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Robert
Posted: Wed Apr 30, 2008 11:19 pm
Guest
I will probably need my upper wisdom teeth extracted soon.

I read in a couple of places that the oral surgeon is supposed to use a
"burr" to remove the ligaments and the first milimeter or bone in the
socket. Is that something that oral surgeons routinely do, or is it
something I will need to hunt around for? Thanks.
Guest
Posted: Wed Apr 30, 2008 11:34 pm
On Thu, 1 May 2008 00:19:51 -0400, "Robert"
<guyinct17@NOSPAMyahoo.com> wrote:

Quote:
I will probably need my upper wisdom teeth extracted soon.

I read in a couple of places that the oral surgeon is supposed to use a
"burr" to remove the ligaments and the first milimeter or bone in the
socket. Is that something that oral surgeons routinely do, or is it
something I will need to hunt around for? Thanks.




Who told/sold you that wagon full of excrement ?


Routinely remove impacted WTs in my practice.
There's nothing to it for an experienced surgeon,
and rarely do I ever need to a use a rotary instrument
for uppers.

Am beginning to think that "Robert" is a troll in the 'classic' sense.

We may have been had, gentlemen.
Robert
Posted: Wed Apr 30, 2008 11:59 pm
Guest
<Newbie@bix.nex> wrote in message
news:1nhi145qhp5ui6mip2jsam01gpqv1j7p57@4ax.com...
Quote:
On Thu, 1 May 2008 00:19:51 -0400, "Robert"
guyinct17@NOSPAMyahoo.com> wrote:

Who told/sold you that wagon full of excrement ?

Routinely remove impacted WTs in my practice.
There's nothing to it for an experienced surgeon,
and rarely do I ever need to a use a rotary instrument
for uppers.

Huh? Obviously I'm hitting on some kind of nerve here, no pun intended. Why
exactly is this an unacceptable question? I just started researching tooth
extraction since I may need one and I came across it. Please explain. I
hate doctors who say don't read up on procedures you are about to undergo.
Robert
Posted: Thu May 01, 2008 12:16 am
Guest
<Newbie@bix.nex> wrote in message
news:1nhi145qhp5ui6mip2jsam01gpqv1j7p57@4ax.com...
Quote:
On Thu, 1 May 2008 00:19:51 -0400, "Robert"
guyinct17@NOSPAMyahoo.com> wrote:


Routinely remove impacted WTs in my practice.
There's nothing to it for an experienced surgeon,
and rarely do I ever need to a use a rotary instrument
for uppers.


Ok, most of the articles I found are on some dentist's website or another,
so I am trying to find a "scholarly" article on it. But in the meantime,
please explain why this question elicits such a reaction?
Mark & Steven Bornfeld
Posted: Thu May 01, 2008 12:16 pm
Guest
Newbie@bix.nex wrote:
Quote:
On Thu, 1 May 2008 00:19:51 -0400, "Robert"
guyinct17@NOSPAMyahoo.com> wrote:

I will probably need my upper wisdom teeth extracted soon.

I read in a couple of places that the oral surgeon is supposed to use a
"burr" to remove the ligaments and the first milimeter or bone in the
socket. Is that something that oral surgeons routinely do, or is it
something I will need to hunt around for? Thanks.




Who told/sold you that wagon full of excrement ?

Routinely remove impacted WTs in my practice.
There's nothing to it for an experienced surgeon,
and rarely do I ever need to a use a rotary instrument
for uppers.

Am beginning to think that "Robert" is a troll in the 'classic' sense.

We may have been had, gentlemen.


Don't know your dental school vintage, Newbie. We actually were told
to curet the sockets esp. of teeth with molars. The alleged problem was
PDL tissue containing epithelial rests, which I suppose were supposedly
going to magically transform into cysts. Of course we were also
culturing root canals back then.
Robert--I think it's time to get off the web--newbie is right.
Curetting (much less rotary instrumentation) is hogwash--extra pain,
delayed healing and additional trauma for nothing.

Steve

--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001
Robert
Posted: Thu May 01, 2008 1:50 pm
Guest
"Mark & Steven Bornfeld" wrote in message
news:_VmSj.3321$Bd1.267@trndny09...
Quote:
Don't know your dental school vintage, Newbie. We actually were told to
curet the sockets esp. of teeth with molars. The alleged problem was PDL
tissue containing epithelial rests, which I suppose were supposedly going
to magically transform into cysts. Of course we were also culturing root
canals back then.
Robert--I think it's time to get off the web--newbie is right. Curetting
(much less rotary instrumentation) is hogwash--extra pain, delayed healing
and additional trauma for nothing.


Thanks - so the ligaments are basically just absorbed into the bone
structure or something?
Mark & Steven Bornfeld
Posted: Thu May 01, 2008 2:59 pm
Guest
Robert wrote:
Quote:
"Mark & Steven Bornfeld" wrote in message
news:_VmSj.3321$Bd1.267@trndny09...
Don't know your dental school vintage, Newbie. We actually were told to
curet the sockets esp. of teeth with molars. The alleged problem was PDL
tissue containing epithelial rests, which I suppose were supposedly going
to magically transform into cysts. Of course we were also culturing root
canals back then.
Robert--I think it's time to get off the web--newbie is right. Curetting
(much less rotary instrumentation) is hogwash--extra pain, delayed healing
and additional trauma for nothing.


Thanks - so the ligaments are basically just absorbed into the bone
structure or something?



