Dr David Huson
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Biomimetic Restorative Dentistry | #staybonded
Minimally Invasive | #biobase #alldayeveryday
General Dentistry | #endodontics #dsd #photography

David Huson
🏋🏻‍♂️ H e a v y • M e t a l 🎧 ... 🏋🏻‍♂️ H e a v y • M e t a l 🎧 ... An absolute pleasure to treat; the following patient was so open-minded to a contemporary approach through the ethos of biomimetic restorative dentistry and conserving tooth structure. That mesial-buccal cusp thanked me personally for its opportunity to remain in existence. No pulp tissue was sacrificed in the process of the carrying out of this treatment. Not just saving teeth, but how much sound tooth structure can we reasonably preserve? ... Disclaimer: ----------------- • Tooth demonstrated no mobility • Pulp tested vital • Contrary to the 2-D radiographic appearance; retention pins dodged the pulpal tissue 🎯 ----------------- 🗿⚱The relics of 3 retention pins were removed with the use of the Start-X No. 4 @dentsplysirona.za @dentsplysirona.us @dentsplysirona @dentsplysirona.uk 🍑🍎 The loss of emergence profile due to iatrogenic restorative treatment attributable to the amalgam was managed with the use if the @garrison_dental @garrison_dental_italy @garrisondentalde @dr_mattnejad DME Reel Matrix Band with tensioning handle. Amongst other things... 🌬 APA with @velopexuk @aquacare_ 🕓🕟🕔 IDS with OptiBond FL @kavodentaleu @kavokerrcl @kavokerrbr @kerr.colec @kavokerr @kavokerranz 👨🏻‍🎨 RC with everX Flow @gcamericainc @gc.europe.nv @gc_chile_100 @gcturkiye @terrygreyling @gc_benelux @gc_latinamerica and Palfique Super Low Flow @tokuyamaturkiye @tokuyamadental @dentaltokuyama @tokuyamadentalgermany '"In your anger do not sin". Do not let the sun go down while you are still angry...' Ephesians 4:26 Gratitude to @mangwanaamahle for the excellent chair-side support Thanks to @fkdentallab for great ceramic work @ivoclarvivadent_int @ivoclarvivadent_na All glory to the Lord 🙏🏼🙌🏼 #biomimeticdentistry #biomimética #biomimeticstudyclub #bioemulationjapan #bioemulation #biobase #biomimeticrestorativedentistry #odontología #odontologia #odonto #odontolove #odontolovers #tooth #teeth #overlay #onlay #emax #ceramic #porcelainveneers #dentistry #dentalphotography #fotografiaodontológica #rubberdamology #rubberdamfam #isolamentoabsoluto #aislamientoabsoluto #nocrowns #natural #dentistsofinstagram #dentistrylife
🌃 E C L I P S E 🌌 Some posterior composite 🌃 E C L I P S E 🌌 Some posterior composite work I'm trying to improve upon. Still much to be desired for; inspired by @malchenko__v @tetsujiaoshima @mkudelis Happy Mother's Day to all the amazing women out there! And, most especially to my own Mom @col.huson and my wife, Nombulelo. God bless! Of course, a BRD slow cooking procedure with all sorts of detail. Some of the ingredients: OptiBond FL @kavodentaleu everX Flow GC Essentia Universal @gc.europe.nv @gc_germany_ @gcamericainc #nofilter #biomimeticdentistry #biomimetic #bioemulationjapan #rubberdamology #rubberdam #compositebonding #adhesivedentistry #dentalphotography #dentistry #dentistica #dentistryworld #dentalcare #dentalart #dentistrylove #capetowndentist #ａｅｓｔｈｅｔｉｃ #fotografía #odontologiaporamor #odontogram #odontology #odontologystudent #odontologos #zahnarzt #doktorgigi #tandläkare #tandarts #tandartspraktijk #natural #slowdentistry
