Top
40
Doctor insights on: Martin Crowe

Share
1

1
Dr. Martin raff,why I can not take PPD test? Tb heal 10 yrs ago and qtf-gold positive last week

Dr. Martin raff,why I can not take PPD test? Tb heal 10 yrs ago and qtf-gold positive last week

PPD: You have living tubercle bacilli in your body and they will aways be there. Not only is there then no value to the PPD (it will be positive due to similar factors that make the quantiferon positive), but you are at risk of having a very severe reaction to the PPD and losing tissue in the area in which the PPD is placed. Please do not do this. Unnecessary and dangerous. Best wishes. ...Read more

2

2
Based upon examiner in travon martin case, once a shot had been in the heart, can a person have ability to move?

Based upon examiner in travon martin case, once a shot had been in the heart, can a person have ability to move?

When dying....: I am not sure why you are asking this question. But, if the person is alive and has no brain or spine injury then yes, of course they are able to still have movement. ...Read more

4

4
Dr. Martin raff, do I need treatmen for TB again? Is it safe to get pregnant again with qtf positive. Tb was recovered ten yrs ago

Dr. Martin raff, do I need treatmen for TB again? Is it safe to get pregnant again with qtf positive. Tb was recovered ten yrs ago

You need to have: Active infection ruled out. If your chest cray is normal and you have no symptoms then you do not have tb. If you have a productive cough you need sputum cultures. Ig you do not have TB it is safe to get pregnant even with this positive test. ...Read more

5

5
Urgent! Dr. Martin r, TB heal 10yrs, last wk qtf-g+, nil0.13 iu/ml, mitogen-nil\u0026gt;10, tb-nil 4.3, active tb? Gamma globulin2.2, unshapen stool

TB: Active tuberculosis is characterized by fever, night sweats, chills, weight loss and dysfunction or inflammatory changes in the area of the body affected. You seem to be fixated on the possibility that you have this and it is very unlikely. If you continue to be otc about this either go and see a doctor or perhaps a psychiatrist or psychologist. Good luck. It is very doubtful you have active tb. ...Read more

6

6
Dr martin r. If I get preganant now, will baby be infected tb? Tb heal 10 yr ago, qtf positive now. Medicine for decrease TSH will make TB reactive?

TB: No. It is not likely, although not impossible that a fetus could be infected with mycobacterium tuberculosis. Medication to treat hypothyroidism (thyroxine) will not cause reactivation of latent tb. You should be just fine. Make sure you tell your obstetrician that you are quantiferon positive but have been previously treated. ...Read more

7

7
Dr. Martin raff, TB 10yrs ago,miscarriage 13th wk last yr. Any relations between them?qtf positive last wk,tsh4.69. What to do for next safe pregnancy?

Dr. Martin raff, TB 10yrs ago,miscarriage 13th wk last yr. Any relations between them?qtf positive last wk,tsh4.69. What to do for next safe pregnancy?

Get treatment: Hypothyroidism (low thyroid levels, which you have) is associated with miscarriage. That should be treated before you try again. Also, they will probably test you to be sure there is no active tb. If so, you need to be treated before getting pregnant again as the treatment can be harmful to an embryo/fetus. Ask y our doctor for more info. ...Read more

10

10
Dr martin raff,i had PPD test last year for immigration request. Not sure PPD or tst?they inject into skin. Place on my hand red. Make TB reactive?

Dr martin raff,i had PPD test last year for immigration request. Not sure PPD or tst?they inject into skin. Place on my hand red. Make TB reactive?

PPD (TB skin test): The skin reaction to the PPD Mantoux skin test needs to be a certain size for it to be considered reactive. The cutoffs vary depending on the rest of your medical history. Always request that the person who reads your TB skin test document their findings, with the date it was planted, the date it was read, and the size of induration (if any). ...Read more

14

14
My gum slightly receded above my crown leaving a slight margin. There's no carrie and the crown is in tact, can the margin just be patched w/ composite?

My gum slightly receded above my crown leaving a slight margin. There's no carrie and the crown is in tact, can the margin just be patched w/ composite?

Better: A better solution would be to see a gum specialist, a Periodontist, to see if the gums can be repositioned to hide the margins of the crown. ...Read more

16

16
Itero would certainly seem so much more accurate at the tooth root margin than the traditional approach manner of making a crown. Ledge emphasis.?

Itero would certainly seem so much more accurate at the tooth root margin than the traditional approach manner of making a crown. Ledge emphasis.?