Half the time they come out on the root. The rest of the time they
degenerate and/or resorb.

Steve

--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001
Robert
Posted: Thu May 01, 2008 5:32 pm
Guest
"Mark & Steven Bornfeld" wrote in message
news:UipSj.6306$WS1.5991@trndny04...
Quote:
Robert wrote:
"Mark & Steven Bornfeld" wrote in message
news:_VmSj.3321$Bd1.267@trndny09...
Don't know your dental school vintage, Newbie. We actually were told to
curet the sockets esp. of teeth with molars. The alleged problem was
PDL tissue containing epithelial rests, which I suppose were supposedly
going to magically transform into cysts. Of course we were also
culturing root canals back then.
Robert--I think it's time to get off the web--newbie is right. Curetting
(much less rotary instrumentation) is hogwash--extra pain, delayed
healing and additional trauma for nothing.

Thanks - so the ligaments are basically just absorbed into the bone
structure or something?

Half the time they come out on the root. The rest of the time they
degenerate and/or resorb.

It seems like it would be an easy thing for the oral surgeon to remove the
ligament tissue with the tooth, so I wonder why don't they just don't do it?
I'm trying to remember my biology classes from college: does bone reabsorb
non-bone tissues?
Guest
Posted: Thu May 01, 2008 5:35 pm
On Thu, 01 May 2008 17:16:42 GMT, Mark & Steven Bornfeld
<bornfeldmung@dentaltwins.com> wrote:

Quote:
Newbie@bix.nex wrote:
On Thu, 1 May 2008 00:19:51 -0400, "Robert"
guyinct17@NOSPAMyahoo.com> wrote:

I will probably need my upper wisdom teeth extracted soon.

I read in a couple of places that the oral surgeon is supposed to use a
"burr" to remove the ligaments and the first milimeter or bone in the
socket. Is that something that oral surgeons routinely do, or is it
something I will need to hunt around for? Thanks.




Who told/sold you that wagon full of excrement ?

Routinely remove impacted WTs in my practice.
There's nothing to it for an experienced surgeon,
and rarely do I ever need to a use a rotary instrument
for uppers.

Am beginning to think that "Robert" is a troll in the 'classic' sense.

We may have been had, gentlemen.


Don't know your dental school vintage, Newbie. We actually were told
to curet the sockets esp. of teeth with molars. The alleged problem was
PDL tissue containing epithelial rests, which I suppose were supposedly
going to magically transform into cysts. Of course we were also
culturing root canals back then.
Robert--I think it's time to get off the web--newbie is right.
Curetting (much less rotary instrumentation) is hogwash--extra pain,
delayed healing and additional trauma for nothing.

Steve


They didn't exactly teach us impaction removal in DS '84

Learned from a couple of good surgeons after graduation.

If there is a follicle, I remove it with a curved hemo.
really simple, and the PDL comes with the tooth.

There really is no need to currette the WT crypt, unless
it is filled wth lots of granulation tissue, even then, using
a sharp periosteal and a curved mosquito are still the
best instruments for the task IMO.
Robert
Posted: Thu May 01, 2008 9:58 pm
Guest
<Newbie@bix.nex> wrote in message
news:6tgk14dsf7a4c4n4h3bbcvs7o20qaso0hu@4ax.com...
Quote:
They didn't exactly teach us impaction removal in DS '84

Learned from a couple of good surgeons after graduation.

If there is a follicle, I remove it with a curved hemo.
really simple, and the PDL comes with the tooth.

There really is no need to currette the WT crypt, unless
it is filled wth lots of granulation tissue, even then, using
a sharp periosteal and a curved mosquito are still the
best instruments for the task IMO.

Ok, so it sounds to me like removing the ligament tissue is not a bad thing,
and no one really knows what ultimately becomes of it, so why not just
remove the stuff routinely? Seems like a no-lose precaution, at least to a
non-professional.
Steven Bornfeld
Posted: Thu May 01, 2008 10:10 pm
Guest
Newbie@bix.nex wrote:
Quote:


They didn't exactly teach us impaction removal in DS '84

Learned from a couple of good surgeons after graduation.

If there is a follicle, I remove it with a curved hemo.
really simple, and the PDL comes with the tooth.

There really is no need to currette the WT crypt, unless
it is filled wth lots of granulation tissue, even then, using
a sharp periosteal and a curved mosquito are still the
best instruments for the task IMO.


I agree 100%.

Steve
Steven Bornfeld
Posted: Thu May 01, 2008 10:12 pm
Guest
Robert wrote:
Quote:
Newbie@bix.nex> wrote in message
news:6tgk14dsf7a4c4n4h3bbcvs7o20qaso0hu@4ax.com...
They didn't exactly teach us impaction removal in DS '84

Learned from a couple of good surgeons after graduation.

If there is a follicle, I remove it with a curved hemo.
really simple, and the PDL comes with the tooth.

There really is no need to currette the WT crypt, unless
it is filled wth lots of granulation tissue, even then, using
a sharp periosteal and a curved mosquito are still the
best instruments for the task IMO.

Ok, so it sounds to me like removing the ligament tissue is not a bad thing,
and no one really knows what ultimately becomes of it, so why not just
remove the stuff routinely? Seems like a no-lose precaution, at least to a
non-professional.





As I said, it is normally attached to the root. If there is extensive
granulation or other soft tissue, it usually can be picked out pretty
easily as newbie said. Usually these are teeth with long-standing,
chronic infections. Often the granulation is adherent to the root as well.

Steve
 
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