DentaltownUK Winter 2017 - 42
message board
4th molar
Member Since: 12/09/15
Post: 71 of 82
I think patients like the procedures to be quick and painless. Most dentists hear "drill" and
think trauma, but I feel just the opposite. If you use a 701 around root tips, that bone is coming
back. Working in the same area for too long and using pressure affects the recovery. I can't
imagine life without my drill. ■
1/6/2017
Mikehanna
Member Since: 22/03/10
Post: 72 of 82
All really good advice above that will help you get many more teeth out quicker, but I would
like to add that even as you get better at extractions and have more years of experience, you will
always have that extraction case that will look easy to others or even to you when you look at the
X-ray two weeks later.
Sometimes it is not so much the tooth but a combination of where the extraction falls in
your schedule, day of the week, demeanor of patient, your assistant's mood, the alignment of the
planets or stars, etc. There will always be that extraction that just does not feel right even though
you eventually get the tooth out.
Have this in your mind and plan to have a few of these in your career; do not overanalyze
them, just roll with the punches and keep going. Be prepared and accumulate as much knowledge
as you can, but also be aware that sometimes it is just a bad day and we all have them. ■
1/6/2017
davidpalmer
Member Since: 14/04/00
Post: 73 of 82
380Dental
Member Since: 22/07/11
Post: 74 of 82
So, quick question. Your mouth, wiggle out the root tip Almunk's and my way or have us lay
a flap and remove buccal bone just so we can get it out faster? Be honest. ■
1/6/2017
Or Option 3, take a thin surgical bur, remove ~1mm of cancellous bone all around the
tooth, and accomplish both at the same time: faster and don't touch the buccal/lingual plates,
and still do it flapless.
The more time you put pressure on a tooth, the more postop pain the patient is going to
have. The longer you work on a tooth, the more postop pain the patient will have.
Most simple terms: You have a tooth and a hole. The object you are removing needs to be
smaller than the hole to get it out. You can accomplish that one of three ways: make the tooth
smaller (section); make the hole bigger with a bur; or make the hole bigger with ■
1/6/2017
Join the discussion online at Dentaltown
Search: "Brittle RCT"
Have any questions about this interesting case? Go to dentaltown.com and search
the message boards for "brittle RCT"-this conversation will be the top result.
42
WINTER 2017 // dentaltownuk.com
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Table of Contents for the Digital Edition of DentaltownUK Winter 2017
Cover
Meet the Team
Editorial with Mike Gow
Howard Speaks
Continuing Education Update
Continuing Education Update
BACD News
Show Your Work
Message Boards-Implants
The Icing on the cake
Conteporary Endodontics
BACD Meetings
Message Boards-Advice on Broken #29
Shifting Tides
Time Out
Through the Keyhole
Mouth Guards
Lifestyle
Students
Work/Life Balance
Wish List
DentaltownUK Winter 2017 - Cover
DentaltownUK Winter 2017 - Cover2
DentaltownUK Winter 2017 - 3
DentaltownUK Winter 2017 - 4
DentaltownUK Winter 2017 - Meet the Team
DentaltownUK Winter 2017 - Editorial with Mike Gow
DentaltownUK Winter 2017 - 7
DentaltownUK Winter 2017 - Howard Speaks
DentaltownUK Winter 2017 - 9
DentaltownUK Winter 2017 - Continuing Education Update
DentaltownUK Winter 2017 - 11
DentaltownUK Winter 2017 - Continuing Education Update
DentaltownUK Winter 2017 - 13
DentaltownUK Winter 2017 - 14
DentaltownUK Winter 2017 - BACD News
DentaltownUK Winter 2017 - 16
DentaltownUK Winter 2017 - 17
DentaltownUK Winter 2017 - Show Your Work
DentaltownUK Winter 2017 - 19
DentaltownUK Winter 2017 - 20
DentaltownUK Winter 2017 - 21
DentaltownUK Winter 2017 - Message Boards-Implants
DentaltownUK Winter 2017 - 23
DentaltownUK Winter 2017 - 24
DentaltownUK Winter 2017 - 25
DentaltownUK Winter 2017 - 26
DentaltownUK Winter 2017 - 27
DentaltownUK Winter 2017 - 28
DentaltownUK Winter 2017 - 29
DentaltownUK Winter 2017 - The Icing on the cake
DentaltownUK Winter 2017 - 31
DentaltownUK Winter 2017 - Conteporary Endodontics
DentaltownUK Winter 2017 - 33
DentaltownUK Winter 2017 - 34
DentaltownUK Winter 2017 - 35
DentaltownUK Winter 2017 - 36
DentaltownUK Winter 2017 - BACD Meetings
DentaltownUK Winter 2017 - 38
DentaltownUK Winter 2017 - 39
DentaltownUK Winter 2017 - Message Boards-Advice on Broken #29
DentaltownUK Winter 2017 - 41
DentaltownUK Winter 2017 - 42
DentaltownUK Winter 2017 - Shifting Tides
DentaltownUK Winter 2017 - 44
DentaltownUK Winter 2017 - 45
DentaltownUK Winter 2017 - Time Out
DentaltownUK Winter 2017 - 47
DentaltownUK Winter 2017 - Through the Keyhole
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DentaltownUK Winter 2017 - Mouth Guards
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DentaltownUK Winter 2017 - Lifestyle
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DentaltownUK Winter 2017 - Work/Life Balance
DentaltownUK Winter 2017 - 62
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DentaltownUK Winter 2017 - Wish List
DentaltownUK Winter 2017 - Cover3
DentaltownUK Winter 2017 - Cover4
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