Re: retained deciduous tooth

[Guest guest]

Dear veena,IDEALLY, such a tooth needs to be removed for obvious reasons of patient discomfort and additional plaque retentive area. Still, if the patient wishes to save this mobile tooth, splinting may be an option with all possibilites of failure explained to the patient. Also if u do a composite filling, it will in no way help in retention of the tooth in the mouth, with a equal chance of the tooth coming out alongwith the composite filling.Best regards,Ashish.Sent on my BlackBerry® from VodafoneFrom: Veena B <veena913@...>Sender: Date: Thu, 5 Jan 2012 17:37:12 +0530 (IST)< >Reply Subject: retained deciduous tooth hello..it would be great if i can get help with my doubt 1] if ther is a loose retained deciduous tooth like grade 1 or grade 2 mobility and the patient wish to retain the tooth, can a composite build up be an option. can a composite build up be give in a grade 3 mobillity . or is thr any other option other than composite build up.thanks

[Guest guest]

completely agree with u Dr.Ashish. From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < > Sent: Thursday, 5 January 2012 12:14 PM Subject: Re: retained deciduous tooth

Dear veena,IDEALLY, such a tooth needs to be removed for obvious reasons of patient discomfort and additional plaque retentive area. Still, if the patient wishes to save this mobile tooth, splinting may be an option with all possibilites of failure explained to the patient. Also if u do a composite filling, it will in no way help in retention of the tooth in the mouth, with a equal chance of the tooth coming out alongwith the composite filling.Best regards,Ashish.Sent on my BlackBerry® from VodafoneFrom: Veena B <veena913@...>

Sender:

Date: Thu, 5 Jan 2012 17:37:12 +0530 (IST)< >Reply

Subject: retained deciduous tooth

hello..it would be great if i can get help with my doubt 1] if ther is a loose retained deciduous tooth like grade 1 or grade 2 mobility and the patient wish to retain the tooth, can a composite build up be an option. can a composite build up be give in a grade 3 mobillity . or is thr any other option other than composite build up.thanks

[Guest guest]

Please Please Pleaseno treatment is option 12. ref to specialist IOTN Definite need of treatment with retained decidous associated with impeded eruption...grade 5 If at all you do any un favourable treatment or risky treatment make sure : to advise patient to have a second opinion option before hand. give him time to rethink , reschedule the appointment , explain every thing , retain with you a written signed comprehensive informed consent esp explaining chances/risk of failure in writing. Dr.Zahid From: kanika_sahil@...Date: Thu, 5 Jan 2012 18:46:40 +0530Subject: Re: retained deciduous tooth

completely agree with u Dr.Ashish. From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < > Sent: Thursday, 5 January 2012 12:14 PM Subject: Re: retained deciduous tooth

Dear veena,IDEALLY, such a tooth needs to be removed for obvious reasons of patient discomfort and additional plaque retentive area. Still, if the patient wishes to save this mobile tooth, splinting may be an option with all possibilites of failure explained to the patient. Also if u do a composite filling, it will in no way help in retention of the tooth in the mouth, with a equal chance of the tooth coming out alongwith the composite filling.Best regards,Ashish.Sent on my BlackBerry® from VodafoneFrom: Veena B <veena913@...>

Sender:

Date: Thu, 5 Jan 2012 17:37:12 +0530 (IST)< >Reply

Subject: retained deciduous tooth

hello..it would be great if i can get help with my doubt 1] if ther is a loose retained deciduous tooth like grade 1 or grade 2 mobility and the patient wish to retain the tooth, can a composite build up be an option. can a composite build up be give in a grade 3 mobillity . or is thr any other option other than composite build up.thanks

[Guest guest]

Extraction s the only choice in grade 3 deciduous teeth..

From:

Veena B <veena913@...>;

To:

< >;

Subject:

retained deciduous tooth

Sent:

Thu, Jan 5, 2012 12:07:12 PM

hello..it would be great if i can get help with my doubt 1] if ther is a loose retained deciduous tooth like grade 1 or grade 2 mobility and the patient wish to retain the tooth, can a composite build up be an option. can a composite build up be give in a grade 3 mobillity . or is thr any other option other than composite build up.thanks

[Guest guest]

We do not do splinting in primary teeth....

