Tag: Elizabeth D. Caughey

  • Accidental fork bite threatens lower teeth

    Accidental fork bite threatens lower teeth

    This lovely 90-year-old patient has kept most of her teeth her whole life. She flosses twice daily and uses fluoride every night! One day at a luncheon with friends, she accidentally bit a salad fork, and felt two of her lower front teeth become rather loose and painful to the touch.       After…

  • Leaky crown gets replaced with exact match after root canal

    Leaky crown gets replaced with exact match after root canal

    A large filling is frequently not strong enough to withstand biting pressure on a cracked or damaged tooth. In that case, it is customary for the tooth to be protected with a restoration called a crown. Crowns can be made of different materials: gold, porcelain, or some combination.       This patient had a…

  • Early decay visible with enhanced Digital X-rays

    Early decay visible with enhanced Digital X-rays

    Conventional film X-rays would require chemical processing and did not have the capability of changing contrast and gain. With digital X-rays, we can see the earliest of decays, and thus treat decay conservatively.     This patient was seen in our hygiene department for routine cleaning and check-up.  The ultra low-radiation exposures did not initially…

  • Decay under amalgam filling is typical

    Decay under amalgam filling is typical

          General dentistry in the United States has been trending toward the discontinued use of silver-mercury alloy fillings, aka, amalgams. My own preference for tooth-colored resins is for several reasons, the most obvious being that as an aesthetic dentist, I like teeth to look like teeth.  Additionally, resin is not affected by temperature…

  • White dental fillings less sensitive when restored under rubber dam

    White dental fillings less sensitive when restored under rubber dam

          One of the most challenging types of  “simple dentistry” is to accomplish a direct resin restoration (aka, white filling) that looks good, functions well, and seals out bacteria from re-entering the side of the tooth.   Only a few years , which had been somewhat sensitive since being placed.  An X-ray of the…

  • Oral airway appliance therapy resolves moderate sleep apnea

    Oral airway appliance therapy resolves moderate sleep apnea

    This patient had been diagnosed with Moderate OSA (Obstructive Sleep Apnea), meaning he would stop breathing in his sleep between 15-30 times an hour. His physician fitted the patient for a C-PAP but the patient did not tolerate it well, due to the leaking around the face mask.       Oral exam shows two…

  • Managing gum recession and tooth mobility with T-scan and equilibration

    Managing gum recession and tooth mobility with T-scan and equilibration

    Periodontal disease affects approximately 80% of adults in the USA and can show up differently across the spectrum. This patient had very little active infection evident, yet a very high susceptibility to losing the tooth attachment to the jaw bone.   Visually, the teeth are very clean and the gums are a healthy light pink…

  • Healing the Pain-Body inside of teeth

    Healing the Pain-Body inside of teeth

    In his book The Power of Now, spiritual leader Eckhart Tolle discusses the concept of the pain body . . . Tolle: The pain-body is my term for the accumulation of old emotional pain that almost all people carry in their energy field. I see it as a semi-autonomous psychic entity. It consists of negative emotions that were…