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

David Huson
💆🏻‍♂️ R e g a i n i n g • C o m p o 💆🏻‍♂️ R e g a i n i n g • C o m p o s u r e 🧎🏻‍♂️ Slide 1: When I was contemplating climbing the Alps to pick the goat hairs needed for the appropriate polishing brush 🤔🐐 Polishing paste was so resistant to being worked in. What brush do you guys use when polishing? Slide 2: Initial situation and immediately after absolute isolation. Slide 3: Still feeling as though I'm winning at life. Turning the mouth into a time machine; old dentistry: out. Cavity preparation; caries removal endpoints; flowing geometry like extra-maths classes. Prepping for Christmas with my Teflon gift-wrapping ideas. (Protecting the 24. Too lost in my own world to hear that papilla crying out to me, embarrassed to say 😬 Slide 4: Very, very challenging distal emergence due to overhang of old dentistry. S-shape to proximal box area. Marginal seal with matrices was incredibly tough. Slide 5: That sinking feeling. Realized that no matter how much Teflon I packed there; I was missing the approximation because of the emergence profile insufficiencies and not placing the sectional matrix in the correct buccal-palatal position. Slide 6: Stopped. Realized I needed to regroup. I was en route to reproducing the overhang that I had found. Rethought. So, I had flattened the S-shape slightly with my DME. Now, I cut back on the composite overhang with electric hand-piece at RPM <7000; with Horico FG540C008 (I think this is the code; one of my favourites.) Slide 7: Kool and The Gang - "Celebration" begins to play. Confetti rains 🌧 Slide 8: Struggled with proportions and transitions here. Always wanting to improve! Oblique ridges are tough! 🙄 Too thick or too thin; need that Goldilocks vibe. #biomimeticdentistry #biomimetics #biomimetica #biomimeticrestorativedentistry #rubberdamology #rubberdamclub #rubberdamfam #dentistryhumor #dentistrymyworld #dentalhacks #dentaleducation #dentalstudent #dentalschool #dentalstudents #dentistcapetown #dentistoffice #dentistsofinstagram #dentiste #dentalphotography #dentalgram #dentalmemes #dentalmarketing #dentalmemes #beforeandafters #beforeandafter #aestheticdentistry #estheticdentistry #dentistry2day #aboutdentistry #restorativedentistry
🤫 H i d d e n • T r e a s u r e s 🕵🏻‍ 🤫 H i d d e n • T r e a s u r e s 🕵🏻‍♂️ Patient's presenting concern was food impaction between 16 / UR6 / 3 and 15 / UR5 / 4. Clinical examination revealed interproximal caries with no occlusal signs of presentation. In an effort to try & preserve the marginal ridges; I came in with my separators. Alas, to no avail. Access would have been insufficient for tunnel preparations &/or buccal/palatal access. Slide 1: Heavy dam & pre-wedge to protect papillae & prevent that "Zip!" sound the dam makes when the bur kisses it. Also, creates minor periodontal separation & assists with matrix placement; hopefully, to assist with idealization of contact area. Managing the C-factor of the preparations by flaring them towards the buccal & palatal; bevelling the enamel prisms. CDD to establish appropriate endpoints. Slide 2: Rolled Teflon sausage tucked in below the cavity in the distal wall of 15. To prevent excess primer/adhesive from curing on the dam here & creating difficulty while seating the matrix band for the 16. Teflon blanket secured to the distal of the 16 to prevent the same issue of etch &/or primer/adhesive spillover onto preparation there. Slide 3: Occlusal view of aforementioned. The angle is slightly disto-angular; hence the appearance of the cavity preparation on the 15 seeming appearing to extend occlusally to the marginal ridge. (I use protection when prepping with a free Siqveland band; cheaper than a wedge guard & provides buccal & palatal protection from my air abrasion unit which somewhat industrial. Slide 4: That sneaky bugger! 😏 Slide 5: Restored with BRD adhesive protocols; using Tokuyama Palfique Medium Flow Flowable @tokuyamadental @tokuyamadentalgermany @dentaltokuyama @wrightmillners @hendavds Continued in comments ⬇️ #biomimeticdentistry #biomimetic #biomimetica #biomimicry #adhesivedentistry #minimallyinvasivedentistry #odontology #odontologia #odontogram #rubberdamology #rubberdamfam #dentalstudent #dentalstudents #dentalschool #dentaleducation #dentalhacks #natural #compositefilling #compositebondings #ａｅｓｔｈｅｔｉｃ #whitefillings #beforeandafter #beforeandafters #tooth #teeth #dentiste #dentista #dentalphotography #dentalfillings