🌚 T H E • L I G H T 🌝 Setting the mood fo 🌚 T H E • L I G H T 🌝 Setting the mood for the weekend 🖤💡 Found solace in @zahnarzt_wymann post from earlier this week; about that traditional dentistry feel. We have the opportunity today to harness the full potential of adhesion; even on seemingly adverse terrain. Be kind to dentin and it will be kind to you. Replacing a crown that popped off. Tooth vital and asymptomatic. CRE on the distal rendered somewhat of a DME quandary. Isolation challenges packaged with Teflon and a dollop of OpalDam @ultradentafrica New biomimetic core; loaded. (Dietary fiber content suitable. @gc.europe.nv @gcamericainc @ribbond_dental Thank you @mangwanaamahle for the strong dental assisting game 🙏🏼 Off to @fkdentallab for a 21st century bonded lithium disilicate crown @ivoclarvivadent_int @ivodentsa “This is the message we have heard from Him and declare to you; God is light; in Him there is no darkness at all.” 1 John 1:5 (New Living Translation) #nofilter #emaxcrown #loading #biomimeticdentistry #biomimicry #biomimeticstudyclub #bioemulation #dentiste #dentistrymyworld #dentalhygienist #dentalphotography #dentistnearme #dentistsofinstagram #crown #dentalcrowns #prosthodontics #getbondedstaybonded #capetowndentist #dentalstudents #dentalstudentthread #dentalstudentlife #odontolove #odontology #stomatology #stomatolog #stomatologia #stomatologija #dentalhealth #instadentist #dentistaporamor
🔄 T r i p l e - B r a i d e d • C o r d 🔄 🔄 T r i p l e - B r a i d e d • C o r d 🔄 "A person standing alone can be attacked and defeated, but two can stand back-to-back and conquer. Three are even better, for a triple-braided cord is not easily broken." Ecclesiastes 4:12 Another magical patient - absolute pleasure to treat - presented with pain on the lower right-hand side. Diagnosis: • Previous treatment • Symptomatic apical periodontitis (SAP) This was one of the only times I placed the plastic cannula of the TotalFill BC sealer directly into the canals (first, distal and ML canals); squirted & removed. I obturated these 2 first and as I thought I had separated an instrument in the MB canal. My concern was that it might end up in the other two. Following sealer extrusion into the canal; I dipped my large wave.one Gold GP cones into the unscrewed cannula so as not to waste every precious drop 🙈 @fkgdentaire @fkgiberia Copious irrigation with 3% NaClO & 17% EDTA. Removed the old GP with Hy-Flex GP Remover @coltene.latinoamerica @coltene.ecuador @coltene_us @colteneuk The first two plastic carriers I removed with a probe & a "flicking action" 🤷🏻‍♂️ And, after consulting with my good friend @dr_paoli regarding what a thought was a separated instrument & a stubborn carrier in the MB canal; I attempted my first "triple-braided technique" with 3 Hedstoëm files inserted around the carrier. WVC in the large distal with GuttaSmart; cold hydraulic in the MB & ML. Forgive me for the overfill & BC extrusion. Mercy! BRD build-up with @ribbond_dental OptiBond FL @kavokerreu @kavokerr #endodontics #endodontic #retreatment #carrier #guttapercha #dentistrystudent #dentistsofinstagram #photography #instadental #dentalphotography #instagood #dentistrymyworld #odontolove #odontologiaespecializada #ラバーダム #ラバーダム防湿 #精密根管治療 #マイクロスコープ #マイクロスコープ精密治療 #マイクロエンド #zahnmedizin #zahnarztpraxis #zahnheilkunde #rubberdamology #bioceramic #obturation #dentalart #dentsplysirona #dental_mentor #isola Thank you to my buddy @tsuruta_takeshi too 😉 And, of course - the amazing @mangwanaamahle for the excellent chair-side support! 🙏🏼 Let me give another word of appreciation to @dr_paoli for guiding me through another re-endo.
