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From: gary l. henkel d.d.s.
To: ROOTS
Sent: Thursday, November 06, 2008 8:52 PM
Subject: [roots] why I need to stop using drugs!
I’m posting this as a lesson to not get tunnel vision as yours truly did.
This 60 y/o white male, who happens to be a good friend, presented 2 weeks ago
with cc of “sensitivity on and off on the upper left.” No biggy, right?
So the genius doctor (aka yours truly) finds a minor carious lesion on the
mesial of #14, takes a quick look with his 2x loupes at 15, finds nothing
wrong, problem solved. Wrong! Patient comes back today, says everything
is as before. This time, genius doctor thinks let’s look for a cracked tooth.
This time, he decides to use the microscope he has hanging from the ceiling,
and with a little effort and an explorer is able to create the separation
seen here. I actually missed this the first time around. Sometimes I wonder
if I should be doing something else for a living!
Good news is patient is finally willing to place the implant at the #13 position
where I extracted an over retained deciduous molar about 2 years ago. So are
treatment plan is we are going to extract #15 and immediately place one of
the new ultra wide implants in the #15 Position, and then place a standard
fixture in the #13 position. I will document and post the case as it moves
along. - Gary L Henkel
Gary, I wouldn't jump to conclusions. You may have made the same
mistake even if you were sober. Giving up on the drugs may be a bit
drastic! - Kendel
Hey, drugs keep me alive and walking around. Don’t knock it. You are nearly
as old as me Gary…get ready for more…that little seven day pill thing.
I see more of these things today that I want to. Surely there are some older
guys or ladies out there who can answer this question. Don’t we see a heck
of a lot more of these things than we did when we started. Clenching seems
to be on a epidemic scale. I’ve got two or three patients who could bite a
20 penny nail in pieces.
Question on the implant Gary. Are you using Nobel or other. I had three
replaced with a fat boy great 6 mm implant. It was a massive process.
About five mms of sinus floor came out with the palatal root and my calm
easy going perio guy almost used a curse word and that would have caused a
ten minute prayer meeting great surgeon.
He packed enough bone up there to plug Hoover Dam and we waited. He tried a
sinus lift and found no membrane so we waited. 18 months later we did the
sinus lift and place the Nobel implant. It uncovered immediately so I just
put a healing screw on it that I like hate those straight ones. Need to do
the restoration but can’t find the time. I do them myself with an assistant.
Get my hygienist to check margins but if it comes from Ultimate Styles it
fits sometimes too damned well. I’ve threatened to send them a gallon of die
spacer very anal retentive Japanese techs. We used a fat boy on #19 in my
mouth and it worked like a charm but I left it in too much lateral occlusion
and my clinching vibrated the screw loose. We cut it off and then I read on
here that you simply drill a little hole in the top and change the screw never
use the same one because it has been stretched. I love those wide implants
solid feels like cement blocks holding the crown and abutment in. Guy
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