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Dear Dr. Golden,
I am a boarded prosthodontist. I have practiced in the military, private practice and academia in three universities as a department director or chairman for the past 40 years. I do many immediate dentures in my practice and usually let someone else do the extractions, even though I enjoy extracting teeth and was well trained in the Air Force using elevator techniques with rarely a need for forceps. Last year at some national meeting where I was lecturing, I had a bit of time to "stroll around the booths" to see what's new. I rarely am attracted to an oral surgery booth because of my minor involvement and especially knowing nothing has really changed in 200 years from an extraction/instrument standpoint! The name Misch caught my attention; I know and respect Carl as a prosthodontist and implant surgeon. I watched the DVD at that time, spoke with your very attractive oral surgeon and ordered everything. I truly thought I was witnessing a revolutionary concept based on sound and simple physics and could not wait to introduce these instruments to my partner, a general dentist, who does most of the extractions in our office with very little elevator experience; he basically removes teeth with forceps. He was not interested, so I returned the instruments to you without ever being used.
I am so happy that you did not give up on my (his) rejection with your latest offer. When the lower forcep arrived with the new DVD, I asked my assistant to schedule a tough mandibular molar for me to extract. Last week a 73 year old patient presented with #18 to be removed. This tooth had been successfully treated endodontically in the past 30 years and had a full gold crown placed, but because of recurrent caries he did not want to restore again. His periodontium was solid and this extraction would take time and expertise. My former strategy would be to cut and remove the crown, bifurcate the two roots with a surgical bur and elevate the roots. As we know, old endo usually means pieces, but not a problem, just give me time and I'll get it out.
I followed the directions from the DVD and the entire tooth, intact, crown and all, was removed in less than 90 seconds with NO NOISE! My patient couldn't believe it, nor I. My partner gave me another difficult extraction an hour later that he had scheduled for himself, but wanted to watch. The entire office crammed into the room to see this prosthodontist in action and the same result was acheived.
Thank you Dr. Golden for your genius. All of dentistry needs to stop the ancient techniques we inherited from our education and change over to your understanding of physics and extraction technique. It will save us time and be so much more comfortable to our patients during and after the procedure.
Thomas C. Abrahamsen, DDS, MS, FACP
Butler, OH
7/20/2009
I volunteer at a free dental clinic in the city of Detroit. I have been around dentistry for 45 years. I thought I had seen it all. When I heard of the GoldenMisch extraction instruments, I was skeptical. Very skeptical.
With your extraction instruments we can extract teeth that we used to have to send to Oral Surgeons. Our lady dentist is doing 50% more extractions than she used to because with your instruments it requires less strength. Dense bone and broken down fragile teeth are no problem anymore.
My last two sessions at the clinic consisted of only oral surgery. Every tooth I extracted I used the GoldenMisch instruments. I was amazed. I am still amazed.
We used to refer our oral surgery to outside oral surgeons. Now I think we can cut that back by 90%. That saving can now be used for dentures and partials for the poor.
I thank you and the poor people we serve at our clinic thank you.
-Daniel Scanlan DDS (West Bloomfield Twp., MI)
I just extracted tooth #3 (U/R) first molar, fractured, perio-endo lesion, had zero mobility. Total time to deliver tooth from alveolus: less than 60 seconds. Unsectioned.
Now, in this case the buccal roots had fused to the alveolar bone, so I laid a small flap to gently release both the bone fragment and the soft tissue. That took a few more minutes.
Lastly we grafted the site with the MinerOss (mineralized bone allograft) and placed a Cytoplast Membrane and threw in a few sutures. A couple more minutes, no big deal.
- Wes Blakeslee DMD FAGD (Manasquan, NJ)
In over 40 years of general dentistry these forceps are one of the finest things I've ever purchased for my office. They work. Superbly. I cannot explain well enough as to how easy they make extractions that for years were difficult.
Now extractions are a normal procedure. I still rave silently to myself whenever I complete extractions. No mater how tough or easy they appear beforehand. It is a rare case that I refer out anymore. Another blessing is that there are no more delays in keeping up with our daily schedule. Only thing is that I wish I had thought of this wonderful design for forceps. My hat is off and I bow with sincerity to Dr. Golden,
- Howard Berg, DDS (Boston, MA)
My patient was a 72 year old white female with a fractured mesial root on tooth 19. There were divided roots and very little lingual purchase however I was able to easily extract the tooth using slightly longer and lighter pressure.
- Dr. Walter Dimmitt (Port Huron, Michigan)
Got the Physics Forceps yesterday. I watched the video at home last night. I just took out 25 teeth in 18 minutes with no loss or fracture of bone anywhere. One of the upper canines had two roots, and it came out in under 1 minute. All of these teeth had gross decay around the gum line. At least half of them would have required surgical extractions "the old way". The other doctors in our office watched, along with our staff. We are all believers. Forget that 90 day guarantee; you'll have to pry these wonders of physics from my cold dead fingers. Thanks for a great product.
