A M-D fracture with movement of the fragments equals and extraction. Decay under abutments of bridges is common. There are multiple reasons. I took out six on one of the senior partners patients because I had to remove one that I was trying endo…ended up fractured M-D…and they decided to go ahead with some planned extractions. My partner took her back and did socket preservations on them.
Guy W. Moorman, Jr., D.D.S.
The Swamp
Douglas, GA 31533
912-384-7400
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From: Bob Perkins [mailto:bperkinsdds@gmail.com]
Sent: Friday, August 02, 2013 6:06 PM
To: dreineracedds@gmail.com
Cc: gmoor@windstream.net; <spikedds@gmail.com>; <MWaltzDMD@aol.com>; <drvoller@comcast.net>; <acesthetics@googlegroups.com>
Subject: Re: [ACEsthetics] Physics Forceps question
Why are you guys taking out so many teeth? Aren't we supposed to keep those things, especially if they have a lot of bone (and require Quantum forceps.)
I rarely "pull" permanent teeth, but then again, most of my patients are wearing shirts and shoes.
Sent from my iPhone
On Aug 1, 2013, at 7:31 PM, "dreineracedds@gmail.com" <dreineracedds@gmail.com> wrote:
Guy..I got my physic forceps last week...before I got them, I averaged about 2 ext./ month. Since I got them, I've taken out 3 molars and 6 bicuspids.
Love them! Debbie Reiner
Sent from my iPad
On Jul 30, 2013, at 12:54 PM, "Guy Moorman" <gmoor@windstream.net> wrote:David, I've noticed since these discussions have popped up, that I very seldom use a forcep on most extractions. It is almost all elevations. I did eight lower molars and bicuspids…crowns and roots…on a mentally challenged patients yesterday and only used the deep grip 151 to pick up roots and crowns. I learned elevation in the military and it has stuck.
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 David R. Boag DDS
Sent: Tuesday, July 30, 2013 10:16 AM
To: MWaltzDMD@aol.com
Cc: drvoller@comcast.net; acesthetics@googlegroups.com
Subject: Re: [ACEsthetics] Physics Forceps question
I do not use physics forceps. Like you, Mike, I do my extractions with traditional forceps, and I RARELY have B plate fxs. And while I agree that most extractions can be done atraumatically with forceps, the mechanics are NOT the same as when using physics forceps. The bracing on the B plate is not something that the use of traditional forceps can mimic.
For me, the one place that I might be inclined to use them are on those upper or lower canine extractions where there is a long root, no perceivable PDL space, and very B positioning with a very thin buccal plate--the ones where it seems the B plate is "fused" to the root. The instances are rare--which does bring into question for me the value of the forceps--but if the ideal is to be followed regardless of cost, they probably make sense. I'm not yet convinced for me that the cost/benefit ratio favors buying them.
JMHO.
David R. Boag, DDS
On Jul 18, 2013, at 6:20 PM, MWaltzDMD@aol.com wrote:
At the risk of being destroyed,
I watched the videos and use the same process with regular forceps. Apply pressure and wait.....wait.... wait.... I was taught this from my local oral surgeon 20 years ago and apparently didn't believe him. Even saw him do it! How dumb is that?
He would extract a tooth in a minute and a half and I would tell the staff how hard that was, and they would look at me like I was crazy. Of course, I left and did not stay all day to see that this could be standard.
Now, I attempt the Physics method with regular forceps if the situation seems appropriate. Works really well. I also have a surgical high speed if it doesn't work. Either way, the tooth comes out.
If you have no forceps in the cabinet, Physics would be a good purchase. If you have dozens as I have, almost any "appropriate" forcep will do the same, waiting and waiting is the most important part.
Mike Waltz
In a message dated 7/18/2013 6:02:07 P.M. Eastern Daylight Time, drvoller@comcast.net writes:
I was watching some Physics Forceps videos on You Tube.
What's the incidence of fracturing the buccal plates? And if you watch the videos, several show that a high speed is used to remove bone to get a 'bite' or access on the lingual/palatal root of the tooth.
I do understand the 'physics' here, but those of you who have them. Any issues with fracturing the bone?
Just curious!
Ray
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