8 ms·

I hope this process becomes part of mainstream dental medicine. Our current dental technology feels backward compared to other fields of medicine

manmal 10y ago
So true. In cases where teeth don't get out as easily as intended, they are sliced, hammered and broken out of your jaw - feels so medieval.
- deleted 10y ago
  [deleted]
- Noseshine 10y ago
  Uhm... do you now how bones get repaired? Only the easiest fractures are allowed to heal themselves. Everything worse than that looks like this: https://teachengineeringprod.blob.core.windows.net/content/cub_/activities/cub_biomed/Images/cub_biomed_lesson10_activity1_image1web.jpg https://teachengineeringprod.blob.core.windows.net/content/c...
  - pygy_ 10y ago
    Orthopedic surgery is indeed a lot like wood working. Surgeons use saws and drills routinely in the operating room. See also (for example): http://www.orsupply.com/medical/category/Surgical-Instruments/872/category/Surgical-Chisels/891 http://www.orsupply.com/medical/category/Surgical-Instrument...
- MichaelApproved 10y ago
  Knee replacement isn't much prettier. Here are some links to time stamped surgical highlights sawing bone [5:55 mark] - https://youtu.be/bGOspdD25Dw?t=355 https://youtu.be/bGOspdD25Dw?t=355 hammering [11:10 mark] - https://youtu.be/bGOspdD25Dw?t=671 https://youtu.be/bGOspdD25Dw?t=671 Swinging a hammer like a baseball bat to remove a pin [entire video] - https://www.youtube.com/watch?v=MnBvpSU1Fcc https://www.youtube.com/watch?v=MnBvpSU1Fcc Dentistry is gruesome but so is surgery, in general.
  - agumonkey 10y ago
    Made a quick youtube search for latest surgery tech, all I saw was a sewing burning scissors. Cute tech but still barbaric to me. Artery is even more gruesome, plumber. I wish to see organ generation take off somehow.
    - MichaelApproved 10y ago
      If you're looking for some interesting surgery tech, check out this fairly simple concept for handling battlefield trauma situations. https://www.youtube.com/watch?v=BBauDwhGlzg https://www.youtube.com/watch?v=BBauDwhGlzg
      - agumonkey 10y ago
        End part is tough to watch. It's cute tech, and for that context very useful. In civil surgery I want the organic equivalent of this.
    - atomical 10y ago
      Upcoming tech is targeting the WNT pathway to rebuild cartilage.
  - raverbashing 10y ago
    And this is why I work in IT even though I like power tools
deleted 10y ago
[deleted]
decker 10y ago
Ever look at how an ACL gets repaired?
- raverbashing 10y ago
  Let me guess, (dead) donors?
  - beisner 10y ago
    Either that, or they can take a slice of your own patellar tendon and just graft that on where your ACL used to be.
    - adventured 10y ago
      There are other options inbound rapidly. Osiris Therapeutics for example has something called Stravix, that they're targeting at tendon repair first. It'll be on the market in November - "Stravix is a cryopreserved human placental tissue designed to address surgical needs for soft tissue repair" "Stravix was developed as a pliable allograft cover with tensile strength that is ten times greater than amniotic membranes alone and designed to offer durability, elasticity, and conformability for surgical procedures. In addition, Stravix retains the properties inherent to the native fresh tissue as a result of Osiris’ proprietary cryopreservation process, BioSmart" They have a bunch of products in the regeneration space. Cartiform for cartilage repair. Menvivo for meniscus repair. etc
    - ericd 10y ago
      Just went through the latter. Would have been so much nicer if there was a way to just regrow it. The attendant swelling in the knee causes the quad to shut down, and atrophy before you get to reactivating it, which precipitates a year-long process of physical therapy before you've got a full stable and strong leg again.
Brakenshire 10y ago
Kind of backward, but also one of the most successful fields of medicine.
- andyjdavis 10y ago
  Out of curiosity, how do you define success Vs other fields of medicine? It seems like something almost impossible to compare.
  - Brakenshire 10y ago
    I think, most problems can be prevented with effort, and if they still happen, most of them can be fixed with some sort of intervention. Don't think you could say that about many other areas.
petra 10y ago
The ideal dental treatment would be a dental vaccine(against the mouth bacteria that destroys teeth and harms gums), letting future people not even being aware to dental issues(or maybe just use a monthly/weekly mouthwash). . there was even a startup aiming for that but it stopped due to fda and problems creating a trial. Hopefully someone like Google finishes that up.
- Kinnard 10y ago
  What was the name of the company?
  - petra 10y ago
    Oragenics. They are not the only effort. more info at on them and others at: https://en.wikipedia.org/wiki/Caries_vaccine https://en.wikipedia.org/wiki/Caries_vaccine The science: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3708248/ http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3708248/
    - amelius 10y ago
      This one seems promising and already has a product on the market: http://www.curodont.com/en/ http://www.curodont.com/en/ Description of their technology: http://www.curodont.com/en/curolox-technology/ http://www.curodont.com/en/curolox-technology/
      - Kinnard 10y ago
        The technology looks beautiful, though I am unable to access the website. Thanks for sharing.
angersock 10y ago
Eh? Dentistry is one of the few fields of medicine that seems to know exactly how to fix whatever is ailing you and can do so at a cost that can be reasonably borne out-of-pocket without the clowncar of the insurance industry showing up. I'd say that it's a huge success!
- maxerickson 10y ago
  I don't remember where, but I saw dentistry compared to carpentry and the metaphor really stuck. Take out the old thing, glue in a new thing, spackle, etc. Hell, dentists even occasionally use brute force to get things to line up better (<-that's an inapt description of braces).
- mickronome 10y ago
  Thats only true if you have simple issues, I've had a molar silently split into 4 pieces (likely) because of a non-perfect filling (one of the only two I have/had). Apart from the non-fix of removing the tooth, there was a tremendous amount of 'umm's and 'maybe's from a competent dentist, and the attempt at root filling and gluing the tooth together ultimately failed. So now I'm stuck with a molar less, or filing down perfectly healthy teeth to make a bridge, or an implant which might not work because the bone was affected by the previous broken tooth - and molar implants can be problematic in any case - or so I've been told. Dentistry might not be a dark art anymore, but we appear to be much better at fixing broken bones than broken teeth.
  - akiselev 10y ago
    》 Dentistry might not be a dark art anymore, but we appear to be much better at fixing broken bones than broken teeth. I don't think we are. I'd like to see a real study on this but I would think many more sugeries on bone end with complications that are life altering than dental surgeries, even despite their significantly more intrusive nature (although dental surgeries do always carry risk of nerve damage which can be debilitating). As a matter of scale, I bet there is a lot more patients for dental work than broken bones requiring surgery. Dentists also see many more patients since the work requires far less time, so I'd imagine these two factors meant they had much more data and practice to work with.