-Dr. Judd Boehme (Rolla, Missouri)
This is nothing knew from what you hear, but by my 5th patient I heard it for myself. Situation: Previous dental assistant (so knows how extractions are done and what can go wrong). Dental phobic (Annoyingly so. You can't ever get started until you spend 15 minutes listening to the whole story about her terrible pedodontist. I've heard it 3 times, now. As a student I saw the pedodontist at work. She actually is pretty brutal). I started #29, and from the start told her I might not be able to save the tooth ("Promise me you're not going to hurt me." "Yeah, yeah, yeah."). Luckily the tooth couldn't be restored (luckily because the PFs are actually kind of fun, and I wanted more experience with them). Tooth was decayed too far down the distal of the root, so the necessary root canal was out. Seated the PF, applied pressure according to the DVD, started mentally counting to 60. And there it was: that "release". Picked the tooth out, said, "See you later, I have to go do an exam." "The tooth is out!" You're not serious; let me see the tooth; It 's really out?" Later my assistant told me the patient said, "That was so easy. I don't know why I was scared." Some people carry their phobias through life like a badge of honor, so I have no expectations about that. But it felt so good to a traumatically remove a tooth in less than a minute, and then have a phobic patient actually excited about what just occurred.
- Tom Williams, DMD (Portland, Oregon)
Unbelievably, everything you say about the Physics Forceps is true. They really work. It’s not like “pulling teeth” anymore. For a change, there is no “buyer’s remorse.”
- Jerry Rosenbaum DDS, MS, (Ft. Lauderdale, Florida)
My patient was a 58 year old white male with a clinical crown on tooth # 4.5 decayed to the gingiva. There was no bone loss. No mesial bicuspid existed and it was extracted 20 years prior.
This was the first tooth I used the physics forceps to extract. Previous to using the physics forceps I would have either surgically removed the tooth with a flap and vestibular bone removal or sectioned the tooth and struggled with the roots for some time. With the physics forcep after periosteal elevation and proper seating of the instrument I had the tooth out in 45 seconds. I was amazed and so was my patient.
I had informed the patient that I was going to use a new technique. He was fine with the situation as long as I didn't hurt him. I did tell him that according to the manufacturer that it should take about a minute to remove the tooth. He laughed at me and said, "In your dreams."
For the first time I used the physics forceps it far exceeded every expectation I had. I have in my 12 years extracted many teeth but this by far was the simplest of extractions that I have performed. I never would have thought a grossly decayed, lower first molar could have been extracted in less than a minute without sectioning or surgery.
The best dental instruments I have seen!! They live up to every expectation I had. In fact, I believe the manufacturer understates their usefulness!!
- Dr. Michael Creighan (Nova Scotia, Canada)
Steve,
First of all please let me thank you and the staff at Golden/Misch for expediting my shipment. I know that you made an extra effort to allow that to happen. Also, please thank Dr. Golden for the time he took with me on the phone the day before the procedure, his insights were immeasurably helpful. I was able to watch the entire DVD twice the day before the procedure and it was very helpful as well.
I received the set of forceps only 1 hour prior to the scheduled procedure. I was able to practice on the typodont a couple of times and then placed the forceps in the sterilizer. The patient was to be sedated and was scheduled at 10:00. By the time we got all of the consents signed and her prepped it was about 10:45.From the time that I first picked up the forceps to the time I extracted the last tooth the case took about 2 1/2 hours. During that time I extracted 26 teeth ( 13 upper and 13 lower ) and placed 4 implants in the lower anterior region. It was UNBELIEVABLE!!! The procedure went just like I saw in the DVD... set the beak, set the bumper, slight wrist pressure, don't squeeze... and 30-60 seconds later POP, the tooth releases from the socket. This instrument is going to change the way I practice dentistry!!! I have enclosed the x-ray for you and Dr. Golden. As you can see many of the teeth were broken to or below bone level with long roots; all of which make for difficult extractions. I only broke 1 root tip, and that was the distal root of the lower left second molar. I was having difficulty with accessing that area with the "Physics" as she had a very small mouth and a very shallow vestibule...so I tried to do that one with a conventional elevator and "Cow-horn " forceps, guess I got what I deserved on that one. I will no longer be sending out the "difficult" extractions and I won't schedule 2 hrs anymore for a single extraction and implant placement.
Thanks again for your help in getting me started with these wonderful instruments... I have a presentation scheduled with my study club with the typodont... I can't wait to share this "find" with my colleagues!!
- Gregory F Ceraso DMD
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