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Dental Health/ Dental Industry- Ask me Anything
#76

Dental Health/ Dental Industry- Ask me Anything

Thanks for the thread DVY.

1) is diet coke the same as regular coke? what about club soda?
2) is it a good idea to brush your teeth after every meal?
3) how often should I floss?
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#77

Dental Health/ Dental Industry- Ask me Anything

Diet coke is better because it has no sugar, but it still is v. acidic (pH of 3). Club soda is around 5. So coke is 100x acidic than club soda.

Good idea, yes. Maybe not practical. I rinse my mouth w/water and use a toothpick to get out large pieces of food. I want to live a normal life. Obsessing is not healthy imo.

Covered above. 3/week at minimum. Best everyday or floss-alternative like waterpik.

WIA- For most of men, our time being masters of our own fate, kings in our own castles is short. Even those of us in the game will eventually succumb to ease of servitude rather than deal with the malaise of solitude
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#78

Dental Health/ Dental Industry- Ask me Anything

DVY, I am genetically predisposed to dental issues -- both my mother and father had their teeth pulled in their 50s. (I am 61). - I had peridontal disease in my early 50s, lost one my front teeth, and had a bone graft on one of my eye teeth -- a tooth I since had pulled. I now have two bridges.

Anyway, I floss regularly now and use the pre-package glide floss to get under the bridges. Do you think a water pic would be better?

Also, what about rinsing with salt water? My periodontist recommended it.

Finally, I also take one of the metal picks you can get at a pharmacy, and do a little bit of my own tartar scraping every couple of weeks--I accumulate tarter, ever on the back my bridge. OK to do that?
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#79

Dental Health/ Dental Industry- Ask me Anything

@Tenderman- you are the perfect candidate for waterpik. Waterpik is designed for difficult to reach places like under bridges, implants, ortho braces, etc. Floss has poor compliance because its difficult to use.

You should still floss 1/week even w/waterpik. Yes its ok to scrape the tartar off, but I think the waterpik will help w/this. Just make sure when you are scraping that you aren't damaging the gums.

WIA- For most of men, our time being masters of our own fate, kings in our own castles is short. Even those of us in the game will eventually succumb to ease of servitude rather than deal with the malaise of solitude
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#80

Dental Health/ Dental Industry- Ask me Anything

The last time I was serious about my marital arts training was 10 years ago. The same year I ended up having four root canals. Do you think there could be a relationship? BTW, I use a mouth guard now. All the time.
Had one of my side incisors crack last year, have yet to get it fixed (lack of dental plan). Getting a dental plan this month if I can get my @#@##!! business partner to get off his ass and do the forms. I know the dentist is going to want root canal- build up- cap as a solution. I'd rather have the motherfucker pulled. Which do you think is the better idea?
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#81

Dental Health/ Dental Industry- Ask me Anything

Hey DVY,

my upper two front teeth are chipped. My dentist said it might be because when I was a kid and got braces, my old dentist didn't make my bite right. Now my lower teeth are biting into my upper teeth and chipping them away from the back.

I might have to get a mouth guard. But what do I do about the front teeth. I was thinking about getting porcelain veneers. My dentist said they cost $2k per tooth. I'm also considering whitening my teeth first.

So my question(s) to you:
1. Should I get veneers? Is there a better option? I don't know what else can cover chipped teeth.
2. Are veneers the best option in terms of quality/durability?
3. Is $2000/tooth a bit excessive? Or have you seen similar prices for top notch dentists?

Thanks!

Not happening. - redbeard in regards to ETH flippening BTC
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#82

Dental Health/ Dental Industry- Ask me Anything

DVY -

Went to a new dentist and they told me I have some spacing at the top on my very back molars.

They want me to go to an orthodonist to get a retainer to wear at night, or in 5 years may suffer some bone loss.

I floss two times per day, but I guess my gums are red back there. I can't see them obviously.

Is this a good move, from what I can tell you?

Or a hustle to get me to buy a $800 retainer.

