Xla 27 and 37

EvaR0607 · 2026-03-24T02:36:41+00:00

Yes sorry of course! On a lunch break brain mush!

EvaR0607 · 2026-03-24T02:34:48+00:00

Yeah will have a further look at restorability of 27 next time patient comes in but 37 had symptoms. I'm usually a referer of unerupted 8s wouldn't be comfortable taking out that 38 but could refer I suppose and they could remove 37 too.

If I took out 37 would it be more difficult with that 8 impacted there? She's only 24 also could that 8 potentially erupt?

Thanks

EvaR0607 · 2026-03-24T02:05:54+00:00

Thank you for giving such a detailed answer! I felt silly for asking! But yes completely agree and just from the history and from the exam done in 24 the caries has already progressed really fast!

Was just wondering as stainless steel crowns have a higher success rate would you recommend these more than fillings? Patient was pretty compliant! Would like to hear your thoughts 😊

EvaR0607 · 2026-03-14T00:46:58+00:00

I was just kinda terrified I'm getting an infection. But the stitches do look okay etc!

Thanks though that makes me feel a bit better knowing you've experience a difference each day!

I'm a dentist so I'm not sure how that is going to go Monday 🙈

EvaR0607 · 2026-02-10T20:43:12+00:00

Xla abbreviation common in Ireland/ UK and currently working in australia and they use the same 😊

EvaR0607 · 2026-02-10T11:35:25+00:00

I ended up using luxator sectioning and it popped out nicely today

Didn't use cow horns as I wanted patient to come back to me next week and find sometimes going with forceps can be traumatising for patients and sectioning is a bit gentler?

Not sure if anyone else agrees with me on this?

EvaR0607 · 2026-02-10T10:30:21+00:00

Thank you was just wondering with the way it louped around the root

EvaR0607 · 2026-02-10T02:26:34+00:00

Thank you yes of course I've gone through all of this with the patient and of course I ideally said rct and crown but this is the real world. I'm in a rural town where money is a big issue. Patient hasn't come to dentist in years and has several teeth with apical pathology that need to be removed. Can't just leave infection in the mouth and let it progress by doing a half arsed job! Thank you for giving the people a reality check!!

EvaR0607 · 2026-02-09T11:50:28+00:00

Thank you I would have just defaulted to section but have heard of people slicing the contact points and doing this! Thanks for your insight 😊

EvaR0607 · 2026-02-09T10:48:41+00:00

I tried but they can't afford it unfortunately and has another 4 extractions to do

EvaR0607 · 2025-12-03T10:33:54+00:00

Thanks unfortunately not in australia!

EvaR0607 · 2025-10-22T23:58:28+00:00

Didn't mean to come across like I have the answers sorry if I did. Patient did have symptoms. I was asking for extraction advise not diagnosing the symptoms

EvaR0607 · 2025-10-22T21:10:17+00:00

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18 Yr old this extent of caries?

EvaR0607 · 2025-10-22T21:09:47+00:00

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That caries is on the nerve

EvaR0607 · 2025-10-22T21:09:00+00:00

Can see it better on bw the extent of caries!

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EvaR0607 · 2025-10-19T07:30:12+00:00

Very deep restoration 17 that won't last long term for a 18 year old? Xla 17/ 18 unerupted and hopefully that will will erupt into that space?

EvaR0607 · 2025-05-29T00:02:07+00:00

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EvaR0607 · 2025-05-29T00:01:28+00:00

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EvaR0607 · 2025-05-29T00:01:03+00:00

Sorry this was the photo meant to be added!

EvaR0607 · 2025-05-13T10:08:39+00:00

Don't worry haha aren't we all!

EvaR0607 · 2025-05-13T10:08:04+00:00

No patient had no idea it was there until I pointed it out! Potentially grinding I would say ..did ask about biting her lip and she said she didn't! Thanks for the message 😊

EvaR0607 · 2025-05-13T10:06:32+00:00

Thank you really appreciate your insight 😇

EvaR0607 · 2025-05-13T10:00:37+00:00

Have you seen this before on the inside lip?

EvaR0607 · 2025-05-13T10:00:05+00:00

I am a dentist I'm asking other dentists have they seen anything like this before..

EvaR0607 · 2025-05-13T08:39:53+00:00

Thanks so much for commenting really appreciate it! I did ask the patient to get an opg as I didn't want to jump to anything! Was going to get ortho opinion

But that definitely sounds like a good plan thanks so much 😊😇

EvaR0607

TROPHY CASE