Conservative Gold Inlay - Dental Minute with Steven T. Cutbirth, DDS

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  • Опубликовано: 31 дек 2024

Комментарии • 96

  • @Trewq79
    @Trewq79 4 года назад +7

    I have a lot of respect for you placing gold materials. There's a good chance that for every gold restoration you do, it'll outlast a kid who goes to college, gets through dental school, places a crown on a patient, and then that crown fails years later.
    Love your work, be safe out there in these times.

    • @centerforard
      @centerforard  4 года назад +2

      No question, in my opinion, gold, with resin cement, is the best restoration if aesthetics is not a major concern.

    • @warf13579
      @warf13579 3 года назад +1

      I guess that's me! I have a gold occlusal inlay on #19 placed in S. Korea at age 7. I still have it in my mouth at age 25 and I am going into my D3 year in the states! I'll be seeing patients in the clinic next month. It's sad that gold restoration is looked down upon (among my colleagues and professors) but mine's doing great and I don't plan to replace it per some dentists' advice. It shows when I open wide but back in time my parents wanted the best for me and went with the doctor's recommendation.

    • @centerforard
      @centerforard  3 года назад +2

      I placed 3 gold crowns and prepared another gold onlay on a dentist this past week. If the restorations are on molar teeth, who can see the gold, and, in my 40 years of clinical experience, gold margins are the best and gold is the most durable material. I have had to replace 2 e-max crowns on molar teeth in the past month. Any tooth colored material, including zirconia, can be broken if a patient bites something hard on it.
      Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month.
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  • @dewmontjerkins9886
    @dewmontjerkins9886 Год назад

    I got a gold onlay done and it took a lot of persuasion from myself to my dentist--- he did a great job.

  • @MMargetisify
    @MMargetisify 4 года назад +4

    You really should avail yourself of the technique information presented on the website for the R.V.Tucker Academy of study clubs. With a few modifications, you can have gold inlays that fit so well they look" painted on" . I am glad to see that you are aware of the issues with the thermal coefficient of expansion and contraction, which is roughly 13 times that of tooth structure ,calling to question the value of any composite based restoration.

    • @centerforard
      @centerforard  4 года назад

      Only small composites are OK in my opinion for the reasons I stated. Large ones do not hold up, leak, etc. I try not to perform any procedures I cannot stand behind.

  • @ThePhiphler
    @ThePhiphler 4 года назад +5

    I really like where you go into detail about your reasoning for doing things the way you do them. Given that gold is getting more and more expensive, would you considering doing ceramic MO/DO inlays?
    I have started doing second impresions for when its more than single unit, but I do reversible hydrocolloid + alginate as tray material, seems to give accurate impressions easily!

    • @centerforard
      @centerforard  4 года назад +4

      Great. The thing I like about gold, if aesthetics is not an issue, you cannot break a gold restoration and the fit is incredibly accurate. I have patients in my practice who have had gold inlays and onlays for 50 years. Anything tooth colored can break. Gold cemented with resin cement is unbeatable.

  • @flowingwithporsh4769
    @flowingwithporsh4769 3 года назад +1

    I have Mercury composites is it possible to replace with gold inlays?

  • @nawandeepkalra4319
    @nawandeepkalra4319 Год назад

    Dr do you sell the diagnosis book or how do I get. Please advise thank

    • @centerforard
      @centerforard  Год назад

      Yes, you can contact my office and purchase the Dental Diagnosis book and the Aesthetic Restorative Dentistry book. You can go to my website or phone 254-772-5420.

  • @Luna-gk3xv
    @Luna-gk3xv 2 года назад +1

    Hello doctor :) I got gold inlay 3 month ago but that tooth still sensitive to cold food such as ice cream. Is this normal?Or does gold restoration cause teeth to be sensitive to temperature?

    • @centerforard
      @centerforard  2 года назад

      I suggest you have your dentist or an Endodontist examine the tooth.

  • @nawandeepkalra4319
    @nawandeepkalra4319 Год назад

    Hi is this material reversible hydrocolloid available in market. How to use it . Detailed instructions as only read in books , never used . Seems really impressive. Please advise . Thanks dr k

    • @centerforard
      @centerforard  Год назад

      I have used reversible hydrocolloid and polyether with custom tray for over 40 years. Look it up on Google. You must have canceled trays, a hose for water and tempering baths, but once you have those items the material itself is inexpensive and, according to the studies, reversible hydrocolloid and polyether with custom tray are the most accurate impressions. One reason RH is so accurate is because it does not "stretch" when it is removed, it just pops out.
      Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month.
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  • @1smail.khaled
    @1smail.khaled 4 года назад +1

    What I conclude from your videos is you prefer Composite for simple class 1 and inlay for MO with sufficient tooth structure
    What you prefer for MOD ?
    What about weaken cusps or when you make onlay and when you make crown ?

