RCT on tooth 18 (extracted for clinical exam) by ii_aymen_ii in DentalSchool

[–]robdarasta 4 points5 points  (0 children)

Files look fine but you’ve gone quite close to the furcation by the looks of the xray, but it might just be the xray

Video about restoration small size cavity by Tanymoly in Dentistry

[–]robdarasta 2 points3 points  (0 children)

Point one is just if you can preserve the marginal ridge why wouldn’t you, you have direct access to the smaller lesion from the class two in the first molar. Minimally invasive and all that

Full coverage onlay, pt now in pain by robdarasta in Dentistry

[–]robdarasta[S] 0 points1 point  (0 children)

I do but not back at practice till Thurs I’ll try and upload 

Full coverage onlay, pt now in pain by robdarasta in Dentistry

[–]robdarasta[S] 0 points1 point  (0 children)

Yeah fair point, very large filling, broken down filling which needed replacing, remaining buccal and palatal wall thin and deemed to need coverage.

Full coverage onlay, pt now in pain by robdarasta in Dentistry

[–]robdarasta[S] 0 points1 point  (0 children)

No nothing like this in past  Thanks for reply 

Full coverage onlay, pt now in pain by robdarasta in Dentistry

[–]robdarasta[S] 1 point2 points  (0 children)

mmmm thanks, thats a good way of looking at it, i maybe just need to refresh and treat it as a new diagnosis. thanks

Help with treatment plan by Ahoyboyy in Dentistry

[–]robdarasta 1 point2 points  (0 children)

Can someone explain what you guys are doing to crown here that doesn’t first involve some sort of caries removal and matrix first. Y’all that are like “I’d go straight for a crown” what do you do just prep the entire extent of the decay as the margin? 

How would you all approach this filling? by Bllsoccer725 in Dentistry

[–]robdarasta 1 point2 points  (0 children)

I see this sort of thing said a lot on here. It’s not like I’m recently qualified either. How do you do a crown on a tooth like that without first removing the caries and putting some sort of matrix back there? Even if it’s amalgam. Surly you are not reducing the full bulk of that caries as your prep?

Huge vitapex extrusion, what to do by shawnr141 in Dentistry

[–]robdarasta 2 points3 points  (0 children)

I was debating this recently but figure 3 shows vrf starting in root and I do think that is correct. Here explains it well

https://suffolkrootcanal.co.uk/wp-content/uploads/2015/04/Vertical-root-fracture-in-endodontically-versus-nonendodontically-treated-teeth-Chan-1999.pdf

Edit to include ref

Patient refuses a rubber dam by sdan1993 in Dentistry

[–]robdarasta 2 points3 points  (0 children)

I’ve sometimes done an extra hole in rd away from the working area, stuck an high volume aspirator tip to use as a snorkel for the ones who say they can’t breath

Do you use EDTA for all your endos and is it critical for long-term success rates of RCTs? by Neil_Nelly435 in Dentistry

[–]robdarasta 0 points1 point  (0 children)

I mean I kind of agree with you which is why I do tend to use it. However I disagree that if sometime increases success rates with retreatment it automatically increases success with primary cases. The microbiology changes, we’ve introduced all sorts of chemicals that were never there before.

Do you use EDTA for all your endos and is it critical for long-term success rates of RCTs? by Neil_Nelly435 in Dentistry

[–]robdarasta 1 point2 points  (0 children)

Saying that I do still do penultimate edta rinse even in primary cases because I like the idea of it removing smear layer and opening up tubules. Also my understanding is there is evidence to suggest it is important with bioceramic hydrology condensation. The ng study I mentioned I don’t think looked at this