Tooth Decay under a Crown { Cavity Removal Process w/ Microscope } 

Thanks Michael! Definitely inspired by you and your story telling abilities! Let’s push each other to document procedures 💪

@@SmileInfluencers which microscope do you use doctor? What's the external camera do you use in your scope doctor?

Thanks Reggie!

Absolutely I have an endodontist who may start documenting procedures. Stay tuned!

No there’s no decay at all. The dark line around the gum line is the staining left from the hemostatic agent I used when I pack the cord! Great comment

Great question Gyoti! So honestly I don’t think the brand of cord packer matters as much as the technique; I personally switch from a variety of different cord packers depending on the cassette I have. First make sure that you have cleared the interproximal space between the teeth. If you have not prepared the tooth deep enough than the cord will not be able to get in between the teeth. Second, make sure you are using the appropriate sized cord. Some tissue types are really tight and you can not fit a large cord while other tissue types like the one in this video allow you to pack a very large cord. If the tissue is too tight, go one size smaller. Have your assistant transfer the cord to you while you tuck in the first part. This is probably the most important step because if you can tuck it under the gums the rest will be easy. If there is a lot of saliva or bleeding make sure to dry the area to allow you to visualize the area more clearly and the cord will pack much easier. After, you want to “tuck & push” meaning try not to lift the cord packer out of the socket; rather push it forward and down bit by it and you’ll be surprised how quickly the cord goes around the tooth. This is very hard to describe in text so I’ll do my best to include more cord packing videos in the future!

Thank you very much!

1. More Money For Them 2. Contamination Of Material

It depends on the severity of the cavity. Some dentist would drill through it but warn you that you may have to replace it 2-3 years down the line. Over time, the crown can dislodge. That’s what happened to me- 2 months later.

Yes prior to the impression. The cord was dipped in astringident which can leave some black residue along the gumline that will go away in less than 12 hours! Great comment!

Thanks kvgolfa! Yeah it’s super helpful and quick. Appreciate the support!

You wouldn’t have seen it since this is a zirconia crown and the decay was discovered upon root canal therapy at the endodontist. The BWX would have revealed an opaque crown. I will try to include BWX or PAs upon case presentations. Working on one now. Best, Sami

Tooth Sensitivity