MESMERIZING Restoration of A Big Leaky Old Tooth Filling Using Electric Handpiece

Onlay Direct Restoration of a big carious cavity underneath an old restoration using Woodpecker Electric Handpiece
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[@sawssman965]

A good dentist is a highly underrated professional. I just barely got my first good dentist and I pray I never lose* his ass. Dude seriously does the lords work and his shots rarely hurt. His fillings stay and I'm just amazed at how he's able to sculpt my teeth back into shape. These people are proficient in so many different things it's crazy. Once you find a good dentist, you hold on and never let go!

[@hikerguy3895]

I hope you don’t loosen his ass up either

[@sawssman965]

@@hikerguy3895 lol. Very unfortunate typo sequence. Good eye

[@hikerguy3895]

@@sawssman965 I had to make that joke! 😂

[@anonymousf454]

Please give his name and location

[@Victornotcamper]

I'm Indian and here all dentists are very corrupt. They just want cap on cavities because it makes them more money. They don't do composite filling mostly.

[@cvsporn]

You are an artist! I love how you keep at it until the caries detection dye no longer is visible.

[@DrArkhedeLeon]

Thank you so much for your appreciation! A clean floor will last more

[@skygames1990]

@@DrArkhedeLeon Should you not used smaller RTG analog or digital or is it used just for root canal diagnostic? For diagnostic in this case it is used 2d Ortopanogram? Thanks for video. PS: Not MD just curious... 🍻

[@ianevangelio9134]

@@DrArkhedeLeon doc saan po Ang location nyo pwedi po ba walk in appointment?

[@kingvadervlog8280]

Question, since so much structure had to be removed for the filling (70%), would've had it been better to do a Cerec crown for longevity.

[@irisyuma429]

@@DrArkhedeLeon dok kahit patay na ang ngipin ma save pa ba

[@prescotthancock5907]

You've done it again! I truly admire your work. I feel like if more dentists were like you, less people would want Veneers.

[@markschoeppel5660]

You are truely gifted. This was a great video which answered a lot of questions and reduced many worries. Thank you !!

[@DrArkhedeLeon]

Glad it was helpful!

[@ossmbc]

You don’t need to remove all the infected dentin on pulpal floor. If you cleaned the walls, the case was asymptomatic, you can place your restoration according to latest articles. This will minimize risk of pulp exposure, and the caries will be arrested and die because there’s no nutrients anymore when you seal it.

[@ROGSYT]

Without the Caries detector I would have stopped cleaning way before you finished 😮 is it really THAT accurate? I don’t want to be hurting healthy teeth 😢

[@tnaextremegamer]

I think about this a lot as well… A lot of studies defend that This is too far, because he’s taking away not only infected dentin, but also affected dentin, which will expose the patient to more likely experience sensibility…

[@OscarGarcia-kx6xr]

@@tnaextremegamer I have to get a root canal because my original cavity wasn't cleaned out all the way. I'd take the bit of sensitivity to have had it done properly the first time

[@Eatonbeaver7]

@@OscarGarcia-kx6xryou most likely would have had the root canal either way. This tooth is probably heading towards a root canal in the next 2 years

[@tnaextremegamer]

@@OscarGarcia-kx6xr The reason behind this is possibly a leakage in the restoration that was done, or just an irreversible case of pulp infection (maybe the dentist tried the restoration as a last case scenario)…

[@tnaextremegamer]

@@OscarGarcia-kx6xr a lot of recent studies show us that leaving a small amount of affected dentin is not a problem at all, and will prevent any kind of accidental pulp agression, but a proper marginal sealing needs to be done. Anyways, I’d love to read an update on your case. Please, whenever you read this, tell me a little bit more about your experience!

[@B.Dahlia89]

That decay was super deep! Do you think a crown will be needed in the future? Also was the tooth cold/heat sensitive afterwards?

[@akmalhot]

This tooth should have had a crown. You can build a whole tooth out of composite, it doesn't mean you should . When this fails down the road it will def lead to rct

[@nickcarroll8565]

@@akmalhot i know I’d have preferred a crown over that

[@bon4560]

​@@akmalhotwhat is rct?

