CONTACTS 
0201 - Steven K. Olsen, DDS.
020101 - Dr. Steven K. Olsen

SUBJECTS
Cleaning
Cavaties, Fillings
Gum Problem, Pockets
X-Rays
Bone Recession

0807 -
0807 -    ..
0808 - Summary/Objective
0809 -
080901 - Follow up ref SDS 27 3948, ref SDS 26 1691.
080902 -
080903 - Steve did the cleaning and Russ assisted.  Took xrays which showed
080904 - possible recession.  Scheduled meeting with specialist.
080905 -
080906 -
080907 -
080908 -
080909 -
080911 -  ..
0810 -
0811 -
0812 - Progress
0813 -
081301 - Heart Failure Related to Dental Problems
081302 -
081303 - I asked about recent reports on the Internet that dental problems can
081304 - lead to heart failure.
081305 -
081306 - Steve indicated this connection has been recognized in medical circles
081307 - for some time.  He explained something about infection from gum
081308 - disease reduces the effectivness of the imune system that protects the
081309 - heart valves.
081310 -
081311 -            [On 091002 0900 meeting cardiologist reviews findings from
081312 -            stress test and recommends heart examination with angiogram
081313 -            test. ref SDS 34 V86G
081314 -
081315 -
081317 -  ..
081318 - New Cleaning Tool is Painful, Little Faster
081319 -
081320 - Steve started using the system he called an "ultra sound" tool.
081322 -  ..
081323 - Asked Steve to use the conventional cleaning tool because the ultra
081324 - sound tool caused severe pain, per last visit on 970617 1000.
081325 - ref SDS 25 2796
081327 -  ..
081328 - Steve seemed a bit exasperated by this report.
081330 -  ..
081331 - He said he could not use the conventional cleaning tool and seemed to
081332 - indicate that it would cause harm to the teeth.
081334 -  ..
081335 - I therefore agreed to let him use the ultra sound and put up with the
081336 - pain it caused.  He was able to get the work done fairly quickly.
081338 -  ..
081339 - Seemed like it went faster than normal, so that was a help.
081340 -
081341 -            [On 050518 1100 ultrsonic cleaning again very painful,
081342 -            ref SDS 33 FB6L; for deep cleaning tried novocaine
081343 -            injection for numbing agent, which prevented pain using
081344 -            ultrasonic scaler; however, water spray caused problems for
081345 -            achalasia, so switched to manual dental pick. ref SDS 33
081346 -            GD69
081347 -
081348 -
081350 -  ..
081351 - Cleaning Shows Build-up on Lower Front Teeth
081352 -
081353 - When Steve completed the initial cleaning, Russ finished up with the
081354 - polishing operation.  He noted that I had more build-up in the lower
081355 - front teeth and indicated that flossing would avoid this condition.
081356 - He suggested that a Braun teeth cleaning unit would also help, but
081357 - noted that flossing is the best solution.
081358 -
081360 -  ..
081361 - Steve located a filling that has failed.  It seems to be tooth #31,
081362 - which I asked about at the examination on 970617. ref SDS 25 4503.
081363 -
081364 - We scheduled a meeting for 980311 1100 to install the crown.
081365 -
081366 -     [On 980324 initial work to develop mold for crown was performed.
081367 -     ref SDS 28 3654
081369 -      ..
081370 -     [On 980414 installed crown work completed. ref SDS 30 8H8O
081372 -      ..
081373 -     [On 000501 crown on right side came loose. ref SDS 31 NU7G
081375 -      ..
081376 -     [On 000502 Russ repaired the failed crown on the right side
081377 -     molar that failed on 000501. ref SDS 32 0001
081378 -
081379 -
081381 -  ..
081382 - Xrays show recission on two teeth, Schedule Review by Kashani
081383 -
081384 - Russ took xrays of the back teeth.
081385 -
081386 - He pointed out some possible change in the recession of bone between
081387 - two teeth.  Russ indicated there may not be any actual increase, since
081388 - the xrays could have been taken at different angles.  He noted that
081389 - Dr. Kashani wants to examine my teeth in the March time frame, which
081390 - is a year following the examination on 970324. ref SDS 24 2864
081392 -  ..
081393 - Russ feels Dr. Kashani can determine whether bone recession has
081394 - actually increased and whether corrective work is needed.
081395 -
081396 -     [On 980330 Dr. Kashani advised that the tooth with bone recession
081397 -     is #3, and that recession has not progressed from a year ago. see
081398 -     ref SDS 29 1151]
081400 -  ..
081401 - We considered whether Dr. Kahsani is needed to examine this one tooth,
081402 - which will take less than a minute, or whether a regular Olsen staff
081403 - person can do it.  Russ feels special expertise is needed to make this
081404 - reading.
081406 -  ..
081407 - I suggested scheduling the meeting with Dr. Kashani for the same day
081408 - that Steve installs the new crown.  Russ advised that Steve is not in
081409 - the office on the days that Dr. Kashani does his work, therefore it is
081410 - necessary for me to visit Steve's office to get this follow up work
081411 - accomplished.
081413 -  ..
081414 - We considered whether another dentist can do the crown work so these
081415 - tasks can be consolidated in a single meeting.
081417 -  ..
081418 - Steve advised that he wants to do the crown work.  I agreed to this.
081419 -
081420 -
081421 -
081422 -
081423 -
081424 -
081425 -
081426 -
0815 -