Dentaltown October 2017 - 51

FLDMD

I also deal with a lot of older people on blood thinners and here is what I do:
1.
2.
3.
4.
5.

My go-to is the electrosurge, then quickly after get an impression.
I have got lido with 1 to 50k epi, then quickly take impression.
Sometimes Superoxol works. Need to leave it on for a while and be careful with it.
Definitely use triple tray. I think the added force helps push the blood out of the sulcus.
Sometimes in rare situation they just need to come back in a week and then you can take
the impression. ■

Member Since: 10/21/11
Post: 42 of 65

7/23/2017

I'm always careful when using an electrosurge on my older patients. Many have a pacemaker
and neglect to inform us, and many of us forget to ask. I know new pacemakers are less resistant
to the effect of electrosurgery, but why take a chance? ■

velogeek
Member Since: 04/15/10
Post: 43 of 65

7/23/2017

drsinha

How long do you leave the cord in for? ■
8/2/2017

Member Since: 08/15/10
Post: 53 of 65

velogeek

Five minutes, with or without chemicals. No more but no less. ■
8/2/2017

CeraBur around tooth lightly in gingiva; follow with ViscoStat Plus (not regular; Plus is way
better). If still bleeding, use Astringedent X. Takes one minute instead of five, and more predictable. ■

Member Since: 04/15/10
Post: 54 of 65

moptop
Member Since: 03/11/10
Post: 61 of 65

8/2/2017

I really like to use a diode laser-the Picasso, specifically. I put it on the rabbit setting (2.5)
and lightly guide it around the gingiva next to the margins. Then I go back with a flat-end
diamond. By that point my prep is done, the bleeding is under control and margins are exposed
completely for whatever impression choice you want. ■

Ragin'CajunDentist
Member Since: 08/20/14
Post: 62 of 65

8/3/2017

I used to do five minutes but found the results inconsistent. I've found that 10 minutes is the
critical time. I've been doing it that way for 20 years and get little to no bleeding. I use Gingi-Pak
"00" single cord with epi. ■

drsinha
Member Since: 08/15/10
Post: 64 of 65

8/14/2017

That long with epi will result in recession. Not an issue in nonaesthetic areas, but should be
considered. ■

velogeek
Member Since: 04/15/10
Post: 65 of 65

8/14/2017

What's your favorite technique?
Search: "Better Crown Impression"
Now that you've read how other Townies control bleeding in patients, add to the
conversation online. Did these tips help? Do you do something similar? Go to
dentaltown.com and search the message boards for "better crown impression"-
this conversation will be the top result.

dentaltown.com \\ OCTOBER 2017

51



http://www.dentaltown.com http://www.dentaltown.com

Table of Contents for the Digital Edition of Dentaltown October 2017

Dentaltown October 2017 - Intro
Dentaltown October 2017 - Cover1
Dentaltown October 2017 - Cover2
Dentaltown October 2017 - 1
Dentaltown October 2017 - 2
Dentaltown October 2017 - 3
Dentaltown October 2017 - 4
Dentaltown October 2017 - 5
Dentaltown October 2017 - 6
Dentaltown October 2017 - 7
Dentaltown October 2017 - 8
Dentaltown October 2017 - 9
Dentaltown October 2017 - 10
Dentaltown October 2017 - 11
Dentaltown October 2017 - 12
Dentaltown October 2017 - 13
Dentaltown October 2017 - 14
Dentaltown October 2017 - 15
Dentaltown October 2017 - 16
Dentaltown October 2017 - 17
Dentaltown October 2017 - 18
Dentaltown October 2017 - 19
Dentaltown October 2017 - 20
Dentaltown October 2017 - 21
Dentaltown October 2017 - 22
Dentaltown October 2017 - 23
Dentaltown October 2017 - 24
Dentaltown October 2017 - 25
Dentaltown October 2017 - 26
Dentaltown October 2017 - 27
Dentaltown October 2017 - 28
Dentaltown October 2017 - 29
Dentaltown October 2017 - 30
Dentaltown October 2017 - 31
Dentaltown October 2017 - 32
Dentaltown October 2017 - 33
Dentaltown October 2017 - 34
Dentaltown October 2017 - 35
Dentaltown October 2017 - 36
Dentaltown October 2017 - 37
Dentaltown October 2017 - 38
Dentaltown October 2017 - 39
Dentaltown October 2017 - 40
Dentaltown October 2017 - 41
Dentaltown October 2017 - 42
Dentaltown October 2017 - 43
Dentaltown October 2017 - 44
Dentaltown October 2017 - 45
Dentaltown October 2017 - 46
Dentaltown October 2017 - 47
Dentaltown October 2017 - 48
Dentaltown October 2017 - 49
Dentaltown October 2017 - 50
Dentaltown October 2017 - 51
Dentaltown October 2017 - 52
Dentaltown October 2017 - 53
Dentaltown October 2017 - 54
Dentaltown October 2017 - 55
Dentaltown October 2017 - 56
Dentaltown October 2017 - 57
Dentaltown October 2017 - 58
Dentaltown October 2017 - 59
Dentaltown October 2017 - 60
Dentaltown October 2017 - 61
Dentaltown October 2017 - 62
Dentaltown October 2017 - 63
Dentaltown October 2017 - 64
Dentaltown October 2017 - 65
Dentaltown October 2017 - 66
Dentaltown October 2017 - 67
Dentaltown October 2017 - 68
Dentaltown October 2017 - 69
Dentaltown October 2017 - 70
Dentaltown October 2017 - 71
Dentaltown October 2017 - 72
Dentaltown October 2017 - 73
Dentaltown October 2017 - 74
Dentaltown October 2017 - 75
Dentaltown October 2017 - 76
Dentaltown October 2017 - 77
Dentaltown October 2017 - 78
Dentaltown October 2017 - 79
Dentaltown October 2017 - 80
Dentaltown October 2017 - 81
Dentaltown October 2017 - 82
Dentaltown October 2017 - 83
Dentaltown October 2017 - 84
Dentaltown October 2017 - 85
Dentaltown October 2017 - 86
Dentaltown October 2017 - 87
Dentaltown October 2017 - 88
Dentaltown October 2017 - 89
Dentaltown October 2017 - 90
Dentaltown October 2017 - 91
Dentaltown October 2017 - 92
Dentaltown October 2017 - 93
Dentaltown October 2017 - 94
Dentaltown October 2017 - 95
Dentaltown October 2017 - 96
Dentaltown October 2017 - 97
Dentaltown October 2017 - 98
Dentaltown October 2017 - 99
Dentaltown October 2017 - 100
Dentaltown October 2017 - Cover3
Dentaltown October 2017 - Cover4
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