4K AMAZING alternative to rebuilding decayed teeth: inlay
TLDRThe video script outlines the process of dental restoration using modern and aesthetic materials as an alternative to amalgam fillings. Initially, local anesthesia is administered for comfort during the removal of old amalgam. A dental bur is used to carefully remove the metal, revealing the healthy tooth structure. Post-removal, potential issues such as residual caries, pigmentations, and leakages are assessed. Any remaining caries are removed with a specialized bur. The script highlights that amalgam can leave pigmentations on the cavity walls, which are not to be mistaken for caries to avoid weakening the tooth further. A 37% phosphoric acid is then used to etch the dental enamel, creating micropores for better material adhesion. A base is placed after caries removal, and the cavity is shaped for a composite resin inlay. An impression is taken and sent to a lab for the creation of a white restoration. Upon receiving the finished restoration, the dentist prepares both surfaces for optimal adhesion and applies the cement. The restoration is seated accurately, excess cement is removed, and the cement is hardened with a photocuring lamp. Finally, the bite is adjusted, and the restoration edges are polished to prevent leakages or color changes in the future.
Takeaways
- 🔍 **Local Anesthesia**: In most cases, local anesthesia is required for comfort during the removal of old amalgam restorations.
- 🪒 **Removal Process**: A dental bur is used by the dentist to gradually remove the metal until healthy tooth structure is visible.
- 🦷 **Post-Amalgam Assessment**: After removing amalgam, one may observe dental caries, pigmentations, leakages, or aesthetic issues.
- 🧑⚕️ **Caries Removal**: Any remaining caries are removed with a special bur, ensuring the tooth's integrity.
- 📦 **Pigmentation Note**: Dental amalgam often leaves pigmentations on cavity walls, which should not be mistaken for caries as it would weaken the tooth.
- 🧪 **Etching with Phosphoric Acid**: A 37% phosphoric acid is used to demineralize dental enamel, creating micropores for better material adhesion.
- 🛠️ **Material Adhesion**: The acid etching process allows for chemical adhesion between the tooth and the restorative material.
- 🏥 **Base Placement**: After caries removal, a base is placed, and the cavity is shaped according to the type of restoration chosen.
- 🏭 **Laboratory Work**: An impression is taken and sent to the lab to fabricate a composite resin inlay, which is later polished and returned.
- 🛠️ **Preparation for Adhesion**: Both the tooth and the inlay are prepared to ensure a strong bond.
- 🏗️ **Cement Application**: Mixed cement is applied to the cavity, and the inlay is seated precisely before the cement hardens with a photocuring light.
- 🔧 **Final Adjustments**: The bite is adjusted, and the restoration edges are polished to prevent future leakages or color changes.
Q & A
What is the first step in the dental restoration process described in the script?
-The first step is administering local anesthesia to ensure patient comfort during the removal of the old amalgam restoration.
What tool does the dentist use to remove the old amalgam restoration?
-The dentist uses a dental bur to gradually remove the metal until the healthy tooth wall is visible.
What are some of the issues that may be revealed after the removal of amalgam?
-After the removal of amalgam, issues such as dental caries, pigmentations, and leakages or aesthetic concerns may be observed.
How is residual caries removed after the amalgam is removed?
-Residual caries is removed using a special dental bur.
What is the difference between dental pigmentations and caries?
-Dental pigmentations are discolorations left by the amalgam and should not be confused with caries, as caries would significantly weaken the tooth structure.
What role does 37% phosphoric acid play in the restoration process?
-37% phosphoric acid is used to etch the dental enamel, creating micropores that allow for the chemical adhesion of the restorative materials to the tooth.
What is placed after the removal of dental caries to prepare for the restoration?
-A base is placed after the removal of dental caries to prepare the cavity for the chosen type of restoration.
What type of restoration is chosen in the script?
-In the script, a composite resin inlay is chosen for the restoration.
