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Science Forum Index » Medicine - Dentistry Forum » Facing a root canal or extraction
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| Jan Drew |
Posted: Sun Mar 16, 2008 7:56 pm |
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<Newbie@bix.nex> wrote:
Note: The author of this message requested that it not be archived. This
message will be removed from Groups in 6 days (Mar 23, 10:06 am).
> |
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| Guest |
Posted: Sun Mar 16, 2008 9:13 pm |
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On Sun, 16 Mar 2008 20:14:37 -0400, Steven Bornfeld
<dentaltwinmung@earthlink.net> wrote:
Quote: Newbie@bix.nex wrote:
On Sun, 16 Mar 2008 11:33:12 -0400, Steven Bornfeld
dentaltwinmung@earthlink.net> wrote:
Newbie@bix.nex wrote:
Am currently using Fuji 9 as 'temp'.
Sometimes IRM for a 'hot' tooth.
Is Fuji 9 a glass ionomer?
Steve
Yes, comes in a trituration capsule with delivery spout.
So very easy to use, just squirt it in.
It comes with it's own etchant and a LC overlay.
Get the intro pack as it comes with the 'special' delivery/activator
device.
Great for closing up endo teeth too !
Am currently bonding some flowable over the
orifices and pulpal floor.
Then placing some 'bonded' Fuji 9 to close access and
act as a core BU.
Have even cemented crowns, rebuilt cusps, and used as
a restorative <its intended purpose> It's great stuff and cuts
much like enamel. A diamond is best for gross contouring.
and then you can finish it much like composite.
Thanks. Is it reinforced? I've used Ketac-fill for years, but it
certainly doesn't cut anything like enamel--very soft by comparison.
Steve
Am not sure if reinforced or not.
Have used Ketac-fill before and you are correct,
it is very soft comparatively speaking.
First time I used Fuji 9 thought it would cut like composite
and used a 'goldie' on it. Dang, it wouldn't even make a dent.
Went to using a diamond, and then finishing burs.
Fuji 9 is great as a BU material, get a sample pack.
You will be glad you did.
Am using a Wig-L-Bug for 10 seconds to mix.
Funny, it takes 10 sec for the primer/etchant.
Kewl.
You do have to rinse the etchant, and as I'm closing
an endo the dam is already on so...
Prime/Mix/Rinse/Apply, man it takes less than 15 sec.
Wait ~4 min to set. Even sets up hard in a wet environment.
Once your assistant gets familiar with the capsule activation,
it's a breeze. Shake/Plunge/Click once/Mix/Click 2 more/ hand to Dr.
You can 'pack' the material using a mini-brush with the LC liquid.
You actually don't have to cure it unless you are using as a
restoration (looks much better if you do).
Not the best esthetic material as a core but much better than
Fuji 2 Miracle Mix. Can even use Fuji 9 underneath all ceramics.
Also works well in abfractions. Cut a little retention though. 331
Try it ! You'll like it ! |
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| Steven Bornfeld |
Posted: Sun Mar 16, 2008 9:30 pm |
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Guest
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Newbie@bix.nex wrote:
Quote: On Sun, 16 Mar 2008 20:14:37 -0400, Steven Bornfeld
dentaltwinmung@earthlink.net> wrote:
Newbie@bix.nex wrote:
On Sun, 16 Mar 2008 11:33:12 -0400, Steven Bornfeld
dentaltwinmung@earthlink.net> wrote:
Newbie@bix.nex wrote:
Am currently using Fuji 9 as 'temp'.
Sometimes IRM for a 'hot' tooth.
Is Fuji 9 a glass ionomer?
Steve
Yes, comes in a trituration capsule with delivery spout.
So very easy to use, just squirt it in.
It comes with it's own etchant and a LC overlay.
Get the intro pack as it comes with the 'special' delivery/activator
device.
Great for closing up endo teeth too !
Am currently bonding some flowable over the
orifices and pulpal floor.
Then placing some 'bonded' Fuji 9 to close access and
act as a core BU.
Have even cemented crowns, rebuilt cusps, and used as
a restorative <its intended purpose> It's great stuff and cuts
much like enamel. A diamond is best for gross contouring.
and then you can finish it much like composite.
Thanks. Is it reinforced? I've used Ketac-fill for years, but it
certainly doesn't cut anything like enamel--very soft by comparison.
