From: Ahmad Tehrani
Sent: Thursday, May 24, 2007 12:39 PM
To: ROOTS
Subject: [roots] just another day in the trenches

IP #29...Extensive carious lesion. One visit endo, Fiber post BU and temporization.
total treatment time: 3.5 hours.- Ahmad











Great Ahmad, what part of the procedure was the most difficult ? - Dr. Danny O'Keefe

Hi Danny: may be peeling back layer after layer of caries to show him where the decay
had penetrated the pulp and photographing all the steps. he thought he just needed a "filling"...Ahmad

Ahmad, he needed lots of education and reassurance. Every dentist won't take
the time as you did to involve the patient. Well done. - Dr. Danny O'Keefe

Danny: I love documenting cases and explaining treatment. I do it with all my patients.
But you have played this game longer than I have....isn't it amusing to you that a patient
let his tooth for this long...??. to be decayed this badly.....and it is almost a front tooth.
then hurt for couple of days...

when it becomes intolerable they demand an appointment right away...but when they come in,
It really doesn't hurt that bad today! and wants to know if you could fill it.
The same patient who spontaneously become allergic to their saliva and have
to spit every 30 seconds...and gag uncontrollably when applying topical EMLA because it is so
nasty....and on and on.

Of course they are my favorite patients and I really don't mind all the extra education and
time I have to spend with them....Plus we categorize them as a T2 patient, which gives them
special 20% surcharge over our usual fee...)))  - Ahmad

Sharp! - KendelG
Very nice result Ahmad! What type of fiber posts do you use? Thank you! - Camil

Thanks Camil and Kenny G.
This particular post is from Parkell, called CI White post.- Ahmad

Ahmad, you are very special in the way you think and act. Your description of this and patients
in general is fun to read. So true and so tragic.

"Allergic to their own saliva "  I haven't heard that one before. I like the extra surcharge.
I have become a little lazy. When I get a patient too difficult, I just put them to sleep. - - Dr. Danny O'Keefe

Ahmad, another question that I hope I survive that also applies to a lot of other cases I see.
You and I are GPs so we can actually go all the way to a restored tooth.  Maybe it is a hangover or
holdover from dental school but I always clamp the distal tooth and tie off the tooth being treated
and the one mesial to it.  That gives me more space to restore and, for me, easier radiographs.
Just a question. -  Guy W. Moorman, Jr. DDS





Really?  - Ahmad