Keep in mind, I have no problem spending what it takes on my dental health, but I obviously am allergic to getting hustled.
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#83

Dental Health/ Dental Industry- Ask me Anything

DVY,

I just remembered something. My molars are pretty small compared to my front teeth. I've seen those perfect smiles where all the teeth line up perfectly. Mine definitely don't. Is it common for people to have smaller molars (i.e. they don't line up height wise with front teeth) or could this be because I grinded my molars/bad oral hygiene resulting in smaller molars?

Not happening. - redbeard in regards to ETH flippening BTC
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#84

Dental Health/ Dental Industry- Ask me Anything

Dvy, how many seconds should I floss in between each pair of teeth?
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#85

Dental Health/ Dental Industry- Ask me Anything

First of all thanks to DVY for the thread. That we have people prepared to share their expertise is one of the things I think is really amazing about the manosphere.

By my mid twenties my front teeth were no longer in the best shape. I'd lost a tooth sparring without a mouth-guard, chipped a few others, and most of the front teeth were pretty worn down. I made the decision to fix them and began by having braces to get the teeth lined up properly before doing anything else. I have about four months left of the orthodontic treatment, and then I plan to have crowns/veneers on the front teeth. However, it is a bit confusing trying to make sense of my options due to there being so much choice (regular crowns, all ceramic crowns, all sorts of different brands of veneers, composite veneers etc).

Some more background information. Luckily, the tooth I lost (upper right first premolar) would have been removed for the orthodontic treatment anyway. I also had 3 other premolars removed for the orthodontic treatment, and so I am left with only 16 front teeth in total. I plan to have veneers/crowns over all of these teeth as I want to get the best possible results in terms of appearance.

Would you recommend veneers or crowns? I presume crowns are stronger than veneers, but also require grinding down more healthy tooth surface than veneers. If opting for veneers, are there any particular types that you would recommend? Empress esthetic seem to be highly regarded, but I don't really trust anything I read online because most dentist's opinions aren't exactly unbiased.

Also, my upper right central incisor got chipped pretty badly and I've probably lost about a third of the tooth. Would you think that a crown would be the best option for this tooth? I can't imagine that a veneer would have good retention in a case like this.

About the type of crown, I already read that you prefer porcelain fused to gold crowns over all ceramic crowns. However these are expensive. Is Porcelain fused to regular alloy an acceptable alternative? How about semi precious alloys 2% gold or 50% gold)? Or should I just pay the extra to get the best possible result?

And my last question, since I am planning to have all 16 of my front teeth treated, do you think that it is okay to choose fairly white porcelain? My molars aren't very white at all, but of course they will only be seen if I open my mouth really wide. I don't much like the idea of whitening the molars due to the impermanence of the whitening; I don't really want to tie myself to whitening every few months indefinitely. But again if it is necessary because you think it would be noticeable, then I will do it as I really want the best possible result.

I'm sorry that I have so many questions, and thanks in advance for any information you are able to provide. It's greatly appreciated.
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#86

Dental Health/ Dental Industry- Ask me Anything

@Col-Spanker- yes, its likely from trauma. There are impact-trauma Root canals. We see this a lot from people in fights, car accidents, young kids running into stuff. Also trauma from heavy occlusion (grinding/clenching) or if somebody has an "open bite" (i.e. they close only on a few teeth).

[Image: 697-jco-img-0.jpg]

In the above picture, she has no occlusion on the posterior teeth and all of it on the front. The jaw joint is near the ear which functions as the fulcrum, and the length of the jaw is a lever. You can see clearly how this would be a problem....

Simple biomechanics really. Force= Pressure/Area. This is why I highly recommend big guys use a mouthguard during the gym. The heavy clenching of teeth can fracture teeth in half (usually the guys lifting heavy heavy weights).

As for your 2nd point, for a front tooth I do the RCT/buildup and crown. Not having a front tooth (in the smile zone) sucks for looks. But the choice is yours....

