Dentaltown September 2019 - 43
Now we're getting pretty deep in the weeds. I'm not a huge believer in "scraping." I am a
big believer in removing biofilm and endotoxins by way of ultrasonics. The data is pretty clear:
Removal of excess calculus and then frequent maintenance visits to remove biofilm and toxins
(I think "debridement" is a good word to use) can be very effective. I have a lot of patients I've
maintained for more than two decades nonsurgically this way. They are functioning well with
minimal, and in a lot of cases no, additional tooth loss. ■
Timmy G
Member Since: 04/14/02
Post: 25 of 46
7/2/2019
Yes, just drop the root planing and merely debride the accretions off the root. Regular maintenance this way can maintain current condition. But, if there is opportunity for regeneration,
I'll prefer that. Deep restoration margins preclude reattachment beyond biologic width. So just
maintain with debridement. I have also seen lower incisors with exposed roots that were carved
thin by a hygienist root-planing exposed roots. ■
GulfDDS
Member Since: 10/24/03
Post: 26 of 46
7/2/2019
When patients go to their medical doctors for evaluations, do their primary doctors explain
all the nuances of high blood pressure or diabetes? Or do they tell them what is needed? Most
doctor visits are extremely short. When they tell you that you have diabetes, it's usually prescribed diet exercise and see you later. There is no talk of having the patient buy-in to the fact
that they have diabetes. It is stated as a fact.
There are a few patients who do want to know more. Gladly spend more time with them
and explain in greater detail. Most just want to know what needs to be done to get better and
how much it will cost. Unfortunately, medicine/dentistry does not pay well for prevention. The
reality is the model is based on treating patients after they have diseases, and not preventing. ■
randy9798
Member Since: 12/06/17
Post: 30 of 46
7/2/2019
You're 100% right. And I think that's pretty sad. Many years ago in her 30s, my wife had
some heart valve issues and the original cardiologist spent all of about 2.5 minutes with us. And
I raised holy hell. It was profoundly poor medical care. And we found a new cardiologist. We
Timmy G
Member Since: 04/14/02
Post: 31 of 46
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Dentaltown September 2019
Table of Contents for the Digital Edition of Dentaltown September 2019
Dentaltown September 2019 - Intro
Dentaltown September 2019 - Cover1
Dentaltown September 2019 - Cover2
Dentaltown September 2019 - 1
Dentaltown September 2019 - 2
Dentaltown September 2019 - 3
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Dentaltown September 2019 - Cover3
Dentaltown September 2019 - Cover4
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