[@July-A7]

​@@bon4560rct = root canal treatment

[@aishac6992]

@@bon4560 root canal treatment

[@pattyfluegel7816]

Beautiful! Your work amazes and pleases me. If only every dentist could be so ethical and good.

[@DrArkhedeLeon]

Aww..thank you patty

[@keotheghost]

im studying to become a dental hygienist myself! i find teeth so interesting to work with! your vids teach me more and more every day ❤️❤️❤️ keep up the good work doc!

[@DrArkhedeLeon]

Good luck! You can do it.

[@geanbarcellos3652]

amazing job, in brazil we don't put the acid close to the pulp chamber, we usually put calcium hydroxide, so it minimizes the sensitivity.

[@dotoxicred6208]

Your videos never fails to entertain me, also, they've been getting better lately in terms of its quality and engagement. :))

[@DrArkhedeLeon]

Wow..thank you so much!! Am trying to improve everytime

[@marosieestallo4326]

Pinaka magaling na DENTIST AT LABIS KUNG HINAHANGAAN.. GOD BLESS YOU DR. ARKHE...

[@DrArkhedeLeon]

Wow, maraming salamat po sa inyong suporta! God bless

[@jasonanderson951]

Nice work. I could see that the caries did go deep and that the pulp chamber was visible. Have you considered using a medicated liner such as Vitrebond in these cases?

[@Nyanpasuwu]

You actually made me enjoy dental school, I’ve learned so much from watching your videos more than what the college actually teaches us , thank you so much

[@DrArkhedeLeon]

Ohh.. you praise me too much.. but thank you so much! Glad you are learning

[@shaikshaahid1338]

@@DrArkhedeLeon respected sir plz give us your precious appointment n treatment for severe dental problems which disturb academic calendar of education of us students

[@shaikshaahid1338]

@@DrArkhedeLeon and how much money should we spent on it? details plz

[@Schelle7000]

Damn, as someone who has had a lot of dental work done, I would be shocked if this tooth didn't require a root canal and crown after this. This filling is so deep that it had to be sensitive to hot and cold, as well as having a toothache. Here in the states, it would cost over 2 grand to repair this tooth properly after a filling this deep. Not knocking the doctor, just speaking from my own experience.

[@Khushisharma-c7z]

Really i thought its a rct case definitely

[@DG-EditsYT]

That's the price of an implant, might aswell replace the tooth

[@maniacallaugh2148]

Agreed!!!

[@thomaskunz8029]

@@DG-EditsYT How much does a single implant cost generally?

[@2012farfar]

@@DG-EditsYTno your natural tooth is always better than an implant, if it can be saved with RCT and Crown, then it's better than an implant. If it has poor outcome, then yes implant is better.

[@top5bestest]

Wow! I can feel the sensitivity and the sharp light pain by just watching and hearing the dental drill. I've got 12 teeth that needs to be drilled and filled. Having a tooth drilled before filling makes me feel anxious and I hate it. Makes me sweaty the entire time and wish it gets done fast. If only I could skip that part. 😅 Anyways, this entire procedure is so addicting to watch. ❤

[@faithnfruits]

Wow God Bless your soul. You are one of few dentists that actually care about people’s teeth and health. So many dentist out here just want money and it’s in and out when your at the dentist to only come back with more problems.

[@xoxojodimarie2968]

You are a remarkable artist Doc! And to show my support, Im not skipping any adds while watching your amazing works! ❤

[@DrArkhedeLeon]

Wow thank you so much for the effort mam marie

[@xandrix]

What really amazes me is how steady doc's hands are operating on something very small. Nice job doc!

[@DrArkhedeLeon]

Tha k you so much for appreciating that detail xandrix

[@jahmovement2864]

@@DrArkhedeLeon Dr. Saan po clinic nyo . Im ofw and Pauwi po ako this month. And gusto ko po ipaayos yung teeth ko. Sana po mapansin. Salamat po

[@thejetzkie6858]

Grabe, ibang level talaga pasensya ng mga dentista. Hats off po sa inyo at sa ibang mga doctor din..wew!

