Showing posts with label extraction. Show all posts
Showing posts with label extraction. Show all posts

Wednesday, September 7, 2016

"It's like pulling teeth!"

When people think something is hard sometimes they say .....
"It's like pulling teeth!"

Well, here is exactly what they mean. 
I extracted this tooth today. 
One of the roots makes a complete 90 degree turn!
Inside of solid bone!

It's kind of like trying to pull  a fence post out of the ground 
if 5 feet under the ground the fence post bends 90 degrees.

So yah, it's hard.





Thursday, August 4, 2016

Tooth still hurts AFTER root canal and crown!!

Have you ever had a toothache?
Have you ever paid a lot for a root canal?
Have you ever paid even more for a crown?
Did it work, or does the tooth STILL hurt?!

What to do?

The tooth in the middle of the screen is just such a tooth. 
This patient came to me at the end of her rope. 
Too much time, to much money, and too much discomfort.

The failing tooth was extracted and an implant was placed.
The implant was then given 3 months for the bone to heal around it. 


After 3 months a tooth was placed on the implant.


No more pain. 
No more worry. 
If the bone holds (which it should in most healthy patients)
this will be one of the strongest teeth in the mouth. 
This tooth should need no more dental work for the lifetime of this patient. 





Monday, October 12, 2015

How does a tooth implant work?

What are the steps in getting a dental implant?

Here we go. 
The tooth on the left had a root canal.
The root canal is failing. 


Step #1
Remove the tooth. 
No chisels or knees to the chest with the pliers.
Tooth removal can be very simple and pain free.



Step #2 
Place the implant.
When leaving the office after getting your implant
you won't even be able to see that anything has been done.
The top of the implant should be around the same
as the level of the bone.
And since the bone is under a layer of gums you 
won't be able to see it.



Step #3

Place the connecting piece.
In a "normal" crown to tooth relationship the crown will cement 
to the tooth.
In an crown to implant relationship the crown will cement to
the connector which is screwed into the implant.


 Step #4 
Place the crown on the connector. 
Here is the finished project. 
It is now ready for FULL function.
Once the entire project is done the crowned implant should
be treated just like any other tooth when it come to brushing,
flossing, chewing, etc. 




Wednesday, September 9, 2015

Great case from this morning. A patient came in with a tooth broken off at the gum line. A bridge was not an option due to one of the teeth, next to the broken one, already being tied into a different bridge. So an implant was chosen. We extracted the tooth. It had 2 roots. We backed filled one of the root holes with a bone graft. 
Prepared the other root hole for the size and shape of the implant we wanted. 




We then placed the implant. The patient came in at 9 and left by 11. We carry the most common sizes of implants on hand. If you can replace a hip, knee, or lung, you can replace a tooth. Only much easier.






Wednesday, March 11, 2015

Broken tooth AND Toothache

Fairly involved case here. Patient comes to my office with problems on the upper right hand side of his mouth. He is in a lot of pain and has a broken tooth. He figures the problems are one and the same. That the broken tooth is the one that is hurting him.


 Unfortunately he's not so lucky. The broken tooth needs to come out, yes. But, its the tooth behind the broken tooth, that is actually responsible for the patients discomfort. That tooth needs a root canal or needs to be extracted as well.

Here's what we did, step by step. We will call the teeth 1-2-3 (from left to right) to make it simple. We extracted #2 and #3.


 We then placed an implant in the spot of #3. In the spot of #2 we just placed a bone graft and let it heal.


 After several months we then placed a bridge that spanned from 1-3. 


The bad teeth are gone. The patient is no longer in pain. And a wonderful case in completed.





Friday, October 4, 2013

And you think you hate the dentist.

As with most things, the first try is not always a success.

The same can be said about dentistry. The earliest writings we have on the subject are from about 5000 B.C. Way back then all we have are people's speculation on what in the world was the cause of a toothache.

Later on, about 300 B.C. we start to get treatments for toothaches. None of these treatments sounded very pleasant. Even such noted historical figures as
Hippocrates and Aristotle got in on the act.


In the old west it is recorded that the barber doubled as the local dentist. The word "dentist" being very loosely used as most of what the barber did was to simply take teeth that had gone bad.

Personally I can't imagine what it must have been like.
Tooth pain is one of the worst pains you can go through.
And to not have the anesthetics and equipment we have today must have been tough.


Well, 7,000 years after the first recorded ideas of dentistry we now have amazing new technologies that make going to the dentist a
whole lot better then it used to be.


Tuesday, July 30, 2013

What are Dry Sockets?

The term Dry Socket is one of the most feared, 
and most misunderstood, in the field of dentistry.

Whenever teeth, of any kind and not just wisdom teeth, 
are removed there is the chance for dry socket.

But what is dry socket?

Dry socket is very simple to understand.
After a tooth is pulled out of the jaw
 the surrounding tissues will begin to bleed.
This is a very good thing.
The blood will fill the socket, where the tooth used to be, 
and a blood clot will begin to form.