💚 T h e • R u b • O f • T h e • G r e e 💚 T h e • R u b • O f • T h e • G r e e n ♻️ Can anyone ever real make green rubber dam look good? I'm not a fan; but an open-minded sort of guy...something drew me in here... Things began tensely when I clamped for primarily retention and the zirconium oxide crown and resin core on the 17 / UR7 / 2 said "Cheers!" 🖐🏼 The original plan was to do a minimally invasive preparation of the structurally compromised 16 🍏 (That was her presenting complaint 🤦🏻‍♂️) My itinerary: dissect some cracks; paint a little CDD; season with alumina oxide...y'know, good, clean fun. 🌱 I'm embarrassed to say that I did the endo. on that 17 with #thermafilth (life before GuttaSmart and TotalFill / bioceramic sealers). What was awesome to see is God's capacity to heal! The PARL on the palatal was decreasing in size. (I'll post those radiographs to my story from the office tomorrow; hopefully.) 🍃 But, the take home for me was that the core was never bonded to that tooth 🤔 Too much gutta percha had bunched in the pulp chamber and bonding protocols were no where near where they are today. Thank you to my mentors and friends here ❤ The gift of biomimetic restorative dentistry. A blessing and privilege to grow with you all. Big ups to @fkdentallab @nadia.janse.van.rensburg for being so willing to help with the surprise extra laboratory work! Love, David #biomimeticdentistry #biomimetics #biomimetics #biomimicry #rubberdamology #rubberdam #rubberdamfam #dentalstudent #dentalstudentlife #dentalclinics #dentaleducation #dentalphotography #dentista #dentiste #stomatologia #stomatology #dentistryhumor #dentalfunny #dentistryzone #dentaltechnicians #zahngesundheit #zahnmedizin #zahntechniker #tandartsassistente #tandarts #tandläkare #tandheelkunde #nature #teeth #teethgoals
💆🏻‍♂️ B e • S t i l l • ( P a r t 💆🏻‍♂️ B e • S t i l l • ( P a r t • 2 ) 🧎🏻‍♂️ ↩ T o k y o • D r i f t ↪ 🥲 Slide 1😭 Problems were mounting when I could only get the onlay for the 17 to fit passively. Thinking I could MacGyver the seating on the 16 by creating instrumented separation... 💁🏻‍♂️Slide 2 🙆🏻‍♂️ Continuing with the bonding protocol for the 17; unable to test fit on the 16 because of the instrumentation obstructing... 👨🏻‍🏫 Slide 3 👨🏻‍🏫 So, I should have just attempted bonding the 16 first. (Or, at least, this was the feedback I received from the lab.) However, I could not get that overlay / onlay on the 16 to seat and strongly suspect it was due to further orthodontic drift of the 17 into an already compromised restorative space on the distal of the 16. 🤔 Slide 4 🤔 I needed to regroup and think... ⭕ Slide 5 ⭕ Orthodontic separating elastics were placed on both the 16 and 17 for 7 days; according to an orthodontist friend; this would obtain 0.25mm of space. The alternative; a more destructive preparation; greater loss of tooth structure in this young patient...no way! @javiertapiaguadix @davidgerdolle @ynino_dds @drmarco_carvalho 🙇🏻‍♂️ Slide 6 🧘🏻‍♂️ Money shot! After the use of the elastics; fit was satisfactory. Another for the armamentarium. 🥽 Slide 7 🥽 Protection! 💦 Slide 8 💦 Squish-squish-squish! 🍎 Slide 9 🍏 BRD Life. #biomimeticdentistry #biomimetics #biomimicry #bioemulation #bioemulationjapan #indirectrestoration #dentaltechnician #ceramist #emax #digitaldentistry #rubberdamology #rubberdamfam #rubberdamclub #biomimética #zahngesundheit #zahnarztpraxis #zahn #tooth #teeth #dentalphotography #dentalassistant #dentiste #dentistoffice #dentalhealth #dentalhacks #dentallab #dentalhygiene #odontologia #odontogram #odontotips
👇🏼 B e • S t i l l 🧏🏻‍♂️ (P a 👇🏼 B e • S t i l l 🧏🏻‍♂️ (P a r t • 1) "Be still and know that I Am God..." - Psalm 46:10 💛 Slide 1 🚧 Sneak-peek at the first attempt at bonding; some of the clinical difficulties faced. ⭐ Slide 2 🌻 This patient is a beacon of sunshine in our day! Even with all of the clinical challenges encountered; super gracious and patient. ⚖ Slide 3 🏋️‍♂️ "Initial Situation" - suspect amalgam restorations placed with Tofflemire matrix band produced a flat, non-anatomic interproximal area; as well as loss of restorative space here. (Only considered this in hindsight.) 👛 Slide 4 🎀 Caries removal endpoints but the actual reason for the photo; failure to pre-wedge had resulted in lack of restorative space created in the approximal area; no compression of the papillae making matrix placement more challenging; and tearing my first dam like a pair of 501s that you try on after a few years @drbutkusp 👖 🪠 Slide 5 🪠 IDS and DME 1 on 16 / UR6 / 3 with @dr_mattnejad @garrison_dental Reel Matrix Band. ⛏ Slide 6 ⛏ IDS and DME 2 on 17 / UR7 / 2 with @garrison_dental deep premolar band secured with small plastic wedge and Teflon for good measure @michaelvanstyvendael_dmd 🍞 Slide 7 🍞 Biobases. 