Esthetrix by Dr. Pratiek Gupta

Esthetrix by Dr. Pratiek Gupta The page is run by Dr. pratiek Gupta to show daily cases, tips and tricks on how to manage esthetics in dentistry.

The views expresses are his personal views only, any conflict/contradictory thoughts are to be excused.

Back to Back class II restorations.A case of deep class II restorations - restored in two appointments. In the first app...
16/07/2024

Back to Back class II restorations.

A case of deep class II restorations - restored in two appointments. In the first appointment we did the pulp capping (unintentional exposure) and IDS.

In the second appointment we did the Injection overmoulding of the two cavities using the Bioclear matrices.

Description on each picture.

Hope you like the case.

The deep caries on the distal along the impacted 8 was tricky. Used a no 29 clamp from KSK for the last anchor since it ...
17/02/2024

The deep caries on the distal along the impacted 8 was tricky.

Used a no 29 clamp from KSK for the last anchor since it has a deep bow extension that helps in vision and yet doesn't interfere with the clamp placement and airoter head for finishing.

The Haller clamp helped in further keeping the dam down and wide spread isolation.

Always remember to get the contacts and contours right.

 Tips for esthetics. It is difficult to pack a teflon into the sulcus most times because it tends to stick to the instru...
07/02/2024



Tips for esthetics.

It is difficult to pack a teflon into the sulcus most times because it tends to stick to the instrument and come out, difficult to roll it into a uniform mass.

Here my tip.

Use a piece of cord similar in length to the teflon and roll the teflon around it.

Easy peasy now.

You can easily pack the teflon in now and get double benefit of retraction with cord plus no gingival seepage.

Hope you like the tip.?

In the pics -

1. Teflon and cord
2. Teflon in cord
3. Teflon cord
4. Packing the cord - easy now
5. isolate - great visibility
6. Use the NE-9 10 fluted carbide to finish close to the gingiva
7. Completed class V restorations using activa

Back to work Putting up a case of back to back class II's. The patient had some pain while biting and no major discomfor...
25/01/2024

Back to work

Putting up a case of back to back class II's. The patient had some pain while biting and no major discomfort according to her.

She has come for a checkup of another tooth but this was diagnosed on routine diagnostic x-rays and bitewings.

Crack Dam Creation on both the teeth and restoration using the Bioclear - biowhatever protocols.

Hope you like the case.

Materials used :

Rubber dam - black from Coltene
Ring - KSK from Ident
Matrices - Tor Vm 30 micron from Filaydent
Microlux from addent for crack detection and confirmation

Small class IV fractures are the most difficult to treat. This little girl had fractured her central while playing.  . M...
30/12/2023

Small class IV fractures are the most difficult to treat.

This little girl had fractured her central while playing.

. Mono shade restoration.

Complete digital workflowA case of two inlays to replace the existing failing amalgam restorations. Structural analysis ...
29/12/2023

Complete digital workflow

A case of two inlays to replace the existing failing amalgam restorations.

Structural analysis to understand the need of an indirect restorations.

Careful removal of amalgam restorations - look at the last video for use of the micro etcher to remove the base or residual cement

IDS and DMA for dentin bonding

Planning and milling on the CEREC software and Prime mill.

Final bonding using heated composite and under rubber dam isolation as always.

Dam used - Green - Ni****ne
Black - Coltene HySolate

All pics have an explanatory text.

Hope you like it.

Todays Class II caries - Injection moulded and Biocleared. Details in the pics
16/12/2023

Todays Class II caries - Injection moulded and Biocleared.

Details in the pics

Posting an interesting case : A bioclear veneer - used the bioclear matrix to show the motivational mockup and get appro...
01/11/2023

Posting an interesting case : A bioclear veneer - used the bioclear matrix to show the motivational mockup and get approval and consent from the patient.

The final result : Patient very happy - Patient centered dentistry to say the least.

How did you like the case?

Last call for the next bioclear program in Goa. 2 seats remaining before we close the registrations on this one. DM if i...
31/10/2023

Last call for the next bioclear program in Goa.

2 seats remaining before we close the registrations on this one.

DM if interested. Special offer for the last two seats.

Patient who is a dentist walks in with sensitivity on biting and cold. There was a previous amalgam restoration and a cl...
31/10/2023

Patient who is a dentist walks in with sensitivity on biting and cold. There was a previous amalgam restoration and a class I on the 7 both of which were failing.

We decided to do an onlay on the 6 and a direct restoration on the 7.

The steps in detail of the onlay design, prep and final bonding are shown below.

Comment if you like the case.

A bonus video of removal of base cement very close to the pulp is shown at the last.

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Hyderabad

Opening Hours

Monday 10:30am - 6:30pm
Tuesday 10:30am - 6:30pm
Wednesday 10:30am - 6:30pm
Thursday 10:30am - 6:30pm
Friday 10:30am - 6:30pm
Saturday 10:30am - 6:30pm

Telephone

+919866102747

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