manmal 10y ago

So true. In cases where teeth don't get out as easily as intended, they are sliced, hammered and broken out of your jaw - feels so medieval.

deleted 10y ago
[deleted]
Noseshine 10y ago
Uhm... do you now how bones get repaired? Only the easiest fractures are allowed to heal themselves. Everything worse than that looks like this: https://teachengineeringprod.blob.core.windows.net/content/cub_/activities/cub_biomed/Images/cub_biomed_lesson10_activity1_image1web.jpg https://teachengineeringprod.blob.core.windows.net/content/c...
- pygy_ 10y ago
  Orthopedic surgery is indeed a lot like wood working. Surgeons use saws and drills routinely in the operating room. See also (for example): http://www.orsupply.com/medical/category/Surgical-Instruments/872/category/Surgical-Chisels/891 http://www.orsupply.com/medical/category/Surgical-Instrument...
MichaelApproved 10y ago
Knee replacement isn't much prettier. Here are some links to time stamped surgical highlights sawing bone [5:55 mark] - https://youtu.be/bGOspdD25Dw?t=355 https://youtu.be/bGOspdD25Dw?t=355 hammering [11:10 mark] - https://youtu.be/bGOspdD25Dw?t=671 https://youtu.be/bGOspdD25Dw?t=671 Swinging a hammer like a baseball bat to remove a pin [entire video] - https://www.youtube.com/watch?v=MnBvpSU1Fcc https://www.youtube.com/watch?v=MnBvpSU1Fcc Dentistry is gruesome but so is surgery, in general.
- agumonkey 10y ago
  Made a quick youtube search for latest surgery tech, all I saw was a sewing burning scissors. Cute tech but still barbaric to me. Artery is even more gruesome, plumber. I wish to see organ generation take off somehow.
  - MichaelApproved 10y ago
    If you're looking for some interesting surgery tech, check out this fairly simple concept for handling battlefield trauma situations. https://www.youtube.com/watch?v=BBauDwhGlzg https://www.youtube.com/watch?v=BBauDwhGlzg
    - agumonkey 10y ago
      End part is tough to watch. It's cute tech, and for that context very useful. In civil surgery I want the organic equivalent of this.
  - atomical 10y ago
    Upcoming tech is targeting the WNT pathway to rebuild cartilage.
- raverbashing 10y ago
  And this is why I work in IT even though I like power tools

deleted 10y ago

[deleted]

decker 10y ago

Ever look at how an ACL gets repaired?

