[carboy]

Originally Posted by vivekiny2k

just wondering, will the CD have a timestamp of the test?

It should be trivial to manipulate the timestamp, even if it does exist.

[anku94]

Got the CD !

It says my mom's name everywhere in the records shown by the CD software, and the time and date of scan are absolutely correct. So there's negligible chance of it not being my mom's angio CD, I think.

Thanks @drasitkhanna

[scorpian]

@Dr tejas,
hi doc hope your doing fine.

My front two teeth are RCT treated adn were later coated with composites,over a period of time this have discoloured and do not match the other teeth making it look awkward.

I would like to know what material or will ceramic on this teeth will help them look more aesthetic?

opinions i have got from dentists are as follows:
1)RCT treated teeth turn grey and any kind of coating will reflect the grey tooth beneath hence its no point in coating them again...

2)Second doc told me to use crowns for these and told me life of them will be max 8to 10 years,i currently have no issues with this teeth and fiind that the previous composite coating actually gave them sum additional strength,i am little awry about cutting my teeth and putting crowns so would like an alternative.

so what would u advise,my plan was to get the two teeth bleached from inside and then do a ceramic coating matching the other teeth.

Kindly advise..

is there a better material then ceramic which would last like real long?

[Tejas@perioimpl]

Originally Posted by scorpian

@Dr tejas,
hi doc hope your doing fine.

My front two teeth are RCT treated adn were later coated with composites,over a period of time this have discoloured and do not match the other teeth making it look awkward.

I would like to know what material or will ceramic on this teeth will help them look more aesthetic?

opinions i have got from dentists are as follows:
1)RCT treated teeth turn grey and any kind of coating will reflect the grey tooth beneath hence its no point in coating them again...

2)Second doc told me to use crowns for these and told me life of them will be max 8to 10 years,i currently have no issues with this teeth and fiind that the previous composite coating actually gave them sum additional strength,i am little awry about cutting my teeth and putting crowns so would like an alternative.

so what would u advise,my plan was to get the two teeth bleached from inside and then do a ceramic coating matching the other teeth.

Kindly advise..

is there a better material then ceramic which would last like real long?

Hi,

As a rule, in my professional opinion, root canaled teeth should always be crowned(capped). The teeth tend to become brittle after root canaling and the crown will prevent fractures.

Don't bleach or use composite. The preferred protocol is capping these teeth. If made properly by the dentist and the lab and if you are regular with your follow ups, i don't see why they shouldn't last longer.

You can use either metal ceramic caps or metal free caps (zirconia coping) depending on your budget.

[carboy]

Originally Posted by carboy

Question for eye doctors
- How safe is cataract surgery for 75 year old diabetic man who has had multiple heart attacks?
- Is this usually outpatient surgery or does it require stay in the hospital?
- Is this done under local or general anaesthesia?
- What are the possible complications?
- Are there different kinds of ways of doing cataract surgery? If yes, what's the safest?
- What's the recovery time?
- Is it better to do it early or can it wait?

Any eye doctors, surgeons if there please reply as soon as possible.

Both his eyes need cataract surgery - this will be done this week at Rushabh Hospital in Chembur.

The doctor gave a choice 2 different lens - one which requires a 2.8 mm incision & another MICS lens which just requires 1.8 mm - the MICS one is costlier, but are there any advantages - is this a timetested procedure & lens or is this something which is relatively new?

[jaysmokesleaves]

Hello Dentists,

I recently extracted my left wisdom tooth from my lower jaw. The molar preceding my wisdom tooth was missing for a long time which caused the wisdom tooth to grow crooked and had to be extracted.

Now my question is;
There is a big gap where my wisdom tooth was removed and my missing molar next to that. Can I fix another tooth/ molar there to compensate for the gap and help me chew on my left side too. Right now, the feeling of a missing tooth is causing me to use my right side for most chewing duties.
Please advise,
1. if a tooth(molar) implant is possible in place of the missing molar(the original molar broke off over 2 years ago and the space is now fully covered). There is a hole where the wisdom tooth was removed which I assume will cover itself up over time.. right??

2. Are there any negatives to such a procedure, if at all it is possible.
3. Will the implant be usable for chewing non veg and other food or will it just remain a cosmetic implant.
4. What should be the approx cost of a molar implant for the lower jaw.
5. What material options do I have, as in metal/synthetic etc, and which will be effective for the long term, with lowest downtime and maintenance.

Thanks in advance for your kind advice & suggestions.

Cheers,

Jay

[Tejas@perioimpl]

Originally Posted by jaysmokesleaves

There is a big gap where my wisdom tooth was removed and my missing molar next to that. Can I fix another tooth/ molar there to compensate for the gap and help me chew on my left side too.

Yes

1. if a tooth(molar) implant is possible in place of the missing molar(the original molar broke off over 2 years ago and the space is now fully covered). There is a hole where the wisdom tooth was removed which I assume will cover itself up over time.. right??

Yes, right.

2. Are there any negatives to such a procedure, if at all it is possible.

What procedure? The removal or replacement? Non replacement of the tooth will lead to problems. You HAVE to replace it.

The implant procedure is fairly routine and a competent doctor can do it easily. Only remember, the more you wait to replace, the more bone you loose, the shorter and narrower implant goes in and the treatment gets compromized.