🚦Slide 8 🛑 OpalDam @ultradentafrica @ultradentproducts tags in an attempt to stabilize the teeth from drift in between appointments as observed by @valentinvervack Sadly, the latter did not hold 🥲🤦🏻‍♂️🤷🏻‍♂️ Which led to the next post's situation to resolve... Thank you to the new South African supply company LDS Dentaire Solutions for kitting me out in yellow 💛 Soon to be launching their page on the 'Gram! #biomimeticdentistry #biomimetics #biomimicry #biomimetica #biomimeticrestorativedentistry #biomimeticmastership #biobase #overlay #overlays #onlay #emax #rubberdamology #rubberdamclub #rubberdamfam #yellow #odontologia #odontogram #odontotips #odontology #odontolove #odontologiaporamor #odontologiaestetica #dentistsofinstagram #dentiste #dentista #dentistappointment #dentistrymyworld #dentalstudent #dentaltechnician #dentalphotography
🤱 L i f e • I s • L i k e • A • B o x • O f • C h o c o l a t e s ❤ This patient is very dear to my heart & afforded me the opportunity to repair some combination failing composite work on the 11 / UR1 / 8. But, very concerned about reproportioning things - &, being fairly unfamiliar territory for me - I was guided by my lab that additive remodeling of the 21 to mirror designed proportions would be a more predictable way of creating symmetry. Patient did not want any further additions at this stage - so, canine guidance / incisal wear will be addressed when I feel more confident on that note. 🙆🏻‍♂️ W o r k f l o w : • Removal of leaking resin veneer on the labial - it was so tough to discern where restorative ended & tooth structure began! Even with magnification...okay, 4.3X...but, hey! Can't wait to go higher. • Careful & painstaking removal of failing distal-palatal and mesial-palatal composites while establishing CRE with the use of CDD. • IDS with OptiBond FL @kerrdentaluk • Dentin replacement with everX Flow; placed incrementally • Injection overmoulding technique with the support of @gcunitedkingdom @terrygreyling Have mercy on me; roasters. I tried ❤🙏🏼 In time to come, ceramic work will be sought. At this stage, we were just very grateful to Trevor, Craig, Grant, @nadia.janse.van.rensburg @lindo_mngoma and the team at @fkdentallab for blessing us with the gift of their 3D design and printed model to work from. Refinement of margins took one hot minute 🥲🥵😭 Especially to blend them both on the cervical of the 11 & 21...yaaaaaaas! 🦳🦲 21 is completely bonded with a thin layer of GC Universal Injectable A2. We're discussing shape & positioning in time to come; but a privilege to do the best I could for this patient. In Christ, David #biomimeticdentistry #biomimetics #biomimicry #biomimetica #odontologia #aesthetic #ａｅｓｔｈｅｔｉｃ #natural #nature #injectionovermolding #rubberdamology #rubberdamfam #tandläkarstudent #tandläkare #zahngesundheit #stomatologia #stomatolog #dentiste #dentistcapetown #dentistsofinstagram #dentistrymyworld #dentista #dentallife #dentalphotography #smile #smilemakeovers #beforeandafters #beforeandafter
🧩 P i c k i n g • U p • T h e • P i e c e 🧩 P i c k i n g • U p • T h e • P i e c e s 🤲 The presenting situation was a restoration that predates my graduation from dental school; more than a decade prior, early stages of in-house milling. Sadly, there was still a base layer from the time of this tooth harbouring an amalgam from an even more distant past 🗿 Vitality testing with ethyl chloride soaked cotton pellets proved to be useful with this patient; having established a baseline elsewhere in the mouth prior to my proceeding with endodontic treatment on 27. 🧬 Selective caries removal performed in conjunction with a structural analysis. 📐 More and more inspired by my mentors and heroes to be truly minimally invasive: preserving the distal cusps; and the vitality for that matter. Mesial-lingual cusp undermined by a nasty crack; with extension unto the floor. Managed with everX Flow and intra-operative clinical parameters. Amongst other things; OptiBond FL Primer @kavokerr @kerrdentaluk massaged that dentin 3 times at the formation biobase and once more for good measure in case of any exposures following air particle abrasion at the bonding appointment. Scanned with Trios 3 @3shape @3shapeuk - always keen if you need another African KOL 🙇🏻‍♂️🙋🏻‍♂️😘 (On loan to me by my bud @mr.colegilbert ) Milled #emax @ivoclarvivadent_int @ivoclarvivadent_na by @fkdentallab - thank you for humoring me on my efforts to be conservative. We find the path together ❤🙏🏼🤝🏼 Kudos to @mangwanaamahle for side-stepping the lighting and industrial AquaCut @velopexuk in and around the dental chair. And, thank you to LDS Dentaire Solutions for kitting me out. South Africans watch the 'Gram for their launch. To God be the glory; for the privilege and blessing to learn and grow from you all 🙌🏼☝🏼🙏🏼 #biomimeticdentistry #biomimetics #biomimeticrestorativedentistry #biomimetica #rubberdamology #rubberdam #rubberdamfam #odontologia #dentiste #dentista #zahnarzt #zahngesundheit #natural #dentalstudent #dentalassistant #nature #tandheelkunde #tandarts #tandläkarstudent #tandläkare #dentalphotography #dentisterie #dentaire #biomimética #dentalart #dentaleducation #dentalhealth #dentalhygienestudent #odontolove
