But before we go...here is one to hold you over till Monday...
Here is one of my wonderful patients... complaining of pain in the lower right region...all I see that might be suspicious is a tooth with an old silver filling...but it looks solid and the x-ray doesn't really show a problem. I, or rather we, decide to replace it since it looks pretty lousy anyways...and just maybe her pain will subside.

Fig. 1 shows our tooth du jour with the intact silver filling...however when I removed the filling I saw that there was most certainly decay lurking underneath...fig. 2.

Much to my dismay, the decay was actually much deeper than I expected...see fig. 3, which shows that even after the initial excavation there was still more decay.
Finally....and I say that because I am now getting close to the nerve...I reach a point where although there is still some staining...it is not decay..just stained tooth structure...fig 4.
At this point the matrix retainer is already in place and I am able to bond in a beautiful tooth colored restoration.

So until Monday...
No comments:
Post a Comment