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.

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.

Dental root infection

Root infection molar 1.6

Unbearable tooth ache during 72 hours, in spite of all sorts of self medication brought this gentleman from Gouda 50 years of age into the practice. His whole dentition was done with HealOzone this visit, the 1.6 and 1.7 molars more thoroughly. Provided the necesarry precautions are taken the outlook is favourable for a complete recovery. The gentleman opted for amalgam replacement. However, working in a diseased tooth is never a good idea, for opening up the molar would produce a bloody and painfull situation. Relieve with this ozone procedure should be fairly immediate. While the after  care measures are well enough applied and understood, amalgam replacement may be appropriate after the third HealOzone session. To be performed without anesthesia. Conventionally this case would have led to a root canal treatment which the patient sought to avoid at all cost. He is to be congratulated on his determination and courage. The hardest thing is to get the patient to adhere to the after care protocol strictly enough. Seems hard to believe that balancing carbohydrates on the one hand to minerals, proteins and aminogroups with plenty of oxygen and nitrogen on the other hand will relief the root condition.

 

 

 

 

 

 

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.

Four months old GCP repair

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 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

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.