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Author Dentist wants to replace all my fillings
harry_lewis@yahoo.com

2005-05-26, 10:49 pm

Hello all,

I recently began seeing a new dentist. My main reason for seeing him
is that one of my molars is bothering me. The pain was sporadic and
transitory in the past, but now the tooth is botherimg me almost
constantly. I had already mentioned this problem to my former dentist
at least twice over the last five years, and he kind of just "brushed
it off" (i.e., he ignored me and did nothing). So I felt it necessary
to find a new dentist.

My new dentist performed a very thorough exam, the most thorough dental
exam that I had ever had in my entire life. He found a number of
problems, one of which is that almost all of my amalgam fillings are
leaking. He determined this by visually looking at them-- except for a
suspicious radioleucency in one tooth, all the x-rays were normal.

None of these other amalgam fillings are currently bothering me.
However, this dentist's rationale seems to be that these fillings
probably have decay forming under them; therefore, the fillings should
be replaced as a pre-emptive action to protect the teeth. I was told
that if I decline to have this done, I will probably need multiple root
canals at some point. I should probably add that all but one of these
fillings are about 30 years old.

One thing that troubles me is that my new dentist didn't seem to be in
any hurry to deal with the tooth that is bothering me. I thought that
he would want to deal with the problem immediately. Instead, it seems
that he is focused on fixing every little problem that he can find,
rather than dealing with the crises first to get them out of the way.
Of course, that's just my subjective assessment, which may not
necessarily be a fair one. Even so, I don't think it's unreasonable of
me to expect a dentist to focus his attention on a tooth that is
causing me discomfort, and to take prompt action to deal with the
problem. Everything else can be dealt with later.

Now, back to the fillings...

My dentist proposes to replace my amalgam fillings with resin-bonded
composite fillings. These will be "temporary fillings" that will only
last 1.5 to 2.5 years (3 years max.). Does that sound right? I wasn't
aware that white fillings have such a short life.

The reason for the temporary fillings is because he really wants to put
crowns (seven full, two partial) on my teeth. However, he also thinks
that I need full braces. So the reason for not putting the crowns on
now is that the braces would probably cause the crowns to break off.
Another reason is because I cannot really afford all of the extensive
treatment that he is proposing. So the idea is that this will buy me
some time and give me a chance to research my options, and hopefully my
financial situation will improve in the next year or so.

Even the stop-gap measures proposed will be quite a hit financially.
Curious as to what it will cost (and not wanting to be too shocked when
it comes time to pay), I asked for a rough estimate. It looks like it
is going to set me back by about $3800. Wow! These have got to be the
most expensive fillings that I have ever had in my entire life. And
what's even worse is that they're apparently not all that durable. For
that price, I would almost expect that these fillings would make my
teeth as strong as a beaver's, and last for at least 50 years. (Yeah, I
know that's not realistic, but I am allowed to dream, am I not?) :-)

Well, this post is getting quite long, so I'd better stop now. Your
thoughtful comments would be greatly appreciated. My new dentist is
unlike all the other dentists I've ever been to, and while he seems
like a caring dentist and a very nice guy, it is hard for me to shake
this nagging feeling I have that there's something not quite right
here.


Harry

Tony Bad

2005-05-26, 10:49 pm

I'd get another opinion.

Anytime you get such an extensive plan, which will undoubtedly cost quite a
bit of money, you owe it to yourself to get another opinion.

I am a bit bothered by the comment that your existing fillings "probably
have decay forming under them". Either they do or they don't, they should
find out BEFORE treating.