It's the dentist: It's the quality of the dentist and his care and expertise, not the type of specific crown material or brand name used that is the important criteria. I would rather have michelangelo paint me a picture with finger paints than my daughter using the finest artist materials available. ...Read more

17

17
I went geocaching on campus and we had to cross a field to get to the main road. Should I worry about ticks. I didn't see anything on me but still?

I went geocaching on campus and we had to cross a field to get to the main road. Should I worry about ticks. I didn't see anything on me but still?

Ticks: Walking in high grass or wooded areas can expose you to ticks. If you don't see any ticks, you are probably fine. Be sure to clean your clothes to make sure no ticks are hiding out there. ...Read more

18

18
I have many crowns with varying degrees of margin edges. Would a prescribed fluoride toothpaste appear to be beneficial between perio cleaning visits?

I have many crowns with varying degrees of margin edges. Would a prescribed fluoride toothpaste appear to be beneficial between perio cleaning visits?

Flouride use: If you have gum recession and have several crowns, then flouride treatment would definately help prevent future cavities from forming. Again, good hygiene and well fitted crowns are still key in long term success. ...Read more

19

19
Had abcess from bottom up spread to bone & up roots on either side. Had main one extracted & root cnals. But 1 was never finished (crown)can it spread?

Had abcess from bottom up spread to bone & up roots on either side. Had main one extracted & root cnals. But 1 was never finished (crown)can it spread?

Source of Infection: If the root canal tooth was not completed with a crown then it is likely that leakage from the oral cavity will contaminate the root canal filling material. This could lead to an infection despite the root canal being completed. ...Read more

21

21
A cerec crown would not result in overlaping margins (decay prone), in most cases? Can you guess that i'll be switching my dentist?

A cerec crown would not result in overlaping margins (decay prone), in most cases? Can you guess that i'll be switching my dentist?

Maybe: Why don't you tell the guy he may have screwed up. If it is true, and we all make mistakes, he'll probably be glad to redo the thing. ...Read more

22

22
At age 73, non diabetic, no meds, marine condition, can a quart of ice creme per day for months hurt the pancreas or start diabetes.?

At age 73, non diabetic, no meds, marine condition, can a quart of ice creme per day for months hurt the pancreas or start diabetes.?

No and yes.: Diabetes is not caused by food but food can worsen diabetes. Overweight promotes diabetes. So if you are not diabetic but eat too many calories that are going to increase your weight then you may develop diabetes if you have the genes. ...Read more

23

23
Do bones close normally for Marfans pts or do they remain open longer even causing added growth in 30somethings? Can Marfans develop late in life (30s)

Do bones close normally for Marfans pts or do they remain open longer even causing added growth in 30somethings? Can Marfans develop late in life (30s)

Marfans: Rapid growth of bones in childhood, the epiphyses should fuse at the usual time. Marfans may be identified later in life, but it is a genetic disorder that is present at birth. ...Read more

25

25
Is fluoride necessary in a toothpaste containing xylitol (emphasis here on controlling decay at margin crown edges)?

Is fluoride necessary in a toothpaste containing xylitol (emphasis here on controlling decay at margin crown edges)?

Fluoride: Fluoride has been shown to reduce decay. There are non Fluoride containing toothpastes that contain remineralizing agents (mi paste available with and without fluoride, renew) which are available from your dentist. Xylitol does help to reduce the acids that cause decay, however, Fluoride or remineralizing pastes offer additional protection. ...Read more

26

26
Is cerec dental crowns for me? I have some standard crowns where the margins are below the gumlines. When I need replacements...

Dentist not crown!: The main advantage of a "cerec" crown is that it is fabricated for you in the least amount of time as it is milled directly in the dental office. So that is a terrific advantage if you need\want them in a hurry. Other than that, there are many different types of crowns including other all ceramic crowns that are fabricated by dental lab for the dentist. Criteria should be quality of the dentist. ...Read more

27

27
What are the pros and cons to electively (no margin cavities) remove old porcelin fused to metal teeth crowns for new ones? Could a tooths root split?

What are the pros and cons to electively (no margin cavities) remove old porcelin fused to metal teeth crowns for new ones? Could a tooths root split?

Not likely: Of course, it's always a possibility, but root splitting is not likely, as long as when the crowns are being cut off, they are fully cut through, down to the tooth, before they are removed. Really, unless you have decay on the teeth, there is no need to remove the old crowns. Unless you don't like the look of them or the porcelain has chipped off. ...Read more

28

28
What type of dental treatment protects the margin from decay between tooth roots and crowns? Will it last after dental cleanings are done?

