Dentaltown April 2018 - 50

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satchdds
Member Since: 04/19/02
Post: 14 of 40

Did I mention she has no funds? She works in a local motel. I will be doing CL surgery
for her. I was able to fi nd the old margins to make temps and do build-ups with electrosurge.
The crowns were cemented with gingival tissue pinched between the crown and margins in
some areas. ■

2/15/2018

mike k

Just saw the reprep photos, fantastic job! Patient is very lucky to have landed in your chair. ■

Member Since: 05/01/01
Post: 16 of 40

satchdds
Member Since: 04/19/02
Posts: 17 and 25 of 40

2/15/2018

I just added the deconstruction photos minus my tears. She brought us preop photos. #9 was
slightly lighter and old-style PFM.
That proves how important posts are in the world of adhesive dentistry. Still want to hear from
The Geek, and the Mikes, and others. I'm planning on putting her incisal length back to preop. I
only have photos to go by. I also will consider splints. Probably 7-8. 9-10. Surgery next. I showed
this case to our local Spear club last night after the regular presentation. It was quite depressing. ■
2/16/2018

palmers31
Member Since: 07/30/08
Post: 26 of 40

This makes me sad on so many levels. Not only for this lady, but what about all the ones out
there that don't end up in your chair to have work like this corrected? #7, even with CL, has a
poor/guarded prognosis. She'll probably come in with it in her hand after a few years. What a
nightmare. At least she's in good hands now. Good work, Satch! ■
2/16/2018

SFain
Member Since: 05/16/05
Post: 27 of 40

Low smile or high smile? Very depressing. How are we supposed to always "defend the
profession" and not "throw the other dentist under the bus"? With those X-rays, isn't this a malpractice case? It's not like they missed the margin on one tooth. Maybe the patient will decide
to get a lawyer involved. Maybe the treating dentist will offer a refund to settle out of court. ■
2/16/2018

velogeek
Member Since: 04/15/10
Post: 28 of 40

This type of outcome is not defendable, and in the true definition of malpractice is negligence. Not all of us take X-rays at seating, but when the endo was done, discovery of the margins
should have been evident.
So, if this is the reason for WWLD, I would inquire about this dentist's standard of care in
his community. If this is an example of the work that leaves his office, he needs serious remediation. Start by sending him the X-ray and a short clinical presentation note and just ask what he
would like you to do? His response or lack of will give you valuable insight. ■
2/16/2018

satchdds
Member Since: 04/19/02
Post: 31 of 40

I originally advised her to speak to him. Maybe it was just a flub. We all (except you, of
course) have been there. He offered to replace everything. She declined and got a partial refund,
I think. I didn't ask specifically because it's not my business; she paid me up front and I told
her that things may change as we see how it goes. I'm not really interested in making a boat
payment. (I don't even have one, besides a few kayaks.) Anything I do from here on in is out of
kindness. Things happen measure for measure. ■
2/16/2018

Brett Mansfield
Member Since: 08/19/05
Post: 32 of 40

Another reason that she was lucky to find you. Finding a great dentist isn't as easy as it
should be. Finding one who is compassionate is even more unlikely. I both love and hate treating

APRIL 2018 // dentaltown.com

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