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Bulletin, Progressive, Record, Reporter Wednesday, July 6, 2011 7B
declare 'It's Time.jC,00r a Cure'
Johnny Walker (left) and Greg Willis play into the evening Saturday, inspiring spectators and
walkers alike.
Photos
by
Mona Hill
Vanessa Valle, captain of Portola High's Team Awesome, begins
to line the track for the evening's Luminaria ceremony. Event
co-coordinator Pandora Valle (Vanessa's mom) said eventually
the bags would ring the entire track.
If you don't want to report a rape
because you know the guy and don't want
to get him in trouble, or you "don't want to rock the
boat," please call a rape-counselor at the
Plumas County Rape Crisis Center, 283-551.5
or Sierra SAFE, in Sierra County, at 993-1237.
You need more information concerning health issues
and your personal rights. All calls are confidential
and so is your contact with the counselor.
Crisis Line Resource
283-4333 '".J- Center
1 1-877-332-2754 or 283-5515 J
A wogram of
Plumas Crisis Intervention & Resource Center
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II II II II
In the last two articles in "Straight Talk" I mentioned the concept of Adhesive dentistry and
conservation of tooth structure when providing crowns for patients, and that among the
reasons for this approach are esthetics and kindness to the skin around the teeth. In an
earlier article I wrote about "latrogenic Periodontitis," or gum problems created by the
dental work. In this article, I want to emphasize these concepts with two examples of
patients [ have seen recently.
The tirst patient came to see my daughter, Dr. Emily, with the explanation that she recently
moved to this area and had been to her previous dentist requesting that she have treatment
that would save her teeth. She had some expensive work done and now that she was up here,
she wanted to continue with the last of this process. After examination, Dr. Emily called
me in for evaluation of periodontal problems and crowns that violated the surrounding
tissues. Upon further evaluation, it was noted that there were multiple periodontal problems
existing and all of the crowns on her teeth were violating the principals o1" "Clean
Dentistr); " or dentistry that has no negative influence on the gums or bone. This is
latrogenic Periodontitis, and in this case, tooth loss will be the eventual result, which is
completely contrary to the reason she went to the dentist in the first place.
The second patient came to see me after reading these articles. She has been experiencing
discomfort around one of her crowns and has seen her dentist multiple times only to
be told that there was nothing wrong. We had a discussion regarding her concerns and I
realized that this was a patient that was frustrated because she knew there was a problem
and her dentist was unable to discover the cause. Upon examination, it was clear that every
tooth that had a crown had inflamed tissue around it with bleeding and pus upon gentle
probing and uncrowned natural teeth had no periodontal issues at all. Indeed, the tooth
that she has been complaining about for some time had cement from the cementation of the
crown from when it was placed to today. She has had her teeth cleaned multiple times and
this chunk of cement was never removed. How could the dentist and hygienist miss it. for
years even when the patient was complaining? Every crown is creating gum problems
because of poor fit, poor contours, and placed too deep into the tissue. In truth, the crowns
will have to be removed, the teeth contoured to correct the periodontitis, therapeutic
provisional crowns will be put on, healing will be allowed for up to 6 weeks, and new final
crowns will be placed that respect the surrounding tissue. The only other way to correct this
is to provide aggressive advanced periodontal surgery and while this is an option, this also
results in tissue loss and leaves the crowns that don't fit well and are contoured poorly,
so the best option is the one outlined first. Now, remember that this is a case where the
dentist could find nothing wrong. Can you believe it? Not only was this poor dentistry, but
inadequate diagnostic skills were in play here as well. This is a very common occurrence,
unfortunately. If you or someone you know are frustrated with chronic discomfort or
crowns with bleeding gums, bad taste, red gums around crowns that are
esthetic problems, or have been told that you need to "brush more" or are "allergic to the
metal or other material in the crown," realize that there are ways to treat this absolutely.
Also, realize that the reason for these problems are almost NEVER about the materials in
the crowns but almost ALWAYS about how the crown is done, contoured, shaped, and
placed. This is Iatrogenic Periodontitis pure and simple. Treatment is available but the
dentist must be trained and experienced to be able to provide it predictably! This is
Straight Talk for the Consumer about Dentistry.
DR. MICHAEL W..and DR. EMILY S. HERNDON
431 Main St., Quincy, CA • 283-1119