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Why You Should NEVER Wait To Get A Cavity Filled! Orthodontist Reacts!

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Real Orthodontist Reacts! Small Cavity Turned BIG! Tooth Restoration ASMR Have you ever had a cavity filling?! Let me know and Leave a Like if you enjoyed! Watch the last one Subscribe to The Bentist and join the Floss Fam!

For some reason you guys love the videos i do going through the process of how a cavity is filled well i got one that was really small that turned into a massive big cavity and we’re gonna see exactly how this dentist went through and fixed it now this is important because you could have a small cavity lurking around in your mouth and it could just turn over time

Into something as big as this let’s check this out and see exactly what’s going on i’ll tell you and talk you through the process i’m telling you it’s crazy just wait till the end the title of the video is molar tooth carries removal and restoration and asmr event hosted by yours truly the bentus aka doctor winners it is by dr rk deleon i’ll have his channel linked

In the bottom description if you like this type of video you can watch as many as you want he’s got tons of little videos like this so let’s go ahead and get right into it okay so looking at it from the get-go what we can see is a small cavity here and actually once it peeks through like this it’s probably not a small cavity anymore it more looks like this from

A small cavity so let’s go ahead and see the process and just go ahead and get started alright let’s open it up and see so first off what you can see is he’s got a rubber dam here that’s the blue thing and and that just keeps basically food and gunk out of the way of the teeth alrighty so we’re going in with an early drill here to go ahead and open it up and

So basically we’re just uncovering enamel slowly as the tooth is cavitated and decayed it kind of chips away really easy so it’s pretty easy to see but we got to get it open first from the top layer to see exactly how severe the damage is you can see that little metal thing there you can see this little metal clamp here this is what we call a rubber dam clamp it

Basically holds the rubber dam down and then goes let’s pause it here so basically what this is right here is this red stuff he’s got putting in here this is carrie’s marker we call it voco for short basically it connects to any bad tissue so anything that is decayed or whatever will absorb this pink dye and will look bright pink to us so that way we know we’re

Not removing healthy dentin which is the inside of a tooth layer we’re only removing the bad stuff so there we go so then he rinses it off and you can see that it’s pretty stained pink inside which means as it’s going to be a big one just like he said wowzers so one of the problems with having a big cavity is you can get close to the pulp and if you hit the pulp

Sometimes you got to go into a root canal and a crown now the pulp is the nerve of the inside of a tooth so all right so he’s cleaning it out he uses a softer burr and he does it really slowly it’s bigger you can see how it’s kind of just chunking away on the inside it’s what we call casius or cheese-like yeah i know it’s the consistency of cheese is decayed dentin

So it’s going in and removing some weak to structure it’s true yeah so once it gets so weak your tooth can just fracture it off eventually so that’s why you got to get these fixed all right now looks like he’s smoothing some of the edges a little bit to make it a little bit more flatter for him so basically he’s trying to make a good basically guideline for where

He can do his restoration later all right now he’s going in with a scoop so once we get a little bit further down and we get closer to the pulp we try and do it pretty slow so actually you can take a look right here he just said i am very close to the nerves and the pulp so basically right here he said i am very close to the nerves and the blood vessel the pulp

That’s why he’s using this little scooper he’s scooping it out with the cheese-like consistency here until he gets to something harder and then he can go to a softer burr again to kind of finish it up but you don’t want to go too far because if you puncture into the pulp and the nerve blood’s gonna start squirting out then once that happens it’s all contaminated

And you have to get a root canal and a crown oh bad news by the way i still do have my racket on i am whitening it for a video to see if it whitens does it leave a yellow square behind or does it whiten on the tooth i don’t know we’re gonna find out together just make sure you go ahead and hit the like button and subscribe to be checking out for that now let’s get

Back in the video very close to the nerves and blood vessel pulp yep so local anesthesia just means that they basically got all the numbing stuff it doesn’t mean they’re put to sleep it just means that they basically have um some numbing stuff in there so they can’t feel anything so he’s measuring the depth because there is a certain amount of dentin you have

Before the pulp normally um i can’t remember the exact number i want to say it’s like five six millimeters or so and so he’s checking to see if he’s got room left um before he gets into a pulp situation still cleaning it up gotta love that smell i mean it is a weird smell i tell you that there are still some affected tooth structure the pink dye so he’s gone that

Deep now he’s gone that deep this little cavity turned out to be this big and it is still showing pink which means there is more decay which means we are now in danger of getting close to that ball alrighty back at it we go apply some more carries marker a red dye all righty drying it up seeing what he’s got this thing’s getting big so he’s using a bigger and

Bigger round burr with a slower motor so it doesn’t take as much to structure away he’s really really trying to be as careful as possible now a burr like this is something that’s a little bit stronger it’s actually coated in diamonds just like minecraft and we go and we smooth out all the edges just to make sure everything’s super super smooth for the restoration

And a restoration is basically the tooth colored filling that we use to repair it you know being a dentist is actually oh it’s all clean so there is a little bit of pink there that you can see he is probably going to try and let that suffocate or release sometimes you can put a little bit of chlorhexidine or some you know different type of stuff like that over

The top of it if you fill it properly it’ll suffocate the bacteria and it will die i’m assuming he thinks he’s so close to the pulp he doesn’t want to risk an exposure so that’s what he’s probably doing an exposure means you punctured into the nerve and you really screwed up but sometimes the decay goes so far you can’t do anything about it finally it is all clean