Steve
Am not sure if reinforced or not.
Have used Ketac-fill before and you are correct,
it is very soft comparatively speaking.
First time I used Fuji 9 thought it would cut like composite
and used a 'goldie' on it. Dang, it wouldn't even make a dent.
Went to using a diamond, and then finishing burs.
Fuji 9 is great as a BU material, get a sample pack.
You will be glad you did.
Am using a Wig-L-Bug for 10 seconds to mix.
Funny, it takes 10 sec for the primer/etchant.
Kewl.
You do have to rinse the etchant, and as I'm closing
an endo the dam is already on so...
Prime/Mix/Rinse/Apply, man it takes less than 15 sec.
Wait ~4 min to set. Even sets up hard in a wet environment.
Once your assistant gets familiar with the capsule activation,
it's a breeze. Shake/Plunge/Click once/Mix/Click 2 more/ hand to Dr.
You can 'pack' the material using a mini-brush with the LC liquid.
You actually don't have to cure it unless you are using as a
restoration (looks much better if you do).
Not the best esthetic material as a core but much better than
Fuji 2 Miracle Mix. Can even use Fuji 9 underneath all ceramics.
Also works well in abfractions. Cut a little retention though. 331
Try it ! You'll like it !
Thanks!
Steve |
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| Guest |
Posted: Sun Mar 16, 2008 9:49 pm |
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On Sun, 16 Mar 2008 22:30:15 -0400, Steven Bornfeld
<dentaltwinmung@earthlink.net> wrote:
Quote: Try it ! You'll like it !
Thanks!
Steve
You are most welcomed sir.
About time I was able to give *you* a tip. 8^]] |
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| Guest |
Posted: Mon Mar 17, 2008 2:40 am |
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I'm sorry you took offense. When I made a living fixing things
(electronic) for paying customers, I expected and even welcomed a
healthy amount of skepticism on their part, and I was ready and
willing to answer all their questions. I didn't take it as a personal
affront.
Dentists may see these procedures (root canals and extractions) as
routine, but I have never had anything like this done before.
Naturally, I want to know what I'm getting into.
On Mar 16, 10:06 am, New...@bix.nex wrote:
Quote: On Sat, 15 Mar 2008 10:33:54 -0700 (PDT), electronic_d...@hotmail.com
wrote:
But if you'll forgive my cynicism,
Nope.
I can't help but
wonder if there isn't some self-interest involved here
I stopped right there.
If the root is fractured the tooth is non-restorable in most cases.
A root amputation can sometimes be sucessful for an upper 1st molar.
We are in the business of saving teeth.
The options after extraction aren't near as optimal as
fixing one 'broken' tooth and are even more expensive. |
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| Guest |
Posted: Fri Mar 21, 2008 8:01 pm |
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On Mon, 17 Mar 2008 05:40:18 -0700 (PDT), electronic_dave@hotmail.com
wrote:
Quote: I'm sorry you took offense.
Whereas, some dentists may truly be unscrupulous
and not have the patients' best interest at heart,
I believe this is a very small percentage of practitioners.
My reputation as an honest and skilled dentist is
highly valued by me.
No one lasts very long in dental practice as a money
grubbing charlatan only focused on self-interest.
Quote: When I made a living fixing things
(electronic) for paying customers, I expected and even welcomed a
healthy amount of skepticism on their part, and I was ready and
willing to answer all their questions. I didn't take it as a personal
affront.
If you are sitting in my chair and we are discussing your options,
all your questions would be answered. On the Internet... not so much.
Quote:
Dentists may see these procedures (root canals and extractions) as
routine, but I have never had anything like this done before.
Naturally, I want to know what I'm getting into.
Agreed.
Quote: On Mar 16, 10:06 am, New...@bix.nex wrote:
On Sat, 15 Mar 2008 10:33:54 -0700 (PDT), electronic_d...@hotmail.com
wrote:
But if you'll forgive my cynicism,
Nope.
I can't help but
wonder if there isn't some self-interest involved here
I stopped right there.
If the root is fractured the tooth is non-restorable in most cases.
A root amputation can sometimes be sucessful for an upper 1st molar.
We are in the business of saving teeth.
