Bravo dr Ive been doing this technique for about 12years now at my office and in most cases it really helped isolation espacially in such cases which the prep is at the distal of posterior tooth
Thanks, Max! As always, maximum information with minimum of water) About pressing matrix with a clamp ias for me it is obvious way to manage such defects. Since I start to use rubber dam, I always do this way. Sometimes if it's hard to place rubber sheet itself, I can do temporary buildup just with matrix, clamp and cutting roll (don't beat me, please), then isolation, endo, and if I'm not sure, in clear adhesion, I just reprep this zone but in isolation and then final buildup and crown prep. Or I just go for vertiprep in this zone with a fine temporary.
Dr Maxim, your problem solving is one of a kind..you keep pushing the limits of our abilities and the quality of our services..thank you for sharing all this knowledge..God bless you and your hands
Nice and detailed presentation doctor , although adding X rays would have made it even better ,just have 2 questions 1. Have you used new post after retreatment ? 2. Don't you think in 1st molar that prognosis would be better with full coverage to gain mechanical retention, due to massive loss of enamel ?
Thank you very much. Very nice case as always. I use dme technique quit alot as part of the ids at any case that is subgingivaly. I use intraoral scanning and it realy simplifys the impression, further more the butt joint finish line is very easy to work with. I have alot of cases with 3-4 years follow up and I am very pleased with that technique. A nice tip for matrix placement is named matrix in a matrix from article by pascal magne* Placing toffelmair/automtrix and plodent matrix inserted verticaly in to the deeper area followed by tightening the outter matrix. *Deep Margin Elevation: A Paradigm Shift Pascal Magne, Sybil Harrington, Roberto C. Spreafico
Hello Dr maxim, thank you for providing such an informative video. I wonder if it is possible tell me the author of the the classification of sub-gingival defect for deciding whether do the Gingivectomy or CL. I search DDAEG ,however i couldn’t find anything. Thank you in advance
Hey Maxim! Lovely video congrats and thumbs up! In my experience i found that if u have that kind of situation with one tooth having a minimum of 2.5 mm thickness is better to restore with composite that tooth and prep the more damaged one next to it with an indirect resto.I prefer composite indirect restos since they can facilitate future endo treatement better.Later edit : but its all in the hands of the artist :P
Hi Maxim. Phenomenon work as always. I have been contemplating on doing this or not. To me, it all makes sense (provided you follow the right protocol, material, and isolation). I always had one question though. How predictable is our bonding to the composite resin margin that has no oxygen inhibition layer?(Even after the fact that it's been sandblasted? Is there any data that looks at this interface and compares it to other interfaces as far as bond strength, leakage, and so on?
I have seen some doctors, who when prepare a tooth for overlay, which tooth is very destroyed, they make some kind of "hole" in the middle for retention. Is it necessary or not?
It’s always better to keep the finish line on sound tooth structure but in some cases (like this one) it’s impossible. So there was some compromises but the end result is just awesome 👌🏼
sometimes when i cant hold the matrix i do the same whit the clamp, but when i cant hold the matrix from both sides palatal and vestibular i push and hold the matrix against the wall of the teeth whit any instrument and so that way im able to use moldable composite and still get my margin elevation whitout any excess of composite to distal or mesial, or if the prefabricated matrix has not enough size to create the wall i use convencional matrix and try to hold it whit the clamp 360°, its harder but it can work
I do that sometimes too, but in some patients and certain teeth approach is not easy, and I find it difficult to hold matrix, add resin composite and mold it and take care of tongue or cheeks. Good assistant is really important.
1:12 There were no need to replace composite on right tooth beacuse it had no holes and no leakage. Also, after removal (2:43) there were no caries, it was all affected and non-infected dentine. Dental filling on left tooth was to remove, but also didnt require drilling because it was all hard, affected and non-infected dentine, you could easily just replace filling with very little drilling or no drilling at all. There were no caries on any of this teeth.
Robert Mihalinac How can somebody make diagnose using just pictures? I had patient in front of me, with my microscope and spoon taking tons of caries out of this tooth
Thank you so much . I hope to learn more from your amazing video series🤩 . I only have one question did you wait 3-5 minutes for decoupling after light curing the adhesive and before applying the flowable composite ?