From:

Zahid Ahmad <zahiddentalsurgeon@...>;

To:

< >;

Subject:

RE: retained deciduous tooth

Sent:

Thu, Jan 5, 2012 1:26:39 PM

Please Please Pleaseno treatment is option 12. ref to specialist IOTN Definite need of treatment with retained decidous associated with impeded eruption...grade 5 If at all you do any un favourable treatment or risky treatment make sure : to advise patient to have a second opinion option before hand. give him time to rethink , reschedule the appointment , explain every thing , retain with you a written signed comprehensive informed consent esp explaining chances/risk of failure in writing. Dr.Zahid From: kanika_sahil@...Date: Thu, 5 Jan 2012 18:46:40 +0530Subject: Re: retained deciduous tooth

completely agree with u Dr.Ashish. From: " dr_ashish_pandit@... " <dr_ashish_pandit@...> < > Sent: Thursday, 5 January 2012 12:14 PM Subject: Re: retained deciduous tooth

Dear veena,IDEALLY, such a tooth needs to be removed for obvious reasons of patient discomfort and additional plaque retentive area. Still, if the patient wishes to save this mobile tooth, splinting may be an option with all possibilites of failure explained to the patient. Also if u do a composite filling, it will in no way help in retention of the tooth in the mouth, with a equal chance of the tooth coming out alongwith the composite filling.Best regards,Ashish.Sent on my BlackBerry® from VodafoneFrom: Veena B <veena913@...>

Sender:

Date: Thu, 5 Jan 2012 17:37:12 +0530 (IST)< >Reply

Subject: retained deciduous tooth

hello..it would be great if i can get help with my doubt 1] if ther is a loose retained deciduous tooth like grade 1 or grade 2 mobility and the patient wish to retain the tooth, can a composite build up be an option. can a composite build up be give in a grade 3 mobillity . or is thr any other option other than composite build up.thanks

[Guest guest]

thanks zahid under[ 5i ] impeded eruption of teeth (with the exception of third molars) owing to crowding, displacement , the prescence of supernumery teeth, retained primary teeth and any pathological cause i feel can be graded under iotn 5.but what if thr is no impeded eruption of teeth...... and a primary teeth is present will that still be graded under iotn 5 . i feel for the loose retained milk teethmy option will first taking an x ray and see if permanent tooth is present and if no permanent teeth then,1} leave as it is 2} splinting and composite build up for grade 1 and grade 2 ?? but we need to explain the chipping and

debonding in dis advantage and as the tooth is loose, the tooth supporting structures i e bone and periodontal structures are compromised and might be not a success or good result in future, we can retain as long it last.3} extraction and replacement option. well i think over here it will come under iotn 4h . but still under 4h if u see in iotn grade it says that we need to refer to ortho specialist if only patient needs prosthesis.. please please correct me .thanksveenaFrom: Zahid Ahmad <zahiddentalsurgeon@...>Subject: RE: retained deciduous tooth Date: Thursday, 5 January, 2012, 1:26 PM

Please Please Pleaseno treatment is option 12. ref to specialist IOTN Definite need of treatment with retained decidous associated with impeded eruption...grade 5 If at all you do any un favourable treatment or risky treatment make sure : to advise patient to have a second opinion option before hand. give him time to rethink , reschedule the appointment , explain every thing , retain with you a written signed comprehensive informed consent esp explaining chances/risk of failure in writing. Dr.Zahid From: kanika_sahil@...Date: Thu, 5 Jan 2012 18:46:40 +0530Subject: Re: retained deciduous tooth

completely agree with u Dr.Ashish. From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < > Sent: Thursday, 5 January 2012 12:14 PM Subject: Re: retained deciduous tooth

Dear veena,IDEALLY, such a tooth needs to be removed for obvious reasons of patient discomfort and additional plaque retentive area. Still, if the patient wishes to save this mobile tooth, splinting may be an option with all possibilites of failure explained to the patient. Also if u do a composite filling, it will in no way help in retention of the tooth in the mouth, with a equal chance of the tooth coming out alongwith the composite filling.Best regards,Ashish.Sent on my BlackBerry® from VodafoneFrom: Veena B <veena913@...>

Sender:

Date: Thu, 5 Jan 2012 17:37:12 +0530 (IST)< >Reply

Subject: retained deciduous tooth

hello..it would be great if i can get help with my doubt 1] if ther is a loose retained deciduous tooth like grade 1 or grade 2 mobility and the patient wish to retain the tooth, can a composite build up be an option. can a composite build up be give in a grade 3 mobillity . or is thr any other option other than composite build up.thanks

