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Message Board
Views: 16913 | Replies: 935
at home as well. Mixed into water or plant extracts, ozone allows dentists and patients to use a mouth rinse or agent that eliminates mouth infections, promotes healthy gum tissue, and accelerates surgical healing. Differences of delivery The KaVo HealOzone only delivers the active gas once a seal has
January 19, 2016
Amalgams
Message Board
Views: 615 | Replies: 15
you expose healthy root in seconds. 5- Then place a greater curve band and rebuild the distal wall. My preference is composite. It seals nicely and makes the endo simpler. 6- Then do the endo. And consider placing a fiber post and bonded core. 7- let the gums heal 6 weeks and your crown
January 17, 2018
Amalgams
Message Board
Views: 133168 | Replies: 8904
to reproduce with it.......Better,back to post....He had a patient with pink gums, a 'scope, epochs eons centuries years of experience, and a damn fine hand with the plastic, and still felt that metal was better.This post should speak volumes to those on any kind of metal free fence.And, to quote
January 19, 2009
Amalgams
Message Board
Views: 213 | Replies: 15
discrepancy with adjacent tooth c). Replace all metal / open face crowns d). Replace all SSC, base metal crowns on adult teeth e). Broken porcelain f).Open margins which are visible on x-rays or intra-orally. g). When margins are above the gum lines and / or pvc metal showing 1. On Thursday's when
December 06, 2023
Amalgams
Message Board
Views: 253 | Replies: 6
I saw a patient treatment planned for a cavity on the distal surface of #31, 1-2mm below the gum line. The patient already has a large amalgam MOD, hygiene is poor. If you had to restore this with amalgam, how would you proceed? you need to post a radiograph, if your restoring with alloy I would
December 08, 2022
Amalgams
Message Board
Views: 243 | Replies: 6
Hi. #29 previous RCT broke off at gum line. I want to do an amalgam dome to support RPD. My technique was not successful. It ends up just flat covering of the endo access. Any better technique? Thank you Maybe post some radiographs? I am assuming you have a broken off endo treated bicuspid
August 23, 2022
Amalgams
Message Board
Views: 506 | Replies: 24
be healthier with a mouthful of well done amalgam restorations. We the profession can do more with less and at a lower cost. Yet we have dental school grads today who have not placed a single Amalgam. IMO there is no better when esthetics are a non issue. Make Amalgam Great Again. As a GP-Dentist-Baby
January 22, 2026
Amalgams
Message Board
Views: 1072 | Replies: 23
patients trusting you to keep them healthy? not just not broken???\\ If you can't make up your mind, show them an IO photo and tell them it looks ok but you can't guarantee it will hold up or that there isn't decay underneath. Let them decide.For sure replace. Sadly, if you worked in my office
September 09, 2018
Amalgams
Message Board
Views: 305 | Replies: 7
it with composite or amalgam. Sometime GV was right. No I do not unless there is decay. You would remove a lot of otherwise healthy tooth structure. Given the point of fracture of most failed amalgams (above the axial-pulpal angle) just be sure the grooves aren't susceptible and you should get a better restoration.