Thank you Maxim, what do you think about using GIC in DME-would be easier and less need to worry about moisture. If we leave enough dentine/enamel around the Glass ionomer for bonding the onlay should it work ok....?
Bravo dr
Ive been doing this technique for about 12years now at my office and in most cases it really helped isolation espacially in such cases which the prep is at the distal of posterior tooth
Thanks, Max! As always, maximum information with minimum of water)
About pressing matrix with a clamp ias for me it is obvious way to manage such defects. Since I start to use rubber dam, I always do this way. Sometimes if it's hard to place rubber sheet itself, I can do temporary buildup just with matrix, clamp and cutting roll (don't beat me, please), then isolation, endo, and if I'm not sure, in clear adhesion, I just reprep this zone but in isolation and then final buildup and crown prep. Or I just go for vertiprep in this zone with a fine temporary.
Dr Maxim, your problem solving is one of a kind..you keep pushing the limits of our abilities and the quality of our services..thank you for sharing all this knowledge..God bless you and your hands
Youssef Khreiss thanks for your kind words! 😉👍🏻
Awesome as always Dr Maxsym
Saidul Islam thanks 👍🏻
Thanks Dr! Great information.
Nice and detailed presentation doctor , although adding X rays would have made it even better ,just have 2 questions
1. Have you used new post after retreatment ?
2. Don't you think in 1st molar that prognosis would be better with full coverage to gain mechanical retention, due to massive loss of enamel ?
Amazing , I will implement these in my workflow. If only I could post photos in the comments
Thank you! Good luck with your work.
Thank you very much. Very nice case as always. I use dme technique quit alot as part of the ids at any case that is subgingivaly. I use intraoral scanning and it realy simplifys the impression, further more the butt joint finish line is very easy to work with. I have alot of cases with 3-4 years follow up and I am very pleased with that technique.
A nice tip for matrix placement is named matrix in a matrix from article by pascal magne*
Placing toffelmair/automtrix and plodent matrix inserted verticaly in to the deeper area followed by tightening the outter matrix.
*Deep Margin Elevation: A Paradigm Shift
Pascal Magne, Sybil Harrington, Roberto C. Spreafico
Dotan Turgeman thanks for comment and tips
amazing effort as usual👍🌷❤
Hadeer Aliraqi thanks
You are an awesome presentador of adhesive dentistry. Love your direct and practical approach
Thank you very much for your video! What you think of the use of Glass ionOmer instead of composite, better adhesion to dentin?
According to one video I watched, it is not as good actually to use GI
Thank you very much for the greats tips.
Thank you for being with us!👍🏻
hello, what classification did you mention in 6:45? I couldn't hear the name of the author.
Hello
Classification of Dr Didier Dietchi
I hope i can see this video earlier! I really appreciate!
Thanks for your feedback!
Hello Dr maxim, thank you for providing such an informative video. I wonder if it is possible tell me the author of the the classification of sub-gingival defect for deciding whether do the Gingivectomy or CL. I search DDAEG ,however i couldn’t find anything.
Thank you in advance
thanks so much
👍🏻👍🏻
If cervical margin have enamel, should we use self etch adhesive or universal bond for dme? Thank you
Hi, If we have enamel we always must etch it.
Personally I prefer not to do DME if there is enamel
Hey Maxim! Lovely video congrats and thumbs up! In my experience i found that if u have that kind of situation with one tooth having a minimum of 2.5 mm thickness is better to restore with composite that tooth and prep the more damaged one next to it with an indirect resto.I prefer composite indirect restos since they can facilitate future endo treatement better.Later edit : but its all in the hands of the artist :P
Oldysrv thanks for your opinion. Did you watch our webinar about onlays? I discussed compo and cera on/overlays
@@BelogradacademyDr. U mean silane to the indirect restoration obviously but , also to composite already bonded to tooth ?
@@yazansinan931 hi
There is a protocol to place silane on old composite filling
Спасибо за видео.
Ждем новых.
Vladimir Savenkov 👍🏻
Hi Maxium great webinar. can you please share a webinar or a video about temporization of inlays - onlays - overlays.