🕺🏻 S a v e ~ T h e ~ L a s t ~ D a n c e 🕺 What a remarkable sense of wit this patient has! He was not prepared to undergo full maxillary clearance & would rather have me save what I could from the ravages of the lockdown. (He hardly ventured out during; & manual dexterity, in terms of home-care, was limited.) We can't save them all...but, I'll sure as heck try and do what I can! 🤨🧐 The only posterior teeth are the 17 & 27. In this instance, far too distal for this 80-something-year-old to handle the dam's ideal retention. With flailing gestures of pseudo-claustrophobia; & spluttering indicating a fear of asphyxiation; I offered that we keep the dam to the anterior teeth. Retention would be a concern though...🤔🤔🤔 Or, maybe not? • Modify the Brinker 5 (or, Brinker 6) 🗜 • Orthodontic pliers to bend the palatal beak of the B5 in an apical direction and the facial beak slightly coronally 🔧 • As you can you see, I cut off the second bow-arm as it was interfering with the 11. (See annotation for description of Why?) 🗡 • Created a bevel on the beaks so that these would engage the tooth. The soft tissue was incredibly thick & I should have advised that the RD holes be punched to accommodate the diastema. However, I was not going to expend another prized #nictonerubberdam #mexico 📐 • Restored cavity on 11 at an interim appointment; following surgical removal of the hopeless teeth (man, I hate that expression as I am eternally hopeful) 🤕 • Packed Teflon tape Please forgive me for my flap & suturing all my #periodontist colleagues 🙋🏻‍♂️🤦🏻‍♂️ #surgery #oralsurgery #exodontia #dentalextraction #immediatedentures #prosthodontics #prostheticdentistry #dentures #falseteeth #dental #dentistry #identistry #odontolovers #odontologo #odontogram #biomimetic #biomimeticdentistry #rubberdamology #rubberdamfam #sutures #softtissue #partialdenture Thank you @mangwanaamahle for your superb help! Grateful to @westerncapedentallaboratory and Ernst for the stellar support! @dentistrupert Didn't take a picture of the final immediate with artsy clamp arm on the 12 🤣 I'm remaking the denture for him in 6 months time dependent on bony remodeling. Glory to God
🤝🏼 H o l d 🤳 O n 🤝🏼 As the beaks o 🤝🏼 H o l d 🤳 O n 🤝🏼 As the beaks of my 8A retainer held on for dear life engaging the buccal and lingual aspects of the awkwardly configured remaining tooth structure - true faith; once again, was needed. Waves of relief washed over me 🌊💆🏻‍♂️ ...everything was behaving! I managed to just about miss impaling the thick biotype gingival tissue; especially on the buccal in the area of this 37 / LL7. My relief was also as a result of the retainer resisting the tension; using a @nictonerubberdam (Heavy Gauge) can exert...and, can sometimes lead to launching the clamp out of the mouth into a nearby wall 🏹🚀 Teflon packed for days 🙄🙄🙄 Cracks and caries had structurally compromised both the lingual cusps of this fella; plus, a huge defect from a buccal amalgam where I have no pre-operative photograph; but some resin patchwork to boot! I really wanted to try and save as much tooth structure as was possible; so, this was a combined effort: Direct Resto. (Class V): • everX Flow + Ribbond @ribbond_dental + everX Posterior + GC Essentia Light Enamel @gc.europe.nv Biobase: • IDS with gold standard OptiBond FL @kavokerreu • Same fiber-reinforced combo. as above; except RC with Opaquer HF flowable @tokuyamadentalgermany (ran out of Universal Flow @gcamericainc ) That mesial-lingual line angle on the prep. got me down. Have mercy! #biomimetic #biomimeticdentistry #biomimeticstudyclub #bioemulation #dentistry #dentista #dentistryworld #dentistrylove #dentalstudent #dentalassistant #dentalnurse #dentallaboratory #fotografiaodontologica #odontologia #odonto #odontologiaestética #whitefillings #metalfreedentistry #tandläkare #tandartsassistente #tandarts #tandheelkunde #zahn #zahnarzt #dentalphotography #dentistsofinstagram #minimallyinvasive #dentisterie #ａｅｓｔｈｅｔｉｃ #dentalphotographgroup
