You are great with those xrays and that painter thing!!

I have an ICat copy of my 3D scan and in my Windows computer I can slice, move position, measure etc. since you also get a copy of a viewer with the copy of the X-ray. And I try to give you as much info as possible so you will have something more than words. I always ask for copies of all X-Rays and the Dr's files as soon as I leave their offices. You would be surprised in how many arguments that has gotten me into. The painter is just a simple editor that are in the net free at a dime a dozen . You have one free in windows called Paint that is easy to use.


I copied your panoramic xray on my word so I could enlarge it. In doing so I think there may be a concern on tooth #6. This also seems likely in the new photos you shared here.

YOU DON'T HAVE TO DO THAT WINDOWS HAS" WINDOWS PHOTO VIEWER" THAT ALLOWS YOU TO ZOOM AS LARGE AS YOU WISH. BOY NOW THAT HAS TAKEN ME BY SURPRISE. WHAT DO YOU SEE IN THE X-RAY THAT MIGHT INDICATE 6 IS A CONCERN? SHOULD I GO TO A ORAL MAXILLOFACIAL RADIOLOGIST (OMR) TO HAVE A FULL INTERPRETATION AND STUDY? tHESE omr'S ARE HARD TO FIND i GOOGLED THEM IN MY AREA AND FOUND NONE ONLY A HOSPITAL THAT ONLY CATERS TO PRACTITIONERS. aS USUAL THE PATIENT IS NOT IMPORTANT OR OF ANY CONCERN. DO YOU KNOW HOE TO FIND ONE OF THESE GUYS?


The area you circled on #2, yes that sure looks like decay into the furcation (the junction where the roots meet in the center of the top of the root system) and up into the mesial (front) root. This tooth also appears to be non vital.

THIS TOOTH HAS A CROWN THAT IS MISSING A PIECE OF THE PORCELAIN THAT IS WHY YOU SEE THE WHITE WITH A MISSING PIECE. AS YOU SAY I WILL NEED TO HAVE THAT LOOKED AT CAREFULLY. IT MAY ALSO BE A BONE RECESSION SINCE THAT LOOKS DARK ON AN X-RAY. HOW CAN VITALITY BE CHECKED? BY HITTING OR PLACING HOT AND COLD?


Also, on the enlarged panoramic view, tooth #4 infection, may have perforated the sinus. It sure is close.

I AGREE. AS A MATTER OF FACT I HAVE BEEN FEELING ON MY RIGHT NOSTRIL RECENTLY LIKE I HAVE SOMETHING INSIDE DEEP UP IN THE NOSTRIL WHICH I TRY TO REMOVE BY BLOWING MY NOSE. THIS MAY BE DUE TO THE PERFORATION. I HOPE NOT. IF SO DOES THAT NEED A MEMBRANE OR SOME OTHER FIX? HOW WOULD THE DR DEBRIDLE THE BONE AND CLEAN THE SOCKET? SCARY


I don't want to open up another can of worms but I think it would behoove you to not just focus on this one area of your mouth as you may have some other things going on that could help determine the replacement option for the upper right. The last 3 teeth on your upper left appear to be not so healthy and may even be non vital or partially non vital. What does your dentist say about those teeth?

I AGREE BUT THE DENTIST OR THE PERIO HAVE NEVER SAID ANYTHING ABOUT THEM AND THEY DON'T BOTHER ME. NOW THIS IS REALLY DEVASTATING NEWS BUT I APPRECIATE YOUR INPUT BECAUSE I WOULD CERTAINLY HAVE THEM LOOKED AT WITH A MICROSCOPE. i AGREE THAT IF IN FACT THEY ARE DEAD THIS WOULD AFFECT HOW I WOULD RESOLVE MY ISSUE BECAUSE I WOULD HAVE TO EXTRACT THEM. THE ONLY WAY I WOULD EXTRACT A TOOTH IS IF ITS DEAD OR ROTTEN WITH INFECTION OTHERWISE I WOULD TRY TO SAVE. SEE ATTACHMENT OF PANORAMIC WITH MORE CONTRAST.


The reason I bring the upper left into the picture is because:

#1) The longevity of them is most likely limited.
#2) Taking that into consideration along with the bacteria that is associated with non vital teeth, if those teeth were removed and the upper right posterior were removed, you would be a candidate for a removable partial denture.

I AGREE AND APPRECIATE YOUR THINKING AHEAD BUT AS I SAID UNLESS THEY ARE DEAD OR IRREPARABLY INFECTED I WILL NOT REMOVE. NOW PLEASE EXPLAIN TO ME WHAT IS A PARTIAL DENTURE AND HOW WOULD IT BE ATTACHED IN MY MAXILLA? i HOPE YOU ARE NOT TALKING ABOUT ONE OF THOSE GLUED TO THE CELING OF THE MOUTH. FOR NOW I NEED TO FOCUS ON EXTRACTING #4 BEFORE IT EXPLODES ON A PAINFUL CYST AND A SWOLLEN FACE! I'M ON BORROWED TIME TRYING TO GET EDUCATED AND INTERVIEWING DENTISTS. TOMORROW I HAVE AN APPOINTMENT LETS SEE WHAT HE SAYS. I DON'T EXPECT MUCH FROM WHAT I SEE ON HIS SITE BUT AT LEAST IS AN OPINION OTHER THAN MY TRADITIONAL CONVENTIONAL DENTIST.


