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Monthly Archives: April 2012
Being a dentist in Palm Harbor Florida for 24+ years, I have looked in many mouths, I have done many root canals, seen many emergency patients in pain, and I have extracted many teeth. Some of the teeth extracted are for periodontal reasons, some decay, some due to breakage and some are failed root canals. One reason for a root canal to fail is the tooth can fracture. The tooth seen in this picture was extracted in my Palm Harbor dentist office on April 27, 2012. This was a support tooth for a fixed dental bridge. The root fractured almost in half. A pink line is seen in one of the root canals and a parapost is seen in the other root.
One might wonder why a dental prosthesis like this is called a “maryland bridge?” The technically correct term is an “etched bonded fixed bridge” but since it was developed at the University of Maryland, it has become known as a “maryland bridge.”
To begin with, any dental bridge replaces missing tooth/teeth. Dental bridges are either fixed (NOT permanent) or removable. Fixed bridges can be of traditional design (crowns on teeth adjacent to the missing tooth/teeth) or etched bonded bridges (the Maryland Bridge.) A Maryland Bridge does not require the adjacent teeth to be miniaturized (ground down to little nubs.) Most Maryland Bridges have a much shorter life expectancy than traditional fixed bridges, but they require far less irreversible alteration of the adjacent teeth.
In my Palm Harbor, Tampa area dentist office I have made many Maryland Bridges over the past 25 years but they are still just a tiny percentage of the overall tooth replacement process.
I am a 52 year old dentist in practice in Palm Harbor, the Tampa area of Florida.
When someone says “Flipper” to me, I think of the dolphin on TV that I remember as a child… Flipper was so smart. His human friends included a father (a fish and game warden) and two of his sons. They lived somewhere in Florida ( I do not think it was Tampa or Palm Harbor.)
Fast forward more than two decades, Columbia Dental School (1981 -1985) and now all of a sudden a flipper is no longer a very smart mammal that lives in the water, a dental flipper is a temporary all acrylic replacement tooth. Total paradigm shift. Flipper the animal actor swims, dental flippers temporarily replace missing teeth.
In this picture a flipper to replace missing tooth #25 is seen. This was made in my Palm Harbor FL dentist office. In most instances, the ideal definitive replacement is a dental implant with a crown on it. Mini dental implants are most commonly used in this location.
In my Palm Harbor, Tampa Bay FL area dentist office I place both “regular” dental implants and mini dental implants. I have been placing and restoring dental implants in the Tampa Bay area since 1989.
Preparation of Recipient Site:
Although we do have quite a few senior citizens in Tampa Florida, we treat people of all ages in my Palm Harbor dentist office.
In this picture we are approaching the final stage of this tissue graft. I am using 4-0 chromic gut sutures secure the tissue graft. This whole procedure, including suturing, is delicate work. This young lady was sedated and tolerated the procedure very well. She was released without complication to her husband.
I received this picture in an email from a friend. I have no idea who, what or when, but I do understand why. This shows both the circle of life and, in my opinion, the true meaning of life!
What does this have to do with Dentistry in Tampa Florida? Nothing – directly, indirectly – everything. Yesterday celebrated the 24th year anniversary of my Palm Harbor Dentist office and the anniversary of my wife, Valerie’s birth, in Odessa Ukraine. Life, love, work. family and happiness. This picture shows life, love, family and happiness. Work is not directly shown, except that work has definitely been done on the house in the background.
My work is being a dentist in Palm Harbor, Florida. I love all aspects of my life, I truly love being a dentist in Palm Harbor. I live in Oldsmar with my soul mate, wife, Valerie. My children attend Berkeley Preparatory School in Tampa. My brother, Richard lives in Tarpon Springs, two of my three sisters live in Jacksonville and my third sister still lives in New York and hopefully will relocate to St Pete with her husband upon retirement.
Practicing dentistry in Palm Harbor, FL since April 23, 1988 has and continues to be a big part of my life. My education in Dental Implants was guided by the world renowned Oral Implantologist, O Hilt Tatum Jr. He took me under his wing from 1989 untill 1995.
Dentistry is considered a specialty under the overall umbrella of medicine in some countries. In the United States of America, dentistry has evolved as a completely different branch of health care. This difference is evident in many ways. In this blog I would like to discuss the economic aspect of this difference.
It is almost universally agreed that the economics of our medical delivery system is in great need of change. How and what changes are necessary is subject to great debate. We compare our system to other models through out the world. We look at the Canadian and many European models as comparisons. Opinions are divided. Some contend that these “socialist” systems are more fair, some feel that care is inferior, some that care is harder to come by, but most do not want our system to become “socialized.” I contend that our medical care delivery is already socialized and we all know that on a large scale socialism as an economic model does NOT work!
Socialism / Communism are ideals. Human nature runs contrary to these ideals. Nature itself runs contrary to these ideals. Pure, unchecked capitalism is like evolution, only the strongest and most fit survive. Medical advances have changed human evolution. I, for one, would not be alive today if it were not for antibiotic’s.
Many of today’s economic scholars might argue that the closest we can come to a perfect model is some government control over capitalism. The debates focus on what type and how much influence should government exert. The current medical care delivery system DOES NOT work because it already is a socialist system. The receiver of care/service does not directly pay for this care/service. One reason capitalism works is because of choice based on economics. I am willing to pay for something that I need and I am willing to pay more for something that has a greater value. In our current medical delivery system, “If my insurance pays for it, do it,” even if the treatment only has a 15% chance of success. How many of us would be willing (or able) to pay tens or hundreds of thousands of dollars for an 85% failure rate? The receiver of care should have some “skin in the game.”
An attorney friend of mine once defined happiness as being “generally content with moments of happiness.” So accurately stated, I think.
My Palm Harbor Dentist office has been a great source of inspiration, enjoyment and fulfillment in my life. Happiness comes from a balanced life, in my opinion. Work, love, family/friends and worship must be in balance for harmony in life. My work, dentistry in Tampa Florida is a big part of my life. I enjoy all aspects of dentistry including emergency dentistry, preventive dentistry, implant dentistry, root canals, extractions, dentures, partials, crowns/cosmetic dentistry and most of all interactions with people and treatment planning complex comprehensive dentistry.
Lower dentures are possibly the most uncomfortable prosthesis we dentists make for patients.
I have made hundreds if not thousands of dentures in my Palm Harbor FL dentist offices. Most people eventually accept upper dentures, very few are comfortable with lower dentures. Lower Dentures can be secured with dental implants or as seen in this picture, teeth can have root canal therapy and ball/posts. All of this type of dentistry is routinely performed in my Tampa FL area dentist office, sometimes with sedation, many times with local anesthesia.
First a little personal background information.
I have been a dentist in the Tampa area of Florida since 1988. My first Palm Harbor, FL dentist office was located in the 34683 zip code. My current and hopefully permanent location is: 3490 East Lake Road, Palm Harbor, FL 34685 727-789-1333. This month I will begin the 25th year of being a Palm Harbor dentist. I have noticed that may of the terms we dentists use routinely are either misunderstood or entirely unknown to the normal dental patient.
An overdenture as fabricated in my Palm Harbor, Tampa FL dentist office is a denture that goes “over” something. In this picture a denture will go over and snap into / be secured by the two silver balls seen. These attachments (balls) are anchored in teeth, but dental implants are used in the same way to secure a denture as an overdenture.