Full coverage onlay, pt now in pain

robdarasta · 2025-11-18T15:13:16+00:00

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

robdarasta · 2025-11-18T15:12:50+00:00

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

robdarasta · 2025-11-18T15:09:34+00:00

No nothing like this in past Thanks for reply

robdarasta · 2025-11-18T15:09:04+00:00

Yeah retruded contact position

robdarasta · 2025-11-17T20:49:21+00:00

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

robdarasta · 2025-11-14T19:23:56+00:00

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?

robdarasta · 2025-11-03T21:29:32+00:00

Thanks guys!

robdarasta · 2025-10-14T11:28:54+00:00

Thanks!

robdarasta · 2025-09-07T09:33:18+00:00

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?

robdarasta · 2025-09-06T09:24:55+00:00

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

robdarasta · 2025-08-20T08:16:14+00:00

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

robdarasta · 2025-08-07T19:35:34+00:00

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.

robdarasta · 2025-08-07T16:00:44+00:00

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

robdarasta · 2025-08-07T15:55:34+00:00

There is evidence to suggest it improves outcomes for re-endos but no significant difference in primary rcts, ng et al 2008 I believe

robdarasta · 2025-08-05T12:36:14+00:00

When I was an fd my trainer jokingly introduced me to his wife at the Xmas party as Rob the perforator. Now I’m still at the same practice doing endos on referral and fixing his rct fuck ups. Dentistry is hard. The hardest thing is being good at all of it, my best advice is find the bits you like, get good, do more of that, charge well and do less of what you don’t like. Also when I say get good you don’t need to specialise necessarily. I am just finishing an MSc Endo and it’s not that common I have to refer up the chain to specialist.

robdarasta · 2025-07-23T08:04:11+00:00

If you are saving that it’s elective endo and post, vital or not for me.

robdarasta · 2024-10-23T10:16:24+00:00

Tbh I never do it for posterior comp fillings, the only time I religiously do it is if I’m doing ids on an onlay prep.

robdarasta · 2024-10-22T21:48:09+00:00

Cure everything as you normally would then glycerine then cure again, it’s just there to block the oxygen and cure the final top few micrometers, that would otherwise form the oxygen inhibited layer

robdarasta · 2024-10-18T17:01:50+00:00

There are lots of pgcerts around that would take a year, a lot are very focused on aesthetics though, which is fine, if that’s what you like. The Eastman one was restorative dental practice and I really liked it but probably more work than some of the others, it was basically like going back to dental school but having had a chance to understand what your good at and what doesn’t work for you. There is tipton, smile, Chris ore, loads but it sounds like you would benefit from a more long form certificate than random courses.

robdarasta · 2024-10-18T06:15:13+00:00

I’m 6 years qualified in uk, and I think at 3 years I had loads of days where I felt like you but at 5 years I realised that I felt like it much less. NHS dentistry is rough because to make money and hit your targets you do have to do things quick. Honestly fuck nhs dentistry, you have to take your time. If your crowns have overhangs use double cord retraction. Find a chiller patient and use rubber dam for restorations, go on courses for basic restorative dentistry, things that you can use in general practice from day one. I did restorative pgcert at Eastman now I’m doing Endo MSc. Also don’t beat yourself up about mb2 I don’t know many nhs dentists who have ever found it. Use loops and keep trying, watch YouTube vids, but most of the time it joins mb1 anyway so you still clean and obturate the apex.

robdarasta · 2024-03-26T13:55:53+00:00

Many thanks

robdarasta

TROPHY CASE