RE: QRE: [ACEsthetics] Pt swallowed a crown , retrieved it ( ugh) and now wants me to recement it ?!?!?!?

I used one every time I inserted a crown/bridge/veneer and my assistants used them when working on temporaries, to take them in and out.  I ESPECIALLY made certain to use one consistently after this case!!   J  It just takes a second to insert a 2x2 piece of gauze.  Slippery little suckers…crowns with saliva on them!

 

Rhonda

 

 

Rhonda R. Savage, DDS

CEO, Miles Global

Office: 877-343-0909 ext 1

Fax: 253-857-0834

www.MilesGlobal.net

Rhonda@milesglobal.net

 

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From: Stephen E. Burch [mailto:drseburch@gmail.com]
Sent: Sunday, May 27, 2012 3:36 AM
To: smilestylers@gmail.com
Cc: drberland@gmail.com; drvoller@comcast.net; ACEsthetics; Rhonda@milesglobal.net
Subject: Re: QRE: [ACEsthetics] Pt swallowed a crown , retrieved it ( ugh) and now wants me to recement it ?!?!?!?

 

Hey Howie. It appears to be only SOC if the patient croaks and then you are up the proverbial creek.

Whenever I insert a crown I use the Isolite whether it is a consious sedation patient or not.  On all my general anesthesia cases I use a throat pack.

Dr. Stephen E. Burch

Diplomate, International Congress of Oral implantologists

LVIM, Master of Neuromuscular and Aesthetic Dentistry

LVI Clinical Instructor

Fellow, American Academy of General Dentistry

 

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8270 Greensboro Drive, Suite 101

McLean, VA, 22102

 

(0).     703-827-9250

(F).     703-827-9256

(H).     703-273-4258

(C).     703-328-70115

 

On May 26, 2012, at 2:42 PM, Howard Hoffman <smilestylers@gmail.com> wrote:

Not to sound stupid, but who out there really use a throat pack?
Is it standard of care?
Howard

On May 26, 2012 2:27 PM, "Lorin Berland" <drberland@gmail.com> wrote:

When you really think about it , it's amazing that it doesn't happen all the time

On Sat, May 26, 2012 at 3:00 AM, Rhonda@milesglobal.net <Rhonda@milesglobal.net> wrote:

I had a patient who swallowed a ¾ Lingual gold crown for #12.  It was more like an onlay than a crown.  He'd insisted on gold.  I went to check occlusion…dummy like (no throat pack) and darned if that thing didn't fall, drop and swallow.  Sounds like what you do in a catastrophe, doesn't it!  Stop, drop and roll….right down his damn throat it rolled! 

 

Nice guy, but he was upset.  Keep in mind, the entire unit was the size of my small finger nail.  (I'm a girl…that's not very big.  Don't be looking at your little nail, you guys out there, reading this sob story!) 

 

So, he goes to the surgeon.   ('Cause it doesn't pass…of course!....the glove test, no results sorting thru the stinky stool) and the first surgeon says, "don't do a thing."  Second opinion:  "OMG…do surgery immediately!" 

 

The patient calls me in a panic, and I said:  "Third opinion.  This thing is as small as my little finger nail.  Even if they can locate it on an image, does NOT mean they can find it surgically."    (AND the chance of a problem without surgery:  1:1000 or more.)

 

Third surgeon:  "Good Lord…don't do ANYTHING!"  Long story short:   The patient  left me.  He and his wife.

 

For 3 years.

 

Then they came back like nothing ever happened.  I did cover any costs outside their insurance limitations.  That was it.

 

Rhonda

 

 

Rhonda R. Savage, DDS

CEO, Miles Global

Office: 877-343-0909 ext 1

Fax: 253-857-0834

www.MilesGlobal.net

Rhonda@milesglobal.net

 

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From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of Dr. Ray Voller
Sent: Thursday, May 24, 2012 6:37 AM
To: drberland@gmail.com; ACEsthetics
Subject: Re: [ACEsthetics] Pt swallowed a crown , retrieved it ( ugh) and now wants me to recement it ?!?!?!?

 

It happened to all of us old farts. I've done it three times. All three were swallowed during tryin, but only one wasn't retrieved. Made him a new one for nothing, and then he left the practice..jerk!
Ray

----- Original Message -----

From: Lorin Berland

To: ACEsthetics

Sent: Thursday, May 24, 2012 8:57 AM

Subject: [ACEsthetics] Pt swallowed a crown , retrieved it ( ugh) and now wants me to recement it ?!?!?!?

 

She's here now . Can you believe it ? And I did not do the crown . Anyone ever hear of such a thing ?

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