RE: [ACEsthetics] Angies List

John, where these strip perfs are there is no easy fix because they are in the bend of the roots.  As I told Jeffrey, the case was way overworked with Gates instruments or Peezos.  It almost appears if the dentist, who I know took Musikant’s course just took a Peeso almost to length.  Barry does NOT teach that but Barry does not realize that most people are not as skilled as he is. 

 

I have fixed several using the Brassler Root Repair material as a sealer, forcing it into the perf laterally.  The furcation perf will be easy to fix because I can see it but the case is not going to be a life long fix.  I told the young man (25 yo) last night that I truly hoped that he did not have that tooth in his mouth when he left here.  I left the old crown in one piece and we will replace it after finishing tx.  This is a no charge case for me even though they are very well off farmers.  With such a guarded prognosis but a patient who truly wants to save the tooth for a while I cannot accept payment.  This is a marketing case.  He expects nothing.  I know that I’ve done these before successfully so there is a chance he’ll get a few more years out of it before an implant.  It also a learning case for me on a willing patient.  This is the best way to learn if you are capable of doing this…simply get better is enough.  You’d be amazed at the little bits of things you pick up that makes all of your cases easier.  Sadly, this is not the way all of my office feels.  Guy

 

Guy W. Moorman, Jr., D.D.S.

The Swamp

Douglas, GA 31533

912-384-7400

 

 

 

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From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of John M. Highsmith, DDS
Sent: Tuesday, April 02, 2013 12:13 PM
To: gmoor@windstream.net; riccoker@gmail.com; 'Walter Kostrzewski'
Cc: 'J. Terry Frey, D.D.S.'; 'acesthetics@googlegroups.com'
Subject: RE: [ACEsthetics] Angies List

 

Great job getting the kid out of pain, hope the practice issue gets resolved.

 

Question about strip perfs in general. What is the long term survival for a tooth with one? I know you can repair it with MTA and get healing, but I’m concerned about how weak the roots are. Stinks to pay for endo, buildup and crown, then split the root. Wondering if an implant would have much better odds.

 

John Highsmith DDS

Clyde, NC

AACD Accredited Dentist

LVI Clinical Instructor

Diplomate, ICOI

Fellow, Misch Implant Institute

DrHighsmith.com

 

From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of Guy Moorman
Sent: Tuesday, April 02, 2013 7:13 AM
To: riccoker@gmail.com; 'Walter Kostrzewski'
Cc: 'J. Terry Frey, D.D.S.'; 'acesthetics@googlegroups.com'
Subject: RE: [ACEsthetics] Angies List

 

Yes we can and we can make a very visible and solid difference in the community.  I had an example yesterday.  I probably pissed off the senior partner but this was about a kid in pain.  The patient belonged to the younger partner who had an endo at eight.  I had an two endos with a bridge at eight so they put him with the senior partner.  Now this kid is a member of second largest farming family in the county and running the operation at 30.  But yesterday morning he was just scared.  The radiograph was obvious…old endo, over prepped canals with possible strip perfs and at least two furcal perfs with large lesion.  The tooth was so sore he begged them not to touch it.  Senior put him in the chair, hygienist (who was a friend of the kid) had already taken the radiograph.  The kid was told that he had a massive sinus infection and given a script for antibiotics and pain meds and told him they could pull the tooth only, which he did not want, and sent him home.

 

Naturally the assistant and hygienist grabbed me and showed me the radiograph and asked what was wrong.  I told them and that I could have gotten him out of pain.  The only way I get a new patient is for the patient to explicitly request me so I told them to have him call me back after lunch and specifically request me…he did it before lunch and he was in the chair.  When I got in the junior partner already had him in the chair doing anesthesia because this grown man was in tears with pain.  My junior partner is my anesthesia go to man…he’s a champ so the kid was deader than an anvil when I started to work.  I had another endo and four unit bridge in the other room but just found orifices and actually found one of the perfs with the endo probe.  I got most of the gutta percha out of the canals and opened the perfs which were causing the lesion.  Put formocresol on a squeezed cotton pledget, and closed with amalgam.  Went to work on my other patient twenty minutes late but easy to catch up.

 

Called him last night and he was one happy kid.  It was a little sore like I had told it to expect but zero pain after massive pain for three days.  I think our senior partner is going into a depression.  He knew what was wrong with this guy but simply skipped over it.  He knew I could have gotten him out of pain but he didn’t even speak to me about him.  The assistant and hygienist knew I was the best shot with endo to get him out and simply went past their duty and told me. 