[@DrArkhedeLeon]

Thank you po

[@ivodeguzman2565]

Pulido tlg si dok at mapapasana all ka na lng tlg. Amazed tlg ako sa kabusisihan mo doc at masasabi kong mahal mo ang mga patients mo dhil pinaganda mopo tlg ang ngipin nila na parang totoo. ⭐⭐⭐⭐⭐❤

[@maciejburchardt7927]

Every restoration I have seen on this channel is remarkable.

[@Jaywalkingtours]

It’s so amazing how the final result looks very natural.

[@marvinbadong6753]

Artistic, Patience required and Professionalism. Excellent Worked

[@laideetena39]

Hands down to the dedication and patience! Wonding how long does a filling usually last to be replaced? And or how long till it leaked? Thanks Doc!

[@DrArkhedeLeon]

Thank you so much! It can fracture around 8 to 12 years.. but it will take a longer time before it leaks

[@average0citizen]

Hey man, fellow dentist here! Glad i found you, great content!

[@DrShahid-Shafi]

That's truly mesmerizing and treat to eyes. I'm a general dentist from India. I've watched almost all of your videos. Thank you Sir for sharing these gems. One question, do you use total etch technique in all your cases? Isn't there a concern of post operative sensitivity with total etch technique?

[@mrs.sandoval261]

I'm new subsc in this channel. So wonderful all the practice of technic that you showed. I'm really glad to find you. Special cause is not easy at this time to get a real good dentist for saved the tooth. I used to have good one for around 4 decades. Now, they took out away w Endo. It was completely strong, firm, not pain, not symptoms. But my real teeth around was falling down little by little. Dr had been taking months to do this Endo, cause it's big, strong and deeper. Now, I have to get crown. I didn't want it, but I have to. I got not option. Dentist had to save tooth, no destroy, no kill to put artificial one to get more money. Thanks, thanks, thanks 🙏👍

[@brownladKR]

Unbelievable doc! Your crafting skills are awesome! Love it.

[@DarkSithLord69]

Another great and perfect restoration. Love your videos. A big hug from Portugal.

[@DrArkhedeLeon]

Thank you so much for appreciating! It means a lot. Will upload more videos soon! God bless!

[@CastaneaMa]

you should look into doing more increments. Thats more effective for preventing microleackage.

[@gingybun]

The drilling gave me anxietyyyyyyyyy. I could have sworn I felt the sensitivity on my teeth just from watching. The filling tho… is indeed mesmerising.

[@amyneubert5777]

Dr.Arche, you are really a genius Fixing teeth which looks irreparable is just amazing. God bless you. I have lots of damaged teeth and hope someday i could meet you. I am a resident of Germany for the last 32 years but my trust and respect for our doctors and dentist in the Philippines is much more great than here in the west.

[@DrArkhedeLeon]

Thank you so much! Glad you liked it! Hope to meet you soon!

[@endthemandates2567]

Really amazed at the work you do and hope this can reassure patients who have had bad experiences not to give up.

[@georgyporgy7051]

Salamat sa channel Dr Arkhe and putting your heart to your craft. Sadly for me yung temporary crown ko sa right lateral incisor fell off together with my tooth (root canalled na sya) What’s the best option left po, Wondered if my dentist not skillful enough, your thoughts po

[@theoldgibson-savagehomeste4372]

Wow! Ang galing! I love how you really clean the tooth, I'd love to make an appointment with you kung asa malapit lng ako LOL.

[@saraym24]

I love your patience. You work alot not only to satisfy the patient but to satisfy yourself. That you really deserve the best .

[@Velmakinzy]

Nothing better than someone who truly enjoys their job 😊

[@daniloqfelipe5835]

What a great dedication.. I wish that u fix mine as well doc. More blessings!!

[@JCNAF1997]

Awesome work! By the way, that electric thing seems to be less stressful to the pacient that is scared of dentists like me, lol!

