Dentaltown December 2021 - 20

message board
Trying To Push Myself and Pushed
Myself Too Far. OMFS Bailed Me Out.
Help Me Out for Next Time?
This Townie looks for some tips on how to handle diffi cult extractions without referring out
MKV77
Member Since: 11/10/14
Post: 1 of 149
#11 on a 30s AA woman.
What I did: Periosteal, slid my thinnest elevator down the palatal. Elevated mesially and distally.
Got nowhere, crown dissolved immediately. Flap buccal, did slight bone removal, got bird
beaks on tooth. Minor amounts of rotation and facial/palatal movement. Really thought it was
going to come out. Then snap (I think just from grip as opposed to facial/palatal movement).
Then I called someone and got the patient an appointment for tomorrow and pain meds. Now
I feel terrible. I have been getting better at referring teeth that will be too tough, but I would
rather that I actually fi gure out how to do all these extractions.
How would you have tackled it? ■
4/7/2021
ttowndds
Member Since: 12/19/13
Post: 2 of 149
The advice you need probably can't be absorbed from DT. This takes experience and coursework.
The best experience is knowing when the extraction is going to suck and refer. This one
would suck due to the amount of decay and curve in the apical 1/3. Quick and dirty pointer I
have is to preserve the B bone as much as possible, use less force and don't grab a tooth like this
with forceps. Just think, all this angst and it's probably a $90 insurance reimbursement. As some
coaches say, punting is winning. ■
4/7/2021
dm1898
Member Since: 02/06/12
Post: 3 of 149
That's a tough tooth. I love my spade proximator so I would have tried to jam that around the
tooth as deeply as possible to get some movement before using the forceps. With a forceps, you have
to have some fi nesse to grip the tooth without gripping so tightly that you crush the crown. I've also
seen people try to section teeth like these, or at least section it on an angle to get some movement. ■
4/7/2021
MKV77
Member Since: 11/10/14
Post: 4 of 149
Thank you. I need to get better yet at fi guring out when something is going to be " too
much. " I want to open my own practice soon, or buy one, and I am feeling all this (self- and
social media-imposed) pressure to be able to do it all. I can't fi gure it all out overnight, though,
and I have to accept that. Still want to learn eventually. Do you have a favorite course that would
help with stuff like this? ■
4/7/2021
20 DECEMBER 2021 // dentaltown.com
https://www.dentaltown.com/messageboard/thread.aspx?s=2&f=173&t=354765&g=1 http://www.dentaltown.com

Dentaltown December 2021

Table of Contents for the Digital Edition of Dentaltown December 2021

Howard Speaks: Making a Different Kind of 5-Year Plan
Professional Courtesy: The PPO Pay Cut
Continuing Education Update
Poll: Clinical Technology
Message Board: Trying to Push Myself and Pushed Myself Too Far.
Message Board: Worn Dentition, Composite Rehab
Office Visit: Dr. Ross Oberschlake
Let's Get Digital — Dr. Robin Henderson
Seeing Is Believing — Dr. Kristen Andrews
Ad Index
The Rules of the Game — Jay Geier
2021 Dentaltown Townie Choice Awards
Dentaltown December 2021 - 1
Dentaltown December 2021 - Cover1
Dentaltown December 2021 - Cover2
Dentaltown December 2021 - 1
Dentaltown December 2021 - 2
Dentaltown December 2021 - 3
Dentaltown December 2021 - 4
Dentaltown December 2021 - 5
Dentaltown December 2021 - 6
Dentaltown December 2021 - 7
Dentaltown December 2021 - 8
Dentaltown December 2021 - 9
Dentaltown December 2021 - Howard Speaks: Making a Different Kind of 5-Year Plan
Dentaltown December 2021 - 11
Dentaltown December 2021 - Professional Courtesy: The PPO Pay Cut
Dentaltown December 2021 - 13
Dentaltown December 2021 - Continuing Education Update
Dentaltown December 2021 - 15
Dentaltown December 2021 - Poll: Clinical Technology
Dentaltown December 2021 - 17
Dentaltown December 2021 - 18
Dentaltown December 2021 - 19
Dentaltown December 2021 - Message Board: Trying to Push Myself and Pushed Myself Too Far.
Dentaltown December 2021 - 21
Dentaltown December 2021 - 22
Dentaltown December 2021 - 23
Dentaltown December 2021 - 24
Dentaltown December 2021 - 25
Dentaltown December 2021 - Message Board: Worn Dentition, Composite Rehab
Dentaltown December 2021 - 27
Dentaltown December 2021 - 28
Dentaltown December 2021 - 29
Dentaltown December 2021 - Office Visit: Dr. Ross Oberschlake
Dentaltown December 2021 - 31
Dentaltown December 2021 - 32
Dentaltown December 2021 - 33
Dentaltown December 2021 - 34
Dentaltown December 2021 - 35
Dentaltown December 2021 - 36
Dentaltown December 2021 - 37
Dentaltown December 2021 - 38
Dentaltown December 2021 - 39
Dentaltown December 2021 - 40
Dentaltown December 2021 - 41
Dentaltown December 2021 - 42
Dentaltown December 2021 - 43
Dentaltown December 2021 - Let's Get Digital — Dr. Robin Henderson
Dentaltown December 2021 - 45
Dentaltown December 2021 - 46
Dentaltown December 2021 - 47
Dentaltown December 2021 - 48
Dentaltown December 2021 - 49
Dentaltown December 2021 - 50
Dentaltown December 2021 - 51
Dentaltown December 2021 - Seeing Is Believing — Dr. Kristen Andrews
Dentaltown December 2021 - 53
Dentaltown December 2021 - 54
Dentaltown December 2021 - 55
Dentaltown December 2021 - 56
Dentaltown December 2021 - Ad Index
Dentaltown December 2021 - The Rules of the Game — Jay Geier
Dentaltown December 2021 - 59
Dentaltown December 2021 - 60
Dentaltown December 2021 - 61
Dentaltown December 2021 - 62
Dentaltown December 2021 - 63
Dentaltown December 2021 - 2021 Dentaltown Townie Choice Awards
Dentaltown December 2021 - 65
Dentaltown December 2021 - 66
Dentaltown December 2021 - 67
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Dentaltown December 2021 - Cover3
Dentaltown December 2021 - Cover4
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