How should the cavity be shaped for a composite resin inlay?
-The cavity should be shaped with wide access and smooth walls to allow the restoration to be placed along a single axis.
What is done with the impression taken by the dentist?
-The impression is sent to the dental laboratory to fabricate the white inlay or restoration.
How does the dentist ensure a good fit and adhesion of the restoration?
-The dentist prepares both the tooth surface and the restoration surface, then mixes the cement and places it into the cavity, ensuring a precise fit before curing it with a photocuring lamp.
What final steps are taken to complete the restoration process?
-The dentist adjusts the bite and polishes the edges of the restoration to prevent leakages or color changes in the future.
Outlines
🦷 Proceso de Eliminación de Amalgama y Renovación Dental
Este párrafo describe el proceso de eliminación de restauraciones de amalgama y la renovación con materiales más modernos y estéticos. Se menciona la necesidad de anestesia local para la comodidad del paciente. El dentista utiliza una fresa para eliminar gradualmente el metal de la amalgama hasta exponer el diente sano. Al retirar la amalgama, se pueden observar caries dentales, pigmentaciones, filtraciones o necesidades estéticas. Se destaca la presencia de caries remanente, la cual se elimina con una fresa especial. Además, se aborda la importancia de diferenciar las pigmentaciones de la amalgama, que no son caries, para no debilitar aún más la pieza dental. El uso del ácido fosfórico al 37% es fundamental, ya que desmineraliza el esmalte y crea microporos para una mejor adhesión de los materiales de restauración.
🏥 Preparación y Colocación de una Restauración con Resina Compuesta
Una vez eliminada la caries dental, se procede a colocar una base y a moldear la cavidad según el tipo de restauración elegida, en este caso, una incrustación de resina compuesta. La conformación de la cavidad debe ser amplia y con paredes lisas para facilitar la entrada de la restauración en un solo eje. El dentista toma una impresión de la muela y la envía al laboratorio para fabricar la restauración. Al recibir el modelo de trabajo del laboratorio, el dentista prepara las superficies del diente y de la incrustación para asegurar una buena adhesión. El cemento se mezcla y se coloca en la cavidad, donde la restauración se ajusta perfectamente. Se eliminan los excesos y el cemento se endurece con una lámpara de fotocurado. Finalmente, se ajusta la mordida y se pulen las terminaciones de la restauración para prevenir futuras filtraciones o cambios de color.
Mindmap
Keywords
💡Amalgam Restoration
💡Local Anesthesia
💡Dental Bur
💡Caries Dental
💡Pigmentation
💡Phosphoric Acid
💡Dental Base
💡Composite Resin Inlay
💡Impression
💡Cement
💡Photocurable Lamp
💡Occlusion Adjustment
Highlights
The process of removing amalgam restorations requires local anesthesia for patient comfort.
A dental bur is used to gradually remove the metal amalgam until healthy tooth structure is visible.
After removing amalgam, the presence of dental caries, pigmentations, and leakages can be observed.
Remnants of caries are removed using a special bur, ensuring no further weakening of the tooth structure.
Amalgam can leave pigmentations on the cavity walls, which should not be confused with caries.
37% phosphoric acid is used to etch the dental enamel, creating micropores for better material adhesion.
Etching allows for chemical adhesion between the tooth and the restorative material.
A base is placed after caries removal to prepare the cavity for the chosen restoration.
A composite resin inlay is selected for the restoration in this case.
The cavity is shaped with smooth walls and a wide opening for single-axis access.
An impression is taken and sent to the lab to fabricate the white restoration.
The lab returns a finished and polished restoration model after a few days.
Both the tooth and restoration surfaces are prepared for optimal adhesion.
The cement is mixed and placed into the cavity, ensuring a precise fit for the restoration.
Excess cement is removed before hardening with a photocuring lamp.
Finally, the bite is adjusted and the restoration edges are polished to prevent leakages or color changes.
Transcripts
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