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Posted on 4/18/14 at 3:42 pm to LSUfan20005
quote:
The dentist says that the tooth-colored ones don't last and that the child may break it.
Is it for a front tooth or a molar? There are stainless steel crowns with a white 'shell' of material that can be used for front teeth. (Typically a different shade than the natural teeth) Another option would be a strip crown which was described above. Depending on the child, these can fracture often.
quote:
If this is true, then how do adults get non-silver fillings?
I assume you are asking about tooth colored/porcelain crowns. The porcelain needs to be 1.5mm - 2mm so that it doesn't fracture. It isn't possible to do an 'adult' crown on baby teeth (or young permanent tooth for that matter) because you would have to make a lot of reduction on the tooth (1.5mm - 2mm) which may cause a pulpal exposure requiring a root canal. This is because young teeth have large pulp chambers that are much closer to the surface than in mature older teeth. They also cost $800-1000.
When a baby tooth gets a crown, a small amount of tooth structure gets removed from the tooth to make room for the very thin stainless steel crown.
Posted on 4/18/14 at 3:53 pm to 911Moto
Damn haha I'm at LSU now. Times must have changed a bunch around there. The worst that goes on now is old tests are passed back but no cheating scandals. We had a class meeting about not cheating bc someone was cheating on a test.
Posted on 4/18/14 at 4:30 pm to Vinny V
There was no cheating when I was there about 10 years ago. Sounds like you guys had a shitty class. We were all on the up and up. There was plenty of competition amongst those looking for specialty spots, but I never saw or heard of anybody cheating. Unless you mean cheating on their wife...
Posted on 4/18/14 at 4:31 pm to 911Moto
While it's truly sad that this stuff can go on, it is not confined to only dentistry. The fact that these sort of things are common in all professions speaks volumes for the decaying morals of our whole society ![](https://images.tigerdroppings.com/Images/Icons/Iconbanghead.gif)
![](https://images.tigerdroppings.com/Images/Icons/Iconbanghead.gif)
Posted on 4/18/14 at 4:37 pm to ruzil
Ah. No wonder. Damn Yankees always cheat. LSU FTW.
Posted on 4/18/14 at 5:38 pm to NorthEnd
quote:
Damn Yankees
Not a Yankee bro, nice try though.
Previous career (and the siren song of a woman, never what it seems to be, but who among us can resist) took me to C Town and it was a much easier path to go to CWRU. Moved back home immediately after I was done with dental school.
quote:
cheat
I never cheat, but I was once told that one only notices what one aspires. Might apply to you, no?
![](https://images.tigerdroppings.com/Images/Icons/Iconmoon.gif)
Posted on 4/18/14 at 7:56 pm to rlp
quote:
. Too many dentists out there worship the dollar.
This. You can make a great living without screwing people. Charge a fair fee, give people options and answer their questions honestly, take care of THEIR needs/desires.
My wife and I aren't aggressive treatment planners. Especially with children. Watch & wait is a very common pediatric treatment plan in our practice. Of course there are circumstances where things absolutely have to be done.
There is a good use for SS crowns in Pedo patients. They are widely over used though. I haven't done one since dental school. And can't think of but maybe 5 patients that I've sent to have one in 12 years of practice.
An interesting note. composite resin fillings don't bond to primary teeth nearly as strong as permanent teeth. Although its still a pretty good treatment modality for a quick 2 year solution.
Posted on 4/18/14 at 8:10 pm to RingLeader
I've gotten to the point where I don't trust dentists at all. I haven't been to one in years, even for a regular cleaning. Dental insurance basically going to waste. My old dentist used to be on the up and up, but at some point in the last 5-10 years, his waiting room and office started having more pamphlets and posters about cosmetic treatments than true dental heath.
I get the same feeling of distrust with some doctors, especially pediatricians. I feel like some of them prey on parents who are willing to do and pay anything to keep their kid from having the sniffles another day.
I get the same feeling of distrust with some doctors, especially pediatricians. I feel like some of them prey on parents who are willing to do and pay anything to keep their kid from having the sniffles another day.
This post was edited on 4/18/14 at 8:11 pm
Posted on 4/18/14 at 8:22 pm to ILikeLSUToo
I started with a new dentist in January after seeing 3 other scalpels over the years. One of them said I had to have all of my teeth removed and 16 years later I still have them. Love the new one and his staff.
