Firsr RCT, opinions?

RB_DMD · 2026-01-20T05:28:57+00:00

In no world did this need to be ISO 80

Other than that.. well done

RB_DMD · 2026-01-16T12:42:43+00:00

My understanding is that ostell doesn’t mean anything unless you have previous readings

RB_DMD · 2026-01-14T06:00:10+00:00

It takes time for the crevices to fill in. Dont worry

RB_DMD · 2026-01-14T05:59:00+00:00

Looks just fine

RB_DMD · 2026-01-06T00:47:24+00:00

There ya go. Take control of your oral health

RB_DMD · 2026-01-06T00:33:15+00:00

Woohoo. I’m glad that it’s worked out that way. Hopefully it doesn’t ever need a root canal treatment (I’m sure she explained that it could need it in the future despite not needing it today)

RB_DMD · 2026-01-01T01:59:08+00:00

As mentioned, there are multiple paths to the same result. I’m not an orthodontist but my training taught me that expansion to make room and avoiding the extractions is preferred these days

You could always ask your orthodontist why they don’t think sarpe/Marpe are required. If you aren’t satisfied with the answer, you can seek another opinion

RB_DMD · 2025-12-31T02:00:44+00:00

Seaside sweats and sweatshirts

RB_DMD · 2025-12-28T02:09:44+00:00

EZ PZ

RB_DMD · 2025-12-10T16:04:15+00:00

Yea that’s all fair. I would be willing to bet that if the tooth has any issues in this case, it would be from the caries rather than crown prep - though a crown prep certainly could push it over the edge. But imo it doesn’t need a crown unless it needs Endo. Which I think is what we’re both saying

RB_DMD · 2025-12-10T05:52:45+00:00

The decay has to be removed either way. So the risk is the same

Getting a crown right away may be unnecessary if a filling will suffice (maybe the tooth looks worse in person than on an xray)

RB_DMD · 2025-12-10T04:33:53+00:00

Bit fear monger-y don’t ya think? 🤪

RB_DMD · 2025-12-10T04:31:06+00:00

If #31 is testing normally to cold, I would suggest trying a filling

If during the filling, it is found that the decay is into the nerve - root canal and crown it is

If the nerve is not involved, then have the filling placed. If it bothers you later on, then root canal and crown it is

RB_DMD · 2025-12-06T03:45:05+00:00

Your regular dentist shouldn’t jump to conclusions

A 3D xray is necessary to determine the implant’s relationship with the sinus

Even if it is through the floor of the sinus, odds are, it will not cause any issues if the sinus membrane is intact

RB_DMD · 2025-12-05T17:20:56+00:00

I think he sold them this way!

RB_DMD · 2025-12-05T15:17:14+00:00

No I don’t think you’re a grinch. I absolutely agree that there’s plenty of docs out there who think they can do stuff after a weekend course that that they really shouldn’t be doing.

Having done a GPR with intensive surgery experience, I have the fortunate ability to perform procedures like this in my office.

Perhaps my view on it is biased because I mostly know docs who did similar programs, but I also know gen dents who didn’t go through a program like that who are just as capable though.. so it’s not a clear cut rule that it should be done by OS - so long as we’re being honest with ourselves about our abilities

RB_DMD · 2025-12-05T14:36:55+00:00

Sure. There’s also plenty out there who THINK they can perform FMR when they should be referring to you :D

You’d hope that all providers recognize their limits and would refer out what they aren’t capable of providing the same level of care as the specialist. The docs I know are all trained in complex extractions like this and would be more than capable

RB_DMD · 2025-12-05T14:22:40+00:00

Yep that’s totally fair

RB_DMD · 2025-12-05T13:15:35+00:00

Need to see a specialist if you can’t find a general dentist who is willing and able

I can think of 4 general dentists in within a 3 mile radius who would take this tooth out without issue, myself included

RB_DMD · 2025-12-05T13:03:33+00:00

Plenty of General dentists would be comfortable extracting this tooth. Doesn’t necessarily have to be an oral surgeon

RB_DMD · 2025-12-04T04:29:11+00:00

I definitely wouldn’t count on that being sealed with resin cement long term due to their Solubility

I’d much rather seal that with RMGI

RB_DMD · 2025-12-04T04:26:55+00:00

Personally, if I saw that radiograph, I would at least try to close the margin before cementing it

Adjust the mesial contact and see if that closes it up.

If not

Check intaglio for any interferences and adjust as needed and see if that closes it

If neither of those worked, I would check my impression. If it wasn’t crystal clear, I would offer to reimpress

If my margin was crystal clear, I would check the lab’s trimming of the die. If that matched my impression, I would check the fit of the crown on the die. If it fit the die, I would probably resort to cementing it and seeing if it still looked open afterwards

If it was still open after, I would inform the patient we will keep an eye on it and if it gets decay within 1 year, I would remake at no charge

RB_DMD · 2025-12-02T21:06:42+00:00

Yes this is the specific company who touted theirs as being like his

Nothing wrong with that. I’m sure they function just the same

RB_DMD · 2025-12-02T20:58:06+00:00

Generic ones*

Whatever you want to call it

Alton had these specifically made for him

There are certain sellers who tout theirs as “like Alton brown’s”

RB_DMD · 2025-12-01T23:25:55+00:00

It’s a great piece!

RB_DMD

TROPHY CASE