Periodondist & Analgesia
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From: Steven Bornfeld on 9 Aug 2008 22:42 Amatus Cremona wrote: > Try some T.A.C. some day (or at least the TAC Substitute) qu'est-ce que c'est? Steve > > > > > "Mark & Steven Bornfeld" <bornfeldmung(a)dentaltwins.com> wrote in message > news:dK_lk.274$T91.75(a)trnddc04... >> Chopper wrote: >>> I posted the text below several days ago and have received no feedback. >>> Am wondering if no one wants to speak out against another member of >>> "the club? >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> I have been going to a Periodontist who seems to be averse to using >>> topical >>> anesthetics. >>> >>> I am preparing to get a 4 quadrant "pocket reduction' (flap procedure) >>> with the >>> use of >>> bone materials to enhance the stability of my gums and teeth. >>> >>> To date I have gone for quarterly cleanings by his Dental Hygienist who >>> I ask to >>> liberally >>> apply topical anesthetic gel, which she does. I have some very >>> sensitive areas >>> in my >>> gums. >>> She wants to use the Cavitron device but I have found that to be >>> unbearable and >>> have >>> even requested that I get Novacaine injections if she insists on using >>> it but >>> then strangely >>> she changes her mind. >>> >>> Anyway, I am scheduled for a thorough pre-surgery cleaning by the >>> Periodontist >>> himself >>> in a few weeks. When he does it he refuses to use a topical anesthetic >>> saying >>> that I >>> should raise my fingers if the pain is too intense. Does this make >>> sense? >>> >>> I have asked him about this and he says that he uses the patient's >>> reaction to >>> pain as his >>> "limiting factor" when doing this cleaning work. I have had pocket >>> reductions >>> before and >>> the now retired dentist always was generous in his use of Novacaine in >>> cleaning >>> and >>> surgeries and it was relatively painless. I would think that allowing >>> him to >>> get to certain >>> sensitive areas by numbing them would enhance his ability to clean >>> those areas. >>> >>> Bottom line is that I am getting anxious about this forthcoming >>> cleaning not to >>> mention >>> the surgery itself. He told me that of course he uses Novacaine when >>> doing the >>> surgery >>> but I wonder if he bothers to apply topical gel to the area to be >>> injected and >>> does he give >>> one sufficient Novacaine? He has also had his dental tools in my mouth >>> when an >>> assistant >>> comes by his door for example and he leaves the drill or whatever >>> running while >>> he looks >>> towards her and away from me. >>> >>> I have had a fair amount of Dental Work previously but have never had >>> this type >>> of >>> trepidation before nor am I a complaining type of patient. >>> >>> The term "painless dentistry" is nonsense but am I supposed to endure >>> torture >>> sessions? >>> That's a rhetorical question of course. >>> >>> Am wondering if I should just chuck him altogether? >>> >>> >>> Any feedback will be appreciated. >> >> >> There is no good reason not to use topical. However, most topical doesn't >> work very well. I use it anyway--maybe more for placebo effect than >> anything else. >> My brother just read to me a blurb about a new (and of course very >> expensive) topical called "Profound" and "Profound Lite" which are >> supposed to be the bees knees. I may try a tube. It's manufactured by >> Steven's Pharmacy in Costa Mesa CA. If any of the guys out there have any >> experience with it I'd love to hear. >> As for your periodontist--maybe this is just a peculiarity, but if he in >> general does not seem sensitive to your anxiety about the treatment, >> consider going elsewhere. Going to a periodontist is not a one-off--he >> may have such a light hand you find you don't need topical, but this may >> be a red light that he's not as attuned to your apprehension as he should. >> You may spend a lot of time in his chair over the years in maintenance, >> and you've got to think about that. >> I should caution that while we want the periodontist who's the nicest guy, >> the best diagnostician, has the best office staff, has the best surgical >> technique, the best emergency coverage, the prettiest auxiliaries and the >> sweetest breath, it's tough to find the whole package in one man or woman. >> Their fees are high, and they don't take your insurance! >> >> Steve >> >> -- >> Mark & Steven Bornfeld DDS >> http://www.dentaltwins.com >> Brooklyn, NY >> 718-258-5001 > >