WIA- For most of men, our time being masters of our own fate, kings in our own castles is short. Even those of us in the game will eventually succumb to ease of servitude rather than deal with the malaise of solitude
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#87

Dental Health/ Dental Industry- Ask me Anything

I have a question DVY:

I had my implant fitted 4 months back, all is good and well. I then had my measurements taken for the crown a fortnight back. I'm now in France and would rather return to the UK for my crown placement in early June instead of going back especially in the next week or so to save money on flights.

My question is: Is it ok to wait that long for the final crown placement or will the gap close slightly and the crown not fit by the time I go back? Should I have it placed asap?

Thanks.

Edit: In case it is important, the tooth is upper left canine. The pointy one : )
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#88

Dental Health/ Dental Industry- Ask me Anything

Quote: (05-03-2013 05:06 PM)Genghis Khan Wrote:  

my upper two front teeth are chipped. My dentist said it might be because when I was a kid and got braces, my old dentist didn't make my bite right. Now my lower teeth are biting into my upper teeth and chipping them away from the back.

Get a nightguard. 90% of the damage done is at NIGHT. When you are sleeping your jaw is completely closed and likely grinds forward/back/side-to-side. This teeth grinding is almost like a blender. Mashing your teeth back and forth. If you pay attention, during the day your teeth are not even touching. When eating, they lightly touch and then open (except when you are eating something hard, you apply more pressure and it cracks and then your teeth jam together).


I might have to get a mouth guard. But what do I do about the front teeth. I was thinking about getting porcelain veneers. My dentist said they cost $2k per tooth. I'm also considering whitening my teeth first.

So my question(s) to you:
1. Should I get veneers? Is there a better option? I don't know what else can cover chipped teeth.
2. Are veneers the best option in terms of quality/durability?
3. Is $2000/tooth a bit excessive? Or have you seen similar prices for top notch dentists?

Veneers are like porcelain finger-nails. They get glued on the front of the tooth. A crown surrounds circumfrentially the tooth, resisting lateral pressures. The issue w/veneers is if you bite into an apple or something, they can fly off. Pretty sh-tty way to live if you ask me. I have pts come into the office all the time w/this issue.

As a MAN, who likes to eat ribs, steak, candies, I would get a PFM crown. Metal substructure w/porcelain layering on top. Most men have low smile lines and you can't see the gums when you smile so the issue of a gray-line(metal showing through a little) right at the gum-margin is a non-issue. If this is a concern, get a porcelain margin, but durability is compromised (as much as 30%).

2k is expensive. We charge 500/PFM crown (we are more reasonable than most in the LA area). I would say try to find something in the 500-750 range. Shop around, and use yelp. You can email them the x-ray and ask for a free price quote....

@Gengis Khan- Dont be looking for problems man. Not everybody has perfectly straight teeth and most people have low smile lines (facial musculature and lip structure). Get a nightguard if you are concerned about grinding.

WIA- For most of men, our time being masters of our own fate, kings in our own castles is short. Even those of us in the game will eventually succumb to ease of servitude rather than deal with the malaise of solitude
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#89

Dental Health/ Dental Industry- Ask me Anything

@Vorkuta- its best if its placed ASAP, but a month more is basically a non-issue. IF you have a flipper (partial denture) to hold the space, you could even wait more (say 3-months). But having that crown is amazing. You can smile/eat/laugh w/impunity...

Good to hear it all worked!!!! Im glad that I saved you a grand or more. =).

WIA- For most of men, our time being masters of our own fate, kings in our own castles is short. Even those of us in the game will eventually succumb to ease of servitude rather than deal with the malaise of solitude
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#90

Dental Health/ Dental Industry- Ask me Anything

Quote: (05-03-2013 05:20 PM)thegmanifesto Wrote:  

DVY -

Went to a new dentist and they told me I have some spacing at the top on my very back molars.

They want me to go to an orthodonist to get a retainer to wear at night, or in 5 years may suffer some bone loss.

I floss two times per day, but I guess my gums are red back there. I can't see them obviously.

Is this a good move, from what I can tell you?

Or a hustle to get me to buy a $800 retainer.

Keep in mind, I have no problem spending what it takes on my dental health, but I obviously am allergic to getting hustled.