 

The young man asked if he could stay with me and I told him know that he would have to stay with the junior partner who was a damned good dentist and would have sent him to me that morning if he had seen me.  I’d handle anything like that after we fixed it because that was the way his dentist worked.  I get his dentist to come in and numb for me sometimes.  I had him happy about his dentist before we got through talking but he was happy with us.  He’ll never forget the senior partner, who simply blows my mind…send someone out of here in pain when it could have been stopped.  He is alienating more and more patients with this lack of treatment.  I think he should try to sell his half and get out of dentistry or go to ortho school if he can find a slot.  Hell, if he could find a buyer I’d get him a slot somewhere in ortho.

 

 

 

Guy W. Moorman, Jr., D.D.S.

The Swamp

Douglas, GA 31533

912-384-7400

 

 

 

This email message and any attached files are confidential and are intended solely for the use of the addressee(s) named above.  This communication may contain material protected by patient rights, work product, or other privileges.  If you are not an intended recipient, you have received this communication in error and any review, use, dissemination, forwarding, printing, copying, or other distribution of this email message and any attached files is strictly prohibited.  If you have received the confidential message in error, please notify the sender immediately by reply email message and permanently delete the original message. 

 

From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of Rick Coker
Sent: Monday, April 01, 2013 1:03 PM
To: Walter Kostrzewski
Cc: J. Terry Frey, D.D.S.; acesthetics@googlegroups.com
Subject: Re: [ACEsthetics] Angies List

 

Can't do much about that, except to behave in a manner that nobody thinks of "us" as anything like "those guys"!

 

Rick

 

On Mon, Apr 1, 2013 at 11:36 AM, Walter Kostrzewski <coachkay@gmail.com> wrote:

What bother's me is "Dentistry" in the eyes of the public.

 

the commercial list Dentist and Plumbers in the same breath.

 

Enough with the "Hangover" movies.

 

On Mon, Apr 1, 2013 at 9:52 AM, Rick Coker <riccoker@gmail.com> wrote:

You might want to read Seth Godin's new book, "The Icarius Deception" which is  about how we are seeing the end of the industrial age, and the beginning of a connected, information rich age. The end result of the industrial age is almost predictable- where you can get mass produced things cheaper and more easily, and how tomorrow's successes will be businesses and people who are unique, trusted, able to be creative in words and actions. Really interesting to think about. I recommend it highly.

 

Rick

 

On Mon, Apr 1, 2013 at 7:52 AM, <terryfrey@relax2smile.com> wrote:

I'm afraid it is indicative of how and where our profession is going.  JMHO ... Terry

 

J Terry Frey, DDS

Advanced Dental Care

623 N State St/PO Box 1008

North Vernon, IN  47265

 

 

-------- Original Message --------
Subject: [ACEsthetics] Angies List
From: Walter Kostrzewski <coachkay@gmail.com>
Date: Sun, March 31, 2013 9:58 pm
To: "acesthetics@googlegroups.com" <ACEsthetics@googlegroups.com>

Has anyone else beside my had enough of the TV  commercials....

 

 

"From Plumber's and Dentist's an more"

 

!!!!??????

--
Thank you!

 

Walter Kostrzewski, DMD

 

 

follow me@drkostrzewski

facebook.com/comfortablecaredentistry.com

Fellow of the Academy of Comprehensive Esthetics
                         www.acesthetics.com

Fellow of the International Academy of Dental Facial Esthetics
                            www.iadfe.org

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--
Dr. Rick Coker, DDS, FACE
Director, Academy of Comprehensive Esthetics
www.tyler-smiles.com, www.tylersleep.com
http://www.google.com/profiles/riccoker.
903-581-1777



 

--
Thank you!

 

Walter Kostrzewski, DMD

 

 

follow me@drkostrzewski

facebook.com/comfortablecaredentistry.com

Fellow of the Academy of Comprehensive Esthetics
                         www.acesthetics.com

Fellow of the International Academy of Dental Facial Esthetics
                            www.iadfe.org



 

--
Dr. Rick Coker, DDS, FACE
Director, Academy of Comprehensive Esthetics
www.tyler-smiles.com, www.tylersleep.com
http://www.google.com/profiles/riccoker.
903-581-1777

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Unknown ● Tuesday, April 2, 2013

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