Dentaltown January 2023 - 57
by Dr. Joe Whitehouse
Dr. Joe Whitehouse graduated from the University
of Iowa Dental School in 1970. During his career,
Whitehouse brought three other practices into
his own and adopted a totally minimally invasive
approach to dental care. He was a co-founder of
the World Congress of Minimally Invasive Dentistry,
serving as president for two terms.
Whitehouse also earned a master's degree in counseling, enabling him to
treat many fearful/apprehensive patients without drugs. He has written
about dealing with fearful patients and authored articles on minimally
invasive dentistry and clinical issues dentists face.
Erupting
Compromised Teeth
for Restoration
P
eriodically, a question comes up about how
to restore a tooth that has very little clinical
crown showing, usually because of clinical
fractures or severe caries. These cases deserve to be
considered for application of forced eruption.
The issue becomes especially dire when:
* The tooth was restored without enough
ferrule effect, so the crown is in need of
being recemented over and over because
there's insufficient retention.
* A root-canaled anterior tooth with a post
and core comes out because of a short post
and a ferrule issue.
* The patient presents with severe decay or
a fracture.
* The root splits because a crown build-up with
a post has been torqued out, splitting the root
with no option but extraction.
" Why not just put in an implant? " That may
seem like a fair option until other issues come up,
including time, money or attitude (both patient
and dentist). For circumstances where saving the
root is appropriate, I offer eruption as a very predictable
clinical course.
Determining and
setting expectations
I always start a project/treatment by focusing
on what outcome the patient expects. That outcome
also may affect you if there is an ongoing
dentaltown.com \\ JANUARY 2023 55
http://www.dentaltown.com
Dentaltown January 2023
Table of Contents for the Digital Edition of Dentaltown January 2023
Dentaltown January 2023 - Intro
Dentaltown January 2023 - Cover1
Dentaltown January 2023 - Cover2
Dentaltown January 2023 - 1
Dentaltown January 2023 - 2
Dentaltown January 2023 - 3
Dentaltown January 2023 - 4
Dentaltown January 2023 - 5
Dentaltown January 2023 - 6
Dentaltown January 2023 - 7
Dentaltown January 2023 - 8
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Dentaltown January 2023 - 55
Dentaltown January 2023 - 56
Dentaltown January 2023 - 57
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Dentaltown January 2023 - 66
Dentaltown January 2023 - Cover3
Dentaltown January 2023 - Cover4
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