Just wonderful, I been tryin to find out about "tooth caries home remedy" for a while now, and I think this has helped. Have you ever come across - Nelevi Gapify Elimination - (do a google search ) ? Ive heard some incredible things about it and my co-worker got excellent results with it.
Original things cannot be copied it’s from ur god not human with super glue , rotary tool , bolts , screw , drill i hate stupid doctors making torture normal thing with brainwash :)🖕🏻
Original things cannot be copied it’s from ur god not human with super glue , rotary tool , bolts , screw , drill i hate stupid doctors making torture normal thing with brainwash :)🖕🏻
@@mrflower8871 What you know about rollin' down in the deep? When your brain goes numb, you can call that mental freeze When these people talk too much, put that shit in slow motion, yeah I feel like an astronaut in the ocean
You probably just liked the idea because it's new to you. IMO there's no need to apply sealant. The duration of sealant on the tooth is limited, the purpose is uncertain, and it shows the operator has no confidence in bond. The alternative would be to use bevels, make preps Clark-style (google Clark class 2), and use injection molding. Etch beyond cavity. Initially apply bond only on dentin, cure. Then apply bond to enamel, DON'T CURE, apply flowable, don't cure and apply hot composite with positive pressure. Cure. This creates superior seals.
@@astronaft2 is the sealant just a flowable composite or a distinct sealant material and did he shaped the final composite with a bonded applicator or did i see wrong
We learned this in school, but only in cases of visible or detectable gaps. I believe that by doing this every time, you eliminate the risk of micro-gaps. Whether there is evidence that it’s actually relevant to do if you determine that there are no detectable gaps, I don't know.
I have no idea what the heck you are all talking about in this video and in the comments. I honestly just am here to see a tooth get fixed and was not disappointed.
D1 here, today was my first day prepping a class I on #29. Doing a bowtie was harder to do than I thought! I'll keep these tips in mind! Thank you so much!
Great video. Thanks doc! I was watching the tools they were using on me today, and I recognize now, everything they were doing! I love to learn, thanks again for loving to teach!
Thank you for your effort to make our life as dentists easier :) anyway, if you want to trace after the old composite restoration especially when the color is super matching the tooth then I have a tip for you get a cheap UV currency detector light and use it on the tooth and then tell me what you see :)
Original things cannot be copied it’s from ur god not human with super glue , rotary tool , bolts , screw , drill i hate stupid doctors making torture normal thing with brainwash :)🖕🏻
I'm going to ask my attending if i can do this. I bevel my preps but want to see if sealants will help make it look better. Sealant has less filler than flowable composite and thus perhaps is better to seal the margins with?
I wish I could show this to the dentist I work with. I have 11 years of experience working with multiple dentist and I learned many techniques. I work with a newly grad and one day he got offended when I told him that was not the right way to place the wedge. He told me, "did you go to dental school?". We apply etch for 3 seconds and cure of 5 seconds. It's frustrating, you can just imagine all his work. I am one-hundred-per-cent sure if he get tested on all his work I'm sure they'll make him repeat school. Lol
Do u really have to go to the dental school to do the work my friend a 21 year old did a filling to his brother he said it was easy btw his father is a dentist
Wow! Just dropped onto here after part of the bottom inside of my tooth gave way last night. I was looking for DIY kit as dentist cannot get me in because of the current crisis. You dentists certainly earn your money. What a fantastic job you have made. Do you do this detailed work on teeth in situ too? Amazing. Any tips on the diy fillings you can purchase please?
Holy shit, what rotten luck. I had a tooth cap crack in half right before the lock down. I hope you're doing better now and managed to get your tooth fixed
@@StoicVeR ah dudes I'm watching because my emergency filling just came out. I managed to get a pro temporary job, lasted 2 weeks. At home kits not making it past 1 meal/12 hours. Nowhere is taking on new patients- it's scary to be managing this alone
@@connorkeane16 Hope you'll find someone who can get you in and get that work done. When I was a tatter tot, I had fucked rotten black molars I could not get fixed because money. Lived like that for years, teeth falling apart, sensitive to foods, couldn't hardly eat because the rot was so terrible, periodic cleaning because food would get jammed inside the hollowed out space. Take care of yourself
Hi sir.....hats off to ur dedication for cde.... Sir in class 2 ... I always struggle to get tight contact... Putting super thin metal band...wedging....holding against tooth....still ..when finished thr is no tight contact
Near the end of your video you mention that to close the margin between the tooth and the new restoration, add etch and seal with a sealer, do you have a preferred sealer? First of all, beautiful video, thank you for sharing. A future EFDA here.
I have had 5 crowns and 3 fillings lately (and unfortunately two surgical extractions)… from an observant patient perspective and also being a medical scientist, I am sadly so familiar with drilling, burring, banding, wedging, etching, compositing, curing the layers of composite, then final polishing... What I loved about your video was the tip of sealing the edges of the filling! I imagine this is crucial to long term survival and the ability of the restoration to resist new decay. I will seek my dentist’s opinion on edge sealing and round burring. I also, have some issues with the techniques used to seat and cement crowns, especially where decay has progressed proximal (or even slightly below) the gingival margin. My dentist no longer uses the impression and send-away crown method. He prepares the tooth, LiDAR scans the preparation and fine tunes edge profile etc. on a 3D graphical PC type interface. He then inserts a ‘crown blank’ into an amazing lathe type machine which creates and carves the crown commanded, this is heated in a furnace and cemented in place after cooling. Is this crown preparation method the current state of the art and more importantly, does it improve fit, resistance to decay in the base, and therefore longevity?
