The following week, the prosthodontist confirmed that, indeed, the next step would be the crown lengthening procedure followed by six weeks of healing time before he would insert a post to further support the crown. And, as Bill Mrazek, CDT, recommended, the best restoration in this case, would be a PFM. He and his office are the cat's meow when it comes to professionalism and patient care and I'm fortunate to become their patient.
The periodontist he recommended was the same one I'd already called so that added to my feeling of being in the right hands. I've since had the crown lengthening procedure. The stitches are out and I'm on the mend.
I couldn't be any more impressed with the periodontist and his operation! He gave me arnica, with instructions to start taking these tiny natural remedy pills for quicker healing two days before the crown lengthening procedure. I love that he takes a holistic approach to his work and plan to have my dental cleanings there in the future.
I won't get the post and crown until late September.
Hindsight being what it is, I greatly regret, of course, going to what I'd call a "run of the mill" practice in the first place. For another 20 minutes of driving, I could have been under the expert care of top notch professionals.
I regret that I didn't know to ask for a temporary filling to give my tooth a chance to settle down from the trauma. I also wish I'd gone to see my endodontist friend before letting that tooth get prepped.
I feel the case took a wrong turn the moment the GP moved forward after drilling out the old filling and the decay.
We don't know what the natural tooth looked like, but we do know the tooth was over-reduced. Obviously, it would not have been possible, after the fact, for any dental technician to intervene.
I know that technicians will frequently let a client know when an impression is inadequate. Have you ever asked a client to adjust a prep to provide better crown retention?
The periodontist asked me why I wanted to share my story. Neither he nor the prosthodontist are interested in bashing others in their profession. I'm not interested in this for bashing purposes either.
However, since this arena—prepping a tooth—greatly impacts the end result, which is your domain, it seems to me it's prudent to establish certain expectations and protocols when accepting a client's case.
I know from past LMT surveys, most dentists don't visit the laboratories they work with. I'd like to know how often you visit your clients to sit in on a challenging case. How often do you make it over to a client's practice to watch him prep a compromised tooth?
Let me know!
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