raverbashing 10y ago
Let me guess, (dead) donors?
- beisner 10y ago
  Either that, or they can take a slice of your own patellar tendon and just graft that on where your ACL used to be.
  - adventured 10y ago
    There are other options inbound rapidly. Osiris Therapeutics for example has something called Stravix, that they're targeting at tendon repair first. It'll be on the market in November - "Stravix is a cryopreserved human placental tissue designed to address surgical needs for soft tissue repair" "Stravix was developed as a pliable allograft cover with tensile strength that is ten times greater than amniotic membranes alone and designed to offer durability, elasticity, and conformability for surgical procedures. In addition, Stravix retains the properties inherent to the native fresh tissue as a result of Osiris’ proprietary cryopreservation process, BioSmart" They have a bunch of products in the regeneration space. Cartiform for cartilage repair. Menvivo for meniscus repair. etc
  - ericd 10y ago
    Just went through the latter. Would have been so much nicer if there was a way to just regrow it. The attendant swelling in the knee causes the quad to shut down, and atrophy before you get to reactivating it, which precipitates a year-long process of physical therapy before you've got a full stable and strong leg again.

Brakenshire 10y ago

Kind of backward, but also one of the most successful fields of medicine.

andyjdavis 10y ago
Out of curiosity, how do you define success Vs other fields of medicine? It seems like something almost impossible to compare.
- Brakenshire 10y ago
  I think, most problems can be prevented with effort, and if they still happen, most of them can be fixed with some sort of intervention. Don't think you could say that about many other areas.

petra 10y ago

The ideal dental treatment would be a dental vaccine(against the mouth bacteria that destroys teeth and harms gums), letting future people not even being aware to dental issues(or maybe just use a monthly/weekly mouthwash). . there was even a startup aiming for that but it stopped due to fda and problems creating a trial. Hopefully someone like Google finishes that up.

Kinnard 10y ago
What was the name of the company?
- petra 10y ago
  Oragenics. They are not the only effort. more info at on them and others at: https://en.wikipedia.org/wiki/Caries_vaccine https://en.wikipedia.org/wiki/Caries_vaccine The science: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3708248/ http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3708248/
  - amelius 10y ago
    This one seems promising and already has a product on the market: http://www.curodont.com/en/ http://www.curodont.com/en/ Description of their technology: http://www.curodont.com/en/curolox-technology/ http://www.curodont.com/en/curolox-technology/
    - Kinnard 10y ago
      The technology looks beautiful, though I am unable to access the website. Thanks for sharing.

angersock 10y ago

Eh? Dentistry is one of the few fields of medicine that seems to know exactly how to fix whatever is ailing you and can do so at a cost that can be reasonably borne out-of-pocket without the clowncar of the insurance industry showing up. I'd say that it's a huge success!

maxerickson 10y ago
I don't remember where, but I saw dentistry compared to carpentry and the metaphor really stuck. Take out the old thing, glue in a new thing, spackle, etc. Hell, dentists even occasionally use brute force to get things to line up better (<-that's an inapt description of braces).
mickronome 10y ago
Thats only true if you have simple issues, I've had a molar silently split into 4 pieces (likely) because of a non-perfect filling (one of the only two I have/had). Apart from the non-fix of removing the tooth, there was a tremendous amount of 'umm's and 'maybe's from a competent dentist, and the attempt at root filling and gluing the tooth together ultimately failed. So now I'm stuck with a molar less, or filing down perfectly healthy teeth to make a bridge, or an implant which might not work because the bone was affected by the previous broken tooth - and molar implants can be problematic in any case - or so I've been told. Dentistry might not be a dark art anymore, but we appear to be much better at fixing broken bones than broken teeth.
- akiselev 10y ago
  》 Dentistry might not be a dark art anymore, but we appear to be much better at fixing broken bones than broken teeth. I don't think we are. I'd like to see a real study on this but I would think many more sugeries on bone end with complications that are life altering than dental surgeries, even despite their significantly more intrusive nature (although dental surgeries do always carry risk of nerve damage which can be debilitating). As a matter of scale, I bet there is a lot more patients for dental work than broken bones requiring surgery. Dentists also see many more patients since the work requires far less time, so I'd imagine these two factors meant they had much more data and practice to work with.