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October 17, 2020


You are stubborn aren't you? Just get an implant, After 4 crowns, you have precious little stub for that thing to hang onto and each time will feel "different" as they try to compensate for that :)

For the record - this is probably a case as do as I say, not as I do (or will do). Not that I've yet had that problem, but I do have one crown that they worried about the stub when they replaced it last time and I can imagine doing just what you are doing when it comes time for another replacement.

To being stubborn, I plead absolutely guilty. However, 1) if Dr S thought there wasn't enough base for the crown, why didn't she (or the dentist who installed the new crown last November) advise me to go with an implant before charging me to make a crown that she thought wouldn't be successful? and 2) the original installation of this crown felt like the tooth was not properly seated - it felt out of alignment - canted forward in addition to its being wobbly. (The crown installed last November was too wide, too long, and too thick, allowing it to pick up the loads that it should not have been picking up. That it was too large for the space was attested to by its having split vertically at its center last month.)

This cementing may not last as long as the cementing from September, but at least it feels properly seated and in alignment.

Jary spoiled me over the 25 years that he did my dental work by working with his patient instead of on his patient. I've seen at least seven dentists since Jary had to retire 18 years ago and not one of them has been super (or even good) about discussing what I am experiencing. Dr S is young enough that there is hope that she can learn to do so ; )

You may recall that Jary went so far as to ask patients how they were caring for their teeth. He kept records on that and, based on the results he saw and his statistics, he advised his patients how they should be caring for their teeth. I don't know how his discussions with other patients went, but Jary always discussed options and the mechanics of what he planned/recommended doing and why with me.

That redbud is so pretty. Such a shame to cut it down. But I can imagine raking your lawns is more than enough exercise for anyone!

WE had our flu jabs recently. Gosh my arm was swollen and sore after but only for the night. Husband meanwhile was fine.

Such a beautiful redbud tree! My Dr. gave me the stronger version of the flu shot this year as I, too, always get mine mid-October to last longer.

Frustrating loss of a crown happened to me once on a visit to my son so had to see his dentist. Fortunstely, he did a good job cementing my dentist said later.

Redbud: The yard looks barren without that tree; but, I've already marked the spot in which a new one will be planted.

Flu: Last year, my arm was sore for a few days - probably the first time, ever. No soreness, this time. I've had the "high dose" version of the flu shot ever since one became available. BTW: My pharmacist told me, last year, that Fluad is included in the "high dose" designation even though it is not, technically, a high dose. From a 2019 posting at USA Today come the following paragraphs. Note that, unfortunately, the statistics on effectiveness of the two types of high dose flu shots are not directly comparable.

"Dr. William Schaffner, an infectious diseases specialist at Vanderbilt University Medical Center, said that although the two vaccines have the same outcome, they work a little differently.

"Fluzone High-Dose contains four times the antigen that's in a standard dose, effectively making it a stronger version of the regular flu shot. FLUAD pairs the regular vaccine with an adjuvant, an immune stimulant, to cause the immune system to have a higher response to the vaccine.

"Research indicates that high-dose flu vaccines, such as Fluzone High-Dose and FLUAD, have improved a patient's protection against the flu.

"A peer-reviewed study published in The New England Journal of Medicine and sponsored by Sanofi, the company behind Fluzone High-Dose, found that the high-dose vaccine is about 24% more effective than the standard shot in preventing the flu."

An observational study in 2013 found that FLUAD is 51% effective in preventing flu-related hospitalizations for patients 65 and older.

BTW: Health care information is nothing new to Joared, and perhaps not to Liz, but never having been involved in health care in my profession, I learn stuff that is surprising to me. Ten or twelve years ago when I regularly attended quarterly regional FEMA meetings in my role as a Red Cross volunteer governmental liaison, at one meeting the person in charge of preventing the spread of disease in the greater Kansas City area briefed us on the ins and outs of providing flu shots (I think H1N1 was being addressed at that time.) It was interesting to hear of all the various forms of flu shots that had to be available to address various populations (babies, toddlers, teens, adults, those with allergies, old people, etc.) by providing various dosages in shots plus aerosols. That was when I learned that much immunization sera must be kept frozen. Immunizations constitute a real logistical nightmare.

Well, that is disappointing that neither dentist mentioned the challenges of the short stub and possibly going for an implant instead. Guess I feel lucky that my dentist did inform me that it would be tough, and the next time replacement of the crown may not be possible.

Bogie--Dentists like Jary just aren't abundant. Your dentist sounds like a keeper.

I don't know if I told you and other family members how I found Jary in the first place. Our group's secretary at Cessna recommended him to me in the late 1970s. She had served as one of his "models" in dental competitions. I'm guessing that he gave her a discount - which, on a secretary's pay she could well have used. Jane was young, cute and vivacious, which would not have hurt in the competitions even if they were judging the dental work. I know that Jary "experimented" with various configurations/materials/approaches to night guards on me - but not for competitions, of course. He just wanted to see what worked well.

I noticed that I banged that crown with the brush while brushing my lower teeth last night, so that may explain what's been giving the various versions of the crown so much trouble. ; (

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