T


<harry_lewis@yahoo.com> wrote in message
news:1117149594.178719.210570@g14g2000cwa.googlegroups.com...
> Hello all,
>
> I recently began seeing a new dentist. My main reason for seeing him
> is that one of my molars is bothering me. The pain was sporadic and
> transitory in the past, but now the tooth is botherimg me almost
> constantly. I had already mentioned this problem to my former dentist
> at least twice over the last five years, and he kind of just "brushed
> it off" (i.e., he ignored me and did nothing). So I felt it necessary
> to find a new dentist.
>
> My new dentist performed a very thorough exam, the most thorough dental
> exam that I had ever had in my entire life. He found a number of
> problems, one of which is that almost all of my amalgam fillings are
> leaking. He determined this by visually looking at them-- except for a
> suspicious radioleucency in one tooth, all the x-rays were normal.
>
> None of these other amalgam fillings are currently bothering me.
> However, this dentist's rationale seems to be that these fillings
> probably have decay forming under them; therefore, the fillings should
> be replaced as a pre-emptive action to protect the teeth. I was told
> that if I decline to have this done, I will probably need multiple root
> canals at some point. I should probably add that all but one of these
> fillings are about 30 years old.
>
> One thing that troubles me is that my new dentist didn't seem to be in
> any hurry to deal with the tooth that is bothering me. I thought that
> he would want to deal with the problem immediately. Instead, it seems
> that he is focused on fixing every little problem that he can find,
> rather than dealing with the crises first to get them out of the way.
> Of course, that's just my subjective assessment, which may not
> necessarily be a fair one. Even so, I don't think it's unreasonable of
> me to expect a dentist to focus his attention on a tooth that is
> causing me discomfort, and to take prompt action to deal with the
> problem. Everything else can be dealt with later.
>
> Now, back to the fillings...
>
> My dentist proposes to replace my amalgam fillings with resin-bonded
> composite fillings. These will be "temporary fillings" that will only
> last 1.5 to 2.5 years (3 years max.). Does that sound right? I wasn't
> aware that white fillings have such a short life.
>
> The reason for the temporary fillings is because he really wants to put
> crowns (seven full, two partial) on my teeth. However, he also thinks
> that I need full braces. So the reason for not putting the crowns on
> now is that the braces would probably cause the crowns to break off.
> Another reason is because I cannot really afford all of the extensive
> treatment that he is proposing. So the idea is that this will buy me
> some time and give me a chance to research my options, and hopefully my
> financial situation will improve in the next year or so.
>
> Even the stop-gap measures proposed will be quite a hit financially.
> Curious as to what it will cost (and not wanting to be too shocked when
> it comes time to pay), I asked for a rough estimate. It looks like it
> is going to set me back by about $3800. Wow! These have got to be the
> most expensive fillings that I have ever had in my entire life. And
> what's even worse is that they're apparently not all that durable. For
> that price, I would almost expect that these fillings would make my
> teeth as strong as a beaver's, and last for at least 50 years. (Yeah, I
> know that's not realistic, but I am allowed to dream, am I not?) :-)
>
> Well, this post is getting quite long, so I'd better stop now. Your
> thoughtful comments would be greatly appreciated. My new dentist is
> unlike all the other dentists I've ever been to, and while he seems
> like a caring dentist and a very nice guy, it is hard for me to shake
> this nagging feeling I have that there's something not quite right
> here.
>
>
> Harry
>



Dr. Steve

2005-05-26, 10:49 pm

On Fri, 27 May 2005 01:40:51 GMT, Steven Bornfeld
<dentaltwinnonsense@earthlink.net> wrote:
[vbcol=seagreen]
>
>
>harry_lewis@yahoo.com wrote:
>
> From your description, I'd go with my gut--which is to run! He could
>be totally right, but I'd need a very detailed, comprehensible reason
>for ignoring your primary complaint, and proposing extensive treatment
>that by his own definition is temporary for repairing fillings that
>"may" be leaking.
>
>Steve
>


I wonder if the new dentist showed the OP the "three slides"?
...
Stephen Mancuso, D.D.S.
Troy, Michigan, USA

I am writing on a Tablet-PC,so forgive me if the PC misreads my handwriting.
StovePipe

2005-05-27, 8:49 am

Dr. Steve <drsteve@no-spam.com> wrote:

> On Fri, 27 May 2005 01:40:51 GMT, Steven Bornfeld
> <dentaltwinnonsense@earthlink.net> wrote:


[vbcol=seagreen]
>
> I wonder if the new dentist showed the OP the "three slides"?
> ..
> Stephen Mancuso, D.D.S.
> Troy, Michigan, USA
>
> I am writing on a Tablet-PC,so forgive me if the PC misreads my handwriting.