A blood clot in a socket is kind of like a scab over a cut.
It serves to protect the injured areas until healing can complete.

A dry socket will occur when, for whatever reason, 
the blood clot comes out of the socket prematurely.
If the blood clot comes out then the bone of the socket
will dry out. Thus, Dry Socket.

That's it. 
Just like a scab being removed prematurely will reveal tissues
that are not ready to be exposed to the outside environment, 
so to a blood clot being removed prematurely from a socket
will reveal tissues that are also not ready to exposure to outside forces.

When the clot comes out the tissues that are exposed
are boney tissues.
Dry boney tissues, dry socket, are very painful
and certain steps should be taken by both Dr
and patient to avoid them.







Wednesday, January 9, 2013

The Steps to Dental Implant

This 20 something patient (wanting only to be identified as J-Unit) came into our office with a loose tooth. To be 20-something and have a loose tooth is not common. There was no memory of trauma to the tooth at all and from the oral exam everything looked alright.

We then took this x-ray and found out that the tooth was literally disintegrating below the level of the bone. Not from a cavity due to the placement of the disintegration but an unknown event that had caused the tooth to become hopeless and needing extraction.

Ogden Dental Implant - Step 1

So, we extracted the tooth and placed an implant. 
Ogden Dental Implant - Step 2

Several weeks later, we placed the connecting piece that allows the new crown to be connected to the implant.
 Ogden Dental Implant - Step 3

Then finally, we placed the finished tooth.
Ogden Dental Implant - Step 4

The patient now has a new tooth that is NOT loose. One of the patient’s goals was to not touch any of the other teeth, as in a bridge. This was accomplished with the implant. Implants are a great way to restore missing teeth.

Dr. Jim Ellis, DDS
1220 33rd Street Suite C
Ogden, UT 84403
(801) 783-3490


SOURCE: http://www.bestogdendentist.com/2013/01/steps-to-dental-implant/

Tuesday, March 20, 2012

Extracting a tooth.

Typically extracting a tooth is not that big of a deal.
With the advances in anesthetics and instruments a tooth
can be removed fairly easily and without too much discomfort.

And that's the end of the story, right?

Well, most of the time. 
But taking out teeth does have it's consequences.
For instance, teeth nest to the extraction site can begin to shift.
The picture below should have 4 teeth in it. 
Instead the lower back molar has been extracted. 
As you can see the top molar is moving. 
It is starting to move further and further down into the mouth.
This can lead to several different problems and ultimately
cause the loss of the upper tooth.


So please be sure that before you go to get teeth taken out that
you have discussed all of the options with your dentist and know
that removing the tooth is the correct decision in your situation.



Wednesday, February 29, 2012

Want to replace those metal fillings?

Here are before and after pictures of a patient that
wanted to get their metal fillings replaced.

This before picture is a little foggy but you can still
see the stark color contrast between the color of
the metal filling and the natural white of the tooth.

This color contrast is what makes most people want to change 
out their fillings for white fillings.


Here is a picture of the tooth after we took out the metal and 
replaced it with a white composite filling.

Even this close you can just barely make out the transition line
between the filling and the natural tooth.
In real life no one would ever be able to tell that you had a filling at all.


This procedure is quick and fairly inexpensive when compared to
getting crown or other expensive restorations placed.



Tuesday, January 17, 2012

Implant case

Here is as straight forward of an implant case as you will see.

Patient had a failing root canal on a pre-molar tooth.

Tooth was extracted and a single implant placed.

After healing had occurred then a solid zirconium crown was put in place.

Patient is very happy with the result.

Dr. Ellis on Facebook


Monday, January 9, 2012

You may need an apicoectomy?


I may need a what!?

Okay, its not something you hear everyday but its something that can
be very helpful if you find your self with a failing root canal.

Root canals do not always work.
Just as a knee replacement or a back surgery may 
not always work, the same is true with a root canal.

So what can be done if a root canal you got is starting to hurt
and possibly become infected?

One option is called an apicoectomy.
This procedure is not for every instance.
Proximity to the sinus cavity and/or nerves 
may make this procedure impossible.

But if your tooth is a candidate then this is how it works.
Below is a picture of a tooth with an infection at the end
that has already had a root canal.


A small access to the root of the tooth is made 
by making a small incision into the gums and then the underlying bone.
The infected area and tip of the root is removed.
This will allow the root canal and tooth to remain intact 
while still removing the infection.
After the infection is removed the gum tissue is re-sealed and the healing can begin.
This procedure is very effective and does no further harm to the tooth.
This is especially important if the tooth was crowned after the root canal was finished.
.


Wednesday, January 4, 2012

GAG!


What is gagging?
Gagging is simply a defense mechanism that your body has to keep you from chocking.
Now this is typically a good thing. No one wants to get something down "the wrong pipe".
This however, can cause problems at the dentist office.
Having a bad gag reflex can make it almost impossible to get certain dental work done.
The picture below will show several items.
The soft palate is what we are interested in for this discussion.
When something touches the soft palate the bodies natural reaction will be
to close your throat off and prevent whatever it is that just touched the
soft palate from continuing down your throat and choking you to death.
Another spot where the gag reflex comes into play is tongue.
This can be a little more problematic then the soft palate gag reflex.
Not much will ever touch your soft palate but your tongue gets touched
all the time as you eat or whenever you go to the dentist.