Posted on 4/18/14 at 9:01 pm to Amazing Moves
Wow....The variety of responses in this thread are shocking....
1. Which tooth is it and take first into account when your son will loose it
2. Do not forget that u do have other options than restoration (or in this case prolonged retention). The significance of the maintaining the pediatric teeth at that age is to have adequate space for adult teeth to come in depending on where it is.
3. Lastly....which no one has mentioned. ..get the remaining teeth sealed and a home fluoride treatment as a preventative measure with the remaining teeth.... This will save you further headache in the future although good home care can't be remedied with anything but brushing and flossing. ..even for a six yr old.
1. Which tooth is it and take first into account when your son will loose it
2. Do not forget that u do have other options than restoration (or in this case prolonged retention). The significance of the maintaining the pediatric teeth at that age is to have adequate space for adult teeth to come in depending on where it is.
3. Lastly....which no one has mentioned. ..get the remaining teeth sealed and a home fluoride treatment as a preventative measure with the remaining teeth.... This will save you further headache in the future although good home care can't be remedied with anything but brushing and flossing. ..even for a six yr old.
![](https://images.tigerdroppings.com/Images/Icons/Iconthumbup.gif)
This post was edited on 4/18/14 at 9:02 pm
Posted on 4/18/14 at 9:04 pm to tigerhoney
genuine, show me your tits
Posted on 4/18/14 at 9:07 pm to SlowFlowPro
But you have seen them.... plus...don't u know natzis run this joint now....not like the good olé days when it was just a bunch of hard legs having a Lil fun.....
Posted on 4/18/14 at 9:12 pm to motorbreath
This is funny I was about to reccomend Dr Kirby Perry myself. He is below national average on all the services and is awesome. 20 bucks for flouride for instance.
Posted on 4/18/14 at 9:53 pm to tigerhoney
quote:
Wow....The variety of responses in this thread are shocking....
1. Which tooth is it and take first into account when your son will loose it
2. Do not forget that u do have other options than restoration (or in this case prolonged retention). The significance of the maintaining the pediatric teeth at that age is to have adequate space for adult teeth to come in depending on where it is.
3. Lastly....which no one has mentioned. ..get the remaining teeth sealed and a home fluoride treatment as a preventative measure with the remaining teeth.... This will save you further headache in the future although good home care can't be remedied with anything but brushing and flossing. ..even for a six yr old.
Do you think diet has any significance in this case of tooth decay?
Might be a good idea to speak to parents about what, how much and how often the child eats along with home care.
Systemic diseases like reflux and medications that cause dry mouth might also be considered.
Posted on 4/18/14 at 9:55 pm to jeffturnright
quote:
20 bucks for flouride
TIL I need to raise my fluoride fees.
![](https://images.tigerdroppings.com/Images/Icons/Iconbanana1.gif)
Posted on 4/18/14 at 10:50 pm to LSUfan20005
quote:
The dentist says that the tooth-colored ones don't last and that the child may break it. If this is true, then how do adults get non-silver fillings?
It is all about the SEAL. SEAL! Thanks Bob Sergent (2 E's) for that. It's not about the restoration "breaking", it's about it not leaking.
Bonded restorative materials simply don't bond and seal as well with primary enamel and dentin. A "cap" is often the best way to seal the tooth off from the bacteria and their energy sources in the mouth.
Then understand the fact that the distance of protection between the pulp chamber of a primary tooth and the Dr. Pepper you give your child is much smaller than the layers of protection that your permanent teeth have.
It's as simple as this, a dentist goal is to treat a primary tooth with active caries only ONCE. This is why a tooth with an absolutely minuscule area of decay should be treated with a "cap", if, for example, the tooth is of a 3 year old that needs 9 more years of service. In other situations, a silver filling may be appropriate to accomplish that goal. And I use tooth color covered caps on the upper anterior teeth, I couldn't put silver up there on my own children.
Regardless of your choice, just for kicks, let us know if the tooth naturally exfoliates without further treatment in coincidence with the other teeth that hopefully didn't need treatment that match it in the other side or other quadrants of their mouth. That is what defines successful treatment of a primary tooth.
eta: Picture of Bob (on left)
This post was edited on 4/18/14 at 11:10 pm
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