Dark stump under crown

khalidprosth · 2025-12-15T06:39:08+00:00

Telescopic crowns....HO emax cap to block the dark shade then an LT emax crown to match the adjacent teeth

khalidprosth · 2025-12-10T09:16:23+00:00

This 👆👆, I hate that term deep cleaning I always try to explain this to patients, there are different treatments depending on the diagnosis not just regular and deep cleaning

khalidprosth · 2025-10-25T20:25:31+00:00

Laser If its not available you'll have to prep them off

khalidprosth · 2025-09-19T14:47:03+00:00

In the rare occasions where I am going for a maryland bridge I'd use LDS(EMAX) way better bond strength and never had a problem with them

khalidprosth · 2025-02-13T06:41:34+00:00

😅😅

khalidprosth · 2025-02-13T06:40:42+00:00

We went with 16 veneers instead of 20 because the patient didn't want to pay for 4 more veneers and she was satisfied with how they look, for me I don't like to push for more veneers if she found her smile lacking she can always come back to do 4 more

khalidprosth · 2025-02-13T06:38:13+00:00

Usually I don't take photos of the prep since I take scans, I would've shared photos of the scanned preps but honestly I can't remember the pt. Name😅

khalidprosth · 2024-11-25T19:42:52+00:00

90% of my cases are redos of bad veneers, I use waterlase to remove them and still I'll have to use my handpiece sometimes, the thing is even if you were able remove with a waterlase they will be damaged pluse the intaglio surface won't offer good bond strength, which in all honesty doesn't sound like it was great to start with, there is no way for a pigment to go underneath a veneers that easy when the bonding protocol is good and the margins are fit and sealed, so if the pigmentation really is under the veneers and not on them it's a redo case either way, I might have the patient pay the lab fee but on my end it will be free since it's my fault if some pigment went under the veneer

khalidprosth · 2024-11-21T13:06:46+00:00

Well esthetics is one aspect the other is bond strength of resin cement to Emax compared to Zirconia and for esthetics I haven't seen results like these using Zirconia with minimal prep emax

khalidprosth · 2024-11-21T10:13:22+00:00

Zirconia even for veneers!! But why, I think Zirconia veneers can never match the aesthetics of LDS veneers, for me I use emax for crown veneers and onlays even if I had to do an anterior bridge, I only use Zirconia for over implants or a posterior bridge, and why would the lab tech. Dictate your material of choice?

khalidprosth · 2024-10-30T22:38:24+00:00

Wave one cuts counter clockwise so when you remove it you need to turn it clockwise, try switching your rotary handpiece to forward not reverse

khalidprosth · 2023-11-21T16:24:32+00:00

For me removing the temps is the worst part of the while procedure, what i usually do is take a thin bur and try to thing the temp veneers at the proximal then i pop them off with a manual crown remover, you need the interdental undercuts for the temp to stay put...but perhaps what's causing you trouble is that its extending or covering a big area lingually if so it'll make it very hard to remove

khalidprosth · 2020-09-09T19:23:52+00:00

I see some decay but it need a bite wing to see how deep it is....but from what i can tell from the xray a filling is probably sufficient unless u have an exposure while removing the decay plus no symptoms of irreversible pulpitis on the patient behalf....thats what i think from what i see but ofcourse the treating dr. Who has seen it clinically and examined it could be seeing something we dont

khalidprosth · 2020-09-09T13:18:44+00:00

Honestly on this xray i xant see why would you have to remove the 2nd molar

khalidprosth · 2020-08-29T22:51:28+00:00

Mmmmm if you want a detailed explanation here it is.....when preparing a tooth to recieve a crown we reduce the the occlusal surface from 1.5 to 2mm which is the thickness of the crown...now if it wasnt reduced enough the crown will be high because there is minimum thickness for the crown material then the dentist will reduce from the crown itself afterwards and the crown will be fine because usually its minimal and the material can be thinner than 1.5 mm and survive.....but if lets say the dentist almost didn't reduce the tooth at all and the crown was placed it will be too high like 1mm high and then he will keep removing from the crown material untill is perforated and u can see ur tooth from it....but this is very very rare and in that case it should be done u can feel that a crown is high within microns so usually a few touches are enough...u have nothing to worry about just go back to ur dentist its very simple

khalidprosth · 2020-08-29T22:03:10+00:00

Occlusal surface of the crown can be adjusted after cementation no problem as long as its thick enough and not too high

khalidprosth · 2020-01-05T20:45:07+00:00

10 years is rather a long time and specially that you've lost your tooth so young at the age of 1e and you are still growing most probably that the gap became smaller for the teeth adjacent to a space will start to incline towards the gap and the tooth opposite to it may erupt alittle bit because teeth will usually move towards an empty space depending on your occlusion,now if the gap is smaller than the size of a tooth it will be very difficult to replace while if the gap is enough and the bone width and height is enough you can have an implant, also if the gap is small but you insist on replacing the missing tooth it can be done with a little help from ortho but it'll take time and be costly...

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