August 14, 2017
Amalgams
Message Board
Views: 133168 | Replies: 8904
firmly believe that polished amalgams are healthier much longer than unpolished. If I had more time I'd get them back but it becomes an inconvenience for many patients.I love polishing amalgams when I can. Sometimes when they come back for subsequent appts I'll polish the other while waiting
June 05, 2009
Amalgams
Message Board
Views: 133168 | Replies: 8904
, electrosurg, retraction cord, viscostat or astringodent and address the tissue. It can be amazing how the tissue will reapond. Just warn the patient that their gums might be a little sore for a day or so. No biggie, but seepage can be stopped dead in its tracks.If the proximal box is so deep that we can't
October 15, 2010
Amalgams
Message Board
Views: 133168 | Replies: 8904
Ceramic bonding is definitely harder to do than traditional cementation. It takes practice and dedication, but it isn't a reason to avoid using the material. preaching to the choirHoward,How about that inferior definition.How about this one removal of more healthy tissue than is necessary
January 12, 2009
Amalgams
Message Board
Views: 133168 | Replies: 8904
Onlay!!!Uncle BillAce Do you have any normal/healthy patients. seems like you have a lot of cancer stricken, terminally ill or disabled geriatric patients. Whats going on in wisconsin? But i tell you I have a lot of respect for you. The other day I was doing a bridge on disabled 80 year old man (he
October 28, 2008
Amalgams
Message Board
Views: 180 | Replies: 4
44YO Female patient, healthy, no reported allergies, only med is oral contraceptive (she is on a newer one but MD says no connection with current dental complaint). Saw her in July for the 1st time ever at hygiene visit (patient of previous doc in office). Diagnosed caries #18 and #31 occlusals
October 30, 2014
Amalgams
Message Board
Views: 133168 | Replies: 8904
the sloping margin i made a video of for you? Oli, thats not a gap, that's a piece of gum caught between the band and tooth.That was the WHOLE point of the post.Here taking the tip of a very sharp scaler the meat is neaty severed .Now take note there is one wedge in this picture.Here a tip from another wedge
June 25, 2008
Amalgams
Message Board
Views: 534 | Replies: 13
of deep decay situations to promote healing and keep the tooth away from RCTs... One thing about Equia (and RGIs) is they self bond. You might be best placing the matrix from the start to protect the gums and keep heme from being a big issue. Expect to replace it before the filling as it's likely
November 16, 2018
Amalgams
Message Board
Views: 133168 | Replies: 8904
; what do you take me for, compassionate? Give me the sparks, boiling blood, and smell of barbecuing gums anyday. Actually, I've been meaning to dip into the diode market, but now that they sell for $2500-$5000, I'm a whole lot closer than I was. The fine tip on that e-surge sure makes straight
November 11, 2010
Amalgams
Message Board
Views: 3340 | Replies: 117
, for the sake of the dental industry. Americans definitely fatter and less systemically healthy and that trend is getting worse. IMO dental Caries is no different then the above.why do you think Caries rates are decreasing if the above systems issues are worsening? Serious question btw. What I see
December 05, 2023
Amalgams
Message Board
Views: 2038 | Replies: 77
much healthy tooth structure. The crack and open margins are a four lane highway to bacteria and toothbrush bristles won't fit down there. If you wait for radiographic evidence or a solid explorer stick the patient may also need endo at that point. It would definitely result in the loss of more tooth
November 15, 2018
Amalgams
Message Board
Views: 1082 | Replies: 20
greater curve and amalgam I think you've got it down. This is up for debate but I implement fluoride in office at 3 month perio recalls. We use varnish for high caries risk people while we have the root surfaces clean. Fluoride rinse or high fluoride toothpast at home. Try encourage sugar free gum
April 23, 2014
Amalgams
Message Board
Views: 16913 | Replies: 935
, he needed a lot of restorative from the dry mouth. Pre-op: 2 year post-op from his most recent recare. Yes, I know, it's only 2 years. But it is a xerostomic, radiation therapy cancer patient using a material that apparently falls apart after a couple years, even on healthy patients
January 27, 2016
Amalgams
Message Board
Views: 133168 | Replies: 8904
time is spent justifying each of our decisions! My sister is 53 and the type III, 73-78% gold inlays and onlays, cemented with zinc Phosphate cement,(three done at the boards by three different dentists) are all essentially the very same they were the day cemented. Perio is very healthy, etc. The two
October 25, 2015
Amalgams
Message Board
Views: 133168 | Replies: 8904
the thing out given he never had any problem with it and its his only chewing ototh. We tell him all about perio and pre term low birth weight babies, he still doesnt want it pulled. So we ttell him about the gums and we fill it.So what are we arguing about again??snortle......... this guy lived 75 years
