MIX FIGHT DENTISTRY

! M a x i m B e l o g r a d

F r o m

To Restoration

E n d o

M i n i m a l
belograd.com MIX FIGHT
DENTISTRY

I n v a s i v e

Concept

Chapter 2

!"!#$%!&'%#

Planning

Key points St a t u s A n a l y s i s

T h r e e

Restorative Periodontal Endodontic

Restorative
S t a t u s

Ferrule effect Tissue amount Tissue quality

F e r r u l e

E f f e c t

Periodontal
S t a t u s Bone support Mobility Pockets Perio-endo

Endo? Perio?

Endodontic
S t a t u s Previous treatment Complex anatomy Resorption Endo-perio

E x t a r a c a n a l

I n v a s i v e

R e s o r p t i o n

Dietschi
The way To restore

D i d i e r

The Peripheral Rim Theory

Milicich G, Rainey JT. J Clin Pediatr Dent. 1996 Fall;21(1):913. A sub-occlusal oblique transverse ridge: identification of a previously unreported tooth structure: the Rainey Ridge. Rainey JT .

R a i n e y

WEB

Milicich G, Rainey JT. J Clin Pediatr Dent. 1996 Fall;21(1):913. A sub-occlusal oblique transverse ridge: identification of a previously unreported tooth structure: the Rainey Ridge. Rainey JT .

R a i n e y

Ridge

Milicich G, Rainey JT. J Clin Pediatr Dent. 1996 Fall;21(1):913. A sub-occlusal oblique transverse ridge: identification of a previously unreported tooth structure: the Rainey Ridge. Rainey JT .

The Class ONE Reduces

14-44%

Reeh ES, Messer HH, Douglas WH. Reduction in tooth stiffness as a result of endodontic and restorative procedures. J Endod 1989; 15:512-516 Larson TD, Douglas WH, Geistfeld RE. Effect of prepared cavities on the strength of teeth. Oper Dent 1981;6:2-5

The Class TWO Reduces

20-63%

Reeh ES, Messer HH, Douglas WH. Reduction in tooth stiffness as a result of endodontic and restorative procedures. J Endod 1989; 15:512-516 Larson TD, Douglas WH, Geistfeld RE. Effect of prepared cavities on the strength of teeth. Oper Dent 1981;6:2-5

MICRO ACCESS Reduces

Trope M, Ray HL. Resistance to fracture of endodontically treated roots. Oral Surg Oral Med Oral Pathol 1992;73:99-102

5%

The Issue
Biomechanical considerations for the restoration of endodontically treated teeth: a systematic review of the literature, Part II (Evaluation of fatigue behavior, interfaces, and in vivo studies).Dietschi D, Duc O, Krejci I, Sadan A.Quintessence Int. 2008 Feb;39(2):11729. Review.

The Issue
Biomechanical considerations for the restoration of endodontically treated teeth: a systematic review of the literature, Part II (Evaluation of fatigue behavior, interfaces, and in vivo studies).Dietschi D, Duc O, Krejci I, Sadan A.Quintessence Int. 2008 Feb;39(2):11729. Review.

The Issue
Biomechanical considerations for the restoration of endodontically treated teeth: a systematic review of the literature, Part II (Evaluation of fatigue behavior, interfaces, and in vivo studies).Dietschi D, Duc O, Krejci I, Sadan A.Quintessence Int. 2008 Feb;39(2):11729. Review.

The Class

ONE

HOW to Restore ?

R e s t o r a t i v e
CLASS I

OPTIONS

D i r e c t in/onlay Indirect in/onlay

The Class

ONE

HOW to Restore ?

R e s t o r a t i v e
CLASS I

OPTIONS

Direct overlay Indirect overlay

The Class

TWO

HOW to Restore ?

CLASS II

R e s t o r a t i v e

OPTIONS

D i r e c t inlay Indirect inlay

The Class

TWO

HOW to Restore ?

CLASS II

R e s t o r a t i v e

OPTIONS

D i r e c t on/overlay Indirect on/overnlay

The Epic

FAIL

HOW to Restore ?