🧢 K I D S ⚽️ It was this brave 7-year-old' 🧢 K I D S ⚽️ It was this brave 7-year-old's first time under the rubber dam. Handled it like a champ. Thank you @netflixsa 🙌🏼 Also, did you know? '"Long before time had a name", the First Spinjitzu Master created the realm of Ninjago using the four Golden Weapons of Spinjitzu: the Scythe of Quakes, the Shurikens of Ice, the Nunchucks of Lightning and the Sword of Fire.' 🤷🏻‍♂️ Full BRD protocol down to the DWT; thankfully. Thank you @mangwanaamahle for being so amazing and calming this little fella. God's grace and continued prayer while working; of course 🙏🏼🙌🏼⬆️ #ninjago #kids #kidsofinstagram #paediatrics #paediatric #paediatricdentistry #childrensteeth #dentistry #dentallife #dentalphotography #biomimetic #biomimeticdentistry #bioemulation #aislamientoabsoluto #odontología #odontoporamor #odonto #odontologiaestetica #isolation #rubberdamology #rubberdamfam #stomatologia #stomatology #dentalnurse #子供の歯 #小児歯科 #детскаястоматология #dentistsofinstagram #dentiste #capetowndentist @gc.europe.nv @terrygreyling @perfectionplus5621 @ribbond_dental @kavokerreu (OptiBond FL) @coltene_us @coltene.latinoamerica @badentistry @dentistsofsa
➕️ R E S U R R E C T I O N • S U N D A Y ➕ ➕️ R E S U R R E C T I O N • S U N D A Y ➕️ The following patient presented at my rooms 1 hour before closing on a Friday afternoon recently. Needless to say, @mangwanaamahle - my trusty dental nurse - was very pleased, of course 😅😉 The crown of UL1 / 21 was very mobile and in my opinion; UL2 / 22, as well. However, I was begged to do something "only about this one" 🤔🤷🏻‍♂️ Upon removal of the fractured piece - "bonded" core and ceramic crown - I advised the patient that; sadly, I believe this tooth had had it and I would need to refer her to a periodontist for surgical considerations...would she be open to a little "flipper" denture for the next few days?? 🤦🏻‍♂️ My neck was almost wrung! So, I said to her..."Listen, I don't know how long this is going to last...but, I know some science that might help buy you some time - are you open to trusting the science? Do you believe in the power of adhesion? And, can I interest you in some fiber-reinforced composite resin?" @pierrepaoli_guttageek The planned final restoration will be arriving this coming week @fkdentallab; thought I would be doing a #bopt preparation @dr.jmoreno 🤷🏻‍♂️🙏🏼 ... 'They asked her, “Woman, why are you crying?” “They have taken my Lord away,” she said, “and I don’t know where they have put Him.” At this, she turned around and saw Jesus standing there, but she did not realize that it was Jesus. He asked her, “Woman, why are you crying? Who is it you are looking for?” Thinking He was the gardener, she said, “Sir, if you have carried him away, tell me where you have put Him, and I will get Him.” Jesus said to her, “Mary.” She turned toward him and cried out in Aramaic, “Rabboni!”(which means “Teacher”).' John 20:13-16 Christ is risen; He is risen indeed! #biomimetic #biomimeticdentistry #bioemulation #reconstructivedentistry #restorativedentistry #adhesivedentistry #fiber #resin #crown #dentalphotography #macrophotography #odontología #odonto #carillasdentales #dentistry #dentalschool #dentistrylife #dentiste #dentista #dentistrystudent #dentistryworld #dentistrylove #dentist #dentalassistant #dentalnurse #dentistlife #dentallab #christisrisen
🤷🏻‍♂️ N O T • T H I S • T O O T H 🤷🏻‍♂️ N O T • T H I S • T O O T H ~ N O T • T O D A Y 🤷🏻‍♂️ (Part 1 in a Series of Second Chances.) As we think about the significance of this Passover week and the meal we remember that was shared this evening all those years ago - the bread that was symbolically broken representing He Who is the Bread of Life and the wine poured representing His blood that would be shed - prayers in the Garden of Gethsemane...we go into a truly Good Friday knowing that Sunday is on the way! 🙏🏼☝🏼🙌🏼 ... 'Then He said, “Assuredly, I say to you, no prophet is accepted in his own country.' (New King James Version) Luke 4:24 Many thanks to @mangwanaamahle for awesome chair-side partnership and @fkdentallab for making me look better than I am. Blessings! #biomimetic #biomimeticdentistry #biomimicry #bioemulation #natural #crowns #dentistry #dentallife #dentiste #odontología #odonto #odontoporamor #odontologiaestetica #carillas #dentalphotography #dentalart #dentalschool #dentistrystudent #dentistsofinstagram #stomatologia #stomatology #endodoncia #endo #capetowndentist #歯科 #歯科医院 #クラウン #根管治療 #歯内療法 #christfollower
