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  1. Laurence Stein DDS

    Urgent Advise Needed: Dental Issues with Diving

    Bad idea! First, while opening the tooth to drain it may create immediate relief, it also creates a two way pathway for bacteria...not only can they drain out from the tooth, bacteria and food debris from the mouth can also be introduced INTO the tooth and then into the bone...and remember...
  2. Laurence Stein DDS

    Sinus "hole" punctured during wisdom teeth extraction

    It is not uncommon for the roots of upper molar teeth to rest against or penetrate the border of the maxillary sinus. During extraction, occasionally a small opening into or just up to sinus may be found. In many cases, the sinus membrane is still intact with no actual communication between...
  3. Laurence Stein DDS

    Diving after tooth implant

    Hatul, Vincent has given you some good advice. The article you quoted is indeed somewhat out of date... I wrote it. Earlier implants had a space in one end to allow the accumulation of bone debris. It had the potential to be a "dead space". Newer implant designs do not have this space...
  4. Laurence Stein DDS

    connective tissue graft (gum graft)

    October 15...shouldn't be a problem. Barring complications, the sutures come out in a week to two weeks. Often within a month you can't tell where the surgery has been performed. I typically am restoring teeth in the sites of this type of surgery in about 3 months. You probably could return...
  5. Laurence Stein DDS

    Root canals and scuba diving

    Jim, That's so nice of you. Most people just want to run....
  6. Laurence Stein DDS

    Root canals and scuba diving

    Neither crowns nor posts CAUSE air bubbles. The vast majority of root canals succeed for many years. There are some teeth that are too far gone to save with a root canal much less than a crown on top. Every case is different and must be individually evaluated. Depending upon how much tooth...
  7. Laurence Stein DDS

    Migraines triggered by diving.

    Allow me to posit a cause and effect: TMJ and migraine may share a commonality: Occlusal Parafunction, i.e. bruxism, clenching, moving the jaws beyond the normal "envelope of function." In both, the Trigeminal nerve ganglion is involved. The muscles of mastication (chewing) are overused and...
  8. Laurence Stein DDS

    How long to wait after wisdom teeth removal?

    Hi t4e, You ask a common question but it requires a complex response. You would think that if an unerupted wisdom tooth is not causing any problems then why subject a person to what seems to be needless surgery. Here's the answer and the reasoning behind the answer. First, humans used to...
  9. Laurence Stein DDS

    Dental Woes...

    Hank, Why would anyone have to "learn" how to clean around the crown on a root canal tooth? First, the root canal has nothing to do with hygiene of a tooth with or without a crown. Next, a well done crown should not have a place where food gets jammed and then becomes painful. A crowned tooth...
  10. Laurence Stein DDS

    Dental Woes...

    Spaces, especially between molar teeth can occur. Molars are roughly square to trapezoidal just under the gum before the roots separate. Implants, on the other hand, are cylindrical and rarely are as wide as the molar they are replacing. The net result is that the smaller width at the neck of...
  11. Laurence Stein DDS

    Dental Woes...

    runnerchic, They sound like great credentials. You appear to be going to a Periodontist. They do not typically restore the implants they place. If your regular GP cannot do it, ask the periodontist who he would recommend. Good luck.
  12. Laurence Stein DDS

    Dental Woes...

    Hi runnerchick71, It sounds like your are referring to your maxillary central incisor. My first question would be WHY did your tooth darken. Were you ever struck in the front of the mouth...auto accident, sports injury, assault, stupidly opening beer bottles? Did this tooth have a previously...
  13. Laurence Stein DDS

    Dental Q - Root canal and root amputation

    Seaotters,OK, last free answer :) There is no dental procedure with 100% success. Implant success is at least as good as a first time, well done root canal. Drilling the hole takes less than a minute and usually has minimal post op discomfort... less than most simple extractions. The only...
  14. Laurence Stein DDS

    Dental Q - Root canal and root amputation

    Seaotters, Man, you have a lot of questions! You would probably hate a removable denture. Especially if it replaces only one tooth. You could get away without bone grafting in most cases. Infections are not a problem but decay in teeth covered by the clasps might be a problem. You could use...
  15. Laurence Stein DDS

    Dental Q - Root canal and root amputation

    Seaotters... (Are there more than one of you? Forget I asked) The abutment is the device that connects the implant to the crown. You can kind of divide them up into: 1) stock abutment... which come out of the package and screws directly into the implant, 2) Modified abutment... a stock...
  16. Laurence Stein DDS

    Dental Q - Root canal and root amputation

    Hi Seaotters, First, let me say that getting 20 extra years out of this tooth was wonderful. The fact that a root canal procedure (or simply having a "dead" tooth without the root canal) left your tooth brittle should not have factored into how you treated it many years ago. Without the...
  17. Laurence Stein DDS

    Dental Q - Root canal and root amputation

    This just proves that some dentists DO have, albeit a peculiar, sense of humor. It helps keep us sane.
  18. Laurence Stein DDS

    Skin peeling round mouth after diving.

    So OK... this is going to be like pulling teeth... :) You're a male... so you most likely shave which can irritate the peri-oral tissues (around the mouth). You use a "standard" mouthpiece with your regulator... Is it neoprene or silicone? Neoprene is typically black with a dull surface...
  19. Laurence Stein DDS

    Skin peeling round mouth after diving.

    Hi x1440 No, it's not normal. I would suspect some sort of contact dermatitis or allergy. Is your mouthpiece made of neoprene?... Black rubber? Do you wear a hood made of fabric and rubber? Both of these would be near the mouth and could result in an allergic reaction. If you are a male...
  20. Laurence Stein DDS

    Facial pain after diving

    This same question has come up before. Pain in the upper teeth/face then numbness part of the face/lips/teeth. bubbletrouble is correct... sinus pressure compressing the sensory nerve, V-2 at the entrance to or within the infraorbital canal. This canal contains a portion of the second...
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