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Tag Archives: epinephrine

To Extract or Restore… This is the Question

May 5, 2014

Treatment planning is  based on multiple factors; expense, time and technical considerations. Here is an asymptomatic upper left second molar with no opposing dentition. The tooth has lost a lingual amalgam and has extensive mesial-buccal subgingival decay. The patient cannot … Continue reading →

Posted in Case Studies

Crown Preparation, fabrication of a temporary crown and modification to fit existing flipper

March 31, 2014

  The upper left first bicuspid has had endodontic therapy. The radiograph shows a questionable obturation and   an apical area with a slightly different bone density. This is a rather typical scenario and in an ideal world, prior to … Continue reading →

Posted in Case Studies
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Old fashioned dentistry?

I had my teeth cleaned recently by the hygienist at the dentist upstairs. We were talking about the great expansion and proliferation of implant dentistry. She mentioned that a dentist she worked with was "old fashion" in that he didn't do a lot of implant dentistry but saved natural teeth when he could. This struck me as odd because it equates old fashioned with less sophisticated or obsolete dental therapy. Implant therapy involves surgery, some degree of morbidity, and most times it is very expensive. When indicated (when it is not possible to restore a natural tooth) and if performed properly, it is a valuable means of restoring a fixed dentition. Dentists that choose to attempt to save a natural tooth rather than resort to implant therapy are not old fashioned. They are smart, empathetic, and considerate of what is best for their patients.

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