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Doctor Smile
@dr.smile An unordinary doctor of dental surgery 💉. Snapchat: doctor_smile 💊 Facebook.com/doctorsmiledds 👤 Save on bone graft by using code "smile". 👇♻️👇♻️👇 http://www.bonedds.com/

Images by dr.smile

@dr.smile
Decisions decisions 😷. Which color would you pick 🤔?
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@dr.smile
Check out this beautiful animation on the process of osseointegration and how different cells interact with the implant. . The bone works in mysterious ways and constantly functions through a ying yang process of bone resorption and new bone formation. One of the bones that play a vital role in dental implants is the trabecular bone. When an implant drill is inserted it destroys the naturally sculpted bone and ruptures the blood vessels leading to a hole in the area filled with blood. The implant is then placed in the hole and the only thing holding it in place is mechanical friction aka "primary implant stability". . Osseointigration which later holds the implant in place is referred to as "secondary implant stability" and this phenomenon requires a highly complex sequence of additional processes. This is accomplished by the perpetrators of wound healing in other words different cells of the process. . There are various phases in which these cells work. It would me take a whole lecture to explain the entire process. But in summary these phases consist of different cells interacting with the newly formed environment. The white blood cells help in hemostasis by forming a blood clot which is very important for bone healing. The immune cells clean the wound of very fine bone chips, tissue debris and oral bacteria following the surgical procedure. . Days after surgery bone healing occurs. In about a week osteoclasts attach themselves to the fractured edges of residual bone, resorbing it and creating space for bone healing. This initially reduces the primary stability of the implant. Then the osteoblasts form an organic matrix to create woven bone. This in turn promotes secondary stability of the implant making up for the progressive loss of primary stability. . Finally bone remodeling takes place. Initially woven bone will have grown in the valleys of the implant surface. After remodeling this bone becomes trabecular and perfectly adapted to the new environment thanks to the synergy of osteoclasts and osteoblasts. Hope you enjoyed this brief explanation :).
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@dr.smile
Class II restoration with the frameless rubberdam ⛏😷. #optradam
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@dr.smile
Placing a periodontal splint 👀. . . . Splinting is commonly done when teeth have become loose due to truama or periodontal disease. The purpose of "splinting" together teeth is to stabilize them so the chewing force can dissipate evenly between them during recovery. This in turn ensures healing of the periodontium and splinted teeth. These splints can be flexible or rigid. The choice of splint depends on the type of injury occured. If there is a luxation injury, a flexible splint may be used for 1-3 weeks and if this is associated with an alveolar socket fracture then the fixation period may be extended by 2-3 weeks. Regarding avulsion injuries, a flexible splint is also used and it will stay in place for 1-2 weeks. If however a root fracture has occured a rigid splint will be used and it will be in place for about 2-4 weeks and with cervical fractures 2-3 months. Fixation time varies with each case and depends on the type of dental trauma, tooth condition and status of surrounding periodontal structures. Today we can find various different materials that are be used with splinting. The most common of these are composite, fiber reinforced like ribbond, nylon and metal or orthodontic arch wires like twist flex.
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@dr.smile
Who can relate 🤷🏻‍♂️? #dental #struggles
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@dr.smile
Making temporary smiles 🎨. . . . This is what we call a diagnostic mockup. This is basically how a temporary trial smile is made. A mockup allows the patient to experience the prospect of actually being part of their own smile transformation. It gives me the opportunity to place temporary tooth-colored filling materials to momentarily improve the shape and form of teeth, to close spaces between teeth, or to simulate the ideal balance between the gum line and the teeth. In turn it gives the patient time to try out the newly created teeth shapes, with lips at rest and while smiling. . This also gives the patient time to think about how the changes appeal to him/her and those viewing the patients new smile. After taking a few images of the patients dental appearance, before and after the mockup, I can easily remove the tooth-colored material returning the teeth back to their original condition. During the next appointment, the patient can examine and compare the photographs of these transformative changes to prepare for permanent treatment such as veneers.
