Failed root canal treatment

Molar cavity left open to regenerate for later repair with GCP or inlay

Molar 3.6 after failed root canal treatment

The molar 3.6 was half broken off after a root canal treatment of this lady 47 years of age and she lost faith in conventional dentistry. After one HealOzone session she was painfree. In the three year dental program she will get her dentition done all around with HealOzone three times, now at her second visit. This molar 3.6 is left open a couple of months to let the element including the root stabilize enough with special rinsing and nutrition, with finally a Glass Carbomer filling. The repair to be placed in bulk fill, self bonding with no drilling. Please note that the 3.7 and 3.8 are already extracted which makes the 3.6 more important. Another option might be adhesion placement of a ready made fitting inlay of maybe Zirkonium or some porcelain. If any of you readers have ideas on how to proceed, strictly non-invasive, please post your comments. Thanks.

 

 

 

Sandblasting stained incisor

Sandblasting teeth with carbonate powder and immediate visible result

Incisors stained
Stained incisor 21

After for seven years not having seen a dentist, this business executive officer lady of 60 years wanted somehow to have her dentition cured without use of a conventional dentists drill. A cavity in the incisor 1.1 lateral inter approximal is to be repaired on another visit. Striking on this intake visit was the staining of incisor 2.1 which is esthetically troubling, underlining her character and healthy reluctance to see a conventional dentist in order to avoid drilling. The two incisors were both given a HealOzone session all around followed by sandblasting with Calcium Carbonate powder, NSK Prophy mate cleaning powder Nakanishi Inc. Japan, through Instrudent Prophy jet with the result below.

Incisors after sandblasting
Incisor 2.1 after HealOzone and sandblasting

The lady is considering a three year HealOzone dental program which will encourage mineral uptake and render gradually a fuller whiter shine. Please note the discolouration of the incisor 2.2, due to a root canal treatment in or around the year 1985 which will only very slightly lighten up after a few HealOzone sessions.

Instrudent Prophy jet with NSK carbonate powder

For professionals I would suggest to order enough additional tips if you wish to work with the Instrudent Prophy jet, for autoclaving and because they tend to wear out with intensive use. Available from onlinedental.nl for example.

Buccal root cavity repair

Class V repair requires proper protein to hold

Molar 3.7 cavity
Cavity root cervix buccal molar 3.7

This gentleman 46 years of age, teacher with a university degree in physics, eventually wants this cavity repaired which is not healing by itself. After the second try you can see the result below.

Molar 3.7 repair
Buccal root cavity repair of 3.7 with GCP

Purely preparing with HealOzone for twice 20s one Glass Carbomer capsule was mixed and placed in bulk. After GCP gloss the material was held in place with a ToDent Cervical Matrix for Class V repairs with GCP heat lamp on top for four times 30s. Removal of excess material and polishing was left to be done for another time.

Instruments assortment

The ToDent Cervical Matrix shield with holder and curing lamp on top is of particular interest as Class V repairs can be challenging. In particular with vegetarians. The gentleman was advised to soak the tooth properly in good animal protein such as from minced beef twice a day for the repair to hold and for better luck this time. Nitrogen groups are quite essential to transport and inbed minerals and to let the Glass Carbomer Fill take on Shark teeth properties. Just like in Chemistry where ammonia is being used to produce all sorts of things.

Four months old GCP repair

Shark teeth filling after four months and the 47 molar unrepaired

gcp-filling-45
Premolar 45 Glass Carbomer Fill A2 after four months

This lady born and raised in the province of Utrecht region it Gooi, professional church organ and flute player, 65 years of age, was finishing her three year dental maintenance program this session. The 45 premolar had Glass Carbomer Fill, colour A2, placed at the date of October 17th, 2016. The repair is distally bordering the 46 with onlay. There is scope for improvement but to the naked eye it looks quite natural. There were no complaints.