Yes, what I am saying at first sounds extreme. However I'm suggesting that you take a look at the whole picture. If it's decided that both the upper right and the upper left existing teeth are in hopeless condition, then the least invasive replacement option to take care of both sides would be a removable partial denture. Based on everything you have shared here, I think this should be considered carefully before you get involved in dental implants.


HECK IS VERY EXTREME AND HAS ME MADE MORE ANXIOUS AND CONCERNED OF HOW WE HAVE NO WHERE TO FALL ON EXCEPT THESE DUBIOUS PROFESSIONALS WITH NO CREDENTIALS OR DATA ON THEIR WORK, SUCH AS FAILURES AND REASONS. NO REFERRALS EITHER TO THEIR CUSTOMERS SAYING ITS PRIVATE. SO YOU EVENTUALLY HAVE TO GIVE IN TO ONE OF THESE PEOPLE THAT IS WHY YOU HAVE TO KNOW MORE THAN THEM TO DIRECT YOUR OWN CASE.
ITS LIKE YOU SAY SAME AS EXTRACTING TEETH. I HATE TO TURN MY HEALTH INTO SOMEONE GOING IN BLIND AS TO THEIR ABILITIES AND KNOWING HOW MUCH IT VARIES FOR THE SAME PROCEDURE FROM ONE PROFESSIONAL TO THE OTHER BASED ON EDUCATION, EXPERIENCE, ABILITY, CONTINUOUS EDUCATION, GOOD ASSISTANTS, PROPHYLAXIS, EXPERIENCE WITH X-RAYS, MODERN EQUIPMENT, HONESTY ETC. AND THE LIST GOES ON. BOTTOM LINE ONE MAY FIX THE PROBLEM WITH EXCELLENT HEALING AND NO PAIN EVER AGAIN BUT THE OTHER CAN RUIN YOUR LIFE AS WE HAVE SEEN HERE IN THIS BLOG. THAT IS WHY WE NEED TO BE AWAKE AND EDUCATED. THANK YOU, THANK YOU, THANK YOU. I'M CONVINCED YOU HAVE BEEN HEAVENLY SENT TO ASSIST US IN OUR BLINDNESS.
My statement about problems cannot be managed properly.... disregard. It was me thinking out loud as I was trying to put my reply together. I edited that statement out of my original post.

I HOPE IT WAS NOT ME YOU WERE THINKING OUT LOUD . IT KNOCKED ME FOR A LOOP.

The photos of the mini implants that you posted.... whose mouth was that? I ask because your lower implants are average size and I don't see those mini ones in your panoramic xray.

YOU ARE 100% RIGHT. MINE ARE HUGE AND W/O KNOWING HE INSTALLED ONE BONE LEVEL #19 AND #30 STATE FLAT? THIS #30 HURTS WHEN I FLOSS SO I ASSUME HE INSTALLED A LITTLE OUTSIDE OF BONE AND THEN AFTER i BRUSH THE WHOLE QUADRANT HAS A SMALL PAIN AND IMPLANT AREA IS SENSITIVE. i HAVE HAD THEM FOR 2 YEARS AND THE PERIO SAYS THEY ARE STRONG . HAD I KNOWN AS MUCH AS i KNOW NOW i WOULD HAVE ASKED THE BRAND AND SIZE OF THE IMPLANT AND HOW HE WAS TO INSTALL. BECAUSE DEPENDING ON YOUR PROBLEMS DIFFERENT MANUFACTURERS HAVE A SOLUTION BUT PROFESSIONALS LEARN ONE BRAND SYSTEM INSTALL AND ARE TOO LAZY TO LEARN OTHERS THAT MAY APPLY TO YOUR CASE. THAT IS WHY I FOUND BICON BECAUSE ITS THE ONLY MANUFACTURER THAT MAKES IMPLANTS 5 MM LONG AND HAS BEEN AROUND FOR OVER 30 YRS, ALSO THEY DO NOT USE A SCREW FOR THE ABUTMENT BUT A LOCKING TAPER BACTERIALLY SEAL SO YOU DON'T NEED SCREWS AND TORQUE DRIVERS AND ALSO HAVE THE IAC AN INTEGRATED CEMENTLESS , SCREWLESS ABUTMENT CROWN WITH REDUCED TIME AND COST. NOW HOW MANY PEOPLE OR EVEN DENTIST KNOW THIS???? UNLESS YOU DO YOU MAY HAVE THE WRONG IMPLANT PLACED IN YOU!
ANYWAY TO ANSWER YOUR QUESTION THAT IS AN ADVERTISING X-RAY FROM BICON SHOWING HOW MUCH LESS SPACE TIER 5 MM IMPLANT TAKE. JUST FOR COMPARISON MINE IS 12 MM. NO WONDER THE DR IS THINKING OF SINUS LIFTS.


