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Topic: Pulpotomy
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I'm a general dentist seeing a lot of young patients. I generally get a lot of them with abscess after their primary teeth have had pulpotomy. My questions is how often does that occur? That is if a tooth has had a pulpotomy. Is it a common occurrance or procedural error? ...Dentist from Washington (answer)
Topic: Dental Lasers
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This may be a little unsual as I am actually a dentist practising in Melbourne. My dilemma is with lasers: I've been given the option of a Biolase Waterlase or the Hoya-Combio - basically I need an honest evaluation on both and which to buy. Hope someone can help! ...Dentist from Melbourne, Australia (answer)
Topic: Plavix use and dental procedures
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I am a general dentist and work in a military clinic. Yesterday, a patient reported to me that he was recently placed on Plavix by his physician. Do I need to be concerned about increased bleeding time for prophies or with oral surgery? Should the patient be taken off Plavix before dental procedures? ...Dentist from Virginia (answer)
Topic: Laser Whitening
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Are they really safe? What are the main risks in laser tooth whitening and do they cause more problems than other in-office whitening systems? ...Dentist from Tallinn, Estonia, Europe (answer)
Topic: Apecoectomy
- My assistant just underwent an apecoectomy. I've practiced dentisty for over 20 years and thought that the apex of the tooth was removed for and during this procedure. Her's was not as the endodontist simply removed the overfill of gutta percha. Did she have a true apecoectomy and won't she still have a problem that may reoccur since the root is remaining? ...Dentist from Kentucky (answer)
Topic: Implant Placement
- I am beginning to place implants; do you have or know of a solution to avoid penetrating too deep when drilling? Something like a simple guiding device which would stop the drill at a desired length, usable with any manufacturer's drill bit. ...Dentist from Paris France (answer)
Topic: Root Canal Problem
- I performed an a re-root canal for a molar on the left side. I applied the usual root canaling techniques to clean it several times and tried re-filling it with different grades of inert fillings. But still when the inert filling touches the root base, the patient complains of pain (he has no
allergy to the inert filling as he have had other successful canals). His symptoms started with funny sensation while chewing and pain in the same tooth which radiated around. I consulted with a neurologist, and ENT doctors to ascertain neuralagia or TMJ disorders, which I now confirm that are not
present. Now the pain is localised only to the base of teeth and begins when pressure is applied on the teeth. When I dress the canal with antibiotic and no filling inside, the patient reports no pain at all. I feel the tip of the root of the molar and the adjacent last molar root have the same problem. All the
other roots of both the teeth are fine. ...Dentist from Mumbai India (answer)
Topic: Prosthodontics
- I am taking the A.D.E.X. Where does the heavy chamfer/shoulder margin extend proximally on the PVC
prep? ...Dentist from Missouri (answer)
Topic: Cerec Cementation
- I am using Cerec and I always used Variolink to cementation but Vira recomends Panávia. I think Panavia is easier to use but I am not sure if it is a good cement for use in Cerec. Can you give me some information? ...Dentist from Portugal (answer)
Topic: Plavix Medications
- My question is regarding a patient on Plavix. Of course, there was heavy bleeding during the prophy, but is it necessary that the patient go OFF the drug for JUST a prophy procedure? Or is it more of a case by case basis, and the patient should consult with the physician that prescribed the drug? ...Registered Dental Hygenist from New York (answer)
Topic: Fixed / Removable pros Tx Plan
- Older patient has 21, 22, 26, 27 remaining with 30 yr old fixed bridge in place, 1 cantilever off each end. #21 decayed out from under. I consider cutting off 20-21, ext root or endo and dome, cut off #28 cantilever and make RPD. Any other suggestions? Max is full denture.
Implants not an option. ...Dentist from Pennsylvania (answer)
Topic: Broken RCT File
- My Ni-Ti file got separated in the apical third of a curved canal while cleaning. Infection was clear and there was no pain before the separation of file. I tried to retrieve the file but it was no use. Will it cause any impact on the prognosis? ...Dentist from India (answer)
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