Uitgelicht

Deep cavity filling with Glass Carbomer

After a stressfull period this lady from Zuid Holland 51 years of age, web publisher, lost a corner of her molar 4.6 exposing a deep cavity running under an adjacent composite filling of a much earlier date. Remarkably there were no signs of sensitivity to air and water. After enough HealOzone application, finished with some saline citric acid pH balancer formula drops a matrix shield Garrison FX175 was held in place with Garrison FX600 3D Fusion ring. A Glass Carbomer capsule colour A2 was mixed for 15s and tightly squeezed into the cavity with necessary craftmanship. No drilling! No etching. Self bonding. After light curing with GCP heat lamp for 5 times 30s and chemical hardening for another 5 minutes excess filling material was removed. However finishing and polishing was left to another date for proper bonding with biofusion to take place. A similar cavity on molar 3.6 was somewhat sensitive and after HealOzone application left to cure with a special rinse to have a filling placed in another month. This mouth rinse is composed of some keltic coarse sea salt and freshly rolled barley flakes added to tea, coffee, food and drinks to soak dentine and add mineralisation with amino group enzymes. This procedure saves the lady a conventional root canal treatment for sure. The prognosis is fair.

Glass carbomer filling, no drilling 4.7

This electrical engineer industrial production from Breda, 60 years of age came in with a cavity buccal of the molar 4.7 Previously this molar had been restored with lots of composite which now had partially broken off exposing the dentine. A Glass Carbomer filling was placed in bulk, self adhesive, after preparing with 30s HealOzone and some pH balancer drops. No drilling. This colour A2 will set in a few weeks. The GCP filling material consists of glass particles about ten micron in diameter, is mixed for 15s and is unique in its self healing property through ion exchange and biofusion with natural dentine. The prognosis for this filling is excellent. The remainder of the tooth may need some care in time to come. Contact details for professionals available on request.

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.

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.

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)

Shark teeth filling molars

Molars 4.6 and 4.7 before and after repair with Glass Carbomer A2

Materials used. Opened GCP capsules for demo.

This courageous lady 72 years of age requested repair of her defective molars. A challenging proposition. Having lately gained some confidence with the GCP Glass Carbomer fillings I offered to try. Both elements 46 and 47 were suitably prepared with Healozone. The 46 remained somewhat mobile and on the 47 the Healozone instrument drew some blood which worried me but I proceeded with the repairs anyway. To get around the 4.6 an Odus crown form diameter 12mm was applied with two capsules Glass carbomer A2 mixed for 15s each. Cured for 5 times 30s with GCP light. Subsequently the 4.7 was modelled with Garrison matrix bands with 3DXR ring and filled with GCP Fill. Finished with GCP gloss two times and light cured two times 30seconds. After another 5 minutes for additional chemical self cure excess material was removed and some modeling was done by cutting back, although deliberatly minimally. The lady will be back in a fortnight and the molars will be checked anyway.

No etching and no bonding was used as instructed. No conditioner. This dental practice is rather unique in its combination of Healozone and GCP as we do not do any dental drilling at all in bodily dental tissues! This is our unique selling proposition USP. (Although I may drill out old amalgam.) It saves having to get rid of a smear layer caused by drilling with conditioner. In my humble opinion, pure preparation with Healozone with no drilling will enhance the proteïn adhesion of the Glass Carbomer material. It may require cavities to be left open for a while in order to heal, supported with special nutritional advice and after care.

This GCP filling material is unique that it will self bond through proteïn adhesion with natural dentine forming into biofusion with formation of pseudo dentine / enamel. The repairs have self healing properties, amazing as it sounds. The patient asked how this could be assured which I presume can only be checked after she passes away. We will see if the repairs hold. If not, we’ll try again. Root infection is ruled out anyway.

The chemical engineers of GCP set out to develop and produce a biocompatibel material (inspired by fossile shark teeth from the Myoceen) based on hydroxy apatite, fluor apatite and siliciumdioxide to be mixed with alkyl acid and the like into a flowable paste which will set in a little over a minute to be cured with a special heat lamp for proper adhesion. Although most suitable for the posteriors I prefer the material so much now that in some cases I place it in the incisors as well.

To the benefit of our international contacts, this study case in the English language. From what I hear the NHS in the UK has included GCP for reimbursement. The GCP company has stated their goal of 50 percent use of their products by dentists within three years time. This may seem overly ambitious. However, in combination with HealOzone this product line may revolutionize dentistry eventually worldwide. Endodontic treatments will be reduced by at least 80 per cent and that is a very conservative estimate.

Shareholders of GCP will have to stand strong in their shoes not to be swallowed up by some large buy out offer which may be tempting. To reach their ambitions they may need venture capital but smart marketing may be even more essential.

If you wish to comment on above or simply show a sign of appreciation you may e-mail me. Thanks.

 

Kroon herbevestigd met glascarbomeer

De 58-jarige heer uit Apeldoorn kwam met een uitgevallen kroon op 3.6. Dit glascarbomeer kroon cement van GCP beviel uitstekend bij herplaatsing van een brug vorige week. Vandaar deze optie. Het materiaal is hier onlangs hernieuwd in gebruik genomen. Preparatie enkel met Healozon. Volledig non-invasief. Plaatsing van een stift en een wortelkanaalbehandeling werd niet nodig geacht. Prognose is goed.