OK, I'll bite: <rustle, rustle, shift toward DrSteve:>

.... And just what 'three slides' would we be speaking of here?

And while we are on this subject, apart from visual inspection, passing
the DiagnoDent on the margins and the BiteWings, I don't see how one can
be so sure these things really are leaking. If the caries are on the
same level with the fillings (which must be quite large), there won't be
any signs on the B/W's: Only if the caries gets underneath them, and who
wants to let things go till that stage? I often must make a decision
based on what has happened in similar situations in the past. It is not
a sure thing, as Tony B has implied.
Thanks
SP
Thanks
SP
--
Finally: take out the TRASHH
harry_lewis@yahoo.com

2005-05-27, 8:49 am

Tony Bad wrote:
> I'd get another opinion.
>
> Anytime you get such an extensive plan, which will undoubtedly cost quite a
> bit of money, you owe it to yourself to get another opinion.
>
> I am a bit bothered by the comment that your existing fillings "probably
> have decay forming under them". Either they do or they don't, they should
> find out BEFORE treating.



Hi Tony,

You're right; getting another opinion would be wise, especially in a
situation like this.

Regarding my existing fillings, my dentist seems to be operating using
this rationale: X-rays aren't very good at detecting decay under
fillings. Therefore, to know for sure you have to remove the fillings
so you can see what's underneath them.

Well, that does seem like one way to know for certain whether there is
decay under my fillings. The problem, though, as I see it, is that one
will end up destroying quite a few perfectly good fillings this way.
And once the filling is removed it has to be replaced with something,
and the material he is proposing to use is much less durable than the
original fillings. And he won't replace them with silver/mercury
amalgam fillings because he does not use them at all in his practice.
I was told that gold is the only metal he uses.

Thank you for your advice and comments.


Harry

harry_lewis@yahoo.com

2005-05-27, 8:49 am

Steven Bornfeld wrote:
>
> From your description, I'd go with my gut--which is to run! He could
> be totally right, but I'd need a very detailed, comprehensible reason
> for ignoring your primary complaint, and proposing extensive treatment
> that by his own definition is temporary for repairing fillings that
> "may" be leaking.



Hi Steve,

Thanks for your reply. Yes, it does seem that ignoring one's gut
feelings about something is usually not a smart thing to do. A friend
of mine once told me that whenever she ignores her intuition, she
always regrets it later.

My dentist did give me a very detailed treatment plan. However,
nothing that he provided me with has convinced me that these problems
require immediate attention (aside from the tooth that I wanted him to
fix). Almost all of the problems that he is calling attention to have
been there for years, apparently. Other dentists have undoubtedly
noticed these problems, and some even made casual comments about them,
but none of them ever indicated that these were urgent problems
requiring immediate attention.

BTW, just to give you a little clearer picture (to the degree that it's
possible through this medium), none of my teeth show any visible
evidence of severe decay or anything like that. In fact, every dentist
I've ever been to has made basically the same comment when examining my
teeth: "You obviously take very good care of your teeth." Anyway, I
just thought I'd mention that because I am sure you've seen stuff so
bad it would probably give most people the "heebie jeebies." My
situation is nothing like that, in case anyone is wondering.


Harry

Sdores

2005-05-27, 8:49 am

Hi Harry, I am not a dentist but as a person who has had problems with my
teeth do to other medical problems destroying the teeth. I read what you
said about your appt and I can tell you this, if I went into my dentist with
a problem that was causing pain or even discomfort and he went through all
the problems he is assuming is wrong and does not address or tend to your
immediate needs that brought you there, I would run not walk to another dr.
This to me sounds like the dentist is more interested in the money in the
bank then in your condition UM MOM Susan


