How long to wait before restoring a dental implant?

How long to wait before restoring a dental implant?   I have been restoring dental implants for about 15 years. In the early 90’s there was a fear that the implant might fail, so the clinicians of the day would wait a long time and then load the implant with a temporary crown. So in all, it might take a year or more before the final crown was placed on the tooth. In this society,...

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Did the dentist get all the decay out of my tooth?

Did the dentist get all the decay out of my tooth?   On occasion a new patient will arrive to my office with decay around or under a filling that was done years earlier.  They will need a new filling or a crown.  The usual question is: ‘Did the last dentist leave some decay in the tooth?’   It can be tricky for the dentist to get all of the decay out of a tooth....

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Bumps in Your Mouth

Bumps in Your Mouth From my experience practicing dentistry over many years, I’ve learned that most people have very little idea of structures in their mouth beyond teeth and a tongue. Well, there’s lots going on in there, some of which is normal and some of which can be pathologic.  A tour of this small but busy universe, will reveal the following: For example, if you check with...

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Further Recommendations for the Water-Pik (Water Floss)

Further Recommendations for the Water- Pik (Water Floss)   Until a few years ago I would never recommended the Water-Pik.   Patients gave up doing all their other home care and did a really lazy job with their Water-Pik. When they came in for a cleaning their gums looked much worse. Over the last 5 years, I’ve learned that when patients do the other home care routine (proper...

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FRACTURE IN A TOOTH: A CASE STUDY

Fracture in a tooth: a case study   A patient in her 40s showed up in my office last summer. One of her complaints is that she could not chew on her lower right molar (#30), and the discomfort was persistent. I recommended that she see a root canal specialist, which she finally did almost a year later. The fracture was visible on a photo of the biting surface, and this extended to the...

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