Below you can see the molar 47 with a cavity distally with stable underlying dentine and no complaints, which is left unrepaired for the time being. Filling is possible but this would yield limited merit. The old amalgam is left in place as well not to take the risk of desintegrating the tooth. The lady does not want to be treated by conventional dentistry anymore and she can reshedule in six months and probably have a prolonged three year dental maintenance plan.

cavity-molar-47
Molar 47 with cavity distally

Wisdom tooth repair

Molar 28 repair avoids conventional root canal treatment

Molar 2.8 cavity and GCP repair

This lively lady from the coastal region of Holland 69 years of age came in with a cavity mesial of molar 28. A piece of dentine had fallen out. Esthetically challenging to work against gravity this far back maxillary. After due preparation with HealOzone, Glass Carbomer Fill was placed in bulk using a Garrison matrix shield with Soft Face 3D-Ring 3D500 to get a fitting interapproximal space. As usual no drilling at all. This GCP shark teeth filling material will bind itself into the dentine through biofusion according to the supplier and as such should last for a generation. The repair goes with one year repair warranty in spite of the lady being vegetarian. Lack of proper animal protein was a prime factor of developing this lesion in my humble opinion. This procedure will save the lady a conventional root canal treatment or extraction. A root canal treatment would have limited chance of succes anyway (eventually) given the difficulty of this remote location. Not to speak of the costs involved and the risks of toxicity of a root canal treated tooth. Reference: The Roots of Disease – Connecting Dentistry & Medicine by Robert Kulacz DDS and Tomas E. Levy MD JD (Xlibris)

Partial extraction and repair molar

Fractured molar 4.7 partially extracted and provisionally repaired with GCP

Partial extracted molar 47 buccal view

This antroposophical therapist from Amsterdam, 57 years of age, was hanging on to her molar 47 which had fractured all the way into the root and as such was beyond repair. A partial extraction was suggested which was carried out with the following result.

Extracted molar part

Noticable are traces of a previous root canal treatment. The remaining part of the tooth was a bit unstable and in spite of a worrysome outlook a provisional repair was carried out on the same day of the extraction. This should give the molar still quite a number of years. With all the risks of infection under control thanks to HealOzone and Glass Carbomer a responsible therapeutic trial.

Provisional Glass Carbomer filling molar 47

The shark teeth filling material with glass particles of 10 micron in diameter was handpressed in place and cured for 5 times 30s with GCP heat lamp. To keep morale on high ground an after care guarantee was rendered valid for one year. Not a Hollywood tooth but the only other option would have been total extraction. Experimental category.

Root cavity Glass Carbomer Fill

Dental root cavity repair with shark teeth filling self bonding in bulk fill with no drilling

Cavity root cervix and repair 1.5 premolar lingual aspect

The civil engineer 77 years of age, retired, showed up with a root cavity lingual aspect of premolar 15. An earlier composite filling placed in the year 2007 by ACTA, Amsterdam, the dental university clinic, had fallen out. After enough curing with HealOzone, the premolar was considered stable enough to handle a Glass Carbomer Filling. Another two 20s HealOzone sessions right before a single capsule was mixed and applied.

Cervical Matrix shield ToDent

After GCP varnish and some modeling this cervical matrix was firmly but reasonably held in place with direct light cure on top for twice 30s. Followed by another three times 30s with the GCP heat lamp. Removal of excess material was somewhat limited to be left for maybe another day. The cervical matrix size could have been a little smaller. Challenging, humbling and rewarding but never satisfied to summarize this dental practise. By the way, there is no need to worry about ongoing cariës infection which is halted enough by HealOzone and stabilised by self curing Glass Carbomer Fill. We will keep an eye on this tooth repair to see if the product will live up to its promise and reputation. So far, the combination of HealOzone with GCP has proved itself as nothing less than a breakthrough in my experience. No drilling, no etching, bulk fill, self bonding. No reactions to be expected as long as precautions are taken.