You are getting hustled. Esp that I know you are in your late 30s or early 40s. This is a common semi-scam. Maybe their is a little bit of spacing, but the retainer wont solve much. 2nd molars dont really move past the age of 25. The only common time they move is if their is no opposing tooth, and it starts supra-erupting (coming down).

If still concerned, next time you come back to LA, I could take a look.Gratis

Invest a bit of money into a waterpik (40 dollars). This will help w/keep that area in the back clean. Its tough to floss back there, and I would say 80% of the problems are manual dexterity issues/mental avoidance issues. Can be purchased online or at most stores (CVS, bed/bath and beyond, etc etc).

Haha, bone-loss is not caused by spacing. This is just laughable. Doom-slinging con-artists!!!! Its caused by inflammation (usually from food getting stuck down there). IE use a waterpik to help irrigate that area.

PS- I make retainers for 150-200 buxs, and I am still making a decent profit. This guy is a rip-off artist.

WIA- For most of men, our time being masters of our own fate, kings in our own castles is short. Even those of us in the game will eventually succumb to ease of servitude rather than deal with the malaise of solitude
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#91

Dental Health/ Dental Industry- Ask me Anything

@houston- irrelevant. But dont speed through it. Really focus on hugging the tooth up and down, so you dont jam the floss into your gums (tissue trauma). I would say a good speed is 1-2 seconds down, 2 seconds up. Sometimes slower if you have tight contacts or if they are oddly positioning

WIA- For most of men, our time being masters of our own fate, kings in our own castles is short. Even those of us in the game will eventually succumb to ease of servitude rather than deal with the malaise of solitude
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#92

Dental Health/ Dental Industry- Ask me Anything

@Kieran- They really layed it on you. They brought the "sales brochure" out and everything.

First things first. Please dont crown every tooth in your mouth this is a terrible idea. You aren't in the movie business.

2nd. Smile regularly. How much teeth do you show. Do you smile (like Chris Rock) from ear to ear or are you more tight-lipped. You only need to crown teeth for aesthetics up to the smile zone. For men, this can be up to the first premolars, or maximum 1st molar. This means 8 or 10 crowns NOT 16. (This will change if you want to raise the vertical dimension of your bite, if not, please dont do all your teeth)

3rd I recommend PFG because its is the best. But most people do just fine w/PFM (non-precious metals). If you dont have any nickel or other metal allergies, this is a non-issue.Assuming your home-care is good (it will have to be if you get all this work done), this will be about the same.

4th skip the whitening. Its not necessary.

5th make sure you get a night-guard to protect all this beautiful work. Invest in a waterpik to help keep all of this clean. Hygenie should be excellent.

6th- shop around prices for crowns. Prices should be around 500-700 per crown. Should be closer to 500 because of 10 crowns.

WIA- For most of men, our time being masters of our own fate, kings in our own castles is short. Even those of us in the game will eventually succumb to ease of servitude rather than deal with the malaise of solitude
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#93

Dental Health/ Dental Industry- Ask me Anything

Brag post- I've been in Mexico for an advanced implant seminar w/heavy surgical patient experience. I think I am going to apply to have a fellowship in implantology (which you can apply for after the receiving the certificate of completion from this course).

Some of the reps were saying that if I continue, I could become a "name in dentistry". Well see how it goes... There is no big money in just being a fellow, but becoming a household-name could mean big fees to fly around the world and lecture (5-20k per lecture). Unfortunately, all the big names in dentistry are in their late 40s. =(.

Not sure how motivated I am to pursue becoming famous for dentistry, but well see how it goes. An extra advanced certification on your resume certaintly wont hurt.

WIA- For most of men, our time being masters of our own fate, kings in our own castles is short. Even those of us in the game will eventually succumb to ease of servitude rather than deal with the malaise of solitude
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#94

Dental Health/ Dental Industry- Ask me Anything

Quote: (05-07-2013 12:56 PM)DVY Wrote:  

@Kieran- They really layed it on you. They brought the "sales brochure" out and everything.