[@melsolis5324]

I love the memes gifs you add, they make me laugh 😂

[@vadimman6140]

I thought once the teeth is filled it can be only removed next, didn't know the filling can be renewed, it made my mood better,thanks

[@geyjune1551]

Its always satisfying to see the pink dye

[@ibo110096]

amazing job dedication i work with good ddentist like this only few are really good and dedicated i salute😊

[@rsp1239]

whoever edits these videos is too funny! i love them!

[@Julie-tg3bv]

Nice work! But why don’t you make an onlay in this case? The cavity is really deep, there are only 2 cusp left

[@sundaycepeda9848]

Ang husay mo po doc, quality ang treatment, okay lang mag bayad ng mahal kung ganito naman ka quality ang service.

[@DrArkhedeLeon]

Maraming salamat, Sunday!

[@magicalshuri8680]

I love watching a master work and from what little I can understand you are definitely a master of your craft

[@mongemrxcvi9881]

i sincerely think you make very good looking restorations, but with the how much tooth structure you have removed, I think, adding some sort of liner to prevent sensitivity (because decay was very deep), then build up and crown would probably be an option with better prognosis

[@dacreauz1592]

Kaya pangarap ko magpa ayos ng ngipin dito kay doc Arkhee, alam mo talagang pinagiigihan nya trabaho. Good as new kahit pasta. God bless you doc 💕

[@DrArkhedeLeon]

Maraming salamat, Rhea! God bless.

[@gran-infomedio1618]

Only thing I didn't like about minute 6 is when he says "let's remove this dentin, that is why there is still limitations onto what a dentist can do, anyways you go to get a cavity out but you end up with less crusial tooth structure which in the long run makes for a weaker teeth, in my opinion the less you remove tooth material the better..

[@michiamojen]

Sana makahanap ako ng dentist na kasing busisi mo dito sa area kooooo. Great job, doc! 😀

[@ivodeguzman2565]

Haynako dami ko na nasubukan pero walang kagaya ni doc siguro ito si dok ay mahal kaya mabusisi witch is GOOD nman tlg. Mga den ko kc na nadubukan ay mga mura kaya sloppy ang trabaho nila. Kaya minsan mas ok na ang pumunta sa mamahalin dhil pulido tlg ang gawa kisa sa mura lahat tlg masasabi mo na lng tlg. Kaya Tabi tabi na lng po 😅✌✌✌👊

[@michiamojen]

@@ivodeguzman2565 sa true lang... okay lang for me to splurge a little kung pulido naman. I will just treat it as an investment. Oral health naman din kasi siya. Question nalang talaga is saan maghanap HAHA

[@hsylvester6132]

I'm loving watching all of these kinds of videos since having the last of my teeth pulled. I admire the artistry of your work but having been on the human end of dental dams, drilling, novacaine wearing off, major infection and general severe angst - I'm so glad my teeth are gone.

[@DrArkhedeLeon]

Thank you so much for appreciating. Will upload more videos soon.

[@sitechca70]

Wow such painstaking attention to detail and patience. It feels like other dentists either do simple fillings or recommend crowns for anything worse.

[@you_can_call_me_N.999]

Sir can composite filling can be removed without damaging a real tooth

[@leyhmatawhay399]

and we also enjiy watching it! truly satisfying!

[@TheEviltunafish]

Terciar dentin leaves caries detector stains aswell.

[@dimitrifotioglu8758]

Amazing video both entertaining and educational, I just have one question though why didn’t you choose to make an onlay restoration wouldn’t it be more appropriate for a cavity that big ?

[@kalachuchu5672]

Ang galing nyo talaga doc mag gawa.talagang dedicated kayo sa profession nyo doc .ayan gusto namin dentist maayus gumawa hindi bara bara..sana may malapit na po kayong branch sa along Qc. Tsora

[@cosmiqueorg]

1 1/2 to 2 h for a composite filling ? May I ask what you charge for this? It usually takes me ca. 2 h to do an all-on-4 case incl. suturing and impression. It`s not bashing, I`m just curious. Wonderful work btw.

