Re: Did I get a sloppy crown prep?

From: Patrick (PatrickSurname_at_xxyyyzzzz.com)
Date: 12/31/04


Date: Fri, 31 Dec 2004 04:22:03 GMT

Bill wrote:

> Patrick wrote:
>
>>Patrick wrote:
>>
>>
>>>He showed me the impressions when they were done. When he held
>
> them up,
>
>>>I could see light through the plastic where the prepped molar had
>
> almost
>
>>>touched the opposing tooth. He pointed that out and said he would
>
> have
>
>>>to adjust the opposing tooth (which has a medium-size filling in
>
> the
>
>>>center). He also mentioned that the impression showed the fracture
>
>
>>>line. I am thinking he didn't remove enough dentin.
>>>
>>>With a penlight and a pair of strong reading glasses I see two
>
> irregular
>
>>>4mm holes in the anodized surface of the aluminum temporary. In
>
> the
>
>>>holes I see white material, presumably either dentin or cement.
>
> The
>
>>>white areas are each about 2mm in diameter. I can't get floss
>
> between
>
>>>the temporary and its neighbor. Maybe the question is whether
>
> there is
>
>>>just a poor temporary fit or not enough dentin was removed.
>>
>>How common is it to have to cut holes in the temporary? Maybe I
>
> didn't
>
>>bite down hard enough before the cement hardened?
>
>
>
> With the preformed aluminum temporaries, it's more common.

Thanks for your kind reply.

So probably the white I see is cement rather than dentin? Is there an
easy way for me to tell?

> In a temp crown, the surface holes usually don't matter at all in a
> practical sense, as it will soon be replaced with the durable, final
> crown.

Okay, just worried that it meant he couldn't get the temp to fit (due to
not removing enough dentin), so they wouldn't be able to make the
permanent crown thin enough.

>>How common is it to be able to see much light through the plastic
>>impression?
>
>
> I think of an impression as silicone or rubber (even hydrocolloid), but
> the term "plastic" makes me think of a temporary crown. Plastic
> temporary crowns will usually show varying degrees of light. Most
> impressions will not, unless they are hydrocolloid. What was the
> impression material made of?

Probably I misused the term "plastic". Now that you mention it, I think
it was silicone. It was blue and soft ("rubbery") and semi-opaque like
silicone automotive sealant. It had a slight bitter taste.



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