June 16, 2008
Amalgams
Message Board
Views: 133168 | Replies: 8904
candidate for composite resins. A composite resin is a tooth-colored resin material that we use to restore teeth to an attractive, healthy state. We highly recommend composite resins as a healthier looking, stronger alternative to silver amalgam fillings. Silver amalgam
June 27, 2008
Amalgams
Message Board
Views: 1026 | Replies: 45
, soldieres standing at their posts etcI know, the increase in man boobs are due to composite placementseriously though I have 2 patients who had thier amalgmas replaced ( not by me) who swear they are healthier, I think they also advocate coffee enemas as some kind of healthy, holisitic removing
January 29, 2015
Amalgams
Message Board
Views: 133168 | Replies: 8904
the bacteria penetrate through the infected dentinal tubules? and hence cause pulpal inflammation? I understand that it does make a difference if the pulps were healthy versus necrotic prior to the exposure or invasion. As healthy pulps are more resistant to bacterial invasion because
August 11, 2010
Amalgams
Message Board
Views: 133168 | Replies: 8904
to do them well, can not restore those teeth with those materials and make them last.As a side bonus, the patient also has the knowledge that their teeth look healthy and whole and like teeth, they way they did before they had disease. To a patient, every time they look into the mirror, they know
June 21, 2008
Amalgams
Message Board
Views: 133168 | Replies: 8904
on amalgam and the rest of the tooth on pretty damn solid walls, I'd put the margin on the amalgam there. I'd trust that way more than trying to find the damn margin below the amalgam and then get an impression of it too. Of course, I've never had the benefit of a laser to take away gum tissue
November 03, 2017
Amalgams
Message Board
Views: 1671 | Replies: 34
they are and if you don't have perfect isolation. Amalgams are the old school dentist's favorite because they simply last longer. I admit though, composite is always my go to material unless impossible to isolate (large tongue, incredible saliva flow, subgingival gum bleeding), then i reach for either amalgam
June 10, 2017
Amalgams
Message Board
Views: 133168 | Replies: 8904
healthy. Sometimes I just don't feel like ruining someone's day with a $2000 demand. Those patches will possible out last the patient and definitely outlast KetacNano, FujiIX or god forbid, composite.Phil, I think I agree that a person who feels they need to defend amalgam would find my comments
October 16, 2008
Amalgams
Message Board
Views: 133168 | Replies: 8904
difficult and also the box was very deep after removing old restoration and decay. The band was placed and then teflon condensed into the gums interproximally to seal it up and creating my wedge. Once packed and sealed, the band was loosened half a turn allowing me enough slack in the band
June 10, 2014
Amalgams
Message Board
Views: 133168 | Replies: 8904
into this gum here after it pinched in with the band? Sometimes if the concavity is not too deep, the greater curve is actually touching tooth root!Sometimes not though...Try this. Why use cord on these apple core cases. Better seal, a matrix to help shape the composite, black triangles reduced
February 09, 2010
Amalgams
Message Board
Views: 133168 | Replies: 8904
for you.yeah, a bit overkill....the ezlase has a max of 7watts as well. .....Not sure what happens up there ....Shoot I think the most I ever used my waterlase on was 6..... and that was to cut enamel .I will be hanging in the .8 -1.0 range and frying some gums BradiDT BS answer is: deep fractures
April 07, 2009
Amalgams
Message Board
Views: 2038 | Replies: 77
not treat sometimes and just like Timmy stated above there are many factors. The patient should be involved in the process as well. I had a patient yesterday who was a healthy 85. She had a large bridge where the distal abutment had recurrent caries. Its advanced more since the last recall
November 17, 2018
Amalgams
Message Board
Views: 2633 | Replies: 81
.. not really a protocole per se.. more like convenience? now everyone has perfect gums! pasquale/dimitrios: i donno about adhesive. i normally seal under my amalgam preps because i leave behind caries, and i like to seal on top of that... instead of cutting more tooth. but again.. this is a grey zone
January 31, 2013
Amalgams
Message Board
Views: 133168 | Replies: 8904
and with GOLD>>>>>bring on the 70'sBill in Mtl AKA MarybaMaryba/BillExtremely sweet amalgacrown. Looks like a SSC. Great stuff!!BradiBradi, the guy with 7 different fillings I will get a photo has shy-high caries rate.He has a MO, DO and then 5 discrete 'gum line fillings.If he were
July 17, 2008
Amalgams
Message Board
Views: 133168 | Replies: 8904