We will not remove the one that is very possible it i’m a dentist or something alrighty so now we are probably going to etch um time to rough in the walls or etch we use phosphoric acid for that that’s the blue stuff and what it does is it basically eats away the tubules and makes them all weird shapes and stuff and it allows things to kind of grab onto it kind

Of like velcro almost so it basically turns those straight tubules into velcro and then that allows the uh the different materials we use to get in there so basically he’s getting that cavity cleanser that’s some of that stuff i was talking about that’s going to really make sure all the bacteria is clean and gone so that it suffocates whenever they get the final

Restoration in there just to protect the pulp you can see that that pulp is pretty red so actually let’s pause it real quick you can see right here this is the nerve showing through actually right here that’s not that pink cavity material anymore that’s actually blood and the nerve is a living vessel it’s going and moving there’s blood flowing in and out of it

So what you can do is you can see it’s right there so he is really close so he’s being very very very very very very very careful and also he’s doing this in the mouth guys they’re in the back of his mouth and those movements he’s making with those burrs are millimeter movements really really tiny and normally when you do a restoration like that you want to do it

In layers because if you fill the whole entire thing up at once and you try and light cure it which the light actually hardens the glue that we use it actually won’t penetrate deep enough to get the glue on the bottom and it’ll stay uncured so we have to do it in layers light it layer light it layer light it so make sure it’s strong and it’s proper enough and we

Don’t leave anything uncured so you’ll probably see he’s going to do it in layers alrighty so we got the first layer going in he’s using a flowable which just means it’s not as hard it’s it’s a liquidy form and so it just kind of gets into every little crack and crease on there and then there you go he’s doing the first layer you can see it just built up a little

Bit this is a pretty big cavity to fill um so he’s going back in he missed spot it’s music survive isn’t it layering time to avoid shrinkage and dislodgement yep that’s another thing people don’t talk about is the old metal amalgam fillings versus composite filling so those old metal fillings actually wouldn’t really expand they would corrode they would fill in

The tight spots and make everything seal even better now composite actually shrinks and expands with heat and cold so if you have one big thing it’ll shrink and expand and shrink and expand and shrink and expand until it breaks off and the filling pops out so that’s why doing it in layers they all kind of shrink and expand in different layers and they have less

Chance of failure and breakage alrighty so yeah just like i said layering to avoid the shrinkage and dislodgement there alrighty we’re adding in there lighting it up that’s just a different type of glue or composite material and that’s because the inside of your tooth is actually darker than the outside so we use a little bit different colors of material on the

Inside versus the outside all righty so now we are going exactly right more layers means a stronger restoration movement over this so now is probably my favorite part of doing dentistry now i don’t do this much anymore because i’m an orthodontist so i do straightening of teeth now but this was my favorite part to do regular dentistry and that is sculpting and

Molding it’s almost like you’re an artist you’re a sculptor you’re trying to basically get it to look exactly how a natural tooth looked and so you can see he’s using a little bit thicker of a glue here and he’s molding what we call the cusp tips so the cusp tips are all these mounds on the edges too so he has a one two three four and five mounds or cusp tips on

This tooth that he’s got to repair trying to restore it just like kind of the original shape that’s the best thing if you’re a really good dentist you can make it look just like a normal tooth versus some bad fillings that just look flat across and they’re not very good this guy actually is is pretty good he knows what he’s doing for sure took around one and a

Half hours now you gotta remember he’s doing this in the back of a mouth with a mirror looking in backwards and he’s filming it while he’s doing it that is insane so he is going in and still filling all those cusp tips up and then you can see the edge of the tooth is still not done too so he’s going to have to add some around the edges as well i feel you brother

It’s tough it is a tooth at the back mount it’s the one of the hardest ones to do it’s at the very back of the mouth yeah i don’t think people realize they see it really big here on the youtube screen but it is such a minute tiny movement it’s called a micro movement or less than a millimeter of movement when he’s moving this thing around super super tiny and

He’s using a gold tip spatula um there because it does not stick to the composite as much the last thing you want is a sticky composite oh he’s using some orange stuff i don’t really like using that it basically makes it look like it has a natural stain just like the regular teeth um so you can see look at that would you look at that wow so you can see he has the

Staining that’s from the orange to make it look more like his other teeth i get it you want it to look like there’s nothing that’s ever been done there so he’s got basically that stain he’s got all the cuss tips he did all the ridges all the grooves just like they have natural grooves here this guy is good let’s see what we’re doing now taking the rubber dam clamp

Off popping that sucker out and then now he’s going to finish it up now this is pretty tough you got the back of the mount you see he’s using the mirror there to try and keep the tongue out of the way so he doesn’t hit your tongue now this guy can’t feel anything he’s completely numb so now we’re doing some occlusion by paper this is super important to make sure

It’s not super high because if it is high you’re going to have a lot of headaches and teeth pain because you’re going to be biting on the tooth too much so we’re just checking it’ll just leave a little red spot on there and you see that little red spot he’s just taking it right off right there and he’ll just keep doing that until it’s perfect there you go that

Is actually so insane if you looked at this i would not know that this has been done by a dentist this looks just like a real tooth so there you go let me know down below if you like these videos and you want to see some more new something nice products coming out soon like the video or have crooked teeth for life i’ll see you in the next one peace

Transcribed from video
Why You Should NEVER Wait To Get A Cavity Filled! Orthodontist Reacts! By The Bentist