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Articles / Ask Dr. J Page 1  
Ask Dr. J - Southern Dancer
Article Date: Oct 01, 2008 Vol 7, No 8
John Nasedkin

Dear Dr. J,

I have a young patient in his twenties. His medical history in noncontributory.

He presents with a missing 3.5 and mesial tipping of 3.6 and 3.7. He has a class II division 1 malocclusion, with moderate overjet referral to orthodontist to address the quad. 3 and overbite. My patient inquired about options to restore the 3.5 edentulous space.

1. My recommendations were:molar tipping and the malocclusion

2. referral to oral surgeon to extract wisdom teeth and place an implant at 3.5 site.

While my patient had consulted with an orthodontist, he decided not to proceed with treatment at that time due to financial reasons. After a long delay, he finally decided to see the oral surgeon, had his wisdom teeth extracted and the implant placed. For the 3.5 site, the surgeon provided a bone graft harvested from 2.8 and 3.8 buccal plate and an implant 4.0 x 8.5 mm RP Branemark. The surgeon noted the distal angulation of the implant as caused by the lack of space between the margins of 3.4 and 3.6. Here is the radiograph. What should I do?

Thank you, Southern Dancer

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Ask Dr. J: Thread
Article Date: Aug 01, 2008 Vol 7, No 7
John Nasedkin

Dear Dr. J.,

One of our clients does not use thread prior to taking her impressions. We have spoken with him about this on many occasions – what can we do.

G and T

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Ask Dr. J: Crown Break
Article Date: Jun 01, 2008 Vol 7, No 6
John Nasedkin

Dear Dr. J.

One my dentists had a crown break. Actually the crown was not broken in two but simply chipped. The original crown was a Procera Alumina and he wanted a new Zirconia crown from another company. What do you suggest? I am not sure how I should work with him. Do you think I should offer the up-graded crown for free?

Esthetic Technician

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