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Thank you for a great video. Good analysis of the reasoning and planning that went into the treatment. I have a patient with moderate dry mouth and a mouthful of crowns. All the areas, where the dentin is exposed and with abrasion, have become soft. Patient is diligent with her hygiene. First I tried to fill those areas but achieved stability only after I made crowns taking to the gingival margin. Your opinion please!
I have had this same situation in the past, and agree that taking the margins into the sulcus, gaining a little buffering from the sulcular fluid is how I would approach it. I would also be thinking saliva replacement, fluoride treatments, MIP Paste, maybe clorhexidine, there is a special hygiene regimen for folks with a high caries risk.
Very nice video.
Thanks Jason, glad you enjoyed it.
Thank you for a great video. Good analysis of the reasoning and planning that went into the treatment. I have a patient with moderate dry mouth and a mouthful of crowns. All the areas, where the dentin is exposed and with abrasion, have become soft. Patient is diligent with her hygiene. First I tried to fill those areas but achieved stability only after I made crowns taking to the gingival margin. Your opinion please!
yathi
I have had this same situation in the past, and agree that taking the margins into the sulcus, gaining a little buffering from the sulcular fluid is how I would approach it. I would also be thinking saliva replacement, fluoride treatments, MIP Paste, maybe clorhexidine, there is a special hygiene regimen for folks with a high caries risk.
Thank you for sharing, Lee. This type of learning is a tremendous gift. It shows your strength in maximizing individualization of care!
Sincerely,
Brad