Just another reason why patients (and us dentists) like digital impressions better!
Just wanted to show this screen shot of the lower image I took today. Pt had perio surgery on 18 and I removed her old crown, the recurrent decay, and was prepping for a new one. How the hell would someone get an impression tray on this pt?? Her tori were just humongous and there was no room for a tray there. She was so happy to not have that issue with the tray cutting her and tearing up her tissue. I was just happy to easily be able to image the lower so easily as if those damn things were not even there. One of the hundreds of reasons that digital is so much better than analog!
Thanks for putting this up Rich. We sometimes forget the advantages digital brings to the table! I have other comments about those tori, but I am sure it would get censored! haha
Cheers
Sharpie
A couple of "circular" (sulcular?) incisions and a sharp osteotome and those golf balls don't stand a chance.
On 2/17/2018 at 3:33 pm, Lester Cohen said... Not a problem with a posterior triple tray.
Lester
While sides of the posterior tripe tray are low I would worry that, in this case, as the impression is attempted the bite relation would be off. That thin tissue over the tori is very sensitive. I would worry that the bite relation may not be perfect- as perfect as a small posterior triple tray can be. Pt bites down and feels discomfort and shifts to remove the discomfort
On 2/17/2018 at 5:29 pm, Peter Gardell said...On 2/17/2018 at 3:33 pm, Lester Cohen said... Not a problem with a posterior triple tray.Lester
While sides of the posterior tripe tray are low I would worry that, in this case, as the impression is attempted the bite relation would be off. That thin tissue over the tori is very sensitive. I would worry that the bite relation may not be perfect- as perfect as a small posterior triple tray can be. Pt bites down and feels discomfort and shifts to remove the discomfort
I recall GordonC many years ago saying the best triple trays were essentially sideless but you have to use a very stiff setting material for the body to create enough stability to prevent distortion. It is not just that the patient may alter their bite but that the tray can flex and then spring back. It is easy enough to cut off some or all of the lingual side of a plastic tray. I used to do that all the time BD (Before Digital). ;-)