First things first. Please dont crown every tooth in your mouth this is a terrible idea. You aren't in the movie business.

2nd. Smile regularly. How much teeth do you show. Do you smile (like Chris Rock) from ear to ear or are you more tight-lipped. You only need to crown teeth for aesthetics up to the smile zone. For men, this can be up to the first premolars, or maximum 1st molar. This means 8 or 10 crowns NOT 16. (This will change if you want to raise the vertical dimension of your bite, if not, please dont do all your teeth)

3rd I recommend PFG because its is the best. But most people do just fine w/PFM (non-precious metals). If you dont have any nickel or other metal allergies, this is a non-issue.Assuming your home-care is good (it will have to be if you get all this work done), this will be about the same.

4th skip the whitening. Its not necessary.

5th make sure you get a night-guard to protect all this beautiful work. Invest in a waterpik to help keep all of this clean. Hygenie should be excellent.

6th- shop around prices for crowns. Prices should be around 500-700 per crown. Should be closer to 500 because of 10 crowns.

Thank you very much for the information. What I meant by the front 16 teeth was the 8 top front teeth and the 8 bottom teeth, not all of the teeth in my mouth. My bottom teeth are pretty worn down so I feel that if I'm going to do all this work, then I should do them too. Is it unusual to perform cosmetic work on bottom teeth?

When I smile I can pretty much only see the front 8 teeth up to my first molars (4 premolars were removed for orthodontic treatment), so I don't think the difference in colour would be noticeable unless somebody was really studying me up close.

Is there a way I can check if I have a metal allergy? Or is this something that I would already know about?

Thank you again,

Kieran
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#95

Dental Health/ Dental Industry- Ask me Anything

Quote: (04-11-2013 03:27 PM)Giovonny Wrote:  

[...]
Quote: (04-11-2013 03:07 PM)DVY Wrote:  

dont hire black people.

wtf???

I'll have Athlone give you a call.

DVY~~~ what is YOUR race/ethnicity/nationality (if you don't mind me asking)
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#96

Dental Health/ Dental Industry- Ask me Anything

@Kieran- stick to the top 6 or 8 first. The lowers aren't really in the "cosmetic zone". Allergies can be verified w/blood tests. Have you had any reactions to silver jewlery, etc? Most people have no issues.

@Gametheory- Mixed White-Asian. I said something controversial, and knew people would get caught up on it. A little more background info- my 2 best friends in dental school were black guys. I am not "racist", but my issue is w/hiring "unfirable" employees- especially those w/limited education. These types are generally the most entitled, sue-happy types.

A Jury/Judge that sees a "rich doctor" and a "poor employee" will often side w/the poor. This is how justice works. Its not whos right or wrong. In CA, taking on an employee is almost like getting married. Believe.

We have gotten sued previously, albeit it was a fake workplace "slip and fall" case. We could have payed off this case, but we got a PI instead. We really vet our employees hard before hiring. People have no idea how troublesome a difficult employee is, especially when having money is a sin in CA- Being "rich" means your guilty.

Nevermind, that most doctors and dentists are essentially working types w/large debts and long hours.

WIA- For most of men, our time being masters of our own fate, kings in our own castles is short. Even those of us in the game will eventually succumb to ease of servitude rather than deal with the malaise of solitude
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#97

Dental Health/ Dental Industry- Ask me Anything

^^^ thanks for the answer !!!
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#98

Dental Health/ Dental Industry- Ask me Anything

Is it okay to use Castile Soap as a toothpaste substitute? I have a bottle of Dr. Bronner's Castile Soap that I use as a body wash, and I was recently told that I could also use it as a toothpaste. Your opinions on this?
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#99

Dental Health/ Dental Industry- Ask me Anything

What should one look for in a toothbrush?
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Dental Health/ Dental Industry- Ask me Anything

I followed OP's advice and bought the higher powered water-pick. I don't floss nearly enough.

At Costco they had a two pack, large WP and small for 75. At Walmart a single high-powered one was $55.

The first day I used it my gums oozed a little blood, but after three days now I'm not bleeding.

Thanks for advice.
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