Wow Doc I keep getting amazed from ur Amazing Tips, otherwise would have taken me 20 years of experience. Ur knowledge is very practical and useful, cause we don't live in a perfect world.
Thank you. I have down this successfully with these methods for a long time. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Thanks Dr am amazed...for starters i was taught where amalgam is, never place any cement especially composite coz of chemical and physical reactions and then i watched this video.this made me recall many times i have sold out that idea🤦.thanks for the enlightenment.
You are welcome. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Dental Minute with Steven T. Cutbirth, DDS Actually, I wanted to know what techniques you do in case the original old crown or onlay wasn't in good for fabrication of a putty then provisional crown? And you recommend direct provisional crown in some cases ?
We take alginate impressions of the presenting dentition, then wax up the tooth or teeth to ideal anatomy if it/they are badly broken down. We then make the PVS matrix from the wax up model. If we are restoring just one tooth, and the tooth has good anatomical form, we sometimes warm 2 thicknesses of pink wax and mold the warm wax to the tooth to be restored as well as 1 adjacent tooth on each side of the tooth to be crowned. Mold the warm wax to the tooth with your fingers then, once the wax is formed to the teeth, spray cool water on the wax matrix while it is still on the teeth, then tease it off the teeth and place the wax matrix in a bowl of cool water to chill. Be sure to spray the wax matrix with cool water while it is still in place on the teeth to harden it. If you remove the wax matrix while it is still warm and place it in the cool water it will distort and not fit the teeth well. Once you have prepared the tooth for a crown, remove the wax matrix from the bowl of water and try it in on the teeth. It should fit snugly. Remove the matrix from the teeth and squirt bisacrylate (Luxatemp is a good one) into the matrix in the area of the prepared tooth, wet the prepared tooth in the mouth, squirt bisacrylate directly onto the prepared tooth, then place the wax matrix with the bisacrylate onto the prepared tooth. Hold the wax matrix in place until the bisacrylate sets, then remove the matrix and provisional crown, trim it, adjust the occlusion and cement with provisional cement.
I do give nerve blocks. Watch my videos on painless and profound local anesthesia in the video library of DMC.com. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
I have to ask why did you leave the silver filling on the side of the tooth and not remove it? I understand the amalgam filling in the middle you explained that but just wondered about the side ...love your videos by the way 👍👍
Do you have any recommendations for colleagues or options in Arkansas? I have neglected my teeth and the damage endured for a long time, mainly fillings that have fallen out followed by subsequent damage & decay. A couple of cavities that never had fillings. Most have been out of sight so I just dealt with the pain but now my appearance is being affected. I don't want the stigma of having rotten or damaged teeth. People can be very cruel and it can greatly affect everything in your life, including job opportunities. Thanks.
Do you have any research that can vouch for your discovery of etching gel being able to muster bleeding? All evidence points towards the opposite... Everytime acid touches gingiva, it dissolves the upper cellular layer and a bleeding starts even without any diamond bur action ;D
Try it! It works most of the time much better than 35% hydrogen peroxide, hemodent or "shave nik." 1/100,000 or 1/50,000 epinephrine in lidocaine injected into the tissue is a last resort. I have also read of dentists using "Afrin" as an oral hemostatic agent. Be sure to isolate the area so the patient does not injest the hemostatic agents. Some of the things I will share with you are simple things I have discovered out of necessity restoring complex cases for 35 years!
Can't thank you enough for all the help and tips. Please share as much of your tips as you can! I am writing all of them down for future reference - from a dental student!
The only options I know of for gingival bleeding control are 1) 38% phosphoric acid directly on the bleeding area for 30 seconds, then rinsed off with very cold water (not hot or even warm water), 2) Hemodent, 3) 35% hydrogen peroxide for about 15 seconds or 4) injecting lidocaine 1/100,000 or 1/50,000 epinephrine directly into the papillae or other gingival bleeding area. 1/50,000 epinephrine can cause heart palpitation, so I only use 1/100,000 epinephrine. The only times I can remember one of these options not working is when the patient is on blood thinners or takes a lot of aspirin or advil. In those cases, injecting the tissue directly with the lidocaine 1/100,000 epinephrine is the only thing that seems to work and the hemostatic effect wears off rather quickly, so do the work you have to do quickly.
@@CousinHubertRetrogaming I had the same issue previously but then learnt that I either hadn't left the etch there long enough (for a minimum 30 seconds) or the water/air pressure from the syringe was too high. The status of the gum health is an important factor too.
Wow Doc I keep getting amazed from ur Amazing Tips, otherwise would have taken me 20 years of experience. Ur knowledge is very practical and useful, cause we don't live in a perfect world.
Subscribe to DentistryMasterClasses.com.
Thank you Dr. Cutbirth!
True honest dentist so experience man
I respect you so much
Thank you. I have down this successfully with these methods for a long time.
Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month.
Click here to subscribe:
membership.dentistrymasterclasses.com/purchase/?plan=513
How many dentists have taken lessons from Dr. Cutbirth? Mine indeed didn't. As a result, I got a failed root canal and dental bridge problems.
There are plenty of good dentists in practice. I am sure you will find one. Sorry about your dental misfortune.
Thank you Dr. Cutbirth for your very informative videos.
You are welcome! I am glad they are helpful.
Dental Minute with Steven T. Cutbirth, DDS
They are very helpful . Keep up the good work doc .
You are awesome respected sir...
.
U have always been my guide...
N your explanation are so simple..
.
U win my heart sir...
.
All regards to you
Thank you. Subscribe to DentistryMasterClasses.com.
