Dentaltown December 2021 - 22

message board
ttowndds
Member Since: 12/19/13
Post: 10 of 149
A patient is more likely to come back to you when you aren't taking out their teeth. Unless
you know it's a slam-dunk extraction, an extraction is rarely a good experience at the dentist. Let
the OMFS be the bad guy. He doesn't have goodwill to preserve with the patient. ■
4/7/2021
ChinMusic
Member Since: 10/21/02
Post: 11 of 149
I agree and disagree. I do refer diffi cult cases and, more importantly, diffi cult patients.
That's why the OS makes the big bucks. I disagree with you regarding patients being less
inclined to come back if I do the extraction(s). Getting someone out of pain quickly is a great
practice-builder and it makes me feel good as well. ■
4/7/2021
toothdoc1971
Member Since: 11/13/14
Post: 12 of 149
Oral surgeon I worked under during residency used to say these commonsense words:
" Tooth has to get smaller, or the hole has got to get bigger. " Makes sense but doesn't totally
answer as to what and how. Even when you can do some of those, it still is wise to refer those that
are going to be super diffi cult. If you're gonna do it, though, I would have elevated bone level,
cut a trough on mesial and distal side to see if I could get a little movement of the tooth. If then
I still get no movement (and realizing referring was smarter), I will section the tooth buccal to
lingually and start removing pieces.
And don't worry-even the best out there have been humbled by some of these. Do take care
drtommymurph
Member Since: 04/05/02
Post: 15 of 149
of your OMFS who bailed you out. ■
That is a tooth any GP should be able to remove. Your problem is that you didn't have a plan
C, D, when your plan A and plan B didn't work. You need to do a few under direct supervision.
Call me if you want to learn how.
I would have drilled down the palatal side about 7 mm from MP to DP. Jam the 301 into the
trough and elevate the tooth/root mostly out, and then remove with a rongeurs. An average GP
should be able to remove that tooth in under 10 minutes. If you can't, call me. ■
4/7/2021
kidesperanto
Member Since: 08/03/09
Post: 17 of 149
Luxator or proximator interproximally and if it's not loose, put a needle diamond bur into
your surgical handpiece and take out the PDL with it halfway down the root interproximally
and lingually. Then go back with luxator or proximator in the space you made to move it. ■
4/7/2021
The Tasteless Gentleman
Member Since: 09/22/16
Post: 21 of 149
One OMS resident in school told me his least favorite teeth to take out were maxillary
canines and maxillary fi rst premolars. There's usually so much bone around the eminence. I
have never really had an easy canine unless perio involved. So as everyone has said, evaluate not
only the tooth but the surrounding periodontium and radiograph. Refer as needed. ■
4/7/2021
ChinMusic
Member Since: 10/21/02
Post: 23 of 149
Working in an FQHC, I fi nd myself tackling more of these cases than I chose to in private
practice. Sometimes I feel like I'm the only game in town, so " saddle up. "
Max canines and 1st bis make me pucker. I'm thrilled and take it as a bonus when they come
out easy. ■
4/7/2021
4/7/2021
22 DECEMBER 2021 // dentaltown.com
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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
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Dentaltown December 2021 - 67
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Dentaltown December 2021 - Cover3
Dentaltown December 2021 - Cover4
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