I wish I could afford a dentist like you. Illinois hfs insurance sucks and out of dozens or surrounding dentists only two take it. One told me as a kid I didn't need all 4 wisdoms taken out and they wouldn't cause any problems. Three stayed in and caused my straight teeth to become crooked and I got predontal(or whatever its called) disease which can apparently be caused by wisdoms. I asked them if keeping the wisdoms in was why and they told me, "if you think we caused this and you have a problem with it you don't have to come back". I havn't been back to that pos place for over 5 years. Now one of the fillings they did fell out(first time I've experienced this) and the only other place that accepts state of illinois HFS medicaid has 0 openings until OCTOBER! So I'm forced to go back to the place that makes my teeth worse every time I go there. I now understand why they said, "you dont have to come back if you think we are to blame" because they know they are the only place i'd be able to afford. I hate illinois.
Why didn’t you remove all the old existing restorative material? Standard of care of care is removing all the existing restorative material. For cdca exam in USA that is a must. Regardless nice tips and really enjoy the videos. You have a lot of skill.
I definitely have a contact issue between two teeth... already from this video I feel like I know more than my dentist to did the fillings. Ugh.. I'm going to a new dentist.
I have a friend and they have been experiencing odor from their mouth I'm not sure does fillings help with that will by them getting fillings will that stop the odor they experience.
I don't know about Ontario, but in BC, the assistant can place wedges, so I get mine to place a wedge right after they place the dam Ps I always have the assistant take a pre prep bite with accufilm so I can see what the bite looks like before I prep
In 3rd world countries, assistants can do root canal treatments while the dentist sits in the next room having tea! You people may get tired of vigorous medicolegal issues but believe me, they do you more good than harm.
I have a deep cavity in a molar that i have to get filled next week. They mentioned if i wanted a desentiziser for sensitivity? Is that really necessary?
is it important for tooth health that filing match the original anatomy? My tooths filling is not exactly in shape of real tooth and i’m wondering should i change dentist.
Hello Doctor excuse my ignorant comment but shouldn't we remove the caries? because it will eventually evolve and destroy the tooth from inside and our job is to protect it I was just wondering why we left it in it's place and just sealed it?
If possible I prefer to leave an intact interproximal contact -- the removal of sound tooth structure in order to "break the contact" only serves the dentist, NOT the patient, NOT the tooth.
Hello Dr. Ashley, great video and thank you so much for giving us these useful tips. May I ask, besides gingival contact, do u recommend breaking the buccal and lingual contacts when doing cavity prep?
A composite filling on the front surface of my left mandibular canine, on the more central side, that was above and adjoining and older (I think older) composite filling, came out about five years after was first put it. The dentist replaced it with another composite filling, but about three weeks later that fiiling came. She replaced it again, at no cost, but again, about three weeks later, that second replacement came out. Now I have to wait a couple weeks for another appointment. No other composite fillings have or have had this issue. Is she doing something wrong, or are the materials different now?
@@jadtube9225 There was another composite filling she did about a year ago at the bottom of the tooth right behind that canine tooth that I realized recently had also come out, as well as the composite filling in the screw hole in a recent dental implant zirconia crown, which came out right afterward. She said she's had a problem with the smoothness of the gloss on the sealer they use in the zirconia crowns or the screws, the Other patients also closing the composite to come out (although the hole is sealed underneath it), so on that, and also my other cases where the composite came out, she used more phosphoric acid to etch it, so hopefully that will do the trick. I don't think it's anything to do with my mouth because I've had other composite fillings in place for decades. I noticed after I left the office the skin was peeling on the inside and top of the left side of my lip, the side that she worked on those two teeth near the front, and it was somewhat swollen. Obviously, maybe when she or the assistant took the absorbent pad used to block the phosphoric acid, out for my gum line, it must have brushed my lip. It is just now going back to about a normal week later. She didn't charge me for any of the redo repairs, however. I have plenty of other grounds including on laser inlays but veneers are more destructive of the tooth, as are crowns, unless they're necessary.
You could take a look at the Bioclear approach for composite restaurations, in certain conditions , the bioclear class 2 restauration is about 8 times stronger than the class 2 you just showed here!
My teeth hurt when I chew something so I have to chew the otherside so my teeth won't hurt. My teeth has that something black. What is the best treatment for this Doc?
Sorry to say this but ur whole restoration is a white line and u can see it in the final photos . U will have debond in less than a year i promise u that . First ur bonding technique was a little bit messy . Second u applied the superficial layer in one increment so u connected three walls with composite then u cured it so u have caused the maximum amount of shrinkage that u can have not to mention applying bond on composite and rubbing it will cause a thin weak upper layer because u have just diluted ur composite by adding a ton of bond over it . Even if u didnt use bond the action is the same . Thank u and hope u correct me if iam mistaken
Hi, I have 4 composite filling teeth (molar). When this filling is done there my age 14. And now 19. Doctor said that composite filling need to restore after 8 year. And when your teeth reached 3 layer then we can not restore by composite filling. Then need to extract it. I am very worried that how many years I can use my teeth . Is there any composite filling that have lasting very much? Is there any solution except RCT? Please suggest me.
Have you tried the eve diacomp polishing wheels? They’re amazing at getting that finish on a composite. Especially in the anterior, and making it super smooth for the patient. 😊