The options after extraction aren't near as optimal as
fixing one 'broken' tooth and are even more expensive. |
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| Jan Drew |
Posted: Fri Mar 21, 2008 8:18 pm |
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<Newbie@bix.nex>
Note: The author of this message requested that it not be archived. This
message will be removed from Groups in 6 days (Mar 28, 9:01 pm).
==
Any poster who makes this request is ashamed of their posts.
Very telling. |
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| Guest |
Posted: Wed Apr 09, 2008 4:03 am |
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Hmmm... I've been reading up on the procedure and one consensus I seem
to be finding around the web is that a rubber dam must be used for
safety. A dam was not used for my pulpotomy, and I called the office
to ask if one would be used for my root canal and was told "most of
our dentists don't use them, but *maybe* your dentist will use one if
you request it." (I don't think he was in the office when I called,
otherwise it would've made sense just to ask HIM, right?). Anyway, the
woman to whom I spoke reacted in a way that indicated she thought it
odd that I was even asking about it. Yikes... Should I *insist* on the
dam or no deal? |
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| Guest |
Posted: Wed Apr 09, 2008 4:51 am |
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On Apr 9, 10:43 am, Mark & Steven Bornfeld
<bornfeldm...@dentaltwins.com> wrote:
Quote: electronic_d...@hotmail.com wrote:
Hmmm... I've been reading up on the procedure and one consensus I seem
to be finding around the web is that a rubber dam must be used for
safety. A dam was not used for my pulpotomy, and I called the office
to ask if one would be used for my root canal and was told "most of
our dentists don't use them, but *maybe* your dentist will use one if
you request it." (I don't think he was in the office when I called,
otherwise it would've made sense just to ask HIM, right?). Anyway, the
woman to whom I spoke reacted in a way that indicated she thought it
odd that I was even asking about it. Yikes... Should I *insist* on the
dam or no deal?
Using a dam is the well-established standard of treatment. Takes
little time, not much inconvenience for doc or patient most of the time.
If they're taking shortcuts here, where else might they be?
Steve
--
Mark & Steven Bornfeld DDShttp://www.dentaltwins.com
Brooklyn, NY
718-258-5001
Thanks, that's kinda what I've been thinking.
Although my pulpotomy went well (as far as I can tell, a month later)
the general vibe I get from the practice doesn't give me a lot of
confidence. Unfortunately, they're one of only two practices in this
area that accept my insurance--the other practice is a total unknown
outside of name and address and I can't find any feedback from anyone
who's used them.
As I mentioned, it's been a month since my pulpotomy. I think my temp
filling is holding up OK but I'm not sure how long I have before
something MUST be done. I'd love to just call the whole thing off and
go to another practice but I can't afford it. |
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| Guest |
Posted: Wed Apr 09, 2008 5:33 am |
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On Apr 9, 11:29 am, "Amatus Cremona" <Nic...@sottovocce.com> wrote:
Quote: Unfortunately, they're one of only two practices in this area that accept
my insurance--
Danger Will Robinson ! ! ! {Waving arms in air}
You mean, my insurance sucks? (I knew that).
Or the practice must suck if they accept my sucky insurance?  |
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| Guest |
Posted: Wed Apr 09, 2008 5:51 am |
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On Apr 9, 11:49 am, Dartos <tuthjoc...@myturbonet.com> wrote:
Quote: As I mentioned, it's been a month since my pulpotomy. I think my temp
filling is holding up OK but I'm not sure how long I have before
something MUST be done. I'd love to just call the whole thing off and
go to another practice but I can't afford it.
Welcome to HMO dentistry.
Cost cutting usually leads to compromises in treatment. Of course,
some dentists charge regular fees and still cut corners, but lower
fees almost guarantee it.
On the affordability issue, what will happen if the root canal is
poorly done, and you have to pay a specialist (or other dentist) to
do it over? What if the tooth is lost?
