#15

[Glenn van As]

Hey David……..thanks for posting……what about that third molar with the huge occlusal decay ( or is it buccal).

The decay is visible on the radiograph.

Is that what was bothering him (cold water on that tooth).

The decay is pulpal.

Glenn

[dkimmel]

I wish. He is appointed to have it extracted with his other 3rds. We blocked the area out to rule out the 3rds involvement. It was also pretty sight specific when he felt the burr. Ever had a patient for a crown prep and no matter what you did they had one spot like a distal lingual line angle they could still feel?
You bring up a great point about air/water causing sensitivity on another tooth. I’ve even have had to resort to the rubber dam to take care of the problem.

David

[Swpmn]

QUOTE

Ever had a patient for a crown prep and no matter what you did they had one spot like a distal lingual line angle they could still feel?

Yes, and although I feel bad about your case, it’s nice to find a practitioner that experiences the same problems I occasionally have clinically. In the majority of maxillary molar cases such as yours, I’m able to obtain profound anesthesia by blocking the greater palatine nerve. However, every year I have a case or two like yours that just drives me nuts.

Also nice to see someone else utilize directly placed alloys – which we still use for 10-15% of our direct restorations. You can use erbium lasers for amalgam preparations, I have been doing this for three years.

Al

[emc85]

guys

have you tried stabident? it is an intraosseous injection that i use routinely for endos and some upper molars with thick buccal bone. one is all they need. try it next time.

great post…it is a learning experience for us all, i believe when we show our difficulties…in fact, i pay more attention to these posts than those more ‘successful’ posts.

[Author]

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