🦇 D a r k e s t • B e f o r e • T h e • 🦇 D a r k e s t • B e f o r e • T h e • D a w n 🖤 (Thomas Fuller) A Friday afternoon case. A friend of mine; and an even better friend of my brother. Really enjoyed doing this case and playing around with light. What a champ! And, grateful @mangwanaamahle for your usual juggling act with lights, mirrors and 3-in-1 syringe ⭐🌠 Endo. was completed with copious NaClO irrigation and Eddy sonic activation 💨🍃 Prepped with Wave.One Gold Yellow @dentsplysirona.za @dentsplysirona.uk @dentsplysirona 17% EDTA. 💧💦 Crummy radiographic views; sorry guys! Could've hoped for some more 3-D obturation mid-canal @advancedendo @dr_paoli 🙇🏻‍♂️🙆🏻‍♂️💁🏻‍♂️🤦🏻‍♂️ TotalFill Hi-Flow BC Sealer @fkgdentaire @fkgiberia Cold hydraulic obturation Standard BRD protocols with the inclusion of everX Flow @terrygreyling @gcamericainc @gc_austria_switzerland @gc.europe.nv .. & .. Estellite Sigma @tokuyamadental @dentaltokuyama @tokuyamadentalgermany Thank you @hendavds @wrightmillners "Then the angel of the Lord came again and touched him (Elijah) and said "Get up and eat some more, or the journey ahead will be too much for you." 1 Kings 19:7 . . . . . . . . . . . . . . . . . #biomimeticdentistry #biomimetics #biomimetica #biomimeticrestorativedentistry #endodontic #endodontia #endodoncia #rootcanals #rootcanaltreatment #rootcanal #dentalstudent #dentalstudents #dentistsofinstagram #natural #ａｅｓｔｈｅｔｉｃ #rubberdamology #rubberdamfam #dentalphotography #dentista #dentiste #dentalveneers #compositebonding #resinacomposta #odontologia #odontology #odontologiaestetica #dentistrymyworld #dentalassistant #batman #darkknight
🤍 T h e • W h i t e • S t r i p e s🏳 Ye 🤍 T h e • W h i t e • S t r i p e s🏳 Yes, there is a mammoth overfill on the UR7 / 17 / #2 (shoot me🧏🏻‍♂️). It was one of my earliest endeavours with backfill (also, didn't know then, that using heated gutta percha and bioceramic sealer was a faux pas 🙄 ) @dr_paoli @dublin_endodontics Anyways...this comedic gent has continued coming back to me after I treated him as emergency over a year ago - thank You Lord Jesus for softening the hearts of certain people and sending them to me 🙏🏼☝🏼🙌🏼 Some herodontic dentistry required and even trickier dentistry to dismantle...(subject of my December 2020 post with the Silker Glickman clamp). He wears a "gum-stripper" denture; the elimination of which we are discussing. Alternate replacement options will follow coaching on the oral hygiene side of things. All that aside, such a stand-up guy to treat! He recently presented again with a chip out of the patched composite on UR5 / 15 / #4. I told him that I don't like to bond to a foundation I'm unfamiliar with. Plus, there was an asymptomatic PARL associated with this tooth. Historically from the previous endo.'s he seems predisposed to developing these 🤔 Troublesome for me, as a general practitioner, to get to length here. Negotiating beyond that ledge. Don't you just love seeing metal posts come out of old root canals? I kinda feel warm inside when there's sealer extrusion with @fkgdentaire @fkgiberia TotalFill Hi-Flow BC Sealer. Okay...so a bit of post-operative pain on the way... 🙈 Thank you @mangwanaamahle for the excitement when that apex locator beeped. Start-X No.4 C+ and K-files @dentsplysirona.za Wave.One Gold @dentsplysirona Eddy activation @vdwdental of hypo. and EDTA TotalFill Hi-Flow BC Sealer #biomimeticdentistry #biomimetics #biomimicry #biomimetica #biomimética #endodontic #endodontia #endodontics #endoretreatment #endodoncia #rootcanals #rootcanaltreatment #biobase #rubberdamology #rubberdamclub #dentistrystudent #dentistrymyworld #dentistry #dentistsofinstagram #instagramdentist #endodoncia #endolove #endoresto #dentista #odontologia #odontogram #dental_show_photo #dentalphotographgroup #dentalmakeover