[Guest guest]

hi veenamost of the cases in deciduous teeth we will not try to retain them as they will be replaced by permanent successor  so you need to rephrase your questionregaeds chandrika 

On Thu, Jan 5, 2012 at 12:07 PM, Veena B <veena913@...> wrote:

 

hello..it would be great if i can get help with my doubt     1]   if ther is a loose retained deciduous tooth  like grade 1 or grade 2 mobility and the patient wish to retain the tooth,  can a composite build up be an option. can a composite build up be give in a grade 3 mobillity . or is thr any other option other than composite build up.

thanks

[Guest guest]

hello chandrika .. sorry for not being clear with my doubtlets assume he is around 25 years of age with a retained loose grade 1 deciduous tooth. on radio graphically no permanent tooth or bud present beneath the milk tooth. tooth is vital. thanks

hello..it would be great if i can get help with my doubt 1] if ther is a loose retained deciduous tooth like grade 1 or grade 2 mobility and the patient wish to retain the tooth, can a composite build up be an option. can a composite build up be give in a grade 3 mobillity . or is thr any other option other than composite build up.

thanks

[Guest guest]

Hi Venna,On radiograph what about the root of deciduous tooth is there any resportion or intact?RdgsSowjanya From: Veena B <veena913@...> Sent: Thursday, 5 January 2012, 15:09 Subject: Re: retained deciduous tooth

hello chandrika .. sorry for not being clear with my doubtlets assume he is around 25 years of age with a retained loose grade 1 deciduous tooth. on radio graphically no permanent tooth or bud present beneath the milk tooth. tooth is vital. thanks

hello..it would be great if i can get help with my doubt 1] if ther is a loose retained deciduous tooth like grade 1 or grade 2 mobility and the patient wish to retain the tooth, can a composite build up be an option. can a composite build up be give in a grade 3 mobillity . or is thr any other option other than composite build up.

thanks

[Guest guest]

Figure 6: IOPA radiograph showing retained deciduous mandibular central incisors without any evidence of root resorption

hello..it would be great if i can get help with my doubt 1] if ther is a loose retained deciduous tooth like grade 1 or grade 2 mobility and the patient wish to retain the tooth, can a composite build up be an option. can a composite build up be give in a grade 3 mobillity . or is thr any other option other than composite build up.

thanks

[Guest guest]

Dear Sowjanya, Since there is no resorption around the roots of the deciduous for 20 odd years a composite build up can be done.But also give the patient other choices such as implants etc From: Sowjanya Avireddi <sowjanyaavireddi@...> " " < > Sent: Thursday, 5 January 2012 9:50 PM Subject: Re: retained deciduous tooth

Hi Venna,On radiograph what about the root of deciduous tooth is there any resportion or intact?RdgsSowjanya From: Veena B <veena913@...> To:

Sent: Thursday, 5 January 2012, 15:09 Subject: Re: retained deciduous tooth

hello chandrika .. sorry for not being clear with my doubtlets assume he is around 25 years of age with a retained loose grade 1 deciduous tooth. on radio graphically no permanent tooth or bud present beneath the milk tooth. tooth is vital. thanks

hello..it would be great if i can get help with my doubt 1] if ther is a loose retained deciduous tooth like grade 1 or grade 2 mobility and the patient wish to retain the tooth, can a composite build up be an option. can a composite build up be give in a grade 3 mobillity . or is thr any other option other than composite build up.

thanks

[Guest guest]

hi veena if thats the case we case give him advise on extraction and then replacing the gap with different optins like prosthesis,bridge ,implant but if he insist on retaining the tooth we can tell him that at some point it needs to come out but temporarily we will try with splints

On Thu, Jan 5, 2012 at 8:09 PM, Veena B <veena913@...> wrote:

 

hello chandrika .. sorry for not being clear with my doubtlets assume he is around 25 years of age with a retained loose grade 1 deciduous tooth. on radio graphically  no permanent tooth or bud present beneath the milk tooth.  tooth is vital. 

thanks

 

hello..it would be great if i can get help with my doubt     1]   if ther is a loose retained deciduous tooth  like grade 1 or grade 2 mobility and the patient wish to retain the tooth,  can a composite build up be an option. can a composite build up be give in a grade 3 mobillity . or is thr any other option other than composite build up.

thanks