Tuesday, August 7, 2012

Quick Update

I am still alive! So much to do, so little time. If you know me than you can understand that I am pretty active in school (Class secretary, Student Professional Conduct Committee President, Head and Neck Anatomy TA, etc) and am a new father so my time is short. I promise to at least update the blog to include all the projects from D2 year! WHOA!

On another note, this famous image of my preps has been making it's rounds around the interwebs lately:

http://whatshouldwecalldentistschool.tumblr.com/image/28646753334

What can I say? I am just that popular!

Wednesday, March 28, 2012

Removable Partial Dentures Enamel Modification

Starting a new project for Removable Partial Prosth. Before we started this project, we had to mount our models, and make sure we had good occlusion. I have posted so many of those mounting projects before, I thought it was getting repetitive so I just ignored it! For this step, and forgive me because I do not have the time or complete understanding of removable partial prosth to fully explain it, we had to modify all the teeth that will have rest seats (areas which the RPD will 'snap' into), so they will have a path of draw. Basically, we just grind down enamel, put the cast on the surveyor, make sure the new enamel is flush with the surveying rod, then redraw the height of contour with the graphite surveying rod. Rinse, repeat, next tooth. 


Enamel Modification

Canine. Modified
Flush with the surveyor
Modifying the crown. Black is where I need to remove to get my
height of contour where I need it so my clasp arm origins are above it, then
extend into the undercut.

First premolar areas that need to be modified
First premolar distal areas needing to be modified

Premolar Rest seat
Cingulum rest seat


Premolar Rest seat
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Monday, March 26, 2012

Pedo Technique Course - Amalgam Preps

WOAH! Its been a while since I posted about amalgam preps (never actually, just a small section at the bottom of the PROJECTS page...)! Well, we started pedo tech, and the first project was 2 preps: DO primary first molar and MO primary second molar. Easy right? Well, since we have spent the past year+ doing crown and bridge preps, it has been a while since I thought, "Undercuts are okay, undercuts are good, we need undercuts." But alas, walls must converge towards the occlusal to hold that amalgam in. Below you will see both preps but 1 fill. We had to choose the worster of the two preps and use that one to restore. The real difference between doing preps on primary (baby) teeth compared to secondary (adult) teeth, is that pulp horns  and the pulp chamber are bigger/higher and need to be more conservative with your preps to avoid pulping the tooth.

Left: Baby tooth, large pulp chamber, large pulp horn
Right: smaller pulp chamber, with less prominent pulp horns
Source: http://doctorspiller.com/images/Pedo/AdultVsDecid.jpg


After having to quickly relearn some easy techniques from first year, and get around that pesky "NO UNDERCUTS EVVVVVVVVER" feeling from Fixed, I was able to get some good preps! Enjoy!

Unprepped Teeth

Unprepped Primary 2nd Molar
To Prep: MO for amalgam restoration
Unprepped Primary First Molar
To prep: DO for amalgam  restoration
Unpreppred Primary First Molar
Buccal View
Unprepped Primary Second Molar
Buccal View
Preps

Primary First Molar
Occlusal View
Primary Second Molar
Occlusal View
1st Primary Molar: Distal View. Good box size, good wall heights and good
occlusal convergance!
2nd Primary Molar: Mesial view of the box. Not the best picture ever taken, but we can see
the box is to size, not below the height of contour, and has good occlusal
convergance

Amalgam Restoration

Nicely done!

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Friday, March 23, 2012

RPD - Gold Crown Wax-Up

Easy wax  up! Took an exoflex impression of my enamel modified molar. Poured in molten wax, slapped that baby on the prepped tooth, checked occlusal contacts, checked reciprical and retentive guiding planes, checked height of contour, cleaned the margin, and was finished. An hour, tops.







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Monday, March 19, 2012

Endo - Mounted Md 1st Molar

Mounted Mandibular molar. I think, and I could be wrong here, that this is the last hand instrumented tooth we do. Starting with our next project we will be doing rotary endo. Good timing too because our contra-angle endo handpieces just got in! 

Clinical Photographs

Endo and my camera are not good friends. I either forget it
a crucial peice of my camera (battery, or the whole thing),
or am in such a hurry to keep my head above water with
all these projects, that I am 1/2 done with a project before
I realize I have forgotten to take pictures... Bear with me folks
Working lengths established
Gutta Percha Fill



Radiographs

Unmounted image
This is the last non-angled radiograph I took. We
take angled radiographs so we can see the two different
canals. How do we know which canal is which?
A: Well, the SLOB rule of course... 
SLOB Rule
Same Lingual | Opposite Buccal
Source: http://knol.google.com/k/-/-/1vk3nka8pum8r/mmjkgr/untitled-2.png 

Working Lengths Established with Size 15 files
Master Files to length fitting around those curves.
Even though we are at our master files, we still need
to taper the canals to fit Gutta Percha and clean out the
larger aspects at the occlusal 1/3 of the root. To
do this, we are going to use the Step Back Technique
(which we have used for every project as well)
Step Back Technique
Source: http://ucladentaliptp.files.wordpress.com/2011/08/dscn0105.jpg


Master Gutta Percha points to length
Since we have a total of 7 digital xray machines down
in the preclinical sim lab & bench lab, I thought, "hey,
Why not just take a picture of all my cones in there to
make sure I didnt push one down past the apex."
Actually, this is my logic for taking ~500 radiographs
for each step. A little exaggeration but me thinks it is
common that most students take more radiographs
than necessary/ would ever take on a real patient
because it is there and we can check our progress.
Final Obturation. The ML canal is not perforated nor
does it have GP sticking out the end. That is just excess
sealer that either got extruded during lateral
condensation, or was pushed out by my root plugger.
Either way, it wont be counted down. I forsee myself
losing points for being closer than 0.5 mm from the
radiographic apex. But besides for that, I think it looks
very good :D

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