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Comments for Paper 3

 

I did not know that we were supposed to comment on the papers before the presentation...sorry! I thought that the presentation from group 3 was excellent. I am still confused about when to treat an abfraction lesion and when to leave it alone. If the lesion was due to occlusal stresses, won't the restoration pop out?
Adena Borodkin <boro0038@umn.edu>
- Tuesday, October 29, 2002 at 12:40:16 (CST)
What did you find was the greatest problem that dentists have with regard to restoring cervical lesions?
Krista Miller <mill1021@tc.umn.edu>
- Tuesday, October 29, 2002 at 12:03:37 (CST)
good paper, it will be nice to hear more info about something we see so commonly in clinic.
Todd Miller <mill1154@umn.edu>
- Tuesday, October 29, 2002 at 11:07:36 (CST)
Nice paper, that was some good, courrent information about cervical issues.
Ben Fenger <feng0032@tc.umn.edu>
- Tuesday, October 29, 2002 at 11:05:06 (CST)
This was a great paper to read at this point of my academic career. I just came across several cervical abfraction lesions and it wouldn't have been something I would have noticed. I'm anxious to see some clinical examples of restorations.
Ryan Francis <fran0540>
- Tuesday, October 29, 2002 at 10:03:07 (CST)
Very interesting paper. Post-op sensitivity is an aspect of interest for me, as I have treated several patients in Pedo with indirect pulp capping and temp/sedative restorations.
Brian Barsness <bars0020@umn.edu>
- Tuesday, October 29, 2002 at 09:49:10 (CST)
I am looking forward to hearing more about abfraction lesions and ways to address those as I have a few patients that have presented with these lesions.
Stephen Sawyer <sawy0071@umn.edu>
- Tuesday, October 29, 2002 at 09:48:19 (CST)
Very good paper on the severe carious lesion. I have seen some pretty broken down teeth up in clinic and its good to see such a thurough review on how to restore these bombed-out teeth.
Luke Eichmeyer <eich0092@tc.umn.edu>
- Tuesday, October 29, 2002 at 09:37:05 (CST)
This was a great topic to research because I got to know more about the materials aspect and why to choose ones over others. Cervical lesions are very commen and treating them properly is important to prevent possible recurrence. By doing this research hopefully now I'll know how to treat cervical lesions on a patient to patient basis and have minimal failure.
travis hanel <hane0044@tc.umn.edu>
- Tuesday, October 29, 2002 at 09:36:52 (CST)
Well organized paper...I am interested to hear what you have to say about non-carious root lesions. I have exposed roots creating very sensitive molars and I have yet to have a dentist who will do anything for me.
Heidi Nichols-Johnson <nichols_hi_d@hotmail.com>
- Tuesday, October 29, 2002 at 09:35:59 (CST)
Very interesting and great paper. Can not wait to find out more from your presentation on post op sensitivity.
tom tadysak <tady0005@tc.umn.edu>
- Tuesday, October 29, 2002 at 09:33:24 (CST)
This is a very well written paper that is quit informative. I got a lot out of the section dealing with tooth sensitivity. This is a concern that I have already dealt with in clinic.
Will Manke <mank0027@umn.edu>
- Tuesday, October 29, 2002 at 09:26:04 (CST)
I thought the part of the paper written about different preparations was well written and interesting. I find it hard to believe that sometimes you don't even need to treat an abfraction lesion, for example, when it is just begining.
Mike Henrickson <henr0193@tc.umn.edu>
- Tuesday, October 29, 2002 at 09:23:54 (CST)
I thought the paper was really well organized and it made it very easy to read. Each section was right to the point and you get a lot of info fast.
Brent Deragisch <dera0008@tc.umn.edu>
- Tuesday, October 29, 2002 at 09:22:40 (CST)
Good paper! I thought the section on the different materials was especially helpful. Rarely do we have all of our options -- with pros and cons -- laid out like this. Quick question, were the "faculty dentists" interviewed from different disciplines around the school? We all know how much dentists can differ in their likes and dislikes of different materials!
Leslie Spangler <span0072@umn.edu>
- Tuesday, October 29, 2002 at 09:03:43 (CST)
I am really interested in deciphering between abfraction and cervical abrasion, and how to treat each of them. Placing composites is good, but how long will they lsat if replacing an abfraction site due to continuous stresses on the effected tooth?
Bradley Morrison <morr0188@tc.umn.edu>
- Tuesday, October 29, 2002 at 08:57:16 (CST)
I enjoyed your paper. I look forward to hearing more about how to handle abfraction and dentin sensitivity. Good job.
