Tooth Decay under a Crown { Cavity Removal Process w/ Microscope }

This video depicts a step by step process of how to fix a massive cavity under a dental crown. This will help patients understand dental decay and dentists understand how to perform a crown removal. This procedure was shot under a microscope. Enjoy!
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[@SmileInfluencers]

bit.ly/3viHcPi - Click Here for full length clinical videos and dental technique videos posted 3-4 times a month w/ access to an Endodontist & Restorative Dentist. New members can request videos on topics of their choice. Enjoy!

[@SmileInfluencers]

Thanks for watching & supporting the channel! Please leave a like if you want more content like this!

[@yosefkowalsky3004]

Might want to add caries detector to protocol. Checking occlusal clearance ? Temp can be measured for thickness

[@faneradoyce219]

Very well done and captured

[@nimakhosraviani7074]

very nice! what is your favourite crown impression technique?

[@MichaeltheDentist]

Nice microscope content!! Well done keeping everything in focus, I know first hand how hard that can be!

[@SmileInfluencers]

Thanks Michael! Definitely inspired by you and your story telling abilities! Let’s push each other to document procedures 💪

[@k.rdentalhospitaldindigul4506]

@@SmileInfluencers which microscope do you use doctor? What's the external camera do you use in your scope doctor?

[@reggiek7508]

Amazing work! Y’all rock 🔥🔥

[@SmileInfluencers]

Thanks Reggie!

[@alyssamarquez2048]

my crown hurts a lot I got a root canal and then I got a crown that was a year ago it's been hurting I'm thinking I have a cavity under the crown

[@sapphires.5038]

how did you tell there was a cavity underneath crown?

[@sunstar781]

Hey, what about the dirty cord. Is it staying around his teeth for good

[@hamshank8892]

I just had this done to a root canal 5 years ago it sucks and everything is expensive i should of just went to mexico for a implant

[@RM-ed1if]

What led you to believe there was decay under this crown before you removed it?

[@NikolaTeslaNom1]

Very2 SMART

[@Black_Rose_34]

Can a dentist see on an X-ray if you have a cavity under your crown

[@mati211p]

Wasn't there a decay left between the teeth or was that hard structure, only discolored?

[@SmileInfluencers]

No there’s no decay at all. The dark line around the gum line is the staining left from the hemostatic agent I used when I pack the cord! Great comment

[@0ohyaa0]

Can you please show Simple root canal steps

[@SmileInfluencers]

Absolutely I have an endodontist who may start documenting procedures. Stay tuned!

[@jyotikaur5158]

Which cord packer do you use? Any tips on packing cord, I always struggle with it

[@SmileInfluencers]

Great question Gyoti! So honestly I don’t think the brand of cord packer matters as much as the technique; I personally switch from a variety of different cord packers depending on the cassette I have. First make sure that you have cleared the interproximal space between the teeth. If you have not prepared the tooth deep enough than the cord will not be able to get in between the teeth. Second, make sure you are using the appropriate sized cord. Some tissue types are really tight and you can not fit a large cord while other tissue types like the one in this video allow you to pack a very large cord. If the tissue is too tight, go one size smaller. Have your assistant transfer the cord to you while you tuck in the first part. This is probably the most important step because if you can tuck it under the gums the rest will be easy. If there is a lot of saliva or bleeding make sure to dry the area to allow you to visualize the area more clearly and the cord will pack much easier. After, you want to “tuck & push” meaning try not to lift the cord packer out of the socket; rather push it forward and down bit by it and you’ll be surprised how quickly the cord goes around the tooth. This is very hard to describe in text so I’ll do my best to include more cord packing videos in the future!

[@jyotikaur5158]

Thank you very much!

[@kellytoops2779]

Shadow was seen on X-ray under my crown, so have to get it replaced… why can’t you drill through existing crown then fill? Why a whole new crown? Thanks!

[@tre_4]

1. More Money For Them 2. Contamination Of Material

[@kaylee660]

It depends on the severity of the cavity. Some dentist would drill through it but warn you that you may have to replace it 2-3 years down the line. Over time, the crown can dislodge. That’s what happened to me- 2 months later.

[@betterfad3d]

Does it stink?

[@malakismail4432]

Did you remove the cord from the gums??

[@SmileInfluencers]

Yes prior to the impression. The cord was dipped in astringident which can leave some black residue along the gumline that will go away in less than 12 hours! Great comment!

[@kvgolfa]

Air abrasion to clean the cement was cool

[@SmileInfluencers]

Thanks kvgolfa! Yeah it’s super helpful and quick. Appreciate the support!

[@francois8470]

Nice work, but it would have been nice to see the pre-op radiograph to see the extent of decay under the crown before the procedure.

[@SmileInfluencers]

You wouldn’t have seen it since this is a zirconia crown and the decay was discovered upon root canal therapy at the endodontist. The BWX would have revealed an opaque crown. I will try to include BWX or PAs upon case presentations. Working on one now. Best, Sami

[@user-eq9jy1sw2d]

Зачем я это смотрю?

[@tanyaf2535]

What led you to believe there was decay under this crown before you removed it?

[@tre_4]

Tooth Sensitivity