💦 S T U C K • O N • Y O U 💦 .. This jovi 💦 S T U C K • O N • Y O U 💦 .. This jovial patient presented as an emergency seeking near-immediate tooth replacement; with limited finances and the motivation to pursue implant therapy in the coming year as matters improve. Amazing personality! .. Full BRD workflow (some highlights): .. • Full-mouth supra- and sub-gingival OH; then, removal of hypermobile UR2 / 12 • CHX mouth rinse + same formulation toothpaste advocated @sunstarglobal • Patient returned +/- 12 hours later • Extracted tooth had been disinfected overnight • Assessed apical extent of coronal + radicular tooth structure intra-orally while proceeding with modification of root morphology • 3.5% NaClO irrigation; 17% EDTA; activation with @vdwdental Eddy; GP inserted with TotalFill Hi-Flow BC sealer @fkgdentaire @fkgiberia • APA (29 micron alumina oxide) over dentin + endo. • Riva GI @sdiaustralia • H3PO4 etch; CHX; etc. • OptiBond FL @kavokerr @kavokerreu Primer (2 applications unto dentin; solvent evacuated with high volume suction - not air-thinned); then, adhesive applied - excess wicked off - once again not air-thinned • Gænial Flow Universal (Shade A2) to create ovate pontic form to train soft tissue with the view of potential implant treatment • DWT timer started while I proceed to place RD + prepare enamel surfaces for ♨️ composite #kuraray @kuraraynoritakedental • APA on both approximal surfaces for bonding @velopexuk @aquacare_ • Similar bonding protocol; except combination of heated AP-X + Gænial Flow used interproximally - excess cleaned off with sterile microbrush • Ribbond splinting bonded into a base of everX Flow + covered with Gænial Flow before final photoinitiation through glycerin • Final trimming + polishing .. Informed the patient that we will need to monitor the OH and the response in the periodontium before surgical considerations. .. #biomimetic #biomimeticdentistry #natural #aesthetic #ａｅｓｔｈｅｔｉｃ #odontología #carillas #carillasdentales #fotografia #rubberdamology #smile #dentalphotography #dentalschool #dentalstudent #dentallife #dentistsappointment #stomatology #stomatologia #дантист #зубнойтехник #стоматология #зубнойналет #зубнаяпаста #coroa #prótesedentária
🌄 T H E • D A Y 🌅 My first IGTV post (uni 🌄 T H E • D A Y 🌅 My first IGTV post (unintended, as such 🤷🏻‍♂️) 👉🏼 Go and get your Wayfarer-wearing groove on while you check it out Volume 🔊 ➡️➡️➡️ What do you use to bond your lithium disilicate? A resin-cement or heated composite? #biomimeticdentistry #biomimetic #biomimeticstudyclub #onlay #overlay #overlays #inlays #composite #bonding #dentalphotography #macrophotography #dentalschool #nature #natural #odontología #odonto #dentistry #dentistrylife #dentista #dentistas #dentiste #tand #tandarts #tandartsassistente #tandheelkunde #instadentist #dentistsofinstagram #capetown #capetownsouthafrica #capetowndentist
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⛏️ L A Y • A • F O U N D A T I O N⛏️ ⛏️ L A Y • A • F O U N D A T I O N⛏️ A very, very tough case - thus far, for me - to access and treat for all the reasons you can imagine (some are indicated in the annotations). This quadrant workflow forms part of a full mouth rehabilitation and revision of some previous cosmetic dentistry performed elsewhere. If and when I get to share the anterior work; Q: were biology, function and form considered in the greater scheme of things? A solid foundation of biobases, treating disease, promoting oral health and eliminating factors that would tend toward catastrophic failures; such as the presence of metal posts, are what this phase of treatment is apparently requiring of me. Thank you to the surgical expertise of Dr Corlene Schnetler from Cape Periodontal Specialists for placing the implants in the LR6 and LL6 sites. Also, very grateful to my vriendin, Dr Sheree Tredoux, of Advanced Endodontics Pretoria for walking me through that first historic metal post removal on the LL7 from last year; transnational 😎 ...and, comforting me on that overfill 🤦🏻‍♂️🤦🏻‍♂️🤦🏻‍♂️ Thanks Prof. Peet on affirming the use of Start X No. 4 @dentsplysirona.za What do you think about working from the "ground-up" before proceeding with smile makeovers? It can feel less glamourous and that the journey is protracted 🙄 How do you motivate your patients to "buy into" and participate with this phase of treatment? 