Bryan Johnson <john2819@umn.edu>
- Tuesday, October 29, 2002 at 08:43:34 (CST)
I have been seeing alot of these types of lesions up in clinic and am looking forward to the presentation. Good paper!
Dylan Ascheman <asch0013>
- Tuesday, October 29, 2002 at 08:35:43 (CST)
I saw a patient in admissions with completely healthy dentition except recession of the lingual gingiva on #23. I think it may have been due to overzealous brushing, but its good to know that special considerations need to be taken for root exposure.
Stephanie Miner <schw0438>
- Tuesday, October 29, 2002 at 08:20:13 (CST)
I am in group 3 so of course I think we did a stellar job. But as Lavar Burton of Reading Rainbow says, "Don't just take my word for it"
Gary J. Hedin <hedingj@tc.umn.edu>
- Tuesday, October 29, 2002 at 08:15:47 (CST)
As a member of group 3 I am not sure if we comment or not. I was glad to get this topic as I had a patient with many abfraction lesions and was able to learn a lot while in clinic.
Alyssa Hedstrom <lind0617@umn.edu>
- Tuesday, October 29, 2002 at 08:13:59 (CST)
Great review on cervical lesions. I have many of these restorations to do in clinic and feel that we will be seeing a lot of these in practice. I still wonder why some practioners use the traditional prep when placing composite. Shouldn'e the micromechanical bond be strong enough to hold the material?
Matthew Berg <berg0522@tc.umn.edu>
- Tuesday, October 29, 2002 at 08:09:49 (CST)
We all know that isolation, when doing composite restorations, is essential. If during the application of compostie (after the adhesive has been applied), the area gets contaminated, do you have to start all over with acid etch, or can the composite still work, as long as the adhesive has been placed without contamination?
Michael J. Nelson <nels1959@tc.umn.edu>
- Tuesday, October 29, 2002 at 08:05:47 (CST)
I'm looking forward to you the presentation. Hearing about handling abfractions will be especially interesting.
Peter Miskovich <misk0020@umn.edu>
- Tuesday, October 29, 2002 at 07:57:22 (CST)
I am looking forward to your presentation. Cervical lesions are not covered in great detail in pre-clinic, but it is a situation diagnosed in clinic regularly. These type of lesions are often a challenge to isolate and treat. I look forward to your case presentation.
kellee kattleman <katt0013@tc.umn.edu>
- Tuesday, October 29, 2002 at 07:52:06 (CST)
Good review paper, group 3. It's always nice to get a refresher on non-carious cervical lesions. We see them all the time in clinic (even in the pedo clinic--I saw several on a 7 year old yesterday!), and it's essential that we have a game plan for tx depending on the etiology, location, faculty, pt, etc...
Julie Smith <smit1631@umn.edu>
- Tuesday, October 29, 2002 at 07:47:13 (CST)
Which of the solution is most effective in decreasing hypersensitivity and how does it compare to sensodyne toothpaste?
Phillip Zhan <phzhan@yahoo.com>
- Tuesday, October 29, 2002 at 01:30:23 (CST)
Good paper but I found one sentance in the first paragraph of the paper to be confusing. It stated, "The process of hydroxyapatite demineralization requires sig. less acidic PH than dimineralization of enamel", but isn't enamel made-up of about 97% hydroxyapatite? So shouldn't it be more equal?
Alisa Nord <anord@tc.umn.edu>
- Monday, October 28, 2002 at 23:51:54 (CST)
The paper was very interesting. Since I have dentinal sensitivity on #14 I would like to hear about more products that are out there. I use sensodyne toothpaste but it doesn't work very well.
Jennifer LaBerge <luke0035@tc.umn.edu>
- Monday, October 28, 2002 at 23:00:32 (CST)
Great Paper! One of my patients has several non-carious cervical lesions that I will be filling. It is good to hear more information about how to restore these lesions.
Brian Vieregge <vieregbl@umn.edu>
- Monday, October 28, 2002 at 22:51:12 (CST)
I enjoyed reading your paper. I have a patient with several non-carious cervical lesions. It was good for me to see all of the options for treatment that are available to my patient. I look forward to seeing some examples and further description in your presentation.
Tim Osborn <osbo0075@umn.edu>
- Monday, October 28, 2002 at 22:39:25 (CST)
I am suprised to see that there are three faculty members at the school that can agree on anything. I am also waiting for 3M to come up with a composite system where perfect isolation is not required. Did you find any informaion on this?