D
I take your point, but I don't have seveal hundred to a thousand bucks
or more hanging out in the bank. I barely have enough for gas and
groceries once the bills are paid. I'm not looking for sympathy, I'm
just telling you this by way of explaining why I feel like I don't
have many options as far as choosing where and by whom the procedure
is to be done.
yeah, HMOs are great, all right  |
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| Mark & Steven Bornfeld |
Posted: Wed Apr 09, 2008 9:43 am |
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Guest
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electronic_dave@hotmail.com wrote:
Quote: Hmmm... I've been reading up on the procedure and one consensus I seem
to be finding around the web is that a rubber dam must be used for
safety. A dam was not used for my pulpotomy, and I called the office
to ask if one would be used for my root canal and was told "most of
our dentists don't use them, but *maybe* your dentist will use one if
you request it." (I don't think he was in the office when I called,
otherwise it would've made sense just to ask HIM, right?). Anyway, the
woman to whom I spoke reacted in a way that indicated she thought it
odd that I was even asking about it. Yikes... Should I *insist* on the
dam or no deal?
Using a dam is the well-established standard of treatment. Takes
little time, not much inconvenience for doc or patient most of the time.
If they're taking shortcuts here, where else might they be?
Steve
--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001 |
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| Mark & Steven Bornfeld |
Posted: Wed Apr 09, 2008 10:14 am |
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Guest
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electronic_dave@hotmail.com wrote:
Quote: On Apr 9, 10:43 am, Mark & Steven Bornfeld
bornfeldm...@dentaltwins.com> wrote:
electronic_d...@hotmail.com wrote:
Hmmm... I've been reading up on the procedure and one consensus I seem
to be finding around the web is that a rubber dam must be used for
safety. A dam was not used for my pulpotomy, and I called the office
to ask if one would be used for my root canal and was told "most of
our dentists don't use them, but *maybe* your dentist will use one if
you request it." (I don't think he was in the office when I called,
otherwise it would've made sense just to ask HIM, right?). Anyway, the
woman to whom I spoke reacted in a way that indicated she thought it
odd that I was even asking about it. Yikes... Should I *insist* on the
dam or no deal?
Using a dam is the well-established standard of treatment. Takes
little time, not much inconvenience for doc or patient most of the time.
If they're taking shortcuts here, where else might they be?
Steve
--
Mark & Steven Bornfeld DDShttp://www.dentaltwins.com
Brooklyn, NY
718-258-5001
Thanks, that's kinda what I've been thinking.
Although my pulpotomy went well (as far as I can tell, a month later)
the general vibe I get from the practice doesn't give me a lot of
confidence. Unfortunately, they're one of only two practices in this
area that accept my insurance--the other practice is a total unknown
outside of name and address and I can't find any feedback from anyone
who's used them.
As I mentioned, it's been a month since my pulpotomy. I think my temp
filling is holding up OK but I'm not sure how long I have before
something MUST be done. I'd love to just call the whole thing off and
go to another practice but I can't afford it.
Check your mailbox.
Steve
--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001 |
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| Amatus Cremona |
Posted: Wed Apr 09, 2008 10:28 am |
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Unless the front desk person misunderstood and thought the patient wanted a
rubber dam for restorative work.
I agree that a rubber dam should be used whenever possible for RCT. Once in
a great while, you have a tooth which cannot easily accept a dam-clamp and
you do it without the rubber dam, but that is barely one case every 2-3
years. Most teeth that will not hold clamp in place are not good enough to
do RCT on. Sometimes, they are still good enough for over-denture
abutments.
--
/
Amatus
/
"Mark & Steven Bornfeld" <bornfeldmung@dentaltwins.com> wrote in message
news:zC4Lj.4357$NM.2437@trnddc01...
Quote: electronic_dave@hotmail.com wrote:
Hmmm... I've been reading up on the procedure and one consensus I seem
to be finding around the web is that a rubber dam must be used for
safety. A dam was not used for my pulpotomy, and I called the office
to ask if one would be used for my root canal and was told "most of
our dentists don't use them, but *maybe* your dentist will use one if
you request it." (I don't think he was in the office when I called,
otherwise it would've made sense just to ask HIM, right?). Anyway, the
woman to whom I spoke reacted in a way that indicated she thought it
odd that I was even asking about it. Yikes... Should I *insist* on the
dam or no deal?
Using a dam is the well-established standard of treatment. Takes little
time, not much inconvenience for doc or patient most of the time. If
they're taking shortcuts here, where else might they be?
Steve
--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001 |
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| Amatus Cremona |
Posted: Wed Apr 09, 2008 10:29 am |
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Guest
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Quote: Unfortunately, they're one of only two practices in this area that accept
my insurance--
Danger Will Robinson ! ! ! {Waving arms in air} |
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