<harry_lewis@yahoo.com> wrote in message
news:1117199907.995659.70320@o13g2000cwo.googlegroups.com...
> Steven Bornfeld wrote:
>
>
> Hi Steve,
>
> Thanks for your reply. Yes, it does seem that ignoring one's gut
> feelings about something is usually not a smart thing to do. A friend
> of mine once told me that whenever she ignores her intuition, she
> always regrets it later.
>
> My dentist did give me a very detailed treatment plan. However,
> nothing that he provided me with has convinced me that these problems
> require immediate attention (aside from the tooth that I wanted him to
> fix). Almost all of the problems that he is calling attention to have
> been there for years, apparently. Other dentists have undoubtedly
> noticed these problems, and some even made casual comments about them,
> but none of them ever indicated that these were urgent problems
> requiring immediate attention.
>
> BTW, just to give you a little clearer picture (to the degree that it's
> possible through this medium), none of my teeth show any visible
> evidence of severe decay or anything like that. In fact, every dentist
> I've ever been to has made basically the same comment when examining my
> teeth: "You obviously take very good care of your teeth." Anyway, I
> just thought I'd mention that because I am sure you've seen stuff so
> bad it would probably give most people the "heebie jeebies." My
> situation is nothing like that, in case anyone is wondering.
>
>
> Harry
>



Tony Bad

2005-05-27, 11:48 am


<harry_lewis@yahoo.com> wrote in message
news:1117196799.236413.285380@g14g2000cwa.googlegroups.com...
>
> Hi Tony,
>
> You're right; getting another opinion would be wise, especially in a
> situation like this.
>
> Regarding my existing fillings, my dentist seems to be operating using
> this rationale: X-rays aren't very good at detecting decay under
> fillings. Therefore, to know for sure you have to remove the fillings
> so you can see what's underneath them.
>
> Well, that does seem like one way to know for certain whether there is
> decay under my fillings. The problem, though, as I see it, is that one
> will end up destroying quite a few perfectly good fillings this way.
> And once the filling is removed it has to be replaced with something,
> and the material he is proposing to use is much less durable than the
> original fillings. And he won't replace them with silver/mercury
> amalgam fillings because he does not use them at all in his practice.
> I was told that gold is the only metal he uses.
>
> Thank you for your advice and comments.
>
>
> Harry
>


I may be a bit too conservative in my approach to care, but while it is true
that removing the filling will provide a definitive answer to the question
of whether there is decay underneath, it is a rather costly (for you), and
invasive method of getting the answer. If the teeth are symptom free, and
there is no radiographic sign of pathology, I am of the let sleeping dogs
lie school of thinking.

I would talk to friends and ask them for a recommendation for a good, honest
dentist (not to imply the new guy isn't honest) and go for another opinion.
You'll feel better. It is always a bit disconcerting when you go somewhere
new and you suddenly need a huge amount of treatment. It could be that you
DO need all this work, or it could mean the new guy is very aggressive in
his approach to care. Based on the information you have provided thus far,
I'd keep one hand over my wallet in this new place!

Good luck to you.

T


W_B

2005-05-27, 11:48 am

On 26 May 2005 16:19:54 -0700, harry_lewis@yahoo.com wrote:

>Even so, I don't think it's unreasonable of
>me to expect a dentist to focus his attention on a tooth that is
>causing me discomfort, and to take prompt action to deal with the
>problem. Everything else can be dealt with later.


Absolutely true. We call it primary care.
Take care of what is bothering the patient first !!!


>
>Now, back to the fillings...
>
>My dentist proposes to replace my amalgam fillings with resin-bonded
>composite fillings. These will be "temporary fillings" that will only
>last 1.5 to 2.5 years (3 years max.). Does that sound right? I wasn't
>aware that white fillings have such a short life.



WoW

Get a third opinion.

IOW run !
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
W_B

2005-05-27, 11:48 am

On 27 May 2005 06:18:28 -0700, harry_lewis@yahoo.com wrote:

>Steven Bornfeld wrote:
>
>
>Hi Steve,
>
>Thanks for your reply. Yes, it does seem that ignoring one's gut
>feelings about something is usually not a smart thing to do. A friend
>of mine once told me that whenever she ignores her intuition, she
>always regrets it later



Same here.