🖤 S t i l l • W a t e r s • R u n • D e e 🖤 S t i l l • W a t e r s • R u n • D e e p🏴 A simple yet satisfying deep margin elevation on this 17 / UR7 / 2. Rounding off a tough week! Such challenging situations this week - even beyond the clinical; but grateful for the love and support of family and friends. God is good; all the time - God is good. "Praise God, who did not ignore my prayer or withdraw His unfailing love from me." Psalms 66:20 #odontologia #odontologiaporamor #odontologiaestética #odontologiaespecializada #dentiste #dentista #biomimetica #biomimética #biomimeticdentistry #biomimetics #biobase #rubberdamology #rubberdamfam #rubberdamclamps #blackrubberdam #deepmarginelevation #optibondfl #immediatedentinsealing #dentistsofinstagram #dentalcare #dentalhealth #dentalworld #dentallife #dentistrylove #dentistryfromtheheart #minimallyinvasivedentistry #godsgrace #godsloveneverfails #inchrist
🙂 T w o • F a c e 🙃 Continuation of the p 🙂 T w o • F a c e 🙃 Continuation of the previous case...bonding appointment was a pleasant surprise! So, @fkdentallab did a fantastic job of still going ahead with e.max ceramic! Seems my communique didn't get there with regards to going hybrid or composite...which all turned out alright; in an interesting plot twist - there is no opposing tooth! 😅🙈 @dr.ashlifts I was quite relieved; less likely needing to address any chipping repairs 🤞🏼 Also, @drcaitlyntan managed to get my prep. photograph this time with adhesive sheen 😉 All is well that ends well, I guess 😇🤷🏻‍♂️ 🕳🖤😎 God bless fam 🙏🏼 #blackbeauty #blackrubber #biomimeticdentistry #bioemulationjapan #biobase #biomimetics #biomimicry #biomimetica #biomimeticrestorativedentistry #biomimética #natural #ａｅｓｔｈｅｔｉｃ #odontology #odontolove #odontologiaestetica #odontologia #zahnärzte #zahn #tooth #teeth #dentistrystudent #dentistrylove #dentistrylife #dentiste #dentista #beforeandafter #beforeandafters #cosmeticdentistry #dentistsofinstagram #rubberdamology
📞 C a l l • A • F r i e n d 🙋🏻‍♂️ An ode to some coaching from @dr.ashlifts I was greatly perplexed by what to do here. Initially, I thought "Yes! This is gonna be one pancake flattened frosty prep. Gram-worthy 😏" Only to begin removing the amalgam and starting to feel as though I needed to backtrack on how I overshot the mark...thinking a direct restoration in stress-reduced fashion would be adequate 🥲 Then, that axial wall crack threw its insidious gaze on lil' ol' me and I was like 🤔 So, chased those cracks following CrRE parameters; removing structurally compromised tooth structure. But, it did not extend more mesially. (CDD in the fissure; where I removed and restored with composite when doing RC.) I added a bevel on the buccal enamel; undecided on how best to manage the preparation to optimize the strength in the ceramic. Later, @dr.ashlifts guided me on the potential for chipping at the margins in the occlusal. Her advice; which I've since adopted, would be to request a hybrid block which would be more forgiving if repairs were needed. I rationalized this prep. saying to myself that it would be better than a direct composite and more conservative than a full coverage overlay 😬 Really felt uncomfortable about posting this...but, thanks Ash for encouraging me to for learning and growth 🤗 Trying to save tooth structure as best as I can 🤷🏻‍♂️ How would you manage the preparation? #biobase #bioemulationjapan #biomimeticdentistry #biomimetics #biomimicry #overlay #onlay #compositeresin #adhesivedentistry #dentalstudentlife #emax #biomimetica #biomimeticrestorativedentistry #rubberdamology #rubberdamfam #savingteethismypassion #savingteeth #dentistsofinstagram #instadentist #instagramdentist #dentalassistants #dentalassistant #natural #dentista #dentalphotography #odontologia #odontogram #fotografiaodontologica #odontoporamor❤️ #minimallyinvasivedentistry
💧 I n • D e e p • W a t e r s 🚣🏻‍♂️ "Will you not revive us again, that Your people may rejoice in You?" Psalm 85:6 In South Africa, we would say "Sjoe!" This poor patient presented one day as an emergency from a colleague with one abscess after another...of these, this tooth was the first time I managed to complete single session re-endodontic treatment which I felt quite chuffed about! Needless to say, it took 2 more appointments spaced out to achieve DME (finally, today's appointment we could do this!) 🗡 Surgical crown lengthening was carried out in between (once more, insecurity has me leave these out) 🪨 D M E I love figuring out ways of isolating and DME and resto...stuff! Some things I left out from the annotations: 🤝🏼 Tofflemire holder would not have reliably adapted to the tooth - due to the angulation of tooth & large defect on distal-buccal; it would've been exceptionally difficult - in my hands - to place secondary clamp retraction + matrix band. 