Not much can be done for the soft palate gag reflex but there is help for the tongue.

Take your tooth brush and find the spot that makes you gag.
Start brushing your tongue at a spot that does not make you gag and
work your way toward that spot. Keep doing that day after day until you
can brush anywhere on your tongue without gagging.

Another trick would be to place a little bit of salt on your tongue, where it
makes you gag, before going to the dentist. That will, hopefully,
distract that spot long enough for you to get done what is you need done.



Monday, December 19, 2011

Tooth Replacement in a Day?


"Painless tooth replacement"
"Teeth in a day"

We have all heard these claims and typically they are accompanied by promises that the doctor can,
almost magically, take out all of your teeth, put implants in, and place crowns on the teeth
with little to no pain, in just one day.
They may even show the patient biting into an apple right after the procedure.

In very rare and unique circumstances this MAY be the case. But for the other 99.7% of us, its not.
Anytime you have surgery of ANY kind you need to heal.
The picture below shows a site where a tooth was recently extracted.
This site will be very tender for several days while the body heals.
That's just the way it works. Blood will rush to the site of any injury thus
creating inflammation (swelling) and moderate discomfort.

If implants are placed that too will cause some type of discomfort.

To say that teeth can be extracted and implants placed and that you can begin
eating right away with no pain whatsoever is just not true. What is typically
happening is that these people are trying to suck you in and then sell you on something else.

Simply do lots and lots of homework before letting these places touch your mouth.

Tuesday, November 29, 2011

Implant case

Here is an implant case that we did several months ago.
The patient came in with a broken lower molar.
She decided that instead of trying the heroic measures necessary to save her own tooth that she would get an implant placed.
The extraction and immediate implant placement went very well.
The healing took place over an 8 week period.
The abutment was in for an additional 2 weeks.
The crown was then placed this morning.
Wonderful alternative to root canals, posts, core buildups, etc.

Monday, November 21, 2011

What is an underbite


Typically your upper teeth protrude out over your lower teeth.
This makes it so that when you close your teeth you see mainly see your upper teeth.

In some cases the lower teeth will cover the upper teeth when you close.
This is known as an under bite.

Under bites can come in two forms.
#1 is a problem with the tilt of the teeth.
If the lower teeth are flared out or the top teeth are pushed in then an under bite may occur.
This problem can usually be corrected very easily with orthodontics.

#2 is a skeletal problem.
This means that the lower jaw grew to far out or the upper jaw didn't grow
out far enough or both.
This kind of under bite can also be corrected with orthodontics, but
in severe cases may require surgery to fix.
Best thing to do is to get your child to an orthodontist if you suspect that trouble.


Tuesday, November 8, 2011

Wednesday, October 19, 2011

It's just a little spot. No big deal. Right?



Enamel is the white stuff that makes up the outer covering of your teeth.
Enamel is the strongest substance in your body.
It is very difficult for bacteria to penetrate this layer.
Once it does however, the next layer, dentin, is much softer and easier to get through.
Therefore, all it takes is one little spot of decay to get into your tooth
and you could be in serious trouble.

Once bacteria are on the inside of the tooth they begin to multiply.
Bacteria need food, water, and warmth to multiply.
And your mouth has an abundance of all three.

Here is a before and after picture of a case that we just did today.
The patient came in complaining of intense pain but did not know why
as her tooth only showed the most mild of decay.

First picture shows the tooth before we started.
Only a small amount of decay present.
This picture shows the insides of the tooth after the decay was taken out.
The holes in the bottom are the places where the nerve used to be.
This tooth ended up getting a root canal.
Be careful. Any discoloration may be too much.
Get it checked out.


Monday, October 3, 2011

The evolution of an implant.


The evolution of an implant.

#1 Somehow acquire a bad tooth.
Break it off at the gums, have a root canal that fails, etc.
(example of tooth broken off at gums)
#2 Get the tooth extracted and then place the implant.
#3 Attach a post to the implant.
This will serve as a platform on which to place the crown.
#4 Place a crown on the post and you are back to full function.
This entire project took about 3 months to complete.
The patient is very happy with the results.


Monday, September 26, 2011

What is a cleft lip and palate?

The word "cleft" simply means a crack or divide. A cleft lip is simply the body incorrectly or incompletely closing the facial structures during development. This incomplete closing leaves a cleft, or divide, in the lip and/or palate of the new born. Below is an ultrasound showing a cleft lip
Clefts can be simply the lip (cleft lip).
Or they can be more severe and include the palate (cleft lip and palate).
In the cleft lip and palate the teeth are often involved.
Missing, misaligned, and or misplaced teeth can be common.
Clefts, no matter the severity, are normally very repairable
and the scare can be almost unrecognizable.