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August 22, 2020


How long do they expect it to take before the new crown comes in?

Two or three weeks - before September 10.

Gosh, that's quick. I assume it's a private practice? It's hard these days in wales to find dentists that still take NHS patients.

Liz--Yes, our dentists are in private practice, there being no national health service. Time is all relative. Compared to the old crown, with which I walked out following four hours in the dental chair, two or three weeks could seem long. However, I've had so many crowns that took two weeks that I am not dismayed, and the temporary crown is weak but keeps me from looking like (more of) a freak.

Hating to bore you with stuff you may already know, I'll venture to let you know that most health insurance plans do not cover dental and eye health. [Clarification: I should have said not eye "diffractions". Eye health, itself, is covered.] While employed, I did have the extra coverage for them; but, not since retirement. I believe that I pay less for the dental and eye care that I get than would I pay for the special insurance policies for them.

What kind of precautions do they take against covid-19 transmission? Working directly in the mouth, dental work seems like it would be a high-risk activity.

Infidel--Somewhat concerning to me, Hunky Husband (HH) and I have had several physical/health problems come up in the past eight months that has taken us into medical/dental/eye professional offices much more frequently than normal. (Normal, for me, is an annual visit to physician, eye doctor, dental office, and dermatological office; for HH, much less than that.) All of those offices have many of the same precautions; but, I'll list for dental: 1) I wait in my car in the parking lot until the office calls me to come in; 2) I am required to wear a face covering at all times (until, in dental office, they need access to teeth); and 3) I am given hand sanitizer and my temperature is read before I am allowed to leave the reception area. A staff person leads me to wherever the professionals need me to be. All staff are masked. Those who are actually treating me wear a surgical mask with a plexiglass shield over their faces, goggles to protect their eyes, and Nitrile gloves (I can't tell how many layers). Ordinary procedures for sterilizing equipment should be sufficient; but, in the case of the dental office, any surface that staff will touch (such as the handle to position the light) has a disposable "mask" placed over it and changed between patients. In the case of the eye surgeon, the staff member using the equipment assures that each surface that I will touch (forehead or chin) is wiped with disinfectant before and after I touch it. I do not know the frequency with which staff members are tested for COVID-19; but, I trust that they are following appropriate guidelines. The actual work space in which I was seen is sanitized between patients.

At the eye surgeons, I have HH drive me; but, he is not allowed to wait in the waiting room. If, for any reason, I must wait in a waiting room, chairs are spaced and any chair that has not been sanitized since last it was occupied is marked with a red "X" placard. A staff member goes through the area, at least hourly, to sanitize chairs that have been occupied.

The only thing that makes me nervous is when I must wait in a waiting room that includes children - little germ factories/repositories.

Worth knowing, thanks. I haven't needed to go to a dentist or doctor since the pandemic started, but it's an issue I worry about sometimes.

Infidel; I've been to the eye doctor and dentist in the last couple of months also. The dentist was pretty much the same as CC explained, except the hygienist was double masked (two different types of masks - I asked her about how comfortable that was), without the face shield (with goggles) and double gloved.

The eye doctor is in a large practice so they instructed patients not to arrive more than 5 minutes early and the waiting room was large enough for social distancing. I wore a mask the entire time, as did the staff. They have always used a disinfectant wipe for the parts that touch forehead, cheeks and chin in front of me, so that didn't change. They are spacing out the patients more so they can sanitize other touch surfaces for rooms, and to accomplish that they are also open on Saturdays for the time being.

Bogie--And...it had to happen. Preparing for bed by cleaning my teeth, Friday, my temporary crown came off. Fortunately, the sink stopper wasn't all the way up so it caught before going down the drain. I disinfected it and the root area with hydrogen peroxide, filled the crown with Arm & Hammer PeroxiCare toothpaste, and stuck it back on - per instructions from Ashlie when she installed the crown.

So...I am on a liquid diet until the dental office can work me in, presumably, Monday. (I've sent them a message.) Fortunately, my original night guard clips onto my upper teeth and covers most of the the back (lingual) side of my front teeth with plastic which keeps me from dislodging the crown with my tongue. I'm really beginning to consider having an implant put in for that tooth.

What the heck are you doing to those poor crowns (temp and otherwise)? I had a temporary crown for something like 3 months several years ago. They had a heck of a time getting it to come off so they could insert the permanent one.

Well...This tooth has had a crown put on it (1967 - dentist in Seattle), THEN a root canal (1978 - McLean, in Wichita), replacement of the silver wire used in the root canal (early 1990s - McLean), replacement of crown (mid-1990s - McLean - at which time the only part of the real tooth left was below the gum line), replacement of crown (2019 - Norden), etc. There just isn't a lot of support for the crown, at best.

When Norden was making the crown last November I cautioned him that McLean had done everything possible in the design of the crown that he put on it to assure that the #9 tooth didn't take loads. They had to be taken by the #8 tooth, etc. Unfortunately, since Norden made the crown overly large, it was picking up loads. I'm happy to be rid of that crown. Don't know why it didn't occur to me to look into having an implant this time.

Ahh, the low nub explains it. Does seem like a good time for an implant, but I have no idea how pricey they are. I would think that the dentist would have suggested that option if she didn't think a crown was still a good option.

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