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@dr.smile
How root canals are done ☝️😷. . . . A root canal treatment (RCT) is a dental procedure done to replace the tooth's infected pulp with a root filling. Damage to the pulp may be caused by untreated tooth decay, decay beneath a filling, injury from trauma, tooth grinding (bruxism) or gum disease. It may take more than one visit to complete an root canal procedure. I will briefly mention how a general root canal procedure is done. Keep in mind each RCT varies depending on the case and dentist performing them. . Generally a root canal is performed under local anesthesia. If the pulp is infected, anaesthesia may not be necessary since the tooth may no longer have sensation. The tooth is wrapped in a thin rubber (aka a ‘rubber dam’) to prevent contamination of the root canals from saliva and other foreign obects. The decayed portions of the tooth and any defected filling are removed. The pulp/pulp remnants are then scooped out. A special drill and small pin like instruments known as files are used to thoroughly clean and shape the root canals and to remove bacteria, pus and debris. The root canals may need to be shaped or hollowed out to ensure a smooth interior surface. The interior of the tooth is flushed with disinfectants like saline and then dried. If the root canal is not infection free, it may be medicated and the tooth sealed with a temporary filling material. . If bacteria are still present at the next appointment, the cleaning procedure may be repeated and the tooth once again packed with medication. This will continue until the tooth is free from bacteria. The infection-free root canal is then sealed with a long-lasting root filling, usually a pink rubber-based material called ‘gutta-percha’. The tooth then gets a restoration and an artificial biting surface for the tooth is made from regular filling material. In many cases, where there is considerable loss of tooth structure, there may be a need for a crown made from porcelain, metal or other materials. Failure to get an endo-treated tooth crowned when indicated by the dentist may result in it being fractured and extracted.
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@dr.smile
When you attach a computer to a dental chair and call it a work station 🌝.
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@dr.smile
When endo's life but you gotta keep your nails on point 💅. #ppe #please
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@dr.smile
Where do you guys get these colored hand pieces from lol. #pink #polish
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@dr.smile
Tongues during treatment be like 👅🥊😷. #retractionplease
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@dr.smile
Anyone know where I can get this 😱!? #musthave #takemymoney
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@dr.smile
Which animal is getting a little scaling done 😷. #guessthepet
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@dr.smile
How to take an upper and lower arch impression at the same time 🌝. . . . Full arch impression via @dr.nabeel.dds
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@dr.smile
When a wisdom tooth pops out without forceps 🏃. #elevatorflow . . . Wisdom popping via @anglevatorcecourse
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@dr.smile
Since summer is done and school is back in session, I will be making a few posts aimed at our dental students. I would like to know who here is a dental student and which year you’re currently in, that will give me an idea of what type of posts to make. We can start by posting a little eruption sequence on the primary teeth. There are a total of 20 primary teeth that are supposed to erupt in a human mouth. All of them are suggested to erupt between 6 to 35 months. Here is an estimated age sequence of when these deciduous teeth are expected to erupt and shed: Upper Teeth ⬆️Eruption ⬇️Shedding ______________________________________________ Central Incisor 8-12 (months) 6-7 (years) Lateral Incisor 9-13 (months) 7-8 (years) Canine (Cuspid) 16-22 (months) 10-12 (years) First Molar 13-19 (months) 9-11 (years) Second Molar 25-33 (months) 10-12 (years) Lower Teeth ⬆️ Eruption ⬇️Shedding ______________________________________________ Central Incisor 6-10 (months) 6-7 (years) Lateral Incisor 10-16 (months) 7-8 (years) Canine (Cuspid) 17-23 (months) 9-12 (years) First Molar 14-18 (months) 9-11 (years) Second Molar 23-31 (months) 10-12 (years) Who can tell me which are the first and last permanent teeth to erupt? IImage source: @dentistslife Primary eruption sequence: Pediatric Dentistry: A Clinical Approach.
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@dr.smile
Zoom whitening in action ☝️😷.
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@dr.smile
Dr. Reganato takes out his own wisdom tooth after it started causing him pain right as his big day was getting closer.
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@dr.smile
When you get injured by a sharp object 😷. . . . Endo file prick via @dtyunus
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