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Dental Restoration - kevrudes WordPress

25 thoughts on “Dental Restoration”

  1. what brand scope are you using? I notice that when you increase the mag,
    the image is still in focus….how? I’ve used Zeiss and Global and I find
    the need to always refocus when increasing mag.

  2. Great to hear from another “scope doctor.” Step magnification and parafocal
    techniques are essential for maintaining constant focus of your microscope.
    You may want to try the brand that I use – Leica. I custom designed my own
    supporting apparatus. I was not impressed with the supporting apparatus of
    Zeiss and Global. They are too big and bulky and too obtrusive to patients
    and staff. I have small operatories and the Leica fits perfectly. GC

  3. Great to hear from you! Success rate is very good. I’ve been using
    posterior flowable with Heliomolar for years. Very few patients complain of
    sensitivity. I would make sure to use Vitrabond in deep preps to cut down
    on the sensitivity. I teach this technique to pre-dental students at
    Florida Atlantic University as well. The students perform it on a typodont
    and I check the proximal box for voids after removing the tooth. Good luck
    with training and keep practicing. Stay well. GC

  4. It all depends on the size of the amalgam you left. I wouldn’t lose sleep
    over something extremely small, as long as you informed the patient and
    followed up on it over time. Of course, the alternative is to just go ahead
    and replace the filling at no charge. GC

  5. I wish my dentist would take video of work done so I could see it, or allow
    me to see it being done. Most dentists I have been to do not like that I
    ask for a mirror while they are working on my teeth… why is that? To me
    it just proves that they are not confident enough to show me what they’ve
    done.

  6. Hi doctor i have a question going in my mind… does the usage of rubber
    cup to smoothen a dry incisor at the tip of the tongue cause enamel loss or
    a loss of a part of the tooth? I remember the doctor pushed a bit hard I
    had that a while ago and i have a small lisp since then

  7. Hi there- the natural tooth surface changes shape everytime we polish. The
    amount of changes is directly related to the type of polisher. “S” sounds
    are created by the contact of the chewing edge of the lower incisor and the
    lingual or edge surface of the upper incisor or tongue. GC

  8. nice magnification and imaging! Are you using 4 or 6 handed dentistry in
    this video? Just curious if your assistants get to see the same magnified
    images/angles you see through the microscope? I’m a microscope dealer and I
    have seen the monitors for the Assistants make a bona-fide big diff. The
    good thing is they don’t have to be anything special and can be purchased
    locally. Microscope enhanced dentistry has come a long way in the past
    several years. Now, if the remaining 99% to come aboard!

  9. I think the tx on the occl of tooth #21 is excessive. the caries didn’t
    even extend into the dentin (i could see that even with my 3.5x loupes).
    plus all of the evidence based literature suggests that sealing small
    incipient lesions, is a better course of treatment, long term (of course
    they must be completely sealed, i have seen the results when that doesn’t
    happen, and it isn’t good). this is counter intuitive to what we were
    taught in dental school, and it is also counter intuitive to our
    production/bottom line.

    based on the stain/discoloration on tooth #21, there was early decay
    develping, but it arrested a long time ago (based on the age of that pt,
    that tooth has been erupted for 20+ years…if the decay was “active”, it
    would have reached the pulp by now). the work you did is great (esp DO on
    #20), but i find the over tx of tooth #21 to be a case of justification of
    paying for that expensive microscope. IMHO. ´╗┐

  10. Hi Dr. Cuomo, I noticed that when you were clearing the contact for the
    Class II, the high speed seemed to be touching the adjacent tooth. Is
    there some sort of covering on it (crown)? I am wondering how you avoid
    damaging it. Thank you very much for your videos!´╗┐

  11. What kind of burr are you using and aren’t u having any protector between
    the tooth you working on and the neighbouring tooth?´╗┐

  12. Many times I will “square up” a contact area with a fine diamond and then a
    soft-flex composite disc. Pre-wedging the gingival embrasure space will
    help protect the gingiva. I believe Garrison Dental carries a combination
    wedge and band. I appreciate your comments. ´╗┐

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