RUN don't walk away from this dentist.

Find someone else.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
W_B

2005-05-27, 5:50 pm

On Fri, 27 May 2005 09:26:18 -0400, "Sdores" <sdores@bellsouth.net> wrote:

>if I went into my dentist with
>a problem that was causing pain or even discomfort and he went through all
>the problems he is assuming is wrong and does not address or tend to your
>immediate needs that brought you there, I would run not walk to another dr.



There you have it again "run *don't* walk..".
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Dr Steve

2005-05-27, 5:50 pm

I forget the name of the practice management guru who sells you three slides
and you are just supposed to show the three slides to each patient and ask
which mouth they would like to like. His idea is that you make enough money
on the one patient who bites the bait to make up for the 30 patients who get
disgusted and walk out the door.

--
~+--~+--~+--~+--~+--
Stephen [What's a Temporary?], D.D.S.
Michigan, USA
.....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here. Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
.......................
"StovePipe" <stove99pipeTRA@SHHyahoo.ca> wrote in message
news:1gx7mvi.1urkwg4n1mqe4N%stove99pipeTRA@SHHyahoo.ca...
> Dr. Steve <drsteve@no-spam.com> wrote:
>
>
>
>
> OK, I'll bite: <rustle, rustle, shift toward DrSteve:>
>
> ... And just what 'three slides' would we be speaking of here?
>
> And while we are on this subject, apart from visual inspection, passing
> the DiagnoDent on the margins and the BiteWings, I don't see how one can
> be so sure these things really are leaking. If the caries are on the
> same level with the fillings (which must be quite large), there won't be
> any signs on the B/W's: Only if the caries gets underneath them, and who
> wants to let things go till that stage? I often must make a decision
> based on what has happened in similar situations in the past. It is not
> a sure thing, as Tony B has implied.
> Thanks
> SP
> Thanks
> SP
> --
> Finally: take out the TRASHH



Dr Steve

2005-05-27, 5:50 pm

Ask the dentist how his physician checks his heart. Does he open his chest
at every physical?

--
~+--~+--~+--~+--~+--
Stephen [What's a Temporary?], D.D.S.
Michigan, USA
.....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here. Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
.......................
<harry_lewis@yahoo.com> wrote in message
news:1117196799.236413.285380@g14g2000cwa.googlegroups.com...
> Tony Bad wrote:
>
>
> Hi Tony,
>
> You're right; getting another opinion would be wise, especially in a
> situation like this.
>
> Regarding my existing fillings, my dentist seems to be operating using
> this rationale: X-rays aren't very good at detecting decay under
> fillings. Therefore, to know for sure you have to remove the fillings
> so you can see what's underneath them.
>
> Well, that does seem like one way to know for certain whether there is
> decay under my fillings. The problem, though, as I see it, is that one
> will end up destroying quite a few perfectly good fillings this way.
> And once the filling is removed it has to be replaced with something,
> and the material he is proposing to use is much less durable than the
> original fillings. And he won't replace them with silver/mercury
> amalgam fillings because he does not use them at all in his practice.
> I was told that gold is the only metal he uses.
>
> Thank you for your advice and comments.
>
>
> Harry
>



quek@none.com

2005-05-27, 5:50 pm

On 26 May 2005 16:19:54 -0700, harry_lewis@yahoo.com wrote:

>My dentist proposes to replace my amalgam fillings with resin-bonded
>composite fillings. These will be "temporary fillings" that will only
>last 1.5 to 2.5 years (3 years max.). Does that sound right? I wasn't
>aware that white fillings have such a short life.


I would NOT do this, I had a dentist tell me almost the same, and
drilled out the old, and replaced it with the "newer" composite crap,
and boy, do I regret it! I didn't have any pain, no sensitivity or
anything like that, but with the composite stuff, I had both, it was
pure hell for weeks, couldn't bite down on hard food, and in the end,
I had to go back 4 times for him to redo the fillings over & over
again, adding some stuff which supposedly helped the sensitivity
issues, but it still is there, and it took a few tries for him to
grind down the tooth so that when I eat I wouldn't feel pain.

