Lost filling premolar 1.4 repair

This gentleman from Amsterdam 64 years of age lost a filling from his premolar 1.4 while biting an almond nut. The premolar had been repaired here with GC Equia Forte Fill the 12th February 2014 and remarkably the attachment to the old amalgam piece with which it had fallen out was still in tact! As you can see in the picture. Excellent adhesion of GC. By the way on the palatine aspect of premolar 1.5 one can see a repair; here placed the 7th July 2011 with Voco Glass Ionomer which still holds. Except the colouring and the marges leave scope for improvement. As preparation for today’s repair HealOzone was applied for twice 20s with cup round 8mm long 20mm followed with a Garrison shield F100 held in place with Garrison Wide Prep FX600 Fusion wedge. The first GCP capsule A2 was applied distally, cured for 5 times 30s and left for 5 minutes for chemical setting. Another shield was now placed mesial with the procedure repeated. After enough chemical hardening the holder ring and shield were carefully removed. Excess was removed using mainly a slow torque Garrison FPZC010-X rotating coarse flat tip. Thanks to HealOzone this Glass Carbomer repair was set in full confidence without the need for drilling. The risk for reactions is estimated as zero. This GCP filling material has rather unique self healing properties through ion exchange and biofusion with dentine. Total work time: 90 minutes including photography.

Uitgelicht

Shark tooth filling colour A2

The question of colour A2 arose of this molar 4.6 repair four months old. Should it go lighter to A1 for the next batch? Noticable are slight amalgam remains barely visible to the naked eye. Restrained amalgam removal was to prevent the tooth from desintegrating. Anyway, the GCP filling was to all satisfaction of the patient. Only the roots received HealOzone maintenance care this session.

Shark teeth root filling premolar

This retired civil engeneer from the former island of Wieringen 77 years of age requested his premolar 24 to be repaired. The element was still slightly bleeding on preparing with HealOzone. Nevertheless the Glass Carbomer repair was proceeded. Two capsules were applied. Polishing was limited for now to let the Shark teeth filling material adhere properly enough in time. The procedure was non-invasive with no drilling, self adhesive with no etching. Solo with no assistant. The prognosis is fair. In any case some defect should be easily resolved with GCP. The risk of reaction is nill. HealOzone wih Glass Carbomer makes an excellent combination in my experience.

Challenging shark teeth repairs

This building contractor calculator lady 48 years of age had defective molars 47 and 36. Today was the second attempt to get the fillings to hold without adding posts. Inflammation and infection was under control assured with another HealOzone session right before placement of the Glass Carbomer filling material. Follow up in two months. Two GCP Heat lamps for 5 times 30 seconds were applied. The 47 molar still needs to be trimmed somewhat. No painfull reactions are to be expected. The only concern is the repairs to hold. Improved double heating with the GCP lamps may have resolved this.

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Peri-apical lesion mandible

Painfull swelling on the left mandible brought this lady astrologer from Wageningen, sixty years of age into this Ozone practice today. Extraction was the only option according to conventional dentists and an appointment for this was cancelled. To their bizarre amazement. HealOzone was accordingly applied and after some hesitation her whole dentition was done. The molar was not extracted. Around the apex and roots of molar 3.6 bone resorption can be seen on X-ray (black spots). On camera swelling is evident. Obvious signs of infection, inflammation. Decarboxylation methylation lagging oxidation. The prognosis is good. Treatment proposal was three sessions to be followed by evaluation. Follow up in one week. The lady was given some dietary advice on how to improve nutritional ketosis as described by for example Joseph Mercola and avoid diabetic ketoacidosis. Quite a shift. Response should be obvious in a few days. Improvement on X-ray could be seen in two weeks time. However, with the clinical impression improving as expected X-ray retake for study purposes could wait another year. You want proof? Keep following us.

Ozondentalcare, Sneek

For consultation call T 0515 431260 or T 0515 411411

Bulk repair on pulpa

 

Post root canal treatment and Glass Carbomer repair

This lady, building contractor calculator, 48 years of age came in with a failed filling of molar 3.6 buccal after a conventional root canal treatment. HealOzone reduced the amount of bleeding to practically zero. A Glass Carbomer A2 capsule was mixed and placed directly on the pulpa, gently modelled and cured with GCP heat lamp for 5 times 30s.  A further build up of the element may be considered at a later date. However the bonding of the glass ionomer material onto the dentine is of primary concern. No reactions are to be expected. Removal of excess material was left to a later date.

Case study molar 36 repair

Molar 36 GCP repair

This lady from the province of Brabant 59 years of age had the lingual wall of her molar 3.6 broken off. A repair with Glass Carbomer Fill A2 was placed in one bulk fill on the date of 24th April 2017. After enough HealOzone, as customary, with no drilling. Picture taken 12th May 2017. No pre-repair picture available. The patient was more than satisfied with the result. However I am not totally happy with the distal lingual margin of the repair and I suspect the curing lamp could not cover the relatively extensive repair complete enough. To our suppliers: Can you please look in the possibility of applying a double curing lamp in a stable handle. For placing Glass Carbomer Fill crowns, can you fabricate me a four headed lamp, or just four lamps in a single handle. Please have a look at some of my other cases and we could have a get together to improve on these experiments. Thanks.

 

 

 

 

Failed root canal treatment

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

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

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.