Thanks Dr am amazed...for starters i was taught where amalgam is, never place any cement especially composite coz of chemical and physical reactions and then i watched this video.this made me recall many times i have sold out that idea🤦.thanks for the enlightenment.
You are welcome. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month.
Click here to subscribe:
membership.dentistrymasterclasses.com/purchase/?plan=513
An excellent presentation!!
Please show how you do the rubber dam placement. And do u take impression with dam in place?
Watch the Dental Minute video on Rubber Dam placement.
Thanks!Dr Steve you are a great inspiration!
Thank you. subscribe to DentistryMasterClasses.com.
Did you take putty impression for provisional crowns before removing the old fillings and preparing teeth?
You can. We take impressions and pour study models on all new patients, so we make the putty impression on the study model.
Dental Minute with Steven T. Cutbirth, DDS
Actually, I wanted to know what techniques you do in case the original old crown or onlay wasn't in good for fabrication of a putty then provisional crown? And you recommend direct provisional crown in some cases ?
We take alginate impressions of the presenting dentition, then wax up the tooth or teeth to ideal anatomy if it/they are badly broken down. We then make the PVS matrix from the wax up model. If we are restoring just one tooth, and the tooth has good anatomical form, we sometimes warm 2 thicknesses of pink wax and mold the warm wax to the tooth to be restored as well as 1 adjacent tooth on each side of the tooth to be crowned. Mold the warm wax to the tooth with your fingers then, once the wax is formed to the teeth, spray cool water on the wax matrix while it is still on the teeth, then tease it off the teeth and place the wax matrix in a bowl of cool water to chill. Be sure to spray the wax matrix with cool water while it is still in place on the teeth to harden it. If you remove the wax matrix while it is still warm and place it in the cool water it will distort and not fit the teeth well. Once you have prepared the tooth for a crown, remove the wax matrix from the bowl of water and try it in on the teeth. It should fit snugly. Remove the matrix from the teeth and squirt bisacrylate (Luxatemp is a good one) into the matrix in the area of the prepared tooth, wet the prepared tooth in the mouth, squirt bisacrylate directly onto the prepared tooth, then place the wax matrix with the bisacrylate onto the prepared tooth. Hold the wax matrix in place until the bisacrylate sets, then remove the matrix and provisional crown, trim it, adjust the occlusion and cement with provisional cement.
Dental Minute with Steven T. Cutbirth, DDS thanks a lot doctor for your answer and time
Filling a tooth completely by flowable composite will make the restoration weak or affects anything ?
F
Doctor why don’t you give the patient nerve block ?
I do give nerve blocks. Watch my videos on painless and profound local anesthesia in the video library of DMC.com.
Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month.
Click here to subscribe:
membership.dentistrymasterclasses.com/purchase/?plan=513
Whats a repair like this normally cost?
It depends on many things.
I have to ask why did you leave the silver filling on the side of the tooth and not remove it? I understand the amalgam filling in the middle you explained that but just wondered about the side ...love your videos by the way 👍👍
No reason. The margins were sealed, it was high on the tooth and small. Normally I do remove all amalgam fillings.
Do you have any recommendations for colleagues or options in Arkansas? I have neglected my teeth and the damage endured for a long time, mainly fillings that have fallen out followed by subsequent damage & decay. A couple of cavities that never had fillings. Most have been out of sight so I just dealt with the pain but now my appearance is being affected. I don't want the stigma of having rotten or damaged teeth. People can be very cruel and it can greatly affect everything in your life, including job opportunities. Thanks.
Find an excellent, comprehensive dentist with good training who examines your entire mouth and gives you an entire treatment plan.
Do you have any research that can vouch for your discovery of etching gel being able to muster bleeding?
All evidence points towards the opposite...
Everytime acid touches gingiva, it dissolves the upper cellular layer and a bleeding starts even without any diamond bur action ;D
Try it! It works most of the time much better than 35% hydrogen peroxide, hemodent or "shave nik." 1/100,000 or 1/50,000 epinephrine in lidocaine injected into the tissue is a last resort. I have also read of dentists using "Afrin" as an oral hemostatic agent. Be sure to isolate the area so the patient does not injest the hemostatic agents. Some of the things I will share with you are simple things I have discovered out of necessity restoring complex cases for 35 years!
Dental Minute with Steven T. Cutbirth, DDS thank you! But everytime it results in heavy bleeding in my case...
Can't thank you enough for all the help and tips. Please share as much of your tips as you can! I am writing all of them down for future reference - from a dental student!
The only options I know of for gingival bleeding control are 1) 38% phosphoric acid directly on the bleeding area for 30 seconds, then rinsed off with very cold water (not hot or even warm water), 2) Hemodent, 3) 35% hydrogen peroxide for about 15 seconds or 4) injecting lidocaine 1/100,000 or 1/50,000 epinephrine directly into the papillae or other gingival bleeding area. 1/50,000 epinephrine can cause heart palpitation, so I only use 1/100,000 epinephrine. The only times I can remember one of these options not working is when the patient is on blood thinners or takes a lot of aspirin or advil. In those cases, injecting the tissue directly with the lidocaine 1/100,000 epinephrine is the only thing that seems to work and the hemostatic effect wears off rather quickly, so do the work you have to do quickly.
@@CousinHubertRetrogaming I had the same issue previously but then learnt that I either hadn't left the etch there long enough (for a minimum 30 seconds) or the water/air pressure from the syringe was too high. The status of the gum health is an important factor too.
Great tips. But you use way too many burs for steps that can be achieved using just one bur!
Thank you.
Hello DOCTOR
I Like very much your job
Thank you.
Thank you so much Dr. Steven for these very helpful tips.
Terrific. I hope you subscribe to DentistryMasterClasses.com. That is the really good stuff.