Placing a pin retained Dental amalgam filling
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- čas přidán 11. 07. 2024
- Dr. Rich goes old school after finding a box of dental pins in the back of his storage closet. He places a pin retained dental amalgam filling to replace a broken cusp on a molar tooth. Dental pins were used in the days before dental bonding to help large fillings stay in place. The dental pin is screwed into the tooth and used to lock the amalgam filling material into place. Since dental bonding became mainstream, dental pins have fallen out of use.
0:00 Intro
0:10 amalgam filling removal
2:32 decay removal
3:13 placing pilot hole for dental pin
3:33 using pin drill
3:52 inserting dental pin
4:09 bending pin
4:22 placing matrix band
4:33 placing amalgam filling material
7:40 carving amalgam filling
8:17 acorn burnisher/Christmas tree carver
8:38 Hollenbeck carver
9:47 spoon excavator
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MEDICAL ADVICE DISCLAIMER: All content in this video and description including: information, opinions, content, references and links is for informational purposes only. The Author does not provide any dental advice on the Site. Accessing, viewing, reading or otherwise using this content does NOT create a dentist-patient relationship between you and it’s author. Providing personal or medical information to the Principal author does not create a dentist-patient relationship between you and the Principal author or authors. Nothing contained in this video or it’s description is intended to establish a dentist-patient relationship, to replace the services of a trained dentist or health care professional, or otherwise to be a substitute for professional dental advice, diagnosis, or treatment. You should consult a licensed dentist or appropriately-credentialed health care worker in your community in all matters relating to your dental health.
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You are the Bob Ross of dentistry, Very relaxing and hypnotic to watch.
Wow, thanks! Thank you very much for watching!
you are such a saint
I like this guy. It's good that the general public and patient can know what the Doctor's are doing.
Thank you very much for watching!
Good job bro ❤
waoo amazing information i was studying and was not getting a point your video made everything clear may God bless u ❤
Glad it was helpful!
@@VeryNiceSmileDental thanks alot again 😇❤️
Thank you
You're welcome!
This is why a lot of new dentists of today (and "younger") dentists don't go the amalgam route. In fact, you'll only find amalgam at universities dental program, overseas, volunteer programs such as medical missions and good ol government dental aid who don't want to spend money on composite because amalgam is cheaper. You still have to do this during your board exams. However, most graduates and practitioners don't do amalgam due to how long it takes to wait and cure amalgam to set vs composite. From a business efficiency perspective, composite offers a faster turn around. But resistance and strength and longevity - amalgam will always prevail. There are still lots of folks in their 60s and 70s who still have decent intact amalgam fillings placed since the 80s and 90s. Amalgam should have stayed as a standard...
Hi, amalgam is much quicker to place than composite. I think the main reason amalgam isn't as popular is due to it's appearance. Another reason is the mercury content of the amalgam scares some people.
Delayed Expansion. One of the best quality of Silver Amalgam. Patient still show their 15 year old Silver Amalgam filling and ask to do one. When I have to tell them that because of mercury, it has been phased out of market after Chennai Declaration...
Are you no longer allowed to place amalgams? Where are you located?
Doctor rich how placing an amalgam directly without a liner or base won't develop sensitivity???
Hi Hama, back in the '90's I used dycal in deep preps followed with a coat of Copal Varnish. Then I switched to Amalgabond (made by Parkell). Lately I don't use anything under amalgam fillings and patients haven't reported an increase in sensitivity. That being said, my patient base is older and they tend to have less sensitive teeth. I have quite a few patients who don't want me to use anesthetic for placing fillings or crowns.
@@VeryNiceSmileDental im literally blown the fuck away 😂 how on earth do you have a steady clientele of amalgams . in 2022 . i understand they're old folks . but wow . also question . do you happen to know why they stopped using amalgabond?
@@tekktori I don't place many amalgam fillings, maybe one every couple of months. I don't use amalgabond anymore because if I'm going to bond in a filling, I'll place a composite resin filling. Amalgambond worked but it added a bunch of extra steps to the filling process and it was a mess to clean up, it stuck to everything. You had to place a film of copal varnish on the matrix band or the Amalgabond would bond the amalgam to the matrix band. Thanks for watching.
If residual dentinal thickness is 2 mn Or more no need to apply base
Sir,what is your opinion about rct by using k files in reciprocating hand pieces.
Hi, I usually use k files by hand. I know some colleagues who will use them in the reciprocating handpiece. I have used the Safesider system in the past which used reamers in a reciprocating handpiece. From what I remember the reamers started at a size 15.
I typically use k files by hand up to a size 15, then use rotary endo files. I'm currently using X7 files by Edge Endo.
Thank you sir.
You're welcome.
Just use Diamond Carver , it's easy .
I typically use a Christmas tree, diamond, cleoid-discoid, and Hollenback carvers.
@@VeryNiceSmileDental yes they are nice. But I found precision In diamond carver. All the best.
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Dentist is giving me a crown but leaving part of amalgam fillings are there. Does this make since
How old is the amalgam filling? I like to remove old fillings when I place crowns, unless I had placed the filling within the last year or so.
@VeryNiceSmileDental very old. He cut part out said remainder is shiny if that makes sense. He put tenporary yesterday came out within 2 hours.
I also have pain in 3 back molars he said xrays show nothing. Except amalgam fillings. Can't decay be behind amalgam? Thanks for your time...
Did the old filling come out too? That's one reason I don't like leaving old fillings, you don't know how stable they are, the other reason is I like to make sure there is no decay under them. Hopefully just the temporary cement holding the temporary crown came loose and the temporary crown just needs to be recemented.
What kind of pain are you having the 3 back molars?
honestly i rather get Amalgam crown then the composite thats weak in comparison
Hi, I still place amalgam regularly. Lots of dentists have stopped using it. I find it to be a great material for certain circumstances.
what are the role of amalgam pins doc ?
The pin helps to hold the amalgam filling in place. Pins were usually used when a cusp was missing. Thank you very much for watching.
@@VeryNiceSmileDental so informative sir. youre a endodontist?
Thank you. I'm a general dentist.