusion after hemisection and
alignment of roots. (2 months). Gives more ferrule, more cleanable
than hemisection alone.
BUT it isn't a good endo, I would usually "take this sucker out and
throw it in the trash can" as an old friend used to say. then I would
do the bridge for the practicalities mentioned here of more ins
coverage, making the bicuspid more predictable (better fit) and deal
with the pathology on the molar. All as a good solution "kill three
birds with one stone".
10 years ago, I would have expected it to last who knows how long. 21
years into practice, I would never leave the impression it will last
even 20 years.
I would also spend time trying to get the patient more aware of
preventing disease so this decay process could be slowed down and
start using fluoride as a recall treatment and home care topical
treatment.
fmn

**

**

On Sun, 06 Jun 2004 14:16:22 GMT, "Hank" <hank_@comcast.net> wrote:

>A crown came loose on my #19 lower tooth (a root canal tooth). My dentist
>now feels that the tooth is too far gone for a reglueing or a post, and
>feels the only alternative is an extraction and bridge/implant. The film is
>at http://home.comcast.net/~sailing424/
>
>Should I seek other opinions or go ahead with the extraction? Is an implant
>the best alternative? One adjacent tooth is capped. I'm 55 & live in S.
>Florida
>
>Thanks! Hank
>

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