    • @centerforard
      @centerforard  4 года назад

      Correct. Onlays of conservative full crowns for MODs to prevent tooth splitting.

  • @malebhaskar
    @malebhaskar Год назад

    Thanks for the video sir. For these kind of Class 2 inlays, should we have to break the contact to get gingival, buccal and lingual clearance or not?

    • @centerforard
      @centerforard  Год назад

      I break the contact completely through the interproximal surface with a very tiny misquito diamond.
      Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month.
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    • @malebhaskar
      @malebhaskar Год назад

      @@centerforard thank you sir for your reply. 🙏🙏

  • @philipjones5364
    @philipjones5364 2 года назад

    If a client would like high noble yellow crowns for #’s 29 &30 but have amalgam in the upper molar # 3 would galvanism be a factor due to the two different metals.

    • @centerforard
      @centerforard  2 года назад

      Definitely galvanism could happen in that situation.
      Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month.
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  • @bg-id1uo
    @bg-id1uo 7 месяцев назад

    The Japanese dental system still use gold for many applications and hire Goldsmiths to constuct crowns etc there

    • @centerforard
      @centerforard  7 месяцев назад

      I am a fan of gold when the restoration is not in the aesthetic zone.
      Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month.
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  • @jordy2811
    @jordy2811 3 года назад +1

    You did the gold inlay really well, but why in the first place did you treat these teeth? Both had just a shallow decalcification. With all the knowledge about preventive dentistry we have these days, non invasive treatment would be in place. Instruction on how to properly clean interdental, advise on a healthy diet, combined with a decent monitoring and local fluoride application can be very efficient and should always be in my opinion the first 'treatment'.

    • @centerforard
      @centerforard  3 года назад

      As you know, only about 1/3 - 1/2 of the decay present is apparent on a radiograph. This patient had significant decay on other teeth, some requiring endo and full crowns.
      Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month.
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    • @LLNO9
      @LLNO9 2 года назад

      I have the same opinion with you. The bw x ray showed no indication of open the marginal ridge, which may further weaken the tooth structure.

  • @Swp87896
    @Swp87896 3 года назад

    How many times we can replace the inlay after it gets wear out on same tooth?..
    Does every time of replacement more and more tooth structure is drilled?(like normal fillings) Or the old tooth structure is completely conserved and only new inlay is replaced at the place of old?..

    • @centerforard
      @centerforard  3 года назад

      Gold inlays are so durable you will never replace 99% of them. The only real reason for replacement I can think of is a fractured tooth or decay. If you place the patient on a good home care, diet program, hopefully those thing will not occur. Watch my videos on "How to Keep Your Teeth for a Lifetime," "How to Brush and Floss Your Teeth," and "Tooth Decay Explained." Have your patients watch those videos.

    • @Swp87896
      @Swp87896 3 года назад

      @@centerforard thankyou for your reply!
      Really great to hear.
      And what is the durability of tooth coloured inlays?..can they outlast atleast a decade?

  • @davidstein606
    @davidstein606 3 года назад

    How did you decide which tooth you would restore with the inlay as opposed to the composite? Especially when The caries are pretty much identical?

    • @centerforard
      @centerforard  3 года назад

      You are correct, it could have been either tooth. Access plays a part in the decision which tooth to restore with the inlay and which to restore with the one surface composite. I normally restore the tooth with the most interproximal decay with the inlay. I do love gold inlays when there is plenty of tooth structure remaining so that the cusps do not have to be covered to prevent tooth fracture.

  • @zehra3614
    @zehra3614 3 года назад

    Can we do gold inlay replacing composite fillings

    • @centerforard
      @centerforard  3 года назад

      Sure.Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month.
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  • @LPKtheLightning
    @LPKtheLightning 4 года назад +1

    Hi Dr . I absolutely love your videos and I am a member of dentistry master class.
    I would love to see more videos on onlays and Maryland bridges.

  • @rianrosedc6249
    @rianrosedc6249 4 года назад

    Thank you! But How do you cement the inlay?

    • @centerforard
      @centerforard  4 года назад +2

      Unicem crown and bridge cement. I carry it to the tooth with the red rope wax on the end of a cotton tipped applicator. Subscribe to DentistryMasterClasses.com for many complete comprehensive cases showing cementation of all restorations and many, many other techniques.

    • @rianrosedc6249
      @rianrosedc6249 4 года назад

      Dental Minute with Steven T. Cutbirth, DDS
      Thank you so much!