Bryanna[/QUOTE]

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have not heard from you on this post? Please give me your valuable input.
Thanks!

James,
Just so you know... I am a volunteer here. So that means I'm here in between work, family, school, and life.... I do the best that I can to get to everyone in a timely manner. Sometimes it's not as quick as one would like, but this is the best that I can do. I'm sure you understand.

I will re post your questions as you have written them and place them within these symbols << >> and then answer you in regular type.

<<WHAT DO YOU SEE IN THE X-RAY THAT MIGHT INDICATE 6 IS A CONCERN? SHOULD I GO TO A ORAL MAXILLOFACIAL RADIOLOGIST (OMR) TO HAVE A FULL INTERPRETATION AND STUDY? tHESE omr'S ARE HARD TO FIND i GOOGLED THEM IN MY AREA AND FOUND NONE ONLY A HOSPITAL THAT ONLY CATERS TO PRACTITIONERS. aS USUAL THE PATIENT IS NOT IMPORTANT OR OF ANY CONCERN. DO YOU KNOW HOE TO FIND ONE OF THESE GUYS?>>

Tooth #6 appears to have decay or some sort of absorption on the lingual (palate) side of the tooth above the crown margin into the root. You can see it in several shots but here's one...
http://neurotalk.psychcentral.com/at...6&d=1443506031
You do not need a specialist to diagnose the deterioration of your teeth. A general dentist, any dentist, is educated in reading xrays and diagnosing tooth decay. Your tooth problems are not invisible to an educated professional.

<<THIS TOOTH #2 HAS A CROWN THAT IS MISSING A PIECE OF THE PORCELAIN THAT IS WHY YOU SEE THE WHITE WITH A MISSING PIECE. AS YOU SAY I WILL NEED TO HAVE THAT LOOKED AT CAREFULLY. IT MAY ALSO BE A BONE RECESSION SINCE THAT LOOKS DARK ON AN X-RAY. HOW CAN VITALITY BE CHECKED? BY HITTING OR PLACING HOT AND COLD?>>

Tooth #2 crown may be missing some porcelain but the likelihood of decay on this tooth is pretty certain and there is definitely an abnormal division of the root system in the root trunk area. Abnormal meaning the joining of root system is no longer in tact, it is separated. This occurs from a disease process like periodontal disease or tooth decay where bacteria is able to collect resulting in bone loss. When the loss is severe enough to deteriorate the root trunk, the tooth becomes very fragile and often fractures.
Vitality can be checked with hot or cold temps but it can also be diagnosed by the xrays that would show calcified canals, root/tooth resorption or some other deterioration in the root system. Teeth #2, 4, 12, 13, and 14 in your upper arch show radio graphic signs of reduced vitality if not non vital.

<<TOOTH #4 SINUS PERF: I AGREE. AS A MATTER OF FACT I HAVE BEEN FEELING ON MY RIGHT NOSTRIL RECENTLY LIKE I HAVE SOMETHING INSIDE DEEP UP IN THE NOSTRIL WHICH I TRY TO REMOVE BY BLOWING MY NOSE. THIS MAY BE DUE TO THE PERFORATION. I HOPE NOT. IF SO DOES THAT NEED A MEMBRANE OR SOME OTHER FIX? HOW WOULD THE DR DEBRIDLE THE BONE AND CLEAN THE SOCKET? SCARY>>

There is a cyst in the bone attached to tooth #4. It is common to see this on infected teeth. If the cyst has not perforated the sinus, then it is certainly putting pressure and causing inflammation on the sinus membrane. That would give you the nasal symptoms. The only way to determine the exact location, depth and size of the cyst is to remove the tooth and explore that area with surgical instruments. Chances are the sinus will be perforated when this tooth and cyst is removed. The size of the perforation depends on the extent of the bacteria and deterioration it has caused. Most small sinus perforations will heal on their own if there is no lingering infection. Some perforations need to be mended closed. This procedure depends on the size, location and depth of the perforation and how healthy the surrounding tissue and bone is after the tooth is removed.

<<Regarding the upper left teeth: I agree and appreciate your thinking ahead but as i said unless they are dead or irreparably infected i will not remove. Now please explain to me what is a partial denture and how would it be attached in my maxilla? I hope you are not talking about one of those glued to the celing of the mouth. For now i need to focus on extracting #4 before it explodes on a painful cyst and a swollen face! I'm on borrowed time trying to get educated and interviewing dentists. Tomorrow i have an appointment lets see what he says. I don't expect much from what i see on his site but at least is an opinion other than my traditional conventional dentist.>>

Those teeth are not healthy and possibly non vital. Therefore their longevity is limited and there is bacteria brewing around each one of them. Ideally this area of your mouth should be taken into consideration when deciding on replacement options for the upper right.

A removable partial denture is... removable, it is not cemented to anything. It is like a full denture but it's smaller and only replaces the missing teeth.

What did this new dentist have to say??