From: Chopper on 10 Aug 2008 16:34 [[ This message was both posted and mailed: see the "To," "Cc," and "Newsgroups" headers for details. ]] In article What pray tell is "T.A.C."? <HAnnk.7094$YE2.7019(a)fe109.usenetserver.com>, Amatus Cremona <arcus(a)martole.e..com> wrote: > Try some T.A.C. some day (or at least the TAC Substitute) > > > > > "Mark & Steven Bornfeld" <bornfeldmung(a)dentaltwins.com> wrote in message > news:dK_lk.274$T91.75(a)trnddc04... > > Chopper wrote: > >> I posted the text below several days ago and have received no feedback. > >> Am wondering if no one wants to speak out against another member of > >> "the club? > >> > >> > >> > >> > >> > >> > >> > >> > >> > >> > >> > >> I have been going to a Periodontist who seems to be averse to using > >> topical > >> anesthetics. > >> > >> I am preparing to get a 4 quadrant "pocket reduction' (flap procedure) > >> with the > >> use of > >> bone materials to enhance the stability of my gums and teeth. > >> > >> To date I have gone for quarterly cleanings by his Dental Hygienist who > >> I ask to > >> liberally > >> apply topical anesthetic gel, which she does. I have some very > >> sensitive areas > >> in my > >> gums. > >> She wants to use the Cavitron device but I have found that to be > >> unbearable and > >> have > >> even requested that I get Novacaine injections if she insists on using > >> it but > >> then strangely > >> she changes her mind. > >> > >> Anyway, I am scheduled for a thorough pre-surgery cleaning by the > >> Periodontist > >> himself > >> in a few weeks. When he does it he refuses to use a topical anesthetic > >> saying > >> that I > >> should raise my fingers if the pain is too intense. Does this make > >> sense? > >> > >> I have asked him about this and he says that he uses the patient's > >> reaction to > >> pain as his > >> "limiting factor" when doing this cleaning work. I have had pocket > >> reductions > >> before and > >> the now retired dentist always was generous in his use of Novacaine in > >> cleaning > >> and > >> surgeries and it was relatively painless. I would think that allowing > >> him to > >> get to certain > >> sensitive areas by numbing them would enhance his ability to clean > >> those areas. > >> > >> Bottom line is that I am getting anxious about this forthcoming > >> cleaning not to > >> mention > >> the surgery itself. He told me that of course he uses Novacaine when > >> doing the > >> surgery > >> but I wonder if he bothers to apply topical gel to the area to be > >> injected and > >> does he give > >> one sufficient Novacaine? He has also had his dental tools in my mouth > >> when an > >> assistant > >> comes by his door for example and he leaves the drill or whatever > >> running while > >> he looks > >> towards her and away from me. > >> > >> I have had a fair amount of Dental Work previously but have never had > >> this type > >> of > >> trepidation before nor am I a complaining type of patient. > >> > >> The term "painless dentistry" is nonsense but am I supposed to endure > >> torture > >> sessions? > >> That's a rhetorical question of course. > >> > >> Am wondering if I should just chuck him altogether? > >> > >> > >> Any feedback will be appreciated. > > > > > > > > There is no good reason not to use topical. However, most topical doesn't > > work very well. I use it anyway--maybe more for placebo effect than > > anything else. > > My brother just read to me a blurb about a new (and of course very > > expensive) topical called "Profound" and "Profound Lite" which are > > supposed to be the bees knees. I may try a tube. It's manufactured by > > Steven's Pharmacy in Costa Mesa CA. If any of the guys out there have any > > experience with it I'd love to hear. > > As for your periodontist--maybe this is just a peculiarity, but if he in > > general does not seem sensitive to your anxiety about the treatment, > > consider going elsewhere. Going to a periodontist is not a one-off--he > > may have such a light hand you find you don't need topical, but this may > > be a red light that he's not as attuned to your apprehension as he should. > > You may spend a lot of time in his chair over the years in maintenance, > > and you've got to think about that. > > I should caution that while we want the periodontist who's the nicest guy, > > the best diagnostician, has the best office staff, has the best surgical > > technique, the best emergency coverage, the prettiest auxiliaries and the > > sweetest breath, it's tough to find the whole package in one man or woman. > > Their fees are high, and they don't take your insurance! > > > > Steve > > > > -- > > Mark & Steven Bornfeld DDS > > http://www.dentaltwins.com > > Brooklyn, NY > > 718-258-5001 > >
From: Amatus Cremona on 10 Aug 2008 19:26