What type of dental treatment protects the margin from decay between tooth roots and crowns? Will it last after dental cleanings are done?

Fluoride: For good protection nothing beats proper oral hygiene via good brushing and flossing. If you are still concerned or at a higher risk then had a good fluoride rinse to your daily schedule (ACT fluoride rinse) ...Read more

29

29
Dental #: cerec is for crowns/margins at the gumline. Can itero work for my below the gumline crowns when a new replacement crown is necessary?

Dental #: cerec is for crowns/margins at the gumline. Can itero work for my below the gumline crowns when a new replacement crown is necessary?

Perspective-->: Any crown can be placed at, above or below the gum line. That is not dependent upon the crown material but at the discretion of the dentist and his\her philosophies and specific circumstances of your case. ...Read more

31

31
My friend says that it's not necessary for my new general dds to physically check the crown margins, integrity of fillings and tooth grooves during the first examination. Is ittrue?

My friend says that it's not necessary for my new general dds to physically check the crown margins, integrity of fillings and tooth grooves during the first examination. Is ittrue?

Wrong!: Any dentist worth a darn will not only check all of those things on your first exam, but also take x-rays and check for dental decay, do a full head and neck exam to check for cancer, check the status of your gums, and a host of other things. Unless the 1st. Visit is for an emergency and you are being treated to resolve an immediate pain issue, your first exam should be thorough! ...Read more

32

32
My enamel is thin on my teeth, but my bite is too close together for caps. Can bonding help the main front teeth!?

My enamel is thin on my teeth, but my bite is too close together for caps. Can bonding help the main front teeth!?

Bondings: Veneers can all help. You would need to be evaluated by your dentist for the best treatment option for you. Depending on age and finances you might also want to consider orthodontics to correct the malocclusion issue first. Sometimes cutting steps leads to long term problems, additional expense and an unhappy patient. Expectations have to be realistic when the situation is less than ideal. ...Read more

35

35
I asked endodontist to look at an xray to see if there is any decay at a tooths margin holding a crown. He couldn't tell if there was any decay. Why?

I asked endodontist to look at an xray to see if there is any decay at a tooths margin holding a crown. He couldn't tell if there was any decay. Why?

Marginal caries: Your General Dentist would be the best one to ask this question & determine if there is any caries present. Having said that caries cannot be detected on x-rays if it is inside the crown as the crown blocks view of area inside of crown. Moderate to severe caries can be detected clinically or with use of x-rays on tooth structure not under crown. Sometimes very early caries between teeth is missed. ...Read more

37

37
What is a fat-containong lhernia with a knuckle of small bowel extending close to the margins of the hernia?

What is a fat-containong lhernia with a knuckle of small bowel extending close to the margins of the hernia?

Hernia: Hernias move and can change position usually, unless the intestine is trapped. The fat and the bowel are a connected structure. Your imaging studies shows that bowel and fat are able to pass into a location where they don't belong, and this is by definition a hernia. Hernias that cause pain, or are trapped, need surgical repair. See your surgeon. ...Read more

38

38
Would in-office dental fluoride treatments benefit an adult who has both crowns (to protect margins) and natural teeth?

Would in-office dental fluoride treatments benefit an adult who has both crowns (to protect margins) and natural teeth?

Yes: While most often done on children's teeth, in office Fluoride treatments can help natural teeth of any age remineralize. ...Read more

39

39
New general dds took full mouth series radiographs. Checked pocket depths (few teeth) but not any edge margins where I have crowns. Incomplete exam?

Quick not thorough: Crown margins are visible on the x-rays, however the x-rays are 2-dimensional representation of a 3-dimensional object, so he/she should've checked in the mouth. Also, he/she should do a soft tissue oral cancer exam as well as checking the grooves of your teeth and integrity of existing fillings. There are several things that show up in the mouth that don't show up on x-rays. ...Read more

40

40
Which kinds of genetic mutations cause long bones to not close & growing to not stop? Do adults w/ Marfans keep growing taller, even for 3-4 decades?

Which kinds of genetic mutations cause long bones to not close & growing to not stop? Do adults w/ Marfans keep growing taller, even for 3-4 decades?

Marfan's do stop--: -growth, but the main problems R soft tissue incompetence such as ligamentous structures, also dislocated lenses in the eyes, as well as valvular complications in the heart. People who keep growing usually have a pituitary adenoma, or thyroid abnormalities, pituitary giants, or acromegaly. ...Read more