Brett Knutson <knut0283@umn.edu>
- Monday, October 28, 2002 at 22:18:25 (CST)
Nice paper! I recently treatment planned a patient with a few cervical lesions. Reading about all the pluses and minuses of various materials is a good review before beginning their treatment.
Eric Knaff <knaf0006@tc.umn.edu>
- Monday, October 28, 2002 at 22:08:05 (CST)
Very interesting paper. Great clinical instruction. I am wondering after reading it how one addresses a cervical lesion that has already been restored once and needs correction due to marginal issues or recurrent decay or wear--Can we simply correct the problem area with isolation, re-etch and re-bond or do we need to remove the entire existing restoration and replace it?
Chris Wangen <wang0141@umn.edu>
- Monday, October 28, 2002 at 21:49:44 (CST)
Very good job group 3! I have one question though. In your paper you say that the mesial and distal walls of a class V amalgam cavity prep must be convergent in order to be in alignment of outward extending enamel rods. Shouldn't they be divergent in order to prevent undermined enamel?
Jon Matthes <matt0428@tc.umn.edu>
- Monday, October 28, 2002 at 20:59:23 (CST)
Good Job! I really liked your descriptions of the non-carious cervical lesions. It seems as though our lectures often gloss over how to diagnose and treat these common lesions.
James Sigaty <siga0004@tc.umn.edu>
- Monday, October 28, 2002 at 20:32:48 (CST)
Very clear paper. I had no idea that non-carious cervical lesions were so common. It was also great to have a review about restoring Class V lesions.
Polly LoCascio <loca0008@tc.umn.edu>
- Monday, October 28, 2002 at 20:20:06 (CST)
Good paper! One question I have is about resin desensitization agents. Are these special products or can one use any type of system such as Singlebond?
Ben Knutzen <knutzebt@tc.umn.edu>
- Monday, October 28, 2002 at 19:54:40 (CST)
Excellent work Group 3!! I particularly liked your distinctive descriptions of the differing non-carious cervical lesions. It's important to recognize the different etiologies when you're deciding how to treat the lesions, and I was unsure how to differentiate between them previous to reading your paper.
Jessica Inglis <ingl0011@umn.edu>
- Monday, October 28, 2002 at 19:38:55 (CST)
I think your group did a great job of teaching us the different characteristics of cervical lesions. Would you suggest treating cervical sensitivity the same or different than sensitivity from posterior restorations or post-op sensitivity?
Brian McDonald <bmcdonal@umn.edu>
- Monday, October 28, 2002 at 19:30:37 (CST)
The information about abfraction lesions was interesting. I have several patients that present with what appear to be abfraction lesions. Similarily to other classmates, they were treatment planned to restore and then changed by other faculty. Did you come across any recommendations on when these lesions should be restored and when they should be simply monitored?
Joshua Campbell <camp0385@tc.umn.edu>
- Monday, October 28, 2002 at 19:22:25 (CST)
I think that the section on treating sensitivity was interesting, but a little brief. I have had a few patients with sensitivity and it seems like the treatment is very cut and dry and i was wondering about other treatment options
A aron D. Imdieke <imdi0012@tc.umn.edu>
- Monday, October 28, 2002 at 19:17:29 (CST)
Great paper group 3! There was a lot of material presented that was very relevant to what we have been experiencing in clinic. I am interested in hearing more about the desensitizing agents. I used a desensitizer on a patient in clinic and it seemed to work very well!
Kara Lobaugh <loba0008@tc.umn.edu>
- Monday, October 28, 2002 at 18:44:59 (CST)
As a card carrying member of group 3, I must say the paper is good. Although we broke the different groups up into sections, the non-carious lesions seemed to have a snowball effect on each other. For example, a bruxist, tooth brush abraiding lemon sucker may have cervical lesions caused by a conglomeration of the three habits.
Jim Healy <heal0052@tc.umn.edu>
- Monday, October 28, 2002 at 16:50:19 (CST)
I find it very interesting that the etiology of NCCL is described as "stress corrosion" consisting of cervical flexure due to occlusal forces, acidic erosion, and mechanical abrasion.
Ann Thiele <thie0097@tc.umn.edu>
- Monday, October 28, 2002 at 15:47:00 (CST)
I have a few patients with cervical lesions that I have yet to restore, so, I am looking forward to this talk. I have also heard from serveral people that cervical lesions can be very questionalble as far as prognosis for treatment with composite. Good paper, lots of useful info!