  • @dejanversa1991
    @dejanversa1991 4 года назад

    Thx Steven.I learn a lot from your...more than in italian dental school. Dr.D.Versa from Italy.

    • @centerforard
      @centerforard  4 года назад

      Glad you like the videos. Subscribe to DentistryMasterClasses.com. Very inexpensive. There is an organized library of all the DM videos plus many complete comprehensive cases and important articles.

  • @Luna-gk3xv
    @Luna-gk3xv 2 года назад

    Hi doctor!Which material of inlay is the best? Gold or porcelain(Zirconia) inlay? My doctor told me that porcelain inlay is better than gold, because it is not easy to cause secondary caries. Is it true?

    • @centerforard
      @centerforard  2 года назад

      I like gold the best. It can last forever.

  • @sparra1043
    @sparra1043 4 года назад

    Hi wich method do u use to record the procedure? With a go pro or another camera , please i need to know to make my own treatment videos , thanks !!

    • @centerforard
      @centerforard  4 года назад +1

      I have a videographer and editor along with several high quality video and still cameras, editing equipment, computers and screens. It is not a simple or inexpensive task to produce the Dental Minute and DentistryMasterClasses.com videos. For every hour of video completed, there is 3-4 hours of editing, not to mention most Friday and Saturday mornings I narrate over the edited videos. It is involved and expensive to produce quality videos! That's why $20/month for DentistryMasterClasses.com is such a good deal! We have tried to keep it inexpensive for subscribers so cost will not prevent someone who wants to learn from subscribing.

  • @mariemnaser8112
    @mariemnaser8112 3 года назад

    Hello Dr
    Type of cement please

    • @centerforard
      @centerforard  3 года назад +1

      3M Unicem resin cement. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month.
      Click here to subscribe:
      membership.dentistrymasterclasses.com/purchase/?plan=513

    • @mariemnaser8112
      @mariemnaser8112 3 года назад

      @@centerforard definately will subscribe 😍

  • @gooole2552
    @gooole2552 4 года назад

    This is a dumb question, but does stain harbour any bacteria which can cause secondary decay?

    • @centerforard
      @centerforard  4 года назад +1

      Possibly. If a tooth groove is stained but there is no evidence of decay, I would clean out the groove with a tiny mosquito diamond burr and place a sealant. I will have a video on sealant placement posted shortly.

  • @CarlosValdez-nu4gn
    @CarlosValdez-nu4gn 4 года назад

    One of my teeth is really sensitive after my cleaning is this normal

    • @acash93
      @acash93 4 года назад

      It's normal, even if your teeth have no holes. Just keep cleaning with sensodyne toothpaste. Of course, if you think you have holes in your teeth, you should get them filled.

    • @centerforard
      @centerforard  4 года назад

      Sorry, hard to say without examining you.

  • @fatherleo4603
    @fatherleo4603 3 года назад

    Hey doctor quick question
    I understand that gold crowns are the GOLD standard but what is second to gold crowns? Is it porcelain fused to metal or Zirconia?

    • @centerforard
      @centerforard  3 года назад

      I use gold, e-max(lithium disilicate) and, if it is a fixed bridge, e-max to a zircona substructure. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month.
      Click here to subscribe:
      membership.dentistrymasterclasses.com/purchase/?plan=513

  • @Luna-gk3xv
    @Luna-gk3xv 3 года назад

    Hi Doctor!Is gold inlay easy to cause secondary caries?I am 22 years old now,if I put gold inlay can it lasts to my 50 years old?(With proper care)😊

    • @centerforard
      @centerforard  3 года назад

      In my opinion, gold restorations are the strongest, longest lasting restorations dentistry has ever developed. I saw a patient in my practice today on hygiene recall I had placed 8 gold inlays and onlays 33 years ago and they looked as good now as they did then.

  • @anaissavillalba9087
    @anaissavillalba9087 4 года назад

    Where are you located and how much does it cost? Cant find noone in houston

  • @YouTubeBlueButterflies
    @YouTubeBlueButterflies 4 года назад

    Sir where are you located?

    • @centerforard
      @centerforard  4 года назад

      Waco, Texas.

    • @YouTubeBlueButterflies
      @YouTubeBlueButterflies 4 года назад

      @@centerforard I hope to get the opportunity to see you, wonderful presentation!!!

    • @centerforard
      @centerforard  4 года назад

      Terrific. Subscribe to DentistryMasterClasses.com and watch all the DM videos and many other complete comprehensive cases multiple times and take your practice to the next level.