3. Will the implant be usable for chewing non veg and other food or will it just remain a cosmetic implant.

It is fully functional

4. What should be the approx cost of a molar implant for the lower jaw.

Depends on the doctor and the implant used. Ranges from 20,000 to 45,000 including the crown (cap) on it.

5. What material options do I have, as in metal/synthetic etc, and which will be effective for the long term, with lowest downtime and maintenance.

All implants are titanium. For posteriors (molars) i would suggest a porcelain fused to metal crown on it as adequate. Full ceramic not advisable in my opinion for heavy biters.

[jaysmokesleaves]

Thanks for the prompt n quick advice Tejas. Based upon your replies I will attend to the replacement shortly.

3 final questions prompted by your replies.

1. The missing molar preceding my wisdom tooth has gone over 2 years ago. The wisdom tooth was extracted just 5 weeks ago.
Since I will be replacing the molar after over 2 years, based upon your reply, is it too late already as in too short & narrow implant??

2. How long does it take for a molar replacement procedure, as in, is it a one sitting job or does requires multiple sittings ?

3. Do the titanium implants cause the body scanners at the airport transits to beep?

Thanks & regards,

Jay

[SS-Traveller]

Allow me to reply on this...

Originally Posted by jaysmokesleaves

3 final questions prompted by your replies.

1. The missing molar preceding my wisdom tooth has gone over 2 years ago. The wisdom tooth was extracted just 5 weeks ago.
Since I will be replacing the molar after over 2 years, based upon your reply, is it too late already as in too short & narrow implant??

The final decision will have to be made by looking into your mouth and using x-rays to determine how much of bone is present. The selection of implant will be based on the findings.

2. How long does it take for a molar replacement procedure, as in, is it a one sitting job or does requires multiple sittings ?

The insertion of the implant is a minor surgical procedure done under local anaesthesia, and should take not more than 30-45 minutes. Expect some minor pain/discomfort for a few days, probably less than what you felt after the wisdom tooth extraction.

After this there is usually a wait period of 4-10 weeks (depending on the dentist's preference and your own body's response), to allow the implant to integrate with the bone and become firmly embedded. Then on your second visit, you undergo another minor surgical procedure of a few minutes, and the upper part of the implant is fitted into the part that has already fused with your bone. An impression is now made to reproduce your teeth and the part of the implant sticking out above the gum. After the impression is made, the dentist usually puts a temporary crown over the implant.

The impression is used to make a true replica (model) of the teeth, and a dental laboratory makes the final crown - which is fitted on at the third visit after a few days.

3. Do the titanium implants cause the body scanners at the airport transits to beep?

Too little metal there to set off the scanners. X-ray scanners are calibrated not to give false alarms by being triggered off with dental silver restorations or implants - or even removable metal dentures. Don't worry about this.

[jaysmokesleaves]

Thank you to both docs for your kind advice. I shall attend to this at the earliest.

[ankitaggarwal]

Originally Posted by carboy

Any eye doctors, surgeons if there please reply as soon as possible.

Both his eyes need cataract surgery - this will be done this week at Rushabh Hospital in Chembur.

The doctor gave a choice 2 different lens - one which requires a 2.8 mm incision & another MICS lens which just requires 1.8 mm - the MICS one is costlier, but are there any advantages - is this a timetested procedure & lens or is this something which is relatively new?

Cataract surgery is one of the safest surgeries in current clinical practice.
It is a day care surgery done under local anaesthesia.
The best method for the patient will be to go in for phacoemulsification technique of cataract surgery.

Possibility of aftercataract(recurrence of cataract over artificial lens) is a certain possibility in 5-15% cases.
In current standings... cataracts should be operated at the earliest as the degenerate/abnormal fibres are less hence easier to emulsify thereby causing less damage to other ocular structures.

Recovery is normally within one day however minimal precautions must be observed for a week atleast.

As regards to difference between MICS and Phacoemulsification...i would suggest phaco for your patient as MICS isn't practically very prevalent as of now in india...also phaco is tested already on lakhs of patients with very good outcomes.

[praveencr85]

Hello guys,

I am confused where to post my query.. But i can find all the docs in this thread so posting it here.

I am moving back to germany for longterm(4-6yrs) my betterhalf is a doctor finished her MBBS(in india) now and wants to pursure MS in neurosurgery wants become a surgeon .i have been searching for information on studying or practising it in germany.

But i am not able to get the clear picture on this yet.So i am turning to TeamBhp for Advice.Please help.

@Mods please excuse this post as i needed this information ASAP.

[carboy]

Originally Posted by ankitaggarwal

As regards to difference between MICS and Phacoemulsification...i would suggest phaco for your patient as MICS isn't practically very prevalent as of now in india...also phaco is tested already on lakhs of patients with very good outcomes.

So in MICS, what is the method for removing the old lens if it's not Phacoemulsification?

[neofromcapone]

Wife had her lower molar, removed, yesteryeay, it was a wisdom tooth. She also needed 3 stitches, she is in major pain since, duflon every 4 hours. What i can give her for a 12 hour relief so that she can sleep. Thanks in advance

[absynthguzzler]

Just remembered this thread!

Dad's been bitten buy a monkey.We've cleaned the wound , it is a deep scratch on the arm due to the moneky's teeth . The wound has been cleaned with tincture and dad's also taken a Tetvac injection.

Question is ... Is it necessary to take an anti-rabies injection within 24hours or can we wait? and any other steps to follow ?