Dentaltown November 2017 - 52

message board
winnfd
Member Since: 02/12/15
Post: 38 of 64

Hi John. On that one I would. There is clear separation of the B and lingual segments and
as I stated before, I suspect caries as well. And to answer your other question: I purposely didn't
mention the other areas. IMO, the tooth should have had a crown. The buccal and lingual walls
are thin and if Tom had excavated the DMR as he should have, there would be even less enamel
remaining.
I'm all for being conservative, but the tooth in question would ideally be crowned. I don't
know this patient or the type of practice Tom has so I'm not being negatively critical. It's good
work, but the DMR should have been excavated. That was in the best interest of the patient,
regardless of the number of margins, etc. ■
8/1/2017

kidesperanto
Member Since: 08/03/09
Post: 39 of 64

After a recent thread on this arguing such cracks, I'm pretty sure it's clear we are all mostly
full of it when we try to predict the health of a tooth based on the cracks we see with any
certainty. It's a total guessing game. You are both right and both wrong. Such is the way of
cracked teeth. ■

8/1/2017

Tom Mitchell
Member Since: 02/16/04
Post: 40 of 64

Here's some more photos of the case for you. The amalgam's broken away at that lingual
groove with decay.

With the old amalgam removed the decay at the lingual is obvious. The DMR looks ok to me.

This is the final prep. Yes, there's a crack at the DMR. Asymptomatic of course, so is it
significant? We've been reviewing research showing that bonded composites increase fracture
resistance to almost the same level as an unprepped tooth.

I doubt there's any more risk of progression of problems with this restoration than with any
other. If it's well sealed with high quality materials and the occlusion is idealized this should
hold up for a long time. ■