🤔 #endodontia #endodontics #retreatment #post #metalfreedentistry #internal #adhesive #ferrule #dentalmorphology #macrophotography #fullmouthrehabilitation #reconstructive #crowns #tooth #teeth #dental #dentistry #dentistryworld #natural #biomimeticdentistry #biomimetic #canonphotography #aislamientoabsoluto #odontologia #odonto #instadentist #dentistry #dentalschool #dentalhealth #dentistrylife #dentistsofinstagram @badentistry @dentistry.world @uwc_dentistrylife @dentiphoto @dentogramd @dentoart.worldwide @dentology.world @dentoffice @dentologie @drcorleneschnetler @straumanngroupza @shereetredoux @advanced_endodontics_pretoria @studio4endo_prof_p_vd_vyver
🗜 R E T R A C T I O N 🗜 This sneaky cavity 🗜 R E T R A C T I O N 🗜 This sneaky cavity made its insidious way along the buccal, cervical, partially sub-to-equigingival marginal area in association with a antiquated porcelain-fused-to-metal crown. Needless to say, made my life nice and interesting to retract the soft tissue at both the preparation and fitting appointments. Inspired by @alexmaydmd I've tended toward referring to them as 'retainers'. It also sounds less like an innuendo of sorts that alarms the patient as to whether their fears of having ventured into a BDSM lair may not have been unfounded 🤔🤨😇 @drcelinehigton Which are your favourite "clamps" to use? 🤓 #rubberdamology #rubberdamfam #isolation #dry #protection #dentistry #reallife #everydaydentistry #crownremovals #carillasdentales #biomimeticdentistry #tand #tandheelkunde #tandarts #tandartspraktijk #zahn #zahnartz #dentiste #odontología #odonto #aislamientoabsoluto #crowns #zirconia #emax #fullcoverage #capetown #capetowndentist #southafrica #southernsuburbs #wynberg @identistry @badentistry @dentistry.world @dental_mentor @dentiphoto @dental.photography @dentistry_arts @biomimeticdentistrychile @dentistrymyworld @dentistrysc @dentistryscience @dentist.world1
🍃 K E E P • I T • S I M P L E 🍃 Easy do 🍃 K E E P • I T • S I M P L E 🍃 Easy does it. But, do it. Playing around with GC Essentia composite shades @gc.europe.nv @terrygreyling manipulated with LM Arte @styleitaliano_official @smileline_switzerland as well as Optrascult @ivodentsa @ivoclarvivadent_int All adhesive protocols strictly BRD 🙄😏 E'rything from the OptiBond FL to curing through the glycerin application in efforts to address oxygen inhibition layer. (Always a double-primer; dentine spa treatment @pascal_magne ) 💆🏻‍♂️ Some of my direct resin heroes tagged here @malchenko__v 😉 @tetsujiaoshima @wonjoong_kim_dds @mkudelis @lee_seoung_kyu Of course, please check out my homeboy @pierrepaoli_guttageek latest post - came in hot today! "God comforts us in all our troubles, so that we can comfort those in any trouble with the comfort we ourselves receive from God." 2 Corinthians 1:4 #biomimetic #biomimeticdentistry #bioemulation #bioemulationjapan #dentistry #dentista #compositebonding #restorativedentistry #resinart #resin #dentalphotography #macrophotography #odontología #odonto #teeth #tooth #zahn #zahnartz #tand #tandarts #tandheelkunde #aislamientoabsoluto #rubberdamology #liveandletlive #biomimeticstudyclub #adhesivedentistry #whitefillings #metalfree #dentalart @dentistry_arts @identistry @dental_mentor @dentistry.world @badentistry @dental_d_me @dentistrymyworld @dentiphoto @dentistry_forum @dentistrymentor @dentistryzone #inchrist
