Facepalm cases

Doris A

Doris A

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Rx says "Pt wants #10 to be EXACTLY(all caps on Rx) the same length as #7"

Looking at the RPD seated on the supplied model 10 is longer than natural 7.

Well, I made them exactly the same length on the model I was given.

Found out at delivery that:
I was expected to infer the model is from 2012 when the cast RPD was first made.
I was expected to infer that there'd been massive resorption and how much.
I was expected to infer that the pt's partial was canting severely from the resorption making 10 too short.
I was supposed to 'put a longer tooth on and let me (dds) cut it down' and I just didn't do what was wanted.
You're supposed to be a mind reader too....what's wrong with you?!?!?
 
JMN

JMN

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You're supposed to be a mind reader too....what's wrong with you?!?!?
I sent my helmet out for repair. Doc said it'll take a while even though he can drop it off fixed before it broke.
 
Doris A

Doris A

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I sent my helmet out for repair. Doc said it'll take a while even though he can drop it off fixed before it broke.
At the very least he should have done a pick up impression so you could SEE what's going on in the mouth! And if it's canting so severely from resorption, do ya think it just MIGHT need a reline as well, if not a complete new partial....DUH!!!!
 
2thm8kr

2thm8kr

Beanosavedmysociallife
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The mandibular tray used on the maxillary is a nice touch.
 
Doris A

Doris A

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The mandibular tray used on the maxillary is a nice touch.
We've got an account who used to do that all of the time. They would fill the space with rope wax and then impress. I told them as long as they did that, anything we made for them wouldn't be guaranteed because the impressions had a likelihood of being distorted. Unfortunately for the patient the case that happened to was an immediate partial extracting a few anterior teeth. Partial didn't fit and had to remade quickly because the teeth had already been taken out. They had to pay for 2 partials and they now use the correct trays, except when they're doing a pick up for a repair and they'll still use a lower tray. I don't get it.
 
OP
CoolHandLuke

CoolHandLuke

Idiot
Full Member
We've got an account who used to do that all of the time. They would fill the space with rope wax and then impress. I told them as long as they did that, anything we made for them wouldn't be guaranteed because the impressions had a likelihood of being distorted. Unfortunately for the patient the case that happened to was an immediate partial extracting a few anterior teeth. Partial didn't fit and had to remade quickly because the teeth had already been taken out. They had to pay for 2 partials and they now use the correct trays, except when they're doing a pick up for a repair and they'll still use a lower tray. I don't get it.
old habits die hard
 
JMN

JMN

Christian Member
Staff member
Full Member
Rx says "Pt wants #10 to be EXACTLY(all caps on Rx) the same length as #7"

Looking at the RPD seated on the supplied model 10 is longer than natural 7.

Well, I made them exactly the same length on the model I was given.

Found out at delivery that:
I was expected to infer the model is from 2012 when the cast RPD was first made.
I was expected to infer that there'd been massive resorption and how much.
I was expected to infer that the pt's partial was canting severely from the resorption making 10 too short.
I was supposed to 'put a longer tooth on and let me (dds) cut it down' and I just didn't do what was wanted.
@Car 54 This is the one we discussed.
 
user name

user name

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where am I ? What to do with this ?
Pretty sad. Ive shared with JMN recently that a couple Drs are talking about (threatening) to sue me because Ive used the term malpractice in regards to implant placement similar to this.
If it cant be placed 'reasonably' well, like in the vacinity of where we want a tooth, then it shouldnt be placed. A missing tooth and some money doesnt qualify for an implant. "We have to put it where the bone is"they say.
B.S. I say. Take an initial impression for me. Ill pour a couple models. Ill wax a diagnostic and on the other, draw a red circle where the tooth is missing. If you cant hit the target, dont do it, dammit.

Damage is done, so...
Remove the soft tissue and just ignore it. Drop the buccal margin as far as you can and come out buccally with your contour as best you can. The Dr will need to biolase the gingiva to get it down. If theyre not comfortable doing it, find a good periodontist to have seat it.
 
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