8/1/2017

winnfd
Member Since: 02/12/15
Post: 42 of 64

52

This photo does not help your position. ■

NOVEMBER 2017 // dentaltown.com

8/1/2017


http://www.dentaltown.com

Table of Contents for the Digital Edition of Dentaltown November 2017

Dentaltown November 2017 - Intro
Dentaltown November 2017 - Cover1
Dentaltown November 2017 - Cover2
Dentaltown November 2017 - 1
Dentaltown November 2017 - 2
Dentaltown November 2017 - 3
Dentaltown November 2017 - 4
Dentaltown November 2017 - 5
Dentaltown November 2017 - 6
Dentaltown November 2017 - 7
Dentaltown November 2017 - 8
Dentaltown November 2017 - 9
Dentaltown November 2017 - 10
Dentaltown November 2017 - 11
Dentaltown November 2017 - 12
Dentaltown November 2017 - 13
Dentaltown November 2017 - 14
Dentaltown November 2017 - 15
Dentaltown November 2017 - 16
Dentaltown November 2017 - 17
Dentaltown November 2017 - 18
Dentaltown November 2017 - 19
Dentaltown November 2017 - 20
Dentaltown November 2017 - 21
Dentaltown November 2017 - 22
Dentaltown November 2017 - 23
Dentaltown November 2017 - 24
Dentaltown November 2017 - 25
Dentaltown November 2017 - 26
Dentaltown November 2017 - 27
Dentaltown November 2017 - 28
Dentaltown November 2017 - 29
Dentaltown November 2017 - 30
Dentaltown November 2017 - 31
Dentaltown November 2017 - 32
Dentaltown November 2017 - 33
Dentaltown November 2017 - 34
Dentaltown November 2017 - 35
Dentaltown November 2017 - 36
Dentaltown November 2017 - 37
Dentaltown November 2017 - 38
Dentaltown November 2017 - 39
Dentaltown November 2017 - 40
Dentaltown November 2017 - 41
Dentaltown November 2017 - 42
Dentaltown November 2017 - 43
Dentaltown November 2017 - 44
Dentaltown November 2017 - 45
Dentaltown November 2017 - 46
Dentaltown November 2017 - 47
Dentaltown November 2017 - 48
Dentaltown November 2017 - 49
Dentaltown November 2017 - 50
Dentaltown November 2017 - 51
Dentaltown November 2017 - 52
Dentaltown November 2017 - 53
Dentaltown November 2017 - 54
Dentaltown November 2017 - 55
Dentaltown November 2017 - 56
Dentaltown November 2017 - 57
Dentaltown November 2017 - 58
Dentaltown November 2017 - 59
Dentaltown November 2017 - 60
Dentaltown November 2017 - 61
Dentaltown November 2017 - 62
Dentaltown November 2017 - 63
Dentaltown November 2017 - 64
Dentaltown November 2017 - 65
Dentaltown November 2017 - 66
Dentaltown November 2017 - 67
Dentaltown November 2017 - 68
Dentaltown November 2017 - 69
Dentaltown November 2017 - 70
Dentaltown November 2017 - 71
Dentaltown November 2017 - 72
Dentaltown November 2017 - 73
Dentaltown November 2017 - 74
Dentaltown November 2017 - 75
Dentaltown November 2017 - 76
Dentaltown November 2017 - 77
Dentaltown November 2017 - 78
Dentaltown November 2017 - 79
Dentaltown November 2017 - 80
Dentaltown November 2017 - 81
Dentaltown November 2017 - 82
Dentaltown November 2017 - 83
Dentaltown November 2017 - 84
Dentaltown November 2017 - 85
Dentaltown November 2017 - 86
Dentaltown November 2017 - 87
Dentaltown November 2017 - 88
Dentaltown November 2017 - 89
Dentaltown November 2017 - 90
Dentaltown November 2017 - 91
Dentaltown November 2017 - 92
Dentaltown November 2017 - 93
Dentaltown November 2017 - 94
Dentaltown November 2017 - 95
Dentaltown November 2017 - 96
Dentaltown November 2017 - 97
Dentaltown November 2017 - 98
Dentaltown November 2017 - 99
Dentaltown November 2017 - 100
Dentaltown November 2017 - 101
Dentaltown November 2017 - 102
Dentaltown November 2017 - 103
Dentaltown November 2017 - 104
Dentaltown November 2017 - 105
Dentaltown November 2017 - 106
Dentaltown November 2017 - 107
Dentaltown November 2017 - 108
Dentaltown November 2017 - 109
Dentaltown November 2017 - 110
Dentaltown November 2017 - 111
Dentaltown November 2017 - 112
Dentaltown November 2017 - 113
Dentaltown November 2017 - 114
Dentaltown November 2017 - 115
Dentaltown November 2017 - 116
Dentaltown November 2017 - 117
Dentaltown November 2017 - 118
Dentaltown November 2017 - 119
Dentaltown November 2017 - 120
Dentaltown November 2017 - Cover3
Dentaltown November 2017 - Cover4
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2025
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2025
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2021
https://www.nxtbook.com/farran/dentaltown/2021January
https://www.nxtbook.com/farran/dentaltown/2020December
https://www.nxtbook.com/farran/dentaltown/2020November
https://www.nxtbook.com/farran/dentaltown/2020NewGrad
https://www.nxtbook.com/farran/dentaltown/2020October
https://www.nxtbook.com/farran/dentaltown/2020September
https://www.nxtbook.com/farran/dentaltown/2020August
https://www.nxtbook.com/farran/dentaltown/2020July
https://www.nxtbook.com/farran/dentaltown/2020June
https://www.nxtbook.com/farran/dentaltown/2020May
https://www.nxtbook.com/farran/dentaltown/2020April
https://www.nxtbook.com/farran/dentaltown/2020March
https://www.nxtbook.com/farran/dentaltown/2020February
https://www.nxtbook.com/farran/dentaltown/2020January
https://www.nxtbook.com/farran/dentaltown/2019December
https://www.nxtbook.com/farran/dentaltown/2019November
https://www.nxtbook.com/farran/dentaltownuk/2019OctoberNovember
https://www.nxtbook.com/farran/dentaltown/2019October
https://www.nxtbook.com/farran/dentaltown/2019NewGrad
https://www.nxtbook.com/farran/dentaltown/2019September
https://www.nxtbook.com/farran/dentaltown/2019August
https://www.nxtbook.com/farran/dentaltown/2019July
https://www.nxtbook.com/farran/dentaltownuk/2019JuneJuly
https://www.nxtbook.com/farran/dentaltown/2019June
https://www.nxtbook.com/farran/dentaltown/2019May
https://www.nxtbook.com/farran/dentaltownuk/2019AprilMay
