Monster cavity under filling. Can tooth be saved

This patient had a large silver filling with a pin. Extensive decay underneath the filling would lead someone to consider extracting it. The patient was able to avoid needing a root canal at this time but knows this will most likely happen. A crown should be placed on the tooth but the patient can only afford a large filling at this time.

Category:

Science & Technology

Tags:

• filling
• severe
• decay

[craigskohler]

I do too.

[craigskohler]

The xray shows the tooth that is 3D in a 2D format. The pin was not in the pulp chamber and came out easily

[craigskohler]

Vitrabond by GC was placed in the deepest areas. Ketac Nano for a larger base followed by Filtek Supreme Ultra for the outer surface. This patient does not have the money for an implant. She realizes that this is a heroic attempt. I did not use a matrix band. I chose to use cord to retract the gum tissue and treat the preparation like a class five restoration. No sensitivity so far.

[tsanaktsidis]

Thank you for the video.At what speed are you using the steel burs?

[craigskohler]

The burr are being used with an electric handpiece which can be as high as 40,000 rpm. i usually set it for under 20,000.

[craigskohler]

female

[zuniga325]

Where's my toothbrush?

[NicoleSantos2]

OMG he is AMAZING!!!

[nbulitera]

Oh Gosh.. I hate amalgam.

[johnnyfuxtik]

you should be proud. i wish all dentists, in fact all doctors were so conscientious and took their oath so seriously.

[cbollins1990]

The primary Xray shows that the pin from the amalgam is in the pulp chamber, did it have any affect on the final restoration ?

[donpapanikolaou]

It's a heroic attempt to save that molar with poor prognosis! What kind of liners/composite did you use? Did you use a matrix band? Any symptoms after?