Replacing a Large Silver Filling with Same-Visit Zirconia Crown

[@yousuffassal2970]

I liked the discussion and the approach you took in explaining your pov😁❤️ I noticed a lot of criticism but I think they still in first or second year of dental school Wish them graduation and wish you all success doc!!

[@jinnybender7967]

Thank you for your positive words. Constructive criticism is ok. I enjoy doing dentistry that has potential to last a very long time. I know what works well in my hands after practicing dentistry for over 30 years.

[@Toothjanitor]

That RCT AHHHHHHHH! That MB root obturation. Probably still vital tissue in there :)

[@samuelkhosla96]

Do you see any parl that you think there's still vital tissue?

[@stevenlopez1717]

@@samuelkhosla96a parl would indicate non-vital pulp tissue

[@andreimusteata8257]

that margin prep hurts my eyes

[@odmoney9111]

Why do you not light cure the bond on the tooth or crown? Thank you.

[@jinnybender7967]

No need to light cure the chemical primer adhesive, monomer. Clinicians Report studies show it is ok to just air thin it after scrubbing into tooth and intaglio of restoration. The curing light will cure right through the zirconia in the end when I do final cure of each surface for 20 seconds.

[@mohammedsajid6711]

Hi there Can u make the video for how to adjust adjacent proximals during preparatio Thank u

[@jinnybender7967]

I will keep this in mind for my next video. Thank your for the great suggestion. The best tip I can give you for now is to prep the occlusal first and then prep interproximals. It is much easier and controlled.

[@GlidewellDental]

@@jinnybender7967 Thank you Dr. Bender for your amazing dentistry!

[@tarekbahsoun2755]

The RCT was not good,why not making another RCT before?

[@samuelkhosla96]

Is there any parl that you'd jump right to Retreatment? If you're only thinking about extension of gp then you're wrong, never do Retreatment unless it's showing signs of failure

[@jinnybender7967]

I only request RCT retreat when tooth is symptomatic or a sizeable PARL exists. This tooth’s root canal has been stable for many years.

[@GlidewellDental]

@@jinnybender7967 Thank you!

[@hanifullah8655]

How such large amalgam filling retained

[@jinnybender7967]

Dentistry can be so interesting!

[@Aya-je4xo]

Wow😍😍😍😍😍

[@GlidewellDental]

Thank you for watching.

[@dr1zztakos]

In some yeara it will be re done.. RCT will fail and patient will pay twice, nice U.S dentistry

[@LongNguyen-le4iz]

How do you know the rct will fail? I do see that the mesial canal(s) is underfilled but for all we know, the root canal could have been done years ago and why would you retreat in the absence of symptoms and periapical pathology?

[@dr1zztakos]

@LongNguyen-le4iz true. But we have a patient with an undefilled mesial canal ,probably the tooth was vital when the rct was done and now we will pay 1000$ for a crown. Is there a big chance the rct will fail ? Yes. So will he re-do the crown?

[@LongNguyen-le4iz]

I see your point but will retreating the RCT guarantee clinical success, which is the absence of symptoms and periapical pathology? We see perfectly filled RCTs that fail all the time.

[@dr1zztakos]

@LongNguyen-le4iz yeah of course the whole thing is the microbes in the canal and the leakage. Personally I prefer a nice sealed and clean root canal and then I proceed with the prostho. You see if a canal empty someday this will fail and the microbes will find their way to bone. Especially in a first upper molar where is a big chance of an Mb2

[@LongNguyen-le4iz]

I understand the concept of microbiology but I don’t necessarily agree with your opinion. Considering the fact that the amalgam filling has no resemblance of a tooth, it would dare to say that the RCT must have been done more than 10 years ago. No symptoms and no signs of failure after 10 years? I would not recommend retreatment. We have different treatment philosophies. Good discussion.

[@Heligrin]

Removed 4 to 5 mm of GP per root. There wasn't even 4 to 5 in thr MB. No bueno

[@jinnybender7967]

Yes, there was clinical space of 4-5mm inside root system measured by a Perio probe. Next time I will show the step in my videos.

[@jinnybender7967]

Es bueno