Aaron Johnson <john3097@tc.umn.edu>
- Monday, October 28, 2002 at 13:12:44 (CST)
I have had two patients with multiple abfraction lesions. They were treatment planned to be restored but both times the faculty said that it was unnecessary to restore these lesions. Are there criteria for when you do the restoration or when you leave it?
Jason Johnson <john4525@umn.edu>
- Monday, October 28, 2002 at 12:55:35 (CST)
It is interesting to read about the abfraction lesion. I would like to find out more regarding this type of lesion and possible treatment options for this. With the constant "stress-strain" that is being put on the cervical area of the tooth, it seems that certian restorative materials are adversely affected, leading a decreased life expectancy in such an area for the restorations.
Ryan Tietz <tiet0020@tc.umn.edu>
- Monday, October 28, 2002 at 11:50:55 (CST)
Great paper group three! I thought the paper was well organized and very helpful in the clinical applications. Great review of the materials.
Jolene Welter <welt0081@tc.umn.edu>
- Monday, October 28, 2002 at 11:37:26 (CST)
Isolation is such a problem in these areas--would be nice to know best ways to "try" and isolate to use a tooth colored material.
kelly reynolds <krol0068@umn.edu>
- Monday, October 28, 2002 at 10:24:10 (CST)
I am really interested to hear more about cervical lesions. I have many patients with tooth brush abrasions and abfractions, but much of the time nothing is treatment planned for restoring these things. I would like to know how to handle them and what if anything should be done with them.
Nathan Pedersen <pede0328>
- Monday, October 28, 2002 at 09:49:35 (CST)
I am going to have a couple of patients who have cervical lesions to be restored. I am waiting to hear about the usage of desensitising agents, its effects and efficacy.
Lan Zhou <zhou0039@tc.umn.edu>
- Monday, October 28, 2002 at 05:44:01 (CST)
Well done. I believe cervical lesions are an important topic because we do not learn much about them before clinic. It is hard to simulate the actual mouth.
Steven Graber <grab0054@umn.edu>
- Sunday, October 27, 2002 at 23:05:31 (CST)
Good Paper. I'm looking forward to seeing your presentation. I can't believe how every material in dentistry seems to have plenty of advantages and disadvantages. We need a wonder-material to fix everything.
Nathan Mork <morknp@umn.edu>
- Sunday, October 27, 2002 at 22:03:15 (CST)
I have a clinical experience regarding cervical lesions: recently, I had a patient with numerous class V, buccal, wedge-shaped lesions. One instructor told me to apply fluoride and not treat them unless they get deeper. Another instructor told me to absolutely restore them. Is there a rationale as to when cevical lesions should be treated?
Roxane Huber <hube0079@tc.umn.edu>
- Sunday, October 27, 2002 at 21:28:06 (CST)
I thought the information was well organized and highly informative, especially the area describing the technique of finishing these resotrations. I have a patient who has multiple cervical lesions that needs restoring. How does one clinically differentiate between abrasion and abfraction. How does the longevity of the restorations compare for these two etiological different, but clinically similar restorations?
Devin Croft <crof0017@tc.umn.edu>
- Sunday, October 27, 2002 at 18:46:37 (CST)
Nice paper Section 3, it will be interesting to hear more about the various desensitizing agents available.
Russ Dylla <rdylla@tc.umn.edu>
- Sunday, October 27, 2002 at 17:45:42 (CST)
Nice paper team 3. One question: how effective is a toothpaste like Sensodyne to reduce sensitivity in areas of abfraction?
Emily Vober <vobe0003@tc.umn.edu>
- Sunday, October 27, 2002 at 17:09:18 (CST)
I have a patient with sensitivity therefore, I look forward to hearing more about desensitizing agent and how they work.
Monique Wood <wood0455@umn.edu>
- Sunday, October 27, 2002 at 10:25:31 (CST)
Great job! I found it very interesting that a less acidic pH is required to demineralize hydroxyapatite than enamel. I would like to learn more about the clinical difference between abraction and abrasion from a tooth brush. Clinically it seems impossible to tell the difference.
Erin Gannon <gann0033@tc.umn.edu>
- Saturday, October 26, 2002 at 21:55:35 (CDT)
Good job! I think it would be interesting to see what clinicians other than those at the U of MN say about the use of the different materials and bonding agents.
Melissa McCartney <mcca0326@tc.umn.edu>
- Saturday, October 26, 2002 at 12:50:11 (CDT)
I had a patient on Friday that presented with wedge-shaped cervical lesions at the cemento-enamel junction on the buccal surfaces of #28 and #30. Since the lesions were quite angular and more localized I determined that they must be a result of abfraction. The instructor said they were due to toothbrush abrasion. How does one tell the difference? It seems that there is a very fine line distinguishing the two in clinical presentation.