For that chunk of change, I would get a 2nd or even a 3rd opinion.



2005-05-27, 5:50 pm

Will we EVER get that fourth, fifth or sixth opinion from Joel.

Gail
>
> WoW
>
> Get a third opinion.
>
> IOW run !



2005-05-27, 5:50 pm

Or maybe Jan or I should take a crash course in dentistry. We need all
the help we can get. Of course, my effort would simply be a crash. We
need to expand beyond amalgams and mercury.

Gail
>
>



StovePipe

2005-05-27, 10:48 pm

Dr Steve <nospam@home.net> wrote:

> I forget the name of the practice management guru who sells you three slides
> and you are just supposed to show the three slides to each patient and ask
> which mouth they would like to like. His idea is that you make enough money
> on the one patient who bites the bait to make up for the 30 patients who get
> disgusted and walk out the door.


You can do this with your own intra oral camera: just show them a pic of
your fillings in their mouths and then show them a pic one of their
teeth that needs treatment. One of these days I'm gonna have to git me
one o' those do-dads .
Thanks
All-Tempa-Cheers
SP
--
Finally: take out the TRASHH
Dr. Jochen Kulow

2005-05-28, 11:47 am

harry_lewis@yahoo.com wrote:
> Regarding my existing fillings, my dentist seems to be operating using
> this rationale: X-rays aren't very good at detecting decay under
> fillings. Therefore, to know for sure you have to remove the fillings
> so you can see what's underneath them.


Hi,
I agree with that. Most old amalgam have some decay. But through x-ray
you cannot detect.

But I would not remove them firsthand. I would also check how active
caries is in this very patient. When there is much caries it is propable
that decay is also under the filling.
But in good looking teeth, no plaque it is rather unlikely.

But I have to admit that I often did not guess right since in systematic
amalgam removel you look under every filling. And there is not
necessarily discomfort shown by the patient.

JK


--
Dr. Jochen Kulow |email: jochen.kulowNOSPAM
Zahnarzt/Dentist | (at)dentalmail.de
|remove NOSPAM
|PGP: http://wwwkeys.de.pgp.net
|HP: http://www.dr-kulow.de
--------------------PGP-Fingerprint-------------------
DAA3 468E 10FB 463D AE5C A135 6D6B 9250 7746 6FC7
------------------------------------------------------
harry_lewis@yahoo.com

2005-05-28, 5:48 pm

Hi,

I just remembered something that I thought I should also mention.

When I went for my follow-up consultation, the dentist's assistant told
me that it would NOT be a good idea to just fix the tooth that is
bothering me. She said that the adjacent teeth should also be treated
because they are touching that tooth, and the bacteria from the bad
tooth could infect those teeth as well. So if the bad tooth needs a
crown, they would want to put a crown on the teeth that are next to it
as well.

What do you think of this? If you went to a dentist (without revealing
that you are also a dentist) and you were told this, what would you
say?

Harry

carabelli

2005-05-28, 5:48 pm


<harry_lewis@yahoo.com> ..................

> What do you think of this? If you went to a dentist (without revealing
> that you are also a dentist) and you were told this, what would you
> say?
>
> Harry
>


What I would say would be inappropriate to post in this group, due to the
language I would use. Let's just leave it at this - the asst. doesn't know
what she is talking about. Get a second opinion.

carabelli


Dr. Steve

2005-05-28, 10:49 pm

On 28 May 2005 14:54:48 -0700, harry_lewis@yahoo.com wrote:

>Hi,
>
>I just remembered something that I thought I should also mention.
>
>When I went for my follow-up consultation, the dentist's assistant told
>me that it would NOT be a good idea to just fix the tooth that is
>bothering me. She said that the adjacent teeth should also be treated
>because they are touching that tooth, and the bacteria from the bad
>tooth could infect those teeth as well. So if the bad tooth needs a
>crown, they would want to put a crown on the teeth that are next to it
>as well.
>
>What do you think of this? If you went to a dentist (without revealing
>that you are also a dentist) and you were told this, what would you
>say?
>
>Harry



Kindly help us out and lose this dentist now!
...
Stephen Mancuso, D.D.S.
Troy, Michigan, USA

I am writing on a Tablet-PC,so forgive me if the PC misreads my handwriting.
Roy Brown

2005-05-29, 5:49 pm

Dick Barnes?

