Hi! Great video, thanks! I have a question, do you normally use local anesthetic before treatment and do the patient feel the teeth becoming more sensitive after treatment?
Thanks! Honestly, not sure! It's only been around for that long, so we don't know the real long term effects. But for now the 10 year results are really promising!
Does it really make sense to use the ICON if you still use a bur in the end to remove some of the anterior tooth surface to later cover with composite? You could've received close to equal result by just going directly to the bur and an aesthetic composite after initial whitening, which removed staining. Seems like a lot of unnecessary work and costs for the patient for similar result with this ICON, just my take on it but please educate me. Nice work on the video!
Yes it does, since you are not removing all of the hypo mineralized enamel. It's still really minimal invasive. I used the bur to remove a thin part of sound enamel that was covering a part of the lesion which I couldn't reach with etching alone. Have you ever done ICON yourself? You often see that after the treatment you are left with a small dip in the enamel due to the fact that often these lesions have less enamel and you are removing a bit with etching. To get a really nice and shiny surface that doesn't show any dips you often have to cover it with a really thin layer of enamel composite. If you would like to know more, be sure to check out the Infiltration course by Erik-Jan Muts. You'll be amazed by the power of ICON!
Hi. MIH is “Molar Incisor Hypomineralization”. If you google it you will get a lot of resources that can perfectly explain what it is. Cross-Polarization is taking a photo with a special filter that filters out all of the reflections of the flash. Therefore you get a better understanding of the tooth, color and characteristics.
Only a little bit to cover the defects that were present at the white spots. Most of the times you are left with a small depression, so I used some composite to regain the normal shape
When do you feel that sandblasting is necessary during ICON infiltration? Most clinicians don't seem to do it right? Would it improve the results you think?
I think sandblasting is one of the most important steps during ICON Infiltration. When we think about the infiltration our only goal is to fully penetrate / infiltrate the defect. Therefore we need to make sure that our ICON dry and ICON Infiltrant can reach every part of the white spot. If not, a part of the white spot will remain (the part that isn't reached). By using air abrasion we remove a superficial layer of enamel, which makes it easier to etch and penetrate the enamel (it usually saves us 1-2 etching cycles. If, after 3 cycles of etching we don't see anything happening, it's important to use sandblasting again. Because the etch simply won't do enough, probably because the defect is pretty deep. By using sandblasting we remove a bit more to be able to penetrate the defect.
Yes, it can be done, but I usually don't. ICON is most of the times an esthetic treatment and not many people will have complaints about a white spot on the occlusal surface of their molars.
The reason the drill was used is that there was still some sound enamel covering the defect and even after many etching cycles I still wasn't able to penetrate this defect. In those cases you sometimes need to remove a tiny bit of healthy sound enamel to get access to the defect underneath.
Great case especially if one consider the effort you took to make it turn out that perfect.
Thank you 🙏
Hi! Great video, thanks! I have a question, do you normally use local anesthetic before treatment and do the patient feel the teeth becoming more sensitive after treatment?
Great work.,How long will it last dr?
Thanks! Honestly, not sure! It's only been around for that long, so we don't know the real long term effects. But for now the 10 year results are really promising!
Does it really make sense to use the ICON if you still use a bur in the end to remove some of the anterior tooth surface to later cover with composite?
You could've received close to equal result by just going directly to the bur and an aesthetic composite after initial whitening, which removed staining.
Seems like a lot of unnecessary work and costs for the patient for similar result with this ICON, just my take on it but please educate me. Nice work on the video!
Yes it does, since you are not removing all of the hypo mineralized enamel. It's still really minimal invasive.
I used the bur to remove a thin part of sound enamel that was covering a part of the lesion which I couldn't reach with etching alone.
Have you ever done ICON yourself? You often see that after the treatment you are left with a small dip in the enamel due to the fact that often these lesions have less enamel and you are removing a bit with etching. To get a really nice and shiny surface that doesn't show any dips you often have to cover it with a really thin layer of enamel composite.
If you would like to know more, be sure to check out the Infiltration course by Erik-Jan Muts. You'll be amazed by the power of ICON!
Do you rub each tooth for 3 minutes each before washing off ? So in this case rub 18 minutes (6 teeth) per cycle in total ?
Hi, 3min for the entire cycle. So I place it on all teeth, then start rubbing it in constantly switching teeth and then wash it off.
what does MIH with discoloration mean? and cross polarization?
Hi. MIH is “Molar Incisor Hypomineralization”. If you google it you will get a lot of resources that can perfectly explain what it is. Cross-Polarization is taking a photo with a special filter that filters out all of the reflections of the flash. Therefore you get a better understanding of the tooth, color and characteristics.
Hi
The six anteriors received composite bonding over the vestibular surface?
Only a little bit to cover the defects that were present at the white spots. Most of the times you are left with a small depression, so I used some composite to regain the normal shape
When do you feel that sandblasting is necessary during ICON infiltration? Most clinicians don't seem to do it right? Would it improve the results you think?
I think sandblasting is one of the most important steps during ICON Infiltration. When we think about the infiltration our only goal is to fully penetrate / infiltrate the defect. Therefore we need to make sure that our ICON dry and ICON Infiltrant can reach every part of the white spot. If not, a part of the white spot will remain (the part that isn't reached). By using air abrasion we remove a superficial layer of enamel, which makes it easier to etch and penetrate the enamel (it usually saves us 1-2 etching cycles. If, after 3 cycles of etching we don't see anything happening, it's important to use sandblasting again. Because the etch simply won't do enough, probably because the defect is pretty deep. By using sandblasting we remove a bit more to be able to penetrate the defect.
Does it can be done on chewing surface of molars also
Yes, it can be done, but I usually don't. ICON is most of the times an esthetic treatment and not many people will have complaints about a white spot on the occlusal surface of their molars.
Extreme opacity is difficult to get rid of. Drill had to be used
The reason the drill was used is that there was still some sound enamel covering the defect and even after many etching cycles I still wasn't able to penetrate this defect. In those cases you sometimes need to remove a tiny bit of healthy sound enamel to get access to the defect underneath.