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A daily dilemma in Dentistry is deciding when (and HOW) to restore that extensive MODL amalgam restoration that was placed over 30 years ago! We go deep in to this, looking at single-tooth factors but also a full mouth ‘bigger picture’ view with Dr Andrew Chandrapal who has been trained by world-class clinicians including Dr John Kois and Dr Didier Dietschi,
Protrusive Dental Pearl: How to make sure your equipment doesn’t keep getting lost? Use color coded tapes on your own equipment and tell your team that stuff is super important because it belongs to you.
“Using things like air abrasion to then try and remove the apical amalgam whatever you can do to try and be gentle in your removal of that material is a good way to go” – Dr Andrew
In this episode I ask Dr Andrew Chandrapal,
- When to classify the large restoration has failed (12:45)
- Risk factors of a tooth with large restoration would undergo necrosis (18:33)
- About restricted anterior restriction or constriction (22:21)
- How to prevent yellow stains and if you should intervene for a long time restorations? (29:16)
- Little tip on special burs to use when cutting out caries (31:21)
- Cutoff point whether to cap the cusp tip or not (33:26)
- When to decide if you should intervene because of marginal staining and communicating to patients (37:44)
- What factors to consider moving from direct restoration to indirect restoration? (39:59)
- Treatment plan to reduce the risks of fracture (42:31)
As promised in the episode, if you want to learn more of Composite courses by Dr Andrew Chandrapal – IndigoDent Education
If you enjoy this episode, check out this Composite vs Ceramic with Dr Chris Orr