plus amalgam in the molar. IT is cut very conservatively. NOT flared into the lingual surface at all. Less is more. I did a similar filling on this Bicuspid, note the very small amalgam at the gum line of the first molar. If that tooth had been a full, prepped to the sulcus , crown that root decay
November 22, 2013
Amalgams
Message Board
Views: 133168 | Replies: 8904
..(woops i nicked the gum :-/ )Not sure that your practice growing has much to do with amalgams. But such simplification is fun. Then again, my practice isn't metal free either. There is plenty of gold and titanium to ruin my metal free reputation.Linc.What was the selection criteria for composite
July 08, 2010
Amalgams
Message Board
Views: 133168 | Replies: 8904
of thing. Just started using Fuji IX down by the gums on some of my more geriatric patients.....so far it is oK . haven't seen much in recall yet. Still prefer composite or amalg there but Fuji IX has its place. BradiIt's actually a great material when used as indicated. The Cl I and Cl II uses were
February 05, 2009
Amalgams
Message Board
Views: 133168 | Replies: 8904
plus lady has a well fitting RPD, but a cuspid crown/post has fallen out. The root looks OK on the x-ray and when I look down the post prep. I see a nice intact cement plug. Many times a healthy root can be left intact under a RPD as a 'pier'. or 'pile. This not only lends vertical support
December 15, 2014
Amalgams
Message Board
Views: 3342 | Replies: 70
these posterior teeth? I bet the gums were bleeding all over the place when you were filling these teeth! If all of these 7's and 8's are there in 10 years, I would call the pope because you've performed a miracle and need to become a saint. Only kidding. I can't imagine that this procedure was easy. I can't
January 10, 2017
Amalgams
Message Board
Views: 133168 | Replies: 8904
Curve band (I remember having a temper tantrum about the contact being open the first time and having to reband and redo it and it was just light then). Well last week he starts saying it is feeling weird again and then calls me yesterday from work to say he just pulled out his filling chewing gum
August 16, 2009
Amalgams
Message Board
Views: 133168 | Replies: 8904
to lose, let me remove some gum with a laser and see if I think I can restore it or not. If I can't we'll get you out to the oral surgeon and get it removed.Here is what I saw before I started and why I had my doubts.I used a Periolase MVP to remove gingiva so that the margins of the prep were
August 21, 2008
Amalgams
Message Board
Views: 1917 | Replies: 72
placement) but eat healthy fish every day.. Thanks Alan. Good sugestions. Yeah, you just don't want them coming back saying I didn't know I would still feel sad after having this done. I thought it would make me feel better. You don't want to acknowledge the voodoo medicine that got the patient
October 14, 2014
Amalgams
Message Board
Views: 133168 | Replies: 8904
demo....ThanksBradiHow many people stain the fissures of their black amalgams white? Every time I do that, someone complains that I've put nice healthy tooth structure in the middle of their nice black filling.Linc.Gee Bradi....i expected a perv like phil or linc to pick up on that one first
May 16, 2008
Amalgams
Message Board
Views: 133168 | Replies: 8904
of it. A nice big cord with hemodent and the gums didnt, seap a drop all along. Using Premise packable I have a nice mass of composite that keeps it's shape and I can carve it as if it was amalgam. Except it sets when I tell it to. Becasue of that last property, I simply prefer working with composite
March 30, 2011
Amalgams
Message Board
Views: 133168 | Replies: 8904
to use a fine round ended tapered fissure diamond for this. Smooth cavity outline means smooth margins and predictable removal of flashI guess if we are showing bicuspids, and amalgams, I will follow suit. The advantage of the slot preperation is obvious. We are not cutting away healthy tooth
September 09, 2013
Amalgams
Message Board
Views: 133168 | Replies: 8904
York University College of Dentistry, Department of Epidemiology & Health Promotion, New York, NY 10010, USA. dem5@nyu.edu OBJECTIVES: The Kungsholmen Elders Oral Health Study (KEOHS) evaluated the oral health status of generally healthy, community-dwelling persons over the age of 80 living
July 10, 2009
Amalgams
Message Board
Views: 133168 | Replies: 8904
choose to do an RCT for free if you want, and you can also choose NOT to do one. You can extract. The patient came to you with a big problem and you fixed it. They're HEALTHIER now than before. Remember that. Good job. bruh..you saved the other 8 teeth you worked on. you cant save the world
October 12, 2017
Amalgams
Message Board
Views: 133168 | Replies: 8904
, aka Military Esthetic Onlay is nothing sexy, but it's definitely functional and durable. And I must admit, they are fun to do. That last one I'm really happy with because I was still able to preserve a lot of healthy tooth structure. There are thick buccal and lingual walls with oceans of enamel
January 21, 2014
Amalgams
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