[@mamos69420]

20 dollar per tooth in india

[@Andrew-ej2oc]

Don't you think a partial veneer crown would have been more appropriate than a large, oversized, direct restoration?!!!

[@Steve_Schiffenhaus]

EverX Flow actually has a lot of shrinkage stress - even compared to other flowable and composites - it’s advantage is high fracture toughness in thicker increments - it’s sister product EverX posterior has less shrinkage stress and is tougher in thinner increments - this is form both company data and published literature - really enjoy your channel, just want to help. -Steve

[@DrArkhedeLeon]

Ooooh..this helps a lot!! Thank you so much! Will check those research..thank you dr. Steven!

[@Steve_Schiffenhaus]

@@DrArkhedeLeon My dear friend Marco Carvalho along with Pascal Magne and Taban Milani have a recent paper out showing higher cusp deflection with the Flow vs the regular Posterior, it is free to download - just pubmed search the title: "Shrinkage-induced cuspal deformation and strength of three different short fiber-reinforced composite resins" Honestly I think you used it well here, while it was a large volume, the C-Factor was low and this should last the patient a very long time with such a strong material. Best, Steve

[@DrArkhedeLeon]

Oh my..its late for me to realize that you're "THE" dr. Steven Schiffenhaus.. thank you so much for this comment.so humble of you to be so kind and open with your comment.. am actually talked to the company and they confirmed everything you said..thank you so much for this.. according to the study they used 50/50 flow and posterior.. would it be better if we use everx 10/90.. 10 for the flow just to fill the gaps that the everx posterior cannot fill completely?. What do you think? Thank you so much Dr. Steven for this very educational comment..

[@javiervelez892]

With a caries so deep and large I would have just done RCT and restore with a crown. Large resin restorations tend to fail over time. But sometimes patients just don’t have the money to do all that, so this is a good alternative for a while until the patient saves up some money. The dr does have good skills in sculpting anatomy which is in my opinion an art that can be very hard to master.

[@islamatia1035]

Awesome work doctor, i have question, you used electric 5:1 handpiece still you set the program in electric motor to 1:1 mode, why that ?

[@wrathofpaulii]

i didn't realize just how deep into a tooth you can drill without reaching the pulp, and still be able to fuse a regular filling

[@aminakirlo4166]

Thank you doc😚 I have learned so much from you po, more videos to be uploaded.

[@justinchan2989]

Great job but I would have opted for core buildup with crown

[@abhisheksolanki7923]

Magician is the right word for u sir, nice finishing

[@0ohyaa0]

Hi doc, Why do you choose composite, instead of onlay or crown? Seeing that it is a very big restoration

[@DrArkhedeLeon]

Hello! Because it is cheaper and faster for the patient. But it is actually better if we do onlay or crown..but it is 3 to 4 times more expensive

[@chris0579]

Chapear faster.. and 5 Years later teeth IS broken and you have to pay implant... I prefer crown..

[@weebeast07]

@@chris0579 lol since when does that happen. So you would make crowns in each teeth that needs a big filling?

[@giuliacanfora64]

That’s what I’m about to do in my future (I hope)! I’m attending dental school in Italy❤ AMAZING JOB

[@spleenpirate9770]

2:44 seeing if all the caries was removed is the best part xD

[@hayedncs9569]

Ang galing. Sana lahat ng dentist i kagaya niyo po.

[@buratching]

WOW !! YOU ARE AN ARTIST GOOD JOB DOC, WISH YOU ARE PRACTICING HERE IN THE USA ILL TAKE YOU IN A HEARTBEAT🤣

[@timotiusarifgunawan6277]

You over prep , the peripheral seal zone only need to be cleaned until your CDD not visible.. nice vid btw🙏🙏

[@DrArkhedeLeon]

Yes i usually doc..but it was really red and on what i Know it has to be removed until it turns light pink.. then you can leave it behind.. and this is a huge cavity..i need all the retention i can get.but thank you so much..its so nice to hear from biomimetic practicing dentists

[@magedrammah4941]

Very nice result, however you don't have to remove all this caries, you can leave some in the center if the prephiry are super clean

[@cierlonespiritu7381]

Quality Yan ang doktor..