Epic Fails

R e s t o r a t i v e

OPTIONS

Fiber post +crown Cast post +crown

Micro
ENDODONTICS

In s tr u m en ta ti on
p o were d by Maxim Belo g rad (c) 2013

S i m p l i f i e d

I ns trum en tat i o n

S i m p l i f i e d

po were d by C hina :)

ACCESS
Molars

Ninja

Sequance
A n a l y s i s

p o were d by Maxim Belo g rad (c) 2013

Step-by-step

ROOT CANAL TYPES

SIMPLE MIXED TYPE COMPLEX

MISSION PULP HORNS

belograd.com MIX FIGHT
DENTISTRY

T H E SOLUTION

p o were d by Maxim Belo g rad (c) 2013

Bended u-file technique

MISSION BUBBLES
belograd.com MIX FIGHT
DENTISTRY

T H E SOLUTION

p o w e r e d b y D av i d C l ar k

Flowable plus regular

ACCESS
Incisors

Ninja

Sequance
A n a l y s i s

p o were d by Maxim Belo g rad (c) 2013

Step-by-step

Sequance
A n a l y s i s

p o were d by Maxim Belo g rad (c) 2013

Step-by-step

N I N J A A C C E S S

In s t ru m en t at ion

S i m p l i f i e d

p o w e r e d by I lya M e r

!"#$%" $&'&()
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p o wereb by Maxim Belo g rad (c) 2013

t h e w a y to 3 d o b t u r at i o n

Gu n s AND Roses
t h e w a y to 3 d o b t u r at i o n

Micro
RESTORATION
Direct

Technique

Partical ABRASION
t h e w a y to c le a n i ng a n d ad h e s i o n

A d v a n c e d Instruments

Restoration
M i c r o
Posteriors

Direct

G.Politano P.Bazos

Tri_laminar Technique

by Maxim Belograd

D.E.C & Crack

Microscope Image

I ns trum en t at i o n

S i m p l i f i e d

p o were d by Ja so n Sm i t hso n (c)

THE SLICE
According to David Clark

Restoration
M i c r o Direct Anteriors

R e s i n e Adaptation
Just brush it!

P r e p a r a t i o n

Stages

S i l i c o n

Index

L a y e r i n g

Palatinal wall

L a y e r i n g

Effects, contacts

L a y e r i n g

Mammelons

L a y e r i n g

Intensives, opalescence, amount

L a y e r i n g

Enamel

Manauta
Finishing Polishing

J o r d i

p r e d i c t a b l e

Result

p r e d i c t a b l e

Result

Micro
RESTORATION
Indirect Technique

P r e p a r a t i o n

K it

powereb by Nazariy Mychailyk & Maxim Belograd (c) 2013

Polishing

F i n i s h i n g

B u r Adapter

po were d by C hina :)

E n a m e l

Chisel

po were d by Do m en ico Massiro n i

P r e p a r a t i o n

In it ial pha se

S t e p

B y s t ep

P r e p a r a t i o n

In it ial pha se

S t e p

B y s t ep

F i n i s h i n g

Polishing

S t e p

B y s tep

F i n a _View l

From Endo

To Restoration

2
R e t r e a t m e n t

belograd.com

MIX FIGHT
DENTISTRY

Rehabilitation

Rubberdam
Tips and hints
;,<$% 5 " $ , " 1 )

CLAMP

TECHNIQUE

WING

TECHNIQUE

SHEET

TECHNIQUE

RUBBERDAM
Frontal teeth, premolars KSK (Dentech) :9, 9;, 27, 206 Hygenic Brinker <4, <5, <6

CLAMPS

RUBBERDAM

CLAMPS

Molars KSK (Dentech) :U67, 24, 25, 14T, 138, 139 Hygenic Brinker <1, <2, <3

SPLIT-DAM
THE WAY TO SOLVE PROBLEMS

SPLIT-DAM
"#$% &'(')*+ "&,-.'/

Frontal split -dam

Cords
Bite Silicon Hemostatic

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FLOSSTIGHTS

FLOSSTIGHTS
NJ Dentistry

Floss tighs F r a m e

AND

Floss tighs F r a m e

AND

DIFFERENT THINKING

belograd.com

MIX FIGHT
DENTISTRY

Maxim Belograd

THE ISOLATION
belograd.com

MIX FIGHT
DENTISTRY

RE-ENDO
Second C h a n c e

F A I L S
Coronal leakage Missed anatomy Poor cleaning and shaping Artefacts Fractures Resorption

MB2 SEARCHING

MIX FIGHT
DENTISTRY

belograd.com

PASTES|DESOBTURATION

RESORCINOL

OPTIONS
ROTARY | ULTRASONIC | HAND FILES | IRRIGANTS

ETCHING DEBRIDEMENT

belograd.com

MIX FIGHT
DENTISTRY

POSTS | CORES | FILES

REMOVAL

CAST POST REMOVAL

O P T I O N S
| ULTRASONIC | | BURS | | ENDO ICE | | RUDDLE PRS|

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NJ Dentistry

METAL POST

REMOVAL I O N S

| ULTRASONIC | | TERN SCREW | | BURS |

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NJ Dentistry

FIBER POST

REMOVAL I O N S

| ULTRASONIC | | SHARPED ROTARY FILES | | BURS |

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NJ Dentistry

BROKEN FILES

REMOVAL I O N S

| BYPASS | | ULTRASONIC | | IRS | | GLUE IT |

belograd.com

NJ Dentistry

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JOE Volume 32, Number 11, November 2006