--
Roy
rem NADA to reply



"Dr Steve" <nospam@home.net> wrote in message
news:abKle.2213$uu.367@newssvr33.news.prodigy.com...
|I forget the name of the practice management guru who sells you three slides
| and you are just supposed to show the three slides to each patient and ask
| which mouth they would like to like. His idea is that you make enough money
| on the one patient who bites the bait to make up for the 30 patients who get
| disgusted and walk out the door.
|
| --
| ~+--~+--~+--~+--~+--
| Stephen [What's a Temporary?], D.D.S.
| Michigan, USA
| ....................................................
|
| This posting is intended for informational or conversational purposes only.
| Always seek the opinion of a licensed dental professional before acting on
| the advice or opinion expressed here. Only a dentist who has examined you
| in person can diagnose your problems and make decisions which will affect
| your health.
| ......................
| "StovePipe" <stove99pipeTRA@SHHyahoo.ca> wrote in message
| news:1gx7mvi.1urkwg4n1mqe4N%stove99pipeTRA@SHHyahoo.ca...
| > Dr. Steve <drsteve@no-spam.com> wrote:
| >
| >> On Fri, 27 May 2005 01:40:51 GMT, Steven Bornfeld
| >> <dentaltwinnonsense@earthlink.net> wrote:
| >
| >> >harry_lewis@yahoo.com wrote:
| >> >> Hello all,
| >> >>
| >> >> I recently began seeing a new dentist. My main reason for seeing him
| >> >> is that one of my molars is bothering me.... My new dentist is
| >> >> unlike all the other dentists I've ever been to, and while he seems
| >> >> like a caring dentist and a very nice guy, it is hard for me to shake
| >> >> this nagging feeling I have that there's something not quite right
| >> >> here.
| >
| >> > From your description, I'd go with my gut--which is to run! He
| >> > could
| >> >be totally right, but I'd need a very detailed, comprehensible reason
| >> >for ignoring your primary complaint, and proposing extensive treatment
| >> >that by his own definition is temporary for repairing fillings that
| >> >"may" be leaking.
| >> >
| >> >Steve
| >>
| >> I wonder if the new dentist showed the OP the "three slides"?
| >> ..
| >> Stephen Mancuso, D.D.S.
| >> Troy, Michigan, USA
| >>
| >> I am writing on a Tablet-PC,so forgive me if the PC misreads my
| >> handwriting.
| >
| > OK, I'll bite: <rustle, rustle, shift toward DrSteve:>
| >
| > ... And just what 'three slides' would we be speaking of here?
| >
| > And while we are on this subject, apart from visual inspection, passing
| > the DiagnoDent on the margins and the BiteWings, I don't see how one can
| > be so sure these things really are leaking. If the caries are on the
| > same level with the fillings (which must be quite large), there won't be
| > any signs on the B/W's: Only if the caries gets underneath them, and who
| > wants to let things go till that stage? I often must make a decision
| > based on what has happened in similar situations in the past. It is not
| > a sure thing, as Tony B has implied.
| > Thanks
| > SP
| > Thanks
| > SP
| > --
| > Finally: take out the TRASHH
|
|


Dr. Steve

2005-05-29, 5:49 pm

On Sun, 29 May 2005 18:05:34 -0400, "Roy Brown"
<roybrown@sympatico.caNADA> wrote:

>Dick Barnes?



Yes!!
...
Stephen Mancuso, D.D.S.
Troy, Michigan, USA

I am writing on a Tablet-PC,so forgive me if the PC misreads my handwriting.
Roy Brown

2005-05-29, 10:49 pm

Dick Barnes?