It is a formulated topical. Works very well. I use it alone for gingivectomies with the laser. Ac "Steven Bornfeld" <dentaltwinmung(a)earthlink.net> wrote in message news:4MidnRdXo8MpyAPVnZ2dnUVZ_tbinZ2d(a)earthlink.com... > Amatus Cremona wrote: >> Try some T.A.C. some day (or at least the TAC Substitute) > > qu'est-ce que c'est? > > Steve > > >> >> >> >> >> "Mark & Steven Bornfeld" <bornfeldmung(a)dentaltwins.com> wrote in message >> news:dK_lk.274$T91.75(a)trnddc04... >>> Chopper wrote: >>>> I posted the text below several days ago and have received no feedback. >>>> Am wondering if no one wants to speak out against another member of >>>> "the club? >>>> >>>> >>>> >>>> >>>> >>>> >>>> >>>> >>>> >>>> >>>> >>>> I have been going to a Periodontist who seems to be averse to using >>>> topical >>>> anesthetics. >>>> >>>> I am preparing to get a 4 quadrant "pocket reduction' (flap procedure) >>>> with the >>>> use of >>>> bone materials to enhance the stability of my gums and teeth. >>>> >>>> To date I have gone for quarterly cleanings by his Dental Hygienist who >>>> I ask to >>>> liberally >>>> apply topical anesthetic gel, which she does. I have some very >>>> sensitive areas >>>> in my >>>> gums. >>>> She wants to use the Cavitron device but I have found that to be >>>> unbearable and >>>> have >>>> even requested that I get Novacaine injections if she insists on using >>>> it but >>>> then strangely >>>> she changes her mind. >>>> >>>> Anyway, I am scheduled for a thorough pre-surgery cleaning by the >>>> Periodontist >>>> himself >>>> in a few weeks. When he does it he refuses to use a topical anesthetic >>>> saying >>>> that I >>>> should raise my fingers if the pain is too intense. Does this make >>>> sense? >>>> >>>> I have asked him about this and he says that he uses the patient's >>>> reaction to >>>> pain as his >>>> "limiting factor" when doing this cleaning work. I have had pocket >>>> reductions >>>> before and >>>> the now retired dentist always was generous in his use of Novacaine in >>>> cleaning >>>> and >>>> surgeries and it was relatively painless. I would think that allowing >>>> him to >>>> get to certain >>>> sensitive areas by numbing them would enhance his ability to clean >>>> those areas. >>>> >>>> Bottom line is that I am getting anxious about this forthcoming >>>> cleaning not to >>>> mention >>>> the surgery itself. He told me that of course he uses Novacaine when >>>> doing the >>>> surgery >>>> but I wonder if he bothers to apply topical gel to the area to be >>>> injected and >>>> does he give >>>> one sufficient Novacaine? He has also had his dental tools in my mouth >>>> when an >>>> assistant >>>> comes by his door for example and he leaves the drill or whatever >>>> running while >>>> he looks >>>> towards her and away from me. >>>> >>>> I have had a fair amount of Dental Work previously but have never had >>>> this type >>>> of >>>> trepidation before nor am I a complaining type of patient. >>>> >>>> The term "painless dentistry" is nonsense but am I supposed to endure >>>> torture >>>> sessions? >>>> That's a rhetorical question of course. >>>> >>>> Am wondering if I should just chuck him altogether? >>>> >>>> >>>> Any feedback will be appreciated. >>> >>> >>> There is no good reason not to use topical. However, most topical >>> doesn't work very well. I use it anyway--maybe more for placebo effect >>> than anything else. >>> My brother just read to me a blurb about a new (and of course very >>> expensive) topical called "Profound" and "Profound Lite" which are >>> supposed to be the bees knees. I may try a tube. It's manufactured by >>> Steven's Pharmacy in Costa Mesa CA. If any of the guys out there have >>> any experience with it I'd love to hear. >>> As for your periodontist--maybe this is just a peculiarity, but if he in >>> general does not seem sensitive to your anxiety about the treatment, >>> consider going elsewhere. Going to a periodontist is not a one-off--he >>> may have such a light hand you find you don't need topical, but this may >>> be a red light that he's not as attuned to your apprehension as he >>> should. You may spend a lot of time in his chair over the years in >>> maintenance, and you've got to think about that. >>> I should caution that while we want the periodontist who's the nicest >>> guy, the best diagnostician, has the best office staff, has the best >>> surgical technique, the best emergency coverage, the prettiest >>> auxiliaries and the sweetest breath, it's tough to find the whole >>> package in one man or woman. Their fees are high, and they don't take >>> your insurance! >>> >>> Steve >>> >>> -- >>> Mark & Steven Bornfeld DDS >>> http://www.dentaltwins.com >>> Brooklyn, NY >>> 718-258-5001 >> |