Replacement of crowns : retreatment - Courtesy ROOTS
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From: Marga Ree
Sent: Saturday, September 20, 2003 2:23 PM
To: ROOTS
Subject: [roots] treatment of nervous collegue
This is a case in which I played a very modest role, my husband did the
hardest part. The patient is a good friend and collegue of us, he was
dissatisfied with his smile and cosmetic appearance, and wanted new
crowns on his front teeth. My husband did the prosthetic treatment,
he replaced the crowns on the 12, 11, 21 and 22 and made also a crown
on tooth 13. So, 5 crowns in total. I did the retreatment, post and
build-up on tooth #11. I remember my patient being very nervous, because
the post had to be removed, and he didn't sleep well the night before
the treatment. This week I did the one-year follow-up. He is very
satisfied with the result (and so are we.......). We are very proud of
our lab technician, he did a great job - Marga
Beautiful case Marga! - Terry
Very nice case Marga and especially on the nervous patient.
Gosh I love the scope for these nervous nellies - Glenn
Glenn, I can't stand the sighing either. If I'm in a bit of a testy mood,
I'll usually tell the patient to please stop sighing because it breaks
my concentration, and I won't be able to do as good of a job for them if
I'm being continually distracted by the sighing. I tell them to only make
a noise if I'm hurting them so I know to stop - Marga
Marga, would you be able to send a photo of the lab dies?I'd be interested
in seeing how your husband ended his preps subgingivally on the roots.
Are these Captek crowns? Very nice result - Dudley Chai-Onn
Nice case Marga. Please can I ask what you used to remove the post and the
materials you used for the final post - Stephen.
Stephen, I removed the cast post with ultrasonics, CPR 1 tip in the Spartan
ultrasonic device. If this doesn't work after some minutes, I use a postpuller,
like the Gonon Postpuller or the Ruddle Post Removal System. The post which
I used for the new build-up is a Luscent post, from Dentatus. It's a glass
fiber post, you can light cure the luting cement through the post, at least,
the manufacturer claims that you can do that. I prefer to use a self cure
composite to cement the post, I don't trust the transmission of light through
the post. I used Luxacore Auto-mix to cement the post, and I used the same
material for the build-up. One disadvantage, you have to work fast, it sets
within 1 minute. You can see that the post is radiolucent, you can only see
the radiopacity of the core material that surrounds the post - Marga