--
Roy
rem NADA to reply



"Dr Steve" <nospam@home.net> wrote in message
news:abKle.2213$uu.367@newssvr33.news.prodigy.com...
|I forget the name of the practice management guru who sells you three slides
| and you are just supposed to show the three slides to each patient and ask
| which mouth they would like to like. His idea is that you make enough money
| on the one patient who bites the bait to make up for the 30 patients who get
| disgusted and walk out the door.
|
| --
| ~+--~+--~+--~+--~+--
| Stephen [What's a Temporary?], D.D.S.
| Michigan, USA
| ....................................................
|
| This posting is intended for informational or conversational purposes only.
| Always seek the opinion of a licensed dental professional before acting on
| the advice or opinion expressed here. Only a dentist who has examined you
| in person can diagnose your problems and make decisions which will affect
| your health.
| ......................
| "StovePipe" <stove99pipeTRA@SHHyahoo.ca> wrote in message
| news:1gx7mvi.1urkwg4n1mqe4N%stove99pipeTRA@SHHyahoo.ca...
| > Dr. Steve <drsteve@no-spam.com> wrote:
| >
| >> On Fri, 27 May 2005 01:40:51 GMT, Steven Bornfeld
| >> <dentaltwinnonsense@earthlink.net> wrote:
| >
| >> >harry_lewis@yahoo.com wrote:
| >> >> Hello all,
| >> >>
| >> >> I recently began seeing a new dentist. My main reason for seeing him
| >> >> is that one of my molars is bothering me.... My new dentist is
| >> >> unlike all the other dentists I've ever been to, and while he seems
| >> >> like a caring dentist and a very nice guy, it is hard for me to shake
| >> >> this nagging feeling I have that there's something not quite right
| >> >> here.
| >
| >> > From your description, I'd go with my gut--which is to run! He
| >> > could
| >> >be totally right, but I'd need a very detailed, comprehensible reason
| >> >for ignoring your primary complaint, and proposing extensive treatment
| >> >that by his own definition is temporary for repairing fillings that
| >> >"may" be leaking.
| >> >
| >> >Steve
| >>
| >> I wonder if the new dentist showed the OP the "three slides"?
| >> ..
| >> Stephen Mancuso, D.D.S.
| >> Troy, Michigan, USA
| >>
| >> I am writing on a Tablet-PC,so forgive me if the PC misreads my
| >> handwriting.
| >
| > OK, I'll bite: <rustle, rustle, shift toward DrSteve:>
| >
| > ... And just what 'three slides' would we be speaking of here?
| >
| > And while we are on this subject, apart from visual inspection, passing
| > the DiagnoDent on the margins and the BiteWings, I don't see how one can
| > be so sure these things really are leaking. If the caries are on the
| > same level with the fillings (which must be quite large), there won't be
| > any signs on the B/W's: Only if the caries gets underneath them, and who
| > wants to let things go till that stage? I often must make a decision
| > based on what has happened in similar situations in the past. It is not
| > a sure thing, as Tony B has implied.
| > Thanks
| > SP
| > Thanks
| > SP
| > --
| > Finally: take out the TRASHH
|
|


Dr. Jochen Kulow

2005-05-30, 8:51 am

harry_lewis@yahoo.com wrote:
> Regarding my existing fillings, my dentist seems to be operating using
> this rationale: X-rays aren't very good at detecting decay under
> fillings. Therefore, to know for sure you have to remove the fillings
> so you can see what's underneath them.


Hi,
I agree with that. Most old amalgam have some decay. But through x-ray
you cannot detect.

But I would not remove them firsthand. I would also check how active
caries is in this very patient. When there is much caries it is propable
that decay is also under the filling.
But in good looking teeth, no plaque it is rather unlikely.

But I have to admit that I often did not guess right since in systematic
amalgam removel you look under every filling. And there is not
necessarily discomfort shown by the patient.

JK


--
Dr. Jochen Kulow |email: jochen.kulowNOSPAM
Zahnarzt/Dentist | (at)dentalmail.de
|remove NOSPAM
|PGP: http://wwwkeys.de.pgp.net
|HP: http://www.dr-kulow.de
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