🐌 E N D O . R E S T O. 🌺 .. I have been stru 🐌 E N D O . R E S T O. 🌺 .. I have been struggling to find inspiration to post within my own daily dentistry. Oftentimes, thinking it has to be "different" or "creative". With so much amazing dentistry constantly blowing my mind on the 'Gram; one can experience a sense of inadequacy etching itself inwardly. However, a weekend of personal introspection and reflection unrelated to dentistry but rather spiritual growth has framed me in a more willing space to be consistent rather than "all-or-nothing". (If that makes any sense 🤦🏻‍♂️🤷🏻‍♂️) I am a huge fan of endodontic-restorative workflows; obviously, rehabilitating with biomimetic protocols. The following patient presented with poorly localized pain in the fourth quadrant. I advised him that I would go about stabilizing the situation by maintaining the vitality of either tooth that did not exhibit irreversible pulpitis through testing. Dx was challenging here. In hindsight, I was fortunate that things worked out as they did. I treated him as an emergency right before Christmas; with his return recently for completion of the endo. and biomimetic reconstruction of LR6. Symptoms have settled relating to the LR7; LR6 is on the mend and trusting that it'll serve him well. Hopefully we can tidy things up on that makeshift overlay surface LR7 - from the emergency session; and match those curves with some ceramic intaglio 🥑 "There'll be another in the fire Standing next to me There'll be another in the waters Holding back the seas And should I ever need reminding How good You've been to me I'll count the joy come every battle 'Cause I know that's where You'll be" Song: Another In The Fire (Hillsong United) Gabriel's first day at big school! 👴🏼 #dentistry #dailyinspiration #biomimeticdentistry #dentistryworld #dentallife #teeth #tandarts #tandheelkunde #zahnartz #zahn #emergency #painrelief #endodontics #restorativedentistry #adhesivedentistry #バイオミメティック歯科 #歯科 #odontología #aislamientoabsoluto #rubberdamology #christfollower #dadlife #firstdayofschool
🙏🏼 T H A N K • Y O U • 1 K 🙏🏼 Thi 🙏🏼 T H A N K • Y O U • 1 K 🙏🏼 This post was largely inspired by the amazing lecture I heard at BRD Online 2020 Conference regarding the technique of Deep Margin Elevation @davidgerdolle @karmadentistry The following patient cracks me up with his sense of humor; a real awesome character. Endodontic treatment completed elsewhere and presented to me after cracking the second patch filling on this UL7 / 27 while eating peppermint crisp ice-cream. As the defect was significantly subgingival; I raised a full thickness flap on both buccal and palatal aspects before placing @nictonerubberdam (heavy; for better tissue retraction). As this was the most distal tooth; I had to figure out a way of stabilizing the dam without the clamp getting in the way of the matrix setup. Bring in the unnamed Ivory clamp I inherited. It acts in a distal stabilization fashion; placed on the UL6 / 26. In an effort to minimize the amount of gadgets going on this poor tooth; I bought the Garrison DME bands; but those requiring a tensioning handle and dial rather than Tofflemire @ivodentsa @dr_mattnejad @garrison_dental I employed the matrix-in-a-matrix technique @pierrepaoli_guttageek ; feeding Teflon / PTFE in an apical direction to further approximate the DME band and create a better emergence profile to, hopefully, facilitate healing of the flap and to be kinder to the embrasure and recovery of the papillae (hopefully, forgive me). Palodent sectional matrix with apical extension was used for this @dentsplysirona.za Due to the vertical, distal surface of the first molar; it was unadvisable and virtually impossible to establish contact. I will encourage that we treat the PARL on this tooth before proceeding with a biomimetic solution to reconstructing this tooth and give its contribution to the interproximal contact and #flossinvitationzone @dmdsunny @identistry @badentistry @dental_mentor @dentistry.world @dentistry_arts @dental_d_me #biomimeticdentistry #biomimetic #adhesivedentistry #minimallyinvasive #tooth #teeth #tand #tandarts #zahn #zahnartz #doktergigi #repair #restoration #reconstruction #whitefilling #composite #resinart #dental #dentist #capetown #smile #brokentooth
