If you're an assistant in training: 1. While Dr is drilling use air to clean mirror and water then air to clean tooth when tooth is covered in debri. It is very important to make sure mirror is clean and tooth is clean so there is visibility 2. Use slow speed suction intermittently to suck saliva and water out of mouth 3. Dr will tell you what crown size they want, repeat size to Dr to make sure you heard right, grab crown with CLEAN forceps (I like to keep forceps next to the crown tray) and repeat size to Dr (better safe than sorry) 4. Dr will assess if it fits on tooth have spoon or whatever your office uses to remove crowns ready to grab. Also have explorer ready to grab. Have a spare hand cupped to take crown once removed or Dr will just place on table 5. If the Dr says it's a good fit (don't be afraid to ask) then write down what tooth it went in and crown size 6. Dr may need a size lower or higher repeat steps 3-5 until adequate size is found 7. Once crown size is found Dr will give you crown. You must clean and dry the inside of the crown super duper well. 8. Ask Dr if they are ready for cementing. If yes then prepare cement. If you're lucky you have premixed otherwise you have to mix it yourself often a powder and liquid on a mixing pad. Cement shouldn't be too liquidy but also not hard, more like the viscosity of slime basically. 9. Using a spatula scoop cement onto spatula and slide the cement in like if you were trying to clean the spatula with the edge if the crown 10. The bottom and sides of the crown should be covered no silver showing. Tap the crown occlussal side down on table to remove any air bubbles 11. Hand to Dr the size number facing them cement side on your finger or hand. Then hand over bite stick if needed 12. Hand over gauze to clean tooth 13. Rinse and air 14. Floss 15. Lightcure 16. Probably floss again WHEN YOU HAVE A SPARE MOMENT USE SLOW SPEED TO SUCTION SALIVA AND WATER IN MOUTH ESPECIALLY FOR REALLY YOUNG KIDS AND MOUTH BREATHERS Disclaimer this is just how my office does it it might be different with yours of you're lucky you've gotten proper training and not just thrown into it like me
I work as an assistant in pediatric dentistry. Either it's because the patient cannot handle a dry shield which is a kind of isolate system or is too small for one. Rubber dam is used to isolate the tooth because saliva and water can contaminate the tooth and make the cement weak. It also helps assistants because often with crowns we are multitasking like crazy and don't have enough hands to suction and dry all the time
most of the time, the cement used is FUJICEM which is moisture tolerant, so rubber dam isnt as important unless you are doing a pulpotomy I would say. Also fujicem tends to wash out more with open margins over time as compared to moisture contamination during seating. I do alot of sedations and general anesthesia. Good luck putting a rubber dam on a sedated child most of the time, let alone being worried about sufficient breathing through the rubber dam as well. Isolite works a little better but some kids cant stand it either, like u said. Also with a sedated child that cannot bite down fully, you have to seat the crowns with your finger strength which typicaly results in opening the bite. I get what you are saying, in a perfect world this isolation should be considered, but with pediatric dentistry its tough to be in that perfect world scenario on a consistent basis. @@stilljustliam9196
If you're an assistant in training:
1. While Dr is drilling use air to clean mirror and water then air to clean tooth when tooth is covered in debri. It is very important to make sure mirror is clean and tooth is clean so there is visibility
2. Use slow speed suction intermittently to suck saliva and water out of mouth
3. Dr will tell you what crown size they want, repeat size to Dr to make sure you heard right, grab crown with CLEAN forceps (I like to keep forceps next to the crown tray) and repeat size to Dr (better safe than sorry)
4. Dr will assess if it fits on tooth have spoon or whatever your office uses to remove crowns ready to grab. Also have explorer ready to grab. Have a spare hand cupped to take crown once removed or Dr will just place on table
5. If the Dr says it's a good fit (don't be afraid to ask) then write down what tooth it went in and crown size
6. Dr may need a size lower or higher repeat steps 3-5 until adequate size is found
7. Once crown size is found Dr will give you crown. You must clean and dry the inside of the crown super duper well.
8. Ask Dr if they are ready for cementing. If yes then prepare cement. If you're lucky you have premixed otherwise you have to mix it yourself often a powder and liquid on a mixing pad. Cement shouldn't be too liquidy but also not hard, more like the viscosity of slime basically.
9. Using a spatula scoop cement onto spatula and slide the cement in like if you were trying to clean the spatula with the edge if the crown
10. The bottom and sides of the crown should be covered no silver showing. Tap the crown occlussal side down on table to remove any air bubbles
11. Hand to Dr the size number facing them cement side on your finger or hand. Then hand over bite stick if needed
12. Hand over gauze to clean tooth
13. Rinse and air
14. Floss
15. Lightcure
16. Probably floss again
WHEN YOU HAVE A SPARE MOMENT USE SLOW SPEED TO SUCTION SALIVA AND WATER IN MOUTH ESPECIALLY FOR REALLY YOUNG KIDS AND MOUTH BREATHERS
Disclaimer this is just how my office does it it might be different with yours of you're lucky you've gotten proper training and not just thrown into it like me
Great presentation!
Really great content! Thanks
Thanks ❤very useful
Very useful video, thanks 👌
The crimper is being used incorrectly. The swoop should be towards the inside of the SSC.
Which cement did you use ?
I have my competency for this today. Inshallah I get through
hey do you know if I can use a crown in a canine baby teeth? I'm 21
@@vilchesboss nah sorry they are designed for pre molars and molars
This is what happened to one of my baby teeth and my parents still didn't have me stepping up the game in caring for my teeth already....
Price
I got this placed on my 24 year old tooth. The doctor does them properly and doesn't trim. Well fitting crowns can last a lifetime.
why did you use rubber dam?
I work as an assistant in pediatric dentistry. Either it's because the patient cannot handle a dry shield which is a kind of isolate system or is too small for one. Rubber dam is used to isolate the tooth because saliva and water can contaminate the tooth and make the cement weak. It also helps assistants because often with crowns we are multitasking like crazy and don't have enough hands to suction and dry all the time
@@stilljustliam9196 im surprised children can take a dental dam lol. But yeah its cleaner with a dental dam.
most of the time, the cement used is FUJICEM which is moisture tolerant, so rubber dam isnt as important unless you are doing a pulpotomy I would say. Also fujicem tends to wash out more with open margins over time as compared to moisture contamination during seating. I do alot of sedations and general anesthesia. Good luck putting a rubber dam on a sedated child most of the time, let alone being worried about sufficient breathing through the rubber dam as well. Isolite works a little better but some kids cant stand it either, like u said. Also with a sedated child that cannot bite down fully, you have to seat the crowns with your finger strength which typicaly results in opening the bite. I get what you are saying, in a perfect world this isolation should be considered, but with pediatric dentistry its tough to be in that perfect world scenario on a consistent basis. @@stilljustliam9196
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