📈📉 Due to occlusal scheme / malocclusion; the dam kept riding coronally in the space between the LL6 and LL7; especially on the distal of 36...the primary operative area 🙄 So, definitely needed secondary retention. 🗜Clamping the 38 is what I did in previous appointments; however, I've come to learn that this patient is intolerant to the clamp there with salivary accumulation and a strong gag reflex. 🫂 Traditional "slender" clamp retraction with the fixated bow / arm going over the mesial / marginal ridge of LL7 would have obscured my operative field for DME. Hence, opted for reverse-facing W00. @mangwanaamahle was so on the ball and her superb attitude to problem-solving made this sweating session that much more bearable! #biomimeticdentistry #biomimetics #odontología #dentistappointment #dentista #dentistelovemewgulf #dentistrymyworld #natural #biomimeticstudyclub #identistry #dentistofinstagram #bioemulationjapan #dentistasbrasil #dentistaporamor #dentistatime #vidadedentista #rubberdamology #rubberdamfam #endodontic #endodontia #endoretreatment #rootcanaltreatment #endodoncia #dentistcapetown #dentistrystudent #odontotips #odontologia #odontogram #odontólogo #stomatologia
🌊 S p r e a d • I t 🌊 I was too excited a 🌊 S p r e a d • I t 🌊 I was too excited about achieving deep margin elevation at the distal-lingual line angle of the defect here not to post this 🙈 A battle was fought! Sorry I haven't reciprocated the love on my previous post! Heading there now. What a day 😅 To God be the glory for sending me patients like these and more; in Jesus' Name. @mangwanaamahle - thank you for enjoying these tough moments and helping all the way! And, my amazing wife at home manning the fort with our 3 boytjies! @garrison_dental sectional matrix band pictured; tucked in under his blue and white blanket 💙 Trying to be conservative in this absolutely wonderful, young patient! 📏 Some of the pictures of IDS and biobases. Minimum of two dams for every preparation visit. (Just so happens we ended up colour-blocking 😁) Allows my patients a break so I can clean up the operative field. Horizontal retraction and stability of tongue / restriction of tongue movement; decreased salivary flow - no bunching of the dam! Inspired by my Brazilian friends @claudio.mjr @cassiohigashibara And, pictures inspired by one of my heroes @guspetris.op #biobase #bioemulationjapan #biomimeticdentistry #biomimetics #bioemulation #biomimetica #biomimética #biomimeticrestorativedentistry #biomimeticstudyclub #adhesivedentistry #operativedentistry #immediatedentinsealing #nictonerubberdam #rubberdamology #rubberdamfam #absoluteisolation #dentalphotography #dentista #dentistcapetown #instagramdentist #dentistsofinstagram #odontologia #odontogram #odontolove #odontologiaestética #resinacomposta #cadcamdentistry #dentística #dentistasbrasil #dentistamexico
🤔 W o r k • W i t h • W h a t • Y o u • H a v e 💭 In an ideal world, several teeth would have been restored in this quadrant; but this patient's primary concern was the freying of floss between UR6 and UR5. She had recently spent a fair amount on having silver points removed from the UR6 to treat AAP. (I'm revving to attempt the next one of those cases that come around!) 🙋🏻‍♂️ Assessing the overall clinical picture; bearing in mind the presenting concern and weighing up different options; I figured that by improving on the irregular contact created by the distal of the large composite on the UR5; perhaps I could smoothen/round the porcelain of the PFM crown and leave it the lab's @fkdentallab handiwork to create a more optimal contact 🍒 I also figured that I could round the contact on the distal of UR4; and on the whole, achieve better flossing. Plus, I reckon a ceramic overlay is going to serve this tooth much better than polymerization shrinkage dynamics of that MOD. 🤌🏻 Would you have just replaced the crown? Knowing that your patient is on a budget and your endodontist uses everX Flow and/or everX Posterior for his cores...? 👋🏼 #biomimeticdentistry #biomimetics #biomimeticstudyclub #biomimética #bioemulation #natural #ceramic #overlay #overlays #dentalphotography #dentistoffice #dentistrymyworld #patientcare #emax #dentallab #dentaltechnician #crowns #beforeandafter #dentalstudent #odontologiapreventiva #odontotips #odontólogos #odontolover #rubberdamology #rubberdamfam #rubberdamisolation #dentalphotographygroup #dentistcamera #dentalwork #dentalclinic