[@DrArkhedeLeon]

Thank you, Cierlon! Glad you liked it!

[@ayberk226]

You left a gap between filling and tooth at slave area of palatinal region. In that regard this treatment is not fully completed in my eyes...

[@adrianamontalvo7472]

I thought the same thing :(

[@viralvideostrending5782]

great skillz. looks natural. did know it worked like that.

[@Yoyokid737]

Beautiful work, but I’m just genuinely curious, why didn’t you recommended the patient get a root canal and crown, instead? Was it just due to the preference of the patient?

[@maimee2angel]

Your dental filling only a problem if there’s any discomfort right? Do you hve to remove previous filling after several years?

[@docmateeth9686]

Sana magkaroon ka na ng preceptorship doc. Mag eenrol ako! Hehehe.

[@DrArkhedeLeon]

Ay magkakawork shop po tayo soon doc

[@ItsCheetahTV]

Wish the dentists I went to were this good. Recently my teeth have been ruined due to a leaking filling etc.

[@Infinte42]

❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️sana lahat ng dentista sa pinas katulad nyo po doc👏👏👏👏👏👏👏👏👏👏👏👏👏👏👏👏

[@davidapp3730]

That was interesting to watch. Dental fillings have come a long way from the Silver Amalgam fillings.

[@DrArkhedeLeon]

Thank you so much, David. Glad you liked it.

[@feye903]

If I tried to do that... it would end un in root canal. Amazing work Dr.

[@kndy6662]

I’m only a few months into the dental world as an assistant but is the dye replacing your need for the slow speed? Also with a filling that size wouldn’t a crown be placed or did the pt want the filling instead?

[@samuweljon4001]

I have a question. If it was leaking why was there no root canal preformed?

[@daisyj5679]

amazing job

[@KuSum009]

Sir U are Great artist.i am form india.. Sir i have one question If the healthy teeth done root canal for veneers or crown then how much Life span of thise prepare teeth Please reply sir i am wating.

[@monethparas154]

yes po hope to see you soon Dr.arkhe 😍

[@kristinekawaii8935]

I wish na lahat ng dentist ganya, yung may care and dedication talaga sa patient and sa tooth nila. . I had a tooth filling 2 weeks ago and it only took like 10-15mins? Nagulat rin ako kasi ang bilis. After a week, sumasakit parin and mas naging sensitive to hot and cold yung tooth ko. Hindi rin ako maka floss on that area. Its like something is also sticking on my gums. Now I'm having an appointment with a different dentist coz may trust issue na ako sa unang clinic and hoping na sana matulangan niya ako sa dental care journey ko 😭 ang hirap rin talaga magnahap ng dentist na makakahiyangan natin ano. Huhu

[@Fernage]

Wouldn’t it have been better to crown this? Don’t you think a filling that big will break?

[@carlojamesleonardo9252]

Doc galing mo talaga lagi ako nanonood sa vlog mo sana balang araw maayos mo rin ngipin ko...

[@grigoryvolkov3977]

Beautiful work, I hope to find a master like you in my area😅

[@yulinsu2185]

This is amazing to watch! Thank you for sharing. When doing restoration using composite, how do you determine the bite of the final tooth?

[@DrArkhedeLeon]

Thank you so much!! I usually use the adjacent tooth for reference..overfill it a little..then reduce it until if fits the patient

[@jahmovement2864]

I always watched your video. I hope you read it because i want also to make those kind of treatments. Pls tell me where are your clinic... i hope you read it. Thanks.

[@JosephDiasanta]

Sana makapagpa check up Ako sa clinics nyo doc. Super amaze sa work mo po. 😍😍😍

[@yousifali1982]

Why you didn't use any band matrix to rebuild proximal walls?

[@mak_ckol]

Good job 😮 Very interesting and hello from Ukraine 🇺🇦 👋

[@kimJ2545]

ilang years po tumatagal yan?