Thank you in advance
pmfi 👌nice work 👏
hazem33 hatam thanks 👍🏻
Hi Maxim. Phenomenon work as always. I have been contemplating on doing this or not. To me, it all makes sense (provided you follow the right protocol, material, and isolation). I always had one question though. How predictable is our bonding to the composite resin margin that has no oxygen inhibition layer?(Even after the fact that it's been sandblasted? Is there any data that looks at this interface and compares it to other interfaces as far as bond strength, leakage, and so on?
Kiarash Karimi thanks for comment. You can increase bonding strength to composite by means on silane
Assia from pmfi
Good job👍👍👍
Assia Hammouch thanks 👍🏻
The best thanks
Habachi jerome, pmfi ❤️❤️
Ahmedsayed with respect from pmfi ❤️
Ahmed Sayed thanks 👍🏻
thanks for sharing!
👍🏻
Great share
Bhat Muzamil welcome 👍🏻💪🏻
Classification of defects by whom?
I have seen some doctors, who when prepare a tooth for overlay, which tooth is very destroyed, they make some kind of "hole" in the middle for retention. Is it necessary or not?
Dr. I have a question, the finish line is in health teeth structure or can be in the resin material? Thanks a lot. Greetings from Mexico
From what i can see , the finish line is in composite resin.
@@ПетърВасилев-в4ы Thanks!!
It’s always better to keep the finish line on sound tooth structure but in some cases (like this one) it’s impossible. So there was some compromises but the end result is just awesome 👌🏼
@@mohdnoor43
Ok!! Thanks for your support!
Thank you
Why didn't you do a complete composite build up rather opted for this procedure
sometimes when i cant hold the matrix i do the same whit the clamp, but when i cant hold the matrix from both sides palatal and vestibular i push and hold the matrix against the wall of the teeth whit any instrument and so that way im able to use moldable composite and still get my margin elevation whitout any excess of composite to distal or mesial, or if the prefabricated matrix has not enough size to create the wall i use convencional matrix and try to hold it whit the clamp 360°, its harder but it can work
I do that sometimes too, but in some patients and certain teeth approach is not easy, and I find it difficult to hold matrix, add resin composite and mold it and take care of tongue or cheeks. Good assistant is really important.
Daniel Gutierrez thanks for tips
1:12 There were no need to replace composite on right tooth beacuse it had no holes and no leakage. Also, after removal (2:43) there were no caries, it was all affected and non-infected dentine. Dental filling on left tooth was to remove, but also didnt require drilling because it was all hard, affected and non-infected dentine, you could easily just replace filling with very little drilling or no drilling at all. There were no caries on any of this teeth.
Robert Mihalinac How can somebody make diagnose using just pictures? I had patient in front of me, with my microscope and spoon taking tons of caries out of this tooth
@@Belogradacademy If it is soft tissue then it must be removed but if it is hard tissue then can remain.
Indileni , with respect PMFI 👏
Thank you,very practical and detailed as always!Do you ever use Thermacut type burs instead of electrosurgery?
Σαράντης Α. Τσιρτσίδης thanks! I never tried
Thanks
Thank you very much it was really great video !
Jakub Andráš thanks and always welcome 👍🏻💪🏻
Thank you so much . I hope to learn more from your amazing video series🤩 . I only have one question did you wait 3-5 minutes for decoupling after light curing the adhesive and before applying the flowable composite ?
Mohamed Saeed thanks! No, I go straight to restorative part once bonding agent polymerized
Someone has listened to David Alleman...
@@Canal13hifi exactly ^_^
🎉🎉
Will this be replayed later? It will be 4am at my place when this goes live. Thanks!
acash93 it will stay forever :) no worries
Thank you Maxim, what do you think about using GIC in DME-would be easier and less need to worry about moisture. If we leave enough dentine/enamel around the Glass ionomer for bonding the onlay should it work ok....?
❤❤❤🎉🎉
Очень интересно! Спасибо! Князева А. В., 401 группа, ПМФИ 👍👍👍
👍🏻
Mohamed Meshref, PMFI 👍
Спасибо👍🏻 Паландова Ангелина 401 группа ПМФИ
Ангелина Паландова пожалуйста 👍🏻
sorry I don't understand.
Олексій Кириленко how can we help you?
@@Belogradacademy будет на русском?
Олексій Кириленко уже есть
@@Belogradacademy спасибо.
Albayati Mohammad pmfi
бадр белхуари гп 411 пмфи
Alaa .PMFI
Pmfi islam Youssef
Thanks