🙏🏼 A r i s e 🙋🏻‍♂️ This friend 🙏🏼 A r i s e 🙋🏻‍♂️ This friend of mine wanted to give his tooth a fighting chance with what he had coincidentally come across in general as herodontics via Instagram (not me). Music to my ears that the stage was set...love a challenge! 👂🏼🎶💕 Tooth was asymptomatic and had simply "broken" as main complaint / presenting concern. Pulp tested non-vital; so, I went ahead and endo.-treated. Still need to master the art of speed in doing pre-endodontic dentinal sealing 🙄🙇🏻‍♂️ How do you guys go about this? E N D O. Wave.One Gold (I'm a general dentist 🤷🏻‍♂️) @dentsplysirona.za @dentsplysirona @dentsplysirona.us 3.5% NaOCl and 17% EDTA Eddy activation Cold hydraulic with TotalFill BC Sealer @fkgdentaire @fkgiberia B I O B A S E ( I N T E R I M ) Surgical crown lengthening and healing (too insecure to post that phase with fear of my perio. colleagues 🙈) That buccal margin / aspect was tough! Painstaking CDD (nasty spot on the DL line angle not pictured) ♾ IDS - OptiBond FL @kavodentaleu @kavokerr @kavo_uk.eire ♾ 〰️ RC 〽️ everX Flow and everX Posterior @gcamericainc @gc.europe.nv @gc_latinamerica @terrygreyling Palfique Super Low Flow (Very useful where matrix placement was difficult at this stage with the copper bands; does not run readily unless manipulated with probe) @tokuyamadentalgermany @tokuyama_dental @tokuyamadental @wrightmillners @wrightsdental Thank you; as always, to @mangwanaamahle my amazing dental assistant / dental nurse. Final slide - feeding the ducks and geese with my boytjies! Giving my incredible wife a breather! 😇😉 #biobase #biomimeticdentistry #biomimetics #bioemulationjapan #biomimética #biomimicry #bioemulation #biomimeticrestorativedentistry #endodontic #endodontia #endolovers #endodontics #rootcanaltreatment #rootcanals #savingteeth #savingteethismypassion #rubberdamology #rubberdamfam #dentalassistantsrock #aislamientoabsoluto #isolaquecola #isola #isolation #isolamentoabsoluto #odontology #dentisterie #dentistcapetown #dentistasp #dentistrysociety #dentistryfromtheheart #dentistrysociety
🪚 M a k e • A • W a y 🗜 Huge thanks and 🪚 M a k e • A • W a y 🗜 Huge thanks and gratitude to @mangwanaamahle for patiently and expertly walking this one through with me 🙏🏼🤜🏼 There was tremendous tension placed on this NicTone Heavy Gauge rubber dam. Clamped with my strongest wingless; Fiesta W14A @coltene.latinoamerica @coltene_us due to: ° LL8 / 38 / 17 partial eruption; ° Mesial angulation and folds of soft tissue on both buccal and lingual sides made it incredibly difficult to engage for anchorage. Endo. initiated by me in December 2020. Patient continued with treatment elsewhere; only to return with a composite placed over the pulp chamber I had begun extirpating 🥲 ➿ Endo. completed with difficulty in angulation, access and isolation was tough...despite it being easier canals to negotiate. Secondary clamp to assist with the folds of dam riding up on the DB and DL line angles. ⬅️➡️ The Haller-style clamp created a smooth flat operative field and assisted in further retraction of the tongue and cheek musculature. ❓ Separator (to be announced; I'm receiving from a niche dental supply company yet to hit our shores) assists with distalizing the LL8 out of the restorative space of the LL7. Useful where a double-bow separator cannot be placed because of the primary clamp position. Disappointed I didn't have my copper bands to properly contain the composite on distal 😪 Planning to revise this when there is radiographic healing of PARL before proceeding with overlay preparation. B I O B A S E 🪨 ( I N T E R I M ) OptiBond FL @kavodentaleu everX Flow and everX Posterior core @gcamericainc @gc.europe.nv @gc_latinamerica @terrygreyling Palfique Super Low Flow @tokuyamadental @dentaltokuyama @wrightmillners @wrightsdental #biomimeticdentistry #biomimetics #biomimetica #biomimicry #biobase #biomimeticstudyclub #biomimeticrestorativedentistry #adhesivedentistry #endodontia #endodontic #endodoncia #rubberdamology #rubberdam #rubberdamclub #rubberdamfam #odontology #odontolove #getbondedstaybonded #dentalphotography #dentista #dentistlife #dentistsofinstagram #dentistsofinsta #dentistsofig #dentistsoffice #dentistcapetown #dentalassistant #dentalnurses #dentalnurseproblems