Thekla Olson <olso1118@tc.umn.edu>
- Saturday, October 26, 2002 at 12:30:15 (CDT)
I think that our preclinic experience didn't really bring up how much different and challenging these lesions are. I have had to restore a few and this info is very much appreciated, thanks.
Craig Spieker <spie0089@tc.umn.edu>
- Friday, October 25, 2002 at 16:04:44 (CDT)
It is interesting that J.W.V. van Dijken found that one-bottle adhesive systems had high failure rates while the three-step resin adhesive had an acceptable retention rate in Class V restoration. This really does demonstrate the importance of thorough product research and testing. Why do dentist even bother with these one bottle adhesive systems if they produce clinically unacceptable results?
Brent Swenson <swen0316@tc.umn.edu>
- Thursday, October 24, 2002 at 22:04:26 (CDT)
Good paper! I am interested to hear more on the Desentizing agents. This is a hot topic in the clinics these days.
Jeremy Wehrman <wehr0018@tc.umn.edu>
- Thursday, October 24, 2002 at 18:43:37 (CDT)
Interesting paper. I have a patient who has either toothbrush abrasion or abfraction. I look forward to hearing the presentation.
Patrick J Capp <capp0021@tc.umn.edu>
- Thursday, October 24, 2002 at 17:34:45 (CDT)
Nice paper! I am looking forward to learning more about toothbrush abrasion and what can be done about it clinically.
Jeremy Gross <gros0159@tc.umn.edu>
- Thursday, October 24, 2002 at 14:40:25 (CDT)
Great paper! I can't wait to see the presentation and Case Study.
Sarah (Laszcwski) Melstrom <slaszcws@tc.umn.edu>
- Thursday, October 24, 2002 at 13:41:25 (CDT)
Voluntary Reflux Phenomenon...what!!! This sounds interesting, how did you come across this info? I wonder if dentistry has been found to be one of the "high stress professions" where this commonly occurs.
Sarah Como <scomo@umn.edu>
- Thursday, October 24, 2002 at 11:00:00 (CDT)
When are desensitizers used (between etching and bonding, after bonding), and how do desnsitizers affect bonding?
Brandon Owen <owen0133@umn.edu>
- Thursday, October 24, 2002 at 10:10:45 (CDT)
Nice work. Did you come across anything that looked at using fluoride varnishes to help with root sensitivity? Perhaps I missed it in your paper.
Adam L. Forster <fors0174@umn.edu>
- Wednesday, October 23, 2002 at 23:36:30 (CDT)
As part of this group, I found the topic to be very interesting since I have a few of my patients need Class V restorations. It is amazing how many different causes there are for these lesions and also how many different ways dentists have restored them.
Erick Hallie <ehallie@hotmail.com>
- Wednesday, October 23, 2002 at 21:58:39 (CDT)
I am glad that this paper addressed abfraction lesions. I have a lot of patients with this type of lesion, and I would like to learn more about this topic.
Katie Lantz <lant0025@tc.umn.edu>
- Wednesday, October 23, 2002 at 14:27:49 (CDT)
It was good to see a section on abfraction lesions because I recently had a patient with multiple lesions that i will be restoring.
Grant Raykowski <rayk0002@tc.umn.edu>
- Tuesday, October 22, 2002 at 21:31:12 (CDT)
I find the reference to Voluntary Reflux Phenomenon interesting...perhaps if dentists can better recognize it, they can talk to their patients about treating it, and further prevent some of the class 5 lesions out there. Is this recognized as a psychological disorder?
Karl Haemig <haem0002@tc.umn.edu>
- Tuesday, October 22, 2002 at 15:44:58 (CDT)
I think group three did an excellent job- especially the part about the multifactorial etiology of non-carious cervical lesions.
Stephanie Guy <guyx0015@tc.umn.edu>
- Tuesday, October 22, 2002 at 15:24:36 (CDT)
The idea of trying to diagnose the etiology of the caries rather than hunting for decay to fill is an important point to remember for clinic. An example of this is a kid coming in with "mountain dew mouth". If we dont consider the cause first, we would never catch up to the rampant decay with restorations and the kid would end up losing most of their teeth. If we address the pop problem, we could hopefully slow the process down and then restore the teeth properly.
Brian McDonald <bmcdonal@umn.edu>
- Wednesday, September 18, 2002 at 21:22:59 (CDT)