🛠 D I S M A N T L E 🛠 @pierrepaoli_guttagee 🛠 D I S M A N T L E 🛠 @pierrepaoli_guttageek - this was some ride. Iatrogenic injury during re-endo. on acutely painful LR6 / 46. • Removal of old PFM (no picture) • Removal of metal core and post • Desobturation (no solvents were used @dublin_endodontics ) • Perforation of ML with D1 🤔 • About a 100 precurved handfiles (C+; K-files and even Hedstroem @dentsplysirona.za ) • Patience and much prayer • HyFlex GP remover 🙏🏼 • The last time I WVC with TotalFill BC sealer in MB and D @fkgdentaire • Biodentine @septodont in ML perforation repair • Overfill 🤦🏻‍♂️ Brave sharing post-operative PA @paurelie83 🐣🐤 R E M A K E // R E M O D E L🐥🥚 @pierrepaoli_guttageek @alexmaydmd @peter_farkas_dmd @david_alleman @dr.patrick.calalang @guspetris.op @dr.sung_dds @drfranbrelsford @drsimonedeliperi @jorgearavenadiaz @jorgelunaddsmddsd @oseias80 @drjorgefermin everX Flow and everX Posterior core further reinforced with polyethylene fiber @ribbond and sealed off with Omnichroma @tokuyama (Darn @'s and #'s are not linking at the time of reaching this point 🙄) Semi-direct composite crown hand-made; by myself, with love and more everX Flow and Tetric N-ceram A1 composite (all I had left). Nuked for 3 minutes at 500 watts. Clearfil SE Protect for the win when bonding. Some photographs during DWT. "The Lord gave and the Lord has taken away; may the name of the Lord be praised." Job 1:21 O God, You are the Giver of all good things. Help me to recognize Your generosity in even small ways and to trust You in seasons of loss and hardship. Amen. #bespoke #crown #handmade #biomimetic #biomimeticdentistry #dentistryworld #restoration #dentist #odontologia #odonto #tand #tandarts #zahn #zahnartz #doktergigi #teeth #endodontics #retreatment #perforation #repair #rubberdamology #rubberdamfam #faithoverfear #capetown #capetowndentist
D I R E C T • R E S T O R A T I O N "Do you eve D I R E C T • R E S T O R A T I O N "Do you even AquaCare, bro'?" @georgethedentist 💙 I loved that line of yours. Air abrasion can be fun and messy. I love doing it. Proverbs 5:21-23 #biomimeticdentistry #biomimetica #biomimicry #composite #directrestoration #direct #restorativedentistry #adhesivedentistry #enamel #bonding #rubberdamology #rubberdamfam #odontology #odonto #odontologia #tandheelkunde #tandarts #tand #teeth #tooth #dentistry #dentista #doktergigi #zahn #zahnartz #zahntechnik #realeverydaydentistry #getbonded #staybonded #aislamientoabsoluto
C O M P R O M I S E D T R E A T M E N T Failing C O M P R O M I S E D T R E A T M E N T Failing veneer on the UL1 / 21 with several composite "patches" on the palatal aspect; recurrent decay. Historic endo. treatment; asymptomatic. Patient is concerned about catastrophic failure and has been placed on a public health waiting list for a crown on this tooth. Offered to strengthen this tooth by means of BRD principles. • Rubber dam isolation was unusual - patient has a 4-unit PFM bridge from 16-to-13; broken-off UR2 / 12 awaiting restoration at the dental school and a significantly deviated midline. Did not want to split dam. • Structural analysis carried out with CDD. Noted a Crack running from the mesial enamel into dentine but very little tooth structure in an anterior-posterior direction; so planned to reinforce with polyethylene fibers following bonding instead of removing this crack. Created reliable • Pumice slurry with bristle brushes and AA (Aquacut) • Matrix adaptation - initially, TOR system with Teflon wrapped Palodent wedge on the distal and broken wooden wedge in the mesial... • ...scratched that; tried to get fancy with my Unica anterior kit; but failed and got frustrated - used it anyway 🤔 • Total etch and rinse; drying not desiccating • CHX (PacDent) scrub with sterile cotton pellets for 1 minute • OptiBond FL with variation in "wicking off" adhesive instead of air drying • Photo-initiation for 40 seconds; then, DWT for 5 minutes • My interpretation / understanding of "Deli-bites" building the mesial and distal walls with GC Essentia Universal • Ribbond 4mm along crack mentioned earlier in conjunction with everX Flow; 2mm strands of Ribbond placed in intra-canal space created; as inspired by @jorgearavenadiaz • Whether it's right or not; placed a bit of everX Posterior, too, as I was a bit unsure of my venturing out of the realm of posts here 🙈 • Final layer of GC Essentia followed by glycerin and removal of oxygen inhibition layer with pumice slurry again and Diacom Polishers. It ain't pretty; but I hope it'll buy her some time. #getbonded #staybonded #biomimetic #biomimeticdentistry #biomimetica #rubberdamology #rubberdamfam #carillas #odontology #odonto #odontologia #doktergigi
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