https://www.nxtbook.com/farran/dentaltown/2019April
https://www.nxtbook.com/farran/dentaltown/2019March
https://www.nxtbook.com/farran/dentaltown/2019February
https://www.nxtbook.com/farran/dentaltownuk/2019FebruaryMarch
https://www.nxtbook.com/farran/dentaltown/2019January
https://www.nxtbook.com/farran/dentaltownuk/2018Winter
https://www.nxtbook.com/farran/dentaltown/2018December
https://www.nxtbook.com/farran/dentaltown/2018November
https://www.nxtbook.com/farran/dentaltownuk/2018November
https://www.nxtbook.com/farran/dentaltown/2018October
https://www.nxtbook.com/farran/dentaltownuk/2018October
https://www.nxtbook.com/farran/dentaltown/2018NewGrad
https://www.nxtbook.com/farran/dentaltown/2018September
https://www.nxtbook.com/farran/dentaltownuk/2018September
https://www.nxtbook.com/farran/dentaltown/2018August
https://www.nxtbook.com/farran/dentaltownuk/2018July
https://www.nxtbook.com/farran/dentaltown/2018July
https://www.nxtbook.com/farran/dentaltownuk/2018June
https://www.nxtbook.com/farran/dentaltown/2018June
https://www.nxtbook.com/farran/dentaltownuk/2018May
https://www.nxtbook.com/farran/dentaltown/2018May
https://www.nxtbook.com/farran/dentaltownuk/2018April
https://www.nxtbook.com/farran/dentaltown/2018April
https://www.nxtbook.com/farran/dentaltown/2018March
https://www.nxtbook.com/farran/dentaltownuk/2018March
https://www.nxtbook.com/farran/dentaltown/2018February
https://www.nxtbook.com/farran/dentaltownuk/2018February
https://www.nxtbook.com/farran/dentaltown/2018January
https://www.nxtbook.com/farran/dentaltown/2017December
https://www.nxtbook.com/farran/dentaltownuk/2017Winter
https://www.nxtbook.com/farran/dentaltown/2017November
https://www.nxtbook.com/farran/dentaltown/2017October
https://www.nxtbook.com/farran/dentaltownuk/2017october
https://www.nxtbook.com/farran/dentaltown/NewGrad2017
https://www.nxtbook.com/farran/dentaltown/2017September
https://www.nxtbook.com/farran/dentaltownuk/2017September
https://www.nxtbook.com/farran/dentaltownuk/2017August
https://www.nxtbook.com/farran/dentaltown/2017August
https://www.nxtbook.com/farran/dentaltown/2017July
https://www.nxtbook.com/farran/dentaltownuk/2017July
https://www.nxtbook.com/farran/dentaltown/2017June
https://www.nxtbook.com/farran/dentaltownuk/2017may
https://www.nxtbook.com/farran/dentaltown/2017May
https://www.nxtbook.com/farran/dentaltownuk/2017April
https://www.nxtbook.com/farran/dentaltown/2017April
https://www.nxtbook.com/farran/dentaltown/2017March
https://www.nxtbook.com/farran/dentaltownuk/dentaltownuk/2017march
https://www.nxtbook.com/farran/dentaltown/February2017
https://www.nxtbook.com/farran/dentaltown/2017January
https://www.nxtbook.com/farran/dentaltown/2016December
https://www.nxtbook.com/farran/dentaltown/2016November
https://www.nxtbook.com/farran/dentaltown/2016October
https://www.nxtbook.com/farran/dentaltown/2016nge
https://www.nxtbook.com/farran/dentaltown/2016september
https://www.nxtbook.com/farran/dentaltown/2016august
https://www.nxtbook.com/farran/dentaltown/2016july
https://www.nxtbook.com/farran/dentaltown/2016june
https://www.nxtbook.com/farran/dentaltown/2016may
https://www.nxtbook.com/farran/dentaltown/2016april
https://www.nxtbook.com/farran/dentaltown/2016march
https://www.nxtbook.com/farran/dentaltown/2016february
https://www.nxtbook.com/farran/dentaltown/2016january
https://www.nxtbook.com/farran/dentaltown/2015december
https://www.nxtbook.com/farran/dentaltown/2015november
https://www.nxtbook.com/farran/dentaltown/2015october
https://www.nxtbook.com/farran/dentaltown/2015nge
https://www.nxtbook.com/farran/dentaltown/2015september
https://www.nxtbook.com/farran/dentaltown/2015august
https://www.nxtbook.com/farran/dentaltown/2015july
https://www.nxtbook.com/farran/dentaltown/2015june
https://www.nxtbook.com/farran/dentaltown/2015may
https://www.nxtbook.com/farran/dentaltown/2015april
https://www.nxtbook.com/farran/dentaltown/2015march
https://www.nxtbook.com/farran/dentaltown/2015february
https://www.nxtbook.com/farran/dentaltown/2015january
https://www.nxtbook.com/farran/dentaltown/2014december
https://www.nxtbook.com/farran/dentaltown/2014decemberb
https://www.nxtbook.com/farran/dentaltown/2014november
https://www.nxtbook.com/farran/dentaltown/2014october
https://www.nxtbook.com/farran/dentaltown/2014newgrad
https://www.nxtbook.com/farran/dentaltown/2014september
https://www.nxtbook.com/farran/dentaltown/2014august
https://www.nxtbook.com/farran/dentaltown/2014july
https://www.nxtbook.com/farran/dentaltown/2014june
https://www.nxtbook.com/farran/dentaltown/2014may
https://www.nxtbook.com/farran/dentaltown/2014april
https://www.nxtbook.com/farran/dentaltown/2014march
https://www.nxtbook.com/farran/dentaltown/2014february
https://www.nxtbook.com/farran/dentaltown/2014january
https://www.nxtbook.com/farran/dentaltown/2013december
https://www.nxtbook.com/farran/dentaltown/2013november
https://www.nxtbook.com/farran/dentaltown/2013october
https://www.nxtbook.com/farran/dentaltown/2013newgrad
https://www.nxtbook.com/farran/dentaltown/2013september
https://www.nxtbook.com/farran/dentaltown/2013august
https://www.nxtbook.com/farran/dentaltown/2013july
https://www.nxtbook.com/farran/dentaltown/2013june
https://www.nxtbook.com/farran/dentaltown/2013may
https://www.nxtbook.com/farran/dentaltown/2013april
https://www.nxtbook.com/farran/dentaltown/2013march
https://www.nxtbook.com/farran/dentaltown/2013february
https://www.nxtbook.com/farran/dentaltown/2013january
https://www.nxtbook.com/farran/dentaltown/2012december
https://www.nxtbook.com/farran/dentaltown/2012November
https://www.nxtbookmedia.com