  • @haideralhasnawey3551
    @haideralhasnawey3551 4 года назад +3

    We love you from the heart
    You are the best to offer the scientific benefit
    God save you inShallah..please need copper band matrix video.from iraq

  • @jamesortengren373
    @jamesortengren373 2 года назад

    I agree with your assessment of hydrocolloid, I used it for many years, excellent material but not great for all situations so I made the switch to Impergum polyether when dealing with implants starting in the early 1990's. I am STRONGLY disappointed that you would say you are using a rubber dam when in fact while using a split RD not covering the papilla you are not really getting isolation when doing a (poor) composite. Without the proper technique (using a RD correctly placed covering all gingival tissue you don't get isolation ) Using vasoconstrictor to stop cravicular fluid is lazy and ineffectual. I would also suggest you consider watching Stevenson Dental Solutions on how to finish and polish gold. I have a whole mouth full of gold restorations and I did countless on my patients for 35 years.

  • @seithdasloth
    @seithdasloth 4 года назад +2

    Great bolo tie

  • @asankaweerasooriya4264
    @asankaweerasooriya4264 3 года назад

    Sir I've watched some of your videos.
    Wish I could come to your office and be around to gather knowledge and skills.
    I'm a dentist in Sri Lanka. Your explanations are really great. Two thums up .

    • @centerforard
      @centerforard  3 года назад

      Thank you.
      Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month.
      Click here to subscribe:
      membership.dentistrymasterclasses.com/purchase/?plan=513

  • @hierro7458885
    @hierro7458885 4 года назад

    why no aluminum oxide?

    • @centerforard
      @centerforard  4 года назад

      Sorry, I don't know what you are referring to.

    • @hierro7458885
      @hierro7458885 4 года назад

      @Dental Minute with Steven T. Cutbirth, DDS aluminum oxide blast for a better retention, by the way your channel is the best!

  • @kcgunesq
    @kcgunesq Год назад

    I insist on gold. As a bruxer, i like knowing that if I forget to wear my occlusal guard the gold isn't wearing the opposing tooth. Also, i trust it given the hundreds of years its been used.

    • @centerforard
      @centerforard  Год назад

      I agree, I prefer gold if the tooth/restoration is not in the aesthetic zone.

  • @oussamatebbakh679
    @oussamatebbakh679 4 года назад +2

    Thank u very much Dr u'r such an inspiration 🌸🙏

    • @centerforard
      @centerforard  4 года назад +1

      Thank you. I hope you are subscribed to DentistryMasterClasses.com. An organized library of all the DM videos plus many comprehensive complete cases. I just fininished a comprehensive video on NP exam and consultation using diagnostic picture books and diagnostic photos of the patient's teeth. Do not miss that one. It should double or triple your practice. DMC.com is only $20/month.

    • @aamin6933
      @aamin6933 4 года назад

      Hi doc. Just subscribed to the master class. Few queries
      1. How do I contact if have a question during videos?
      2. Do you have the preparation for gold/porcelain ONLAYS?
      3.Any videos on maryland bridges?

    • @heritagefamilydental
      @heritagefamilydental 4 года назад

      Love this old school beautiful dentistry!... and would love to incorporate this into my practice-- offer it as a premium option and charge 6X what I would for a normal composite which insurance pays me about $110 for

  • @maxman1772
    @maxman1772 4 года назад

    Thank you doctor. I learned a lot from you. 🙏

    • @centerforard
      @centerforard  4 года назад +1

      Glad to hear you like the videos. Subscribe to DentistryMasterClasses.com for the best videos.

  • @jracer7189
    @jracer7189 3 года назад

    It’s the best

  • @husseinshendawi4732
    @husseinshendawi4732 4 года назад

    I like your work dr please speak slowly I need to understand you well 🤩

    • @centerforard
      @centerforard  4 года назад

      Since I am from Texas, I naturally speak rather slowly, but I will try not to speed up my speaking.

    • @PaulDoodes
      @PaulDoodes 4 года назад +1

      RUclips allows you to change the playback speed. Press the settings icon on the corner.

  • @Albaniabyair
    @Albaniabyair 4 года назад +1

    No offence but this is 2021 you need to update

    • @centerforard
      @centerforard  4 года назад +4

      Update what? Gold is still the best restoration if the tooth is not in the aesthetic zone. I have patients in my practice who have had gold inlays, onlays or crowns for 50+ years. Unfortunately, tooth colored materials are not that long lived.

    • @Jessie-ei9oy
      @Jessie-ei9oy 3 года назад

      Hey doctor. How long does inlay or inlays last if it is made of porcelain

    • @kcgunesq
      @kcgunesq Год назад

      @@centerforard As a dental patient, i am so glad that there are still dentist who understand that many people, especially if educated properly, want gold.