Re: Can This Tooth Be Saved?

Steve, you're right, it's covered with a collagen membrane so it's
probably that and I'm not really acred about it. I'm not looking
anymore but what's really hurting is that the area right behind the
tooth on my palate is so raw where the instruments were. I wouldn't do
anything without calling the oral surgeon but is there anything
topical that can relieve it? I would rather put up with the pain that
mess anything up. I did take a percocet an hour ago and it's not
helping too much. I know from the past how sensitive this area is to a
little sore or pizza burn so I can expect this to hurt but how long
does this usually take to stop burning like this?

iOn Jan 9, 6:42 pm, Steven Bornfeld <dentaltwinm...@xxxxxxxxxxxxx>
wrote:
tenthmed wrote:
On Jan 9, 3:11 pm, goldbanjo <goldba...@xxxxxxxxx> wrote:
On Jan 9, 7:52 am, tenthmed <tenth...@xxxxxxxxx> wrote:

On Jan 8, 9:07 pm, goldbanjo <goldba...@xxxxxxxxx> wrote:
After all this, I owe you a conclusion. I got the graft. No awareness
of procedure, good stuff, no matter how many times I go through this,
I marvel at its efficiency. Home, slept for 2 hours, icing and glad to
have that monstrosity out of my mouth. Re: the wisdom tooth, we didn't
talk about whether or not he viewed my cat scan yet (I didn't want any
bad news today). We'll go over that when I have the follow up next
week. By the way, is a patient allowed to keep a tooth or does every
specimen have to go to pathology?
On Jan 8, 12:23 pm, goldbanjo <goldba...@xxxxxxxxx> wrote:
I don't know what a medial concavity is but the whole picture doesn't
sound to good as far as the fate of the abutment teeth and gum. Well,
I just had the impression done and killing time before my appointment.
I think I'll get the graft. My dentist is really honest with me and he
said the same thing, don't do it at a later time, doesn't make sense
when they can do it now. You've both helped sway my thinking. Thank
you so much!
On Jan 8, 11:53 am, Mark & Steven Bornfeld
<bornfeldm...@xxxxxxxxxxxxxxx> wrote:
tenthmed wrote:
On Jan 8, 9:41 am, goldbanjo <goldba...@xxxxxxxxx> wrote:
I just looked at my pocket chart and 10 says 212, 12 says 222 so I
guess these are ok. I wish I had more time to think. I would be
foolish to get the graft done later if I can do it now. Maybe I should
leave the option open for an implant. I am just scared of more
complications and pain from the graft but you're saying that shouldn't
cause more pain than an extraction, right?
On Jan 8, 9:34 am, Steven Bornfeld <dentaltwinm...@xxxxxxxxxxxxx>
wrote:
goldbanjo wrote:
Tenthmed, I guess it's just fear of the implant. I have so many odd
pains over the years in my teeth and psychologically, I would
anticipate pain with an implant, I just don't think it's the choice
for me. One of the anchor teeth is already crowned and I don't like
the idea of cutting into tooth 10, I understand your point but I'd
rather get the fixed bridge. If I later decide on an implant, I think
I can still get the graft, maybe I'm wrong about that. I am going to
see my general dentist in 2 hours to do the impression for the
flipper. I am wondering though what I asked, can the surgeon refuse to
do the extraction because I don't want the graft today? Thanks for the
reply.
        Personally, I wouldn't fear the implant.  This is a canine tooth,
right?  If you're anticipating a 3-unit bridge, generally the lateral
incisor is not the strongest abutment (holding) tooth.  If the lateral
incisor and first premolar surrounding the tooth to be extracted are in
good shape periodontally, and esp. if they have big fillings in them, it
is easier to rationalize grinding them down for a bridge.  The process
is also quicker than an implant (unless you're doing an immediate-load
implant, which at this point I wouldn't do, though others would argue
with me on that point).
        In my office, the implant would be somewhat more expensive, but that's
because I'm generally too inexpensive and I have to revamp my fees.  The
biggest disadvantage is the time wearing the flipper before you get a
permanent replacement.
        I don't want to muddy the waters--just want to be sure you're making
your decision for the right reasons.
Steve
Unless the bone on the chhek side of #11 has been blown away, the
graft material is placed into the socket and a fast dissolving
collagen plug is placed over it with a suture to secure the area. You
won't even know that anything was done other than the extraction. If
you decide to do it later (if you indeed don't have enough bone after
the remodelling process) then you are in for a big deal, more
discomfort, and a much greater fee.
Your probing depths are very good, but again, #10 does not have a
great root to serve as an abutment, and #12 has a mesial concavity on
the root. Since a bridge is harder to maintain than an implant,
patients tend to develop a periodontal pocket on the mesial of #12
abutment. Once the pocket reaches the concavity, the abutment #12 can
soon be lost. Check out the folks in line at the supermarket. There
are lots of people in their 40's to 60's with a nice big space where
#12 (as well as its contralateral twin #5) used to be precisely
because of this mesial concavity.
If you poll the group, we'd all rather have an implant I am certain.
        I'm not so down on #12 as you are, but otherwise I agree.  If we had to
eliminate all teeth with mesial root concavities, we'd have to take out
at least all the upper molars (and occasionally lower molars too).
        But your point is well-taken, and in my mouth I'd go for the
implant--certainly in the canine position.
The roof of my mouth above 11 is so sore, I can see how cut up it
looks. There is also a very tiny piece of bone or bone graft sticking
out of the socket. I was able to see this without moving my lip, just
with a mirror. Salt water is not helping and when I drink water, it
acts up. Yesterday I didn't have as much soreness, maybe because I was
still partially numb. I haven't taken anything but Advil and some
Tylenol and don't really want to take Percocet, which I have. How long
will this cutting feeling last, usually, in the hard palate? It feels
like someone is burning me with a stick. Is this usual and is there
anything that helps it?

 > > > > Steve

--
Mark & Steven Bornfeld DDShttp://www.dentaltwins.com
Brooklyn, NY
718-258-5001
Only teeth extracted in a hospital are routinely sent to pathology.

Don't fuss with it and quit trying to look at it. Don't be martyr,
take the Percs on top of the Advil.

        I agree.  Don't the surgeons usually cover the grafts with a membrane?
  Isn't that what he (she) probably sees?

Steve

.

Relevant Pages

  • Re: Can This Tooth Be Saved?
    ... is a patient allowed to keep a tooth or does every ... sound to good as far as the fate of the abutment teeth and gum. ... I think I'll get the graft. ... leave the option open for an implant. ...
    (sci.med.dentistry)
  • Re: Can This Tooth Be Saved?
    ... tooth on my palate is so raw where the instruments were. ... sound to good as far as the fate of the abutment teeth and gum. ... I think I'll get the graft. ... leave the option open for an implant. ...
    (sci.med.dentistry)
  • Re: Can This Tooth Be Saved?
    ... is a patient allowed to keep a tooth or does every ... sound to good as far as the fate of the abutment teeth and gum. ... I think I'll get the graft. ... leave the option open for an implant. ...
    (sci.med.dentistry)
  • Re: Can This Tooth Be Saved?
    ... foolish to get the graft done later if I can do it now. ... leave the option open for an implant. ... incisor is not the strongest abutment tooth. ... because of this mesial concavity. ...
    (sci.med.dentistry)
  • Re: Can This Tooth Be Saved?
    ... foolish to get the graft done later if I can do it now. ... leave the option open for an implant. ... rather get the fixed bridge. ... incisor is not the strongest abutment tooth. ...
    (sci.med.dentistry)
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