🙏🏼 T h a n k • y o u • 2 K ! 🙆🏻‍ 🙏🏼 T h a n k • y o u • 2 K ! 🙆🏻‍♂️ Thank You, Lord Jesus; for the help today and each and every other day. I continue to place my faith, hope and trust in You. In Your Name, Amen. Hugely grateful for all the support from friends both near and far; as well as the patients who continue to be such a privilege to treat. This being one of them! Diagnosis and findings: ° Missing crown (to be revised via BRD protocols once healing is evident on radiograph ° Chronic apical periodontitis with; ° Previous carrier-based obturation (...Thermafilth) ° Separated instrument in Mb1 ° Missed anatomy (Mb2) ° Fiber post present in palatal Yes, there is a ledge in DB; but on the whole; felt good about the endo. Didn't have a loop to pull that instrument - it was staring back at me 👁 So, I bypassed it. Disinfection...for days, bro. @dr_paoli 🕑🕒🕙 Cold hydraulic technique in Mb1; Mb2 and DB. WVC in palatal because of the defect left by the post space. 🟪🍆 Flexi Dam & HyFlex GP Remover @vigodent.coltene @coltene.latinoamerica @coltene.ecuador @coltene_us @colteneuk 🪛 Wave.One Gold (Primary) reciprocating through NaOCl and EDTA. 🌪 Eddy activation 🎨 Totalfill Hi-Flow BC sealer @fkgdentaire @fkgiberia Love and blessings to you all 😊 #endodontic #endodontia #endodontics #endography #dentista #dentistrystudent #dentistoffice #retreatmentendo #guttapercha #bioceramicsealer #rootcanaltreatment #rootcanal #endolovers #endoporn #biomimeticdentistry #biomimetics #biomimetica #dentalphotography #odontologia #dentist #molar #mb2 #rubberdam #rubberdamology #rubberdamfam #biomimética #biomimeticstudyclub #obturation #endo #endodoncia
🎀 P r e t t y • I n • P i n k 💝 Some mo 🎀 P r e t t y • I n • P i n k 💝 Some mood photographs to round off the day 📸 (There was an endodontic treatment for acute apical periodontitis, too.) Metal pin removed with Start-X No. 4 @dentsplysirona.za @dentsplysirona Preparation finalized in the interproximal with ultrasonic diamond bur @kometusa @kometdental @kometfrance @komet.italia And, @velopexuk with the AquaCut - Tofflemire protection. Next step will be to plan definitive restorations to treat the tooth wear. This is an interim fix following the endo. (And, 'cause I couldn't let mechanical retention prevail.) Regarding the end...have mercy 🙈 I'm trying here! My anterior composite heroes; there are many, but those whose pictures are on my bedroom wall @dr.rafaelbieck @drrhodrithomas @dr_paoli Thank you @mangwanaamahle as we braved the violence on the streets to make it to work 🙏🏼 The Lord's grace pour out over our nation. Thank you @sanctuary_dental for the lovely rubber dam! 😘 #rubberdamology #rubberdamclub #rubberdamfam #isolation #odontologiaestetica #resinacomposta #dentista #dentiste #odontologiaporamor #odontología #odontogram #odontolife #odontopink #odontologiamoderna #odontoestetica #odontologíaestética #odontologiacomamor #biomimeticdentistry #biomimetica #biomimeticstudyclub #dentalphotography #fotografiaodontológica #fotografia #macrophotography #prettyinpink #pinkdentistry #veneers #dentalveneers #endodontics #endodoncia
📏 S a v e • W h a t • Y o u • C a n 📐 📏 S a v e • W h a t • Y o u • C a n 📐 🪨 Classic example of lingual cusps taking a hammering under loads. Previous amalgam filling with liner; of course! 💆🏻‍♂️I considered simply doing two direct restorations into the buccal fissure areas where there was insidious decay; but in the end decided to include these into the ceramic. Buccal cusps did not warrant overlaying. Managing the mesial contact was probably the most challenging part. Fortunately, my lab @fkdentallab and I have started doing AnyDesk @anydesksoftware discussions about the areas of the preparation I was unsure of whether they would be happy with or could work with. 👉🏼👈🏼 My hesitation was related to unnecessarily extending the MB line angle by flaring the enamel here for the sake of opening the mesial aspect for a full ceramic contact 🤔 ...and potentially weaken the MB cusp 💭 Removing sound tooth structure 🤨 ❌ CRE did not dictate further extension; so, half of the contact is ceramic the other half natural. 🔛 Created space with the Ivory Separator to do minimal invasive preparation on the mesial along with the use of the Komet @kometusa @kometfrance @kometdental ultrasonic preparation burs in air scaler. 📹 Scanned with Trios 3 @3shape @3shapebrasil @3shapeanz thanks to my good pal @mr.colegilbert I always try and have a conversation with the patient afterwards in reflecting on the photographs about my intra-operative concerns in trying something. There is an opposing composite with large isthmus that may be on the cards for revision. It helps when your patient is lovely 😇 #minimallyinvasivedentistry #biomimeticdentistry #biobase #biomimetics #biomimetica #biomimética #optibondfl #conservativedentistry #adhesivedentistry #advanceddentistry #bioemulationjapan #bioemulation #digitaldentistry #3shape #3shapetrios #dentalphotography #dentifoto #odontologiadigital #overlay #emax #getbondedstaybonded #rubberdamology #rubberdamfam #isolamentoabsoluto #dentalstudent #dentista #natural #biomimeticrestorativedentistry #dentistoffice #dentistlife
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