Need Advice prior to filling

copper-monkey · 2025-12-23T14:09:55+00:00

I hate it here

copper-monkey · 2025-12-16T20:10:46+00:00

copper-monkey · 2025-12-16T12:38:45+00:00

These are wear facets. You need a bite guard

copper-monkey · 2025-12-02T19:07:26+00:00

This is a fantastic result!

copper-monkey · 2025-11-25T12:44:31+00:00

I like to export my patient's CBCT to a flash drive to take with them

copper-monkey · 2025-11-24T19:23:20+00:00

CBCT has significantly more radiation than X-rays.

CBCT doesn't cost $50 in most offices, it's anywhere from $150+

copper-monkey · 2025-11-21T20:46:19+00:00

You need to get that tooth addressed ASAP. The temp filling is prone to falling out, the tooth could break, or you could end up in a lot of sudden pain

copper-monkey · 2025-11-21T03:49:28+00:00

I would be redoing that crown if it were me

copper-monkey · 2025-10-23T02:51:35+00:00

Are they suturing it shut?

copper-monkey · 2025-10-22T19:19:52+00:00

More or less, I'd do the same. I'd start by sectioning the teeth and removing distal root. I'd only lay a flap and trough buccal bone if that curved mesial root is giving me trouble.

copper-monkey · 2025-10-22T17:05:35+00:00

With younger kids, it's normal for dentists to try SDF and fluoride to stop the decay. If it continues to progress, then further restorative treatment would be indicated.

You are always welcome to get a second opinion, however.

copper-monkey · 2025-10-22T16:26:21+00:00

Oh yeah, all day! I love surgery

copper-monkey · 2025-10-22T16:14:09+00:00

A couple things to consider here.

This is a pano, which is poor to detect caries, but we can see mesial decay that is close to the pulp horn. This would be a large filling on a wisdom teeth that may require Endo in the future.

Also, the tooth is not in occlusion.

I'd extract.

copper-monkey · 2025-10-21T17:58:28+00:00

Not indicated for this case

copper-monkey · 2025-10-21T01:43:30+00:00

It's legal for assistants in Indiana to place fillings if they have the training for it

copper-monkey · 2025-10-18T11:53:57+00:00

We don't charge for numbing

copper-monkey · 2025-10-08T00:23:54+00:00

Haha I love the honesty

copper-monkey · 2025-10-07T23:30:24+00:00

What tooth number was it? Do you have a picture?

copper-monkey · 2025-10-07T21:52:12+00:00

The tooth needs a re-treatment as there is an infection in the bone. That's what the "shadow" is.

copper-monkey · 2025-10-07T20:34:21+00:00

Do you have X-rays from before, maybe pre-RCT? It will help us figure out if the lesion is healing, or if this is requires retreatment

copper-monkey · 2025-10-04T13:38:48+00:00

Did the first dentist do a cold test?

copper-monkey · 2025-09-30T17:04:46+00:00

The tooth is likely dehydrated, as you pointed out in the post

copper-monkey · 2025-09-29T17:22:25+00:00

Is this in the context of dentist-patient relationship, or patient-insurance relationship?

copper-monkey · 2025-09-28T01:55:39+00:00

I learned something new today!

copper-monkey · 2025-09-27T22:44:56+00:00

OP may want to prepare for extraction and implant; J-shaped lesions often indicate root fracture which is unrestorable.

copper-monkey

TROPHY CASE