?+#/A+%'%-&#- A0A7*4, %"!.#95

Rotary NiTi Instrument Fracture and its Consequences

Peter Parashos MDSc, PhD, and Harold H. Messer MDSc, PhD

IRRIGATION PROTOCOL
Instrumentation + NaOCl EDTA 17%, ultrasonic 30 sec. NaOCl + ultasonic. Approx. 3 sets per 20 sec Water, ethanol, aspiration, paper point

ENDO|RESTO
M i c r o
LOVE DURING LIVE

The Class ONE Reduces

14-44%

Reeh ES, Messer HH, Douglas WH. Reduction in tooth stiffness as a result of endodontic and restorative procedures. J Endod 1989; 15:512-516 Larson TD, Douglas WH, Geistfeld RE. Effect of prepared cavities on the strength of teeth. Oper Dent 1981;6:2-5

The Class TWO Reduces

20-63%

Reeh ES, Messer HH, Douglas WH. Reduction in tooth stiffness as a result of endodontic and restorative procedures. J Endod 1989; 15:512-516 Larson TD, Douglas WH, Geistfeld RE. Effect of prepared cavities on the strength of teeth. Oper Dent 1981;6:2-5

MICRO ACCESS Reduces

Trope M, Ray HL. Resistance to fracture of endodontically treated roots. Oral Surg Oral Med Oral Pathol 1992;73:99-102

5%

The Peripheral Rim Theory

Milicich G, Rainey JT. J Clin Pediatr Dent. 1996 Fall;21(1):913. A sub-occlusal oblique transverse ridge: identification of a previously unreported tooth structure: the Rainey Ridge. Rainey JT .

R a i n e y

WEB

Milicich G, Rainey JT. J Clin Pediatr Dent. 1996 Fall;21(1):913. A sub-occlusal oblique transverse ridge: identification of a previously unreported tooth structure: the Rainey Ridge. Rainey JT .

R a i n e y

Ridge

Milicich G, Rainey JT. J Clin Pediatr Dent. 1996 Fall;21(1):913. A sub-occlusal oblique transverse ridge: identification of a previously unreported tooth structure: the Rainey Ridge. Rainey JT .

The Issue
Biomechanical considerations for the restoration of endodontically treated teeth: a systematic review of the literature, Part II (Evaluation of fatigue behavior, interfaces, and in vivo studies).Dietschi D, Duc O, Krejci I, Sadan A.Quintessence Int. 2008 Feb;39(2):11729. Review.

The Issue
Biomechanical considerations for the restoration of endodontically treated teeth: a systematic review of the literature, Part II (Evaluation of fatigue behavior, interfaces, and in vivo studies).Dietschi D, Duc O, Krejci I, Sadan A.Quintessence Int. 2008 Feb;39(2):11729. Review.

The Class

ONE

HOW to Restore ?

R e s t o r a t i v e
CLASS I

OPTIONS

D i r e c t in/onlay Indirect in/onlay

The Class

ONE

HOW to Restore ?

R e s t o r a t i v e
CLASS I

OPTIONS

Direct overlay Indirect overlay

The Class

TWO

HOW to Restore ?

CLASS II

R e s t o r a t i v e

OPTIONS

D i r e c t inlay Indirect inlay

The Class

TWO

HOW to Restore ?

CLASS II

R e s t o r a t i v e

OPTIONS

D i r e c t on/overlay Indirect on/overnlay

The Epic

FAIL

HOW to Restore ?

Epic Fails

R e s t o r a t i v e

OPTIONS

Fiber post +crown Cast post +crown

COVERAGE
W H E N A N D H O W

FULL

P r e p a r a t i o n

K it

powereb by Nazariy Mychailyk & Maxim Belograd (c) 2013

Polishing

F i n i s h i n g

B u r Adapter

po were d by C hina :)

E n a m e l

Chisel

po were d by Do m en ico Massiro n i

THE PREP

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MIX FIGHT
DENTISTRY

CROWNPREPARATION

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NJ Dentistry

Christian Coachman

DSD

PREOP

REALIZEDROJECT

Maxim Belograd

DSD

NJ Dentistry

Maxim Belograd

FINISHED PREP

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NJ Dentistry

FinAL