Acute Pulpitis - Root Canal Treatment

peri-apical xray 

A 29 year-old-male came with complaint of severe pain in his lower right molar. He said that he experienced (intermittent) pain for about a month and would just take NSAID (Non Steroidal Anti-Inflammatory Drug) then for two consecutive nights he had this throbbing pain before he came to our office. Upon visual examination revealed of cracked restoration. Radiographically the periapex is normal. Diagnosis: Irreversible pulpitis.

 

tooth no. 46  

the caries weakened the cement filling 

to check my work I place LED/halogen light cure at the buccal side. still at the roof of the pulp chamber. These holes are the pulp horns

access the canal with no.10 files

to flare the coronal third of the canal, Gates-Glidden reamers were used  

Irrigated with saline and chlorhexidine gluconate 0.20%

Denstply AH Plus and gutta percha : Voco Rebilda

gingival retraction

porcelain fused to metal

Pain in her porcelain fixed bridge

A 56 year old female came to my office and complain of pain in her tooth no. 34 and 35.

Upon dental check-up, there's a 3 unit porcelain fixed bridge on these two teeth. It was the main support that resulted in a cantilevered bridge. As you can see in my first x-ray, there's an overhang unit after tooth no 35. That cantilever or the unsupported unit had put pressure on tooth no 34 and 35. It caused microscopic leakege sipping to the abutment tooth due to the seesaw effect during mastication. There was no dramatic seesaw effect but the movement was in microscopic effect.

I removed the unit and did a root canal therapy on tooth no. 35 (AH Plus). On tooth no. 34, I did the pulpotomy using the new medicaments Pulpotec from Switzerland. I prepared those teeth for their porcelain cap. My patient is still pain free and problem free with her new unit since 2009. I gave her oral health instruction to follow and do religiously to maintain a healthy gums.

St. Apollonia feb 9, 249

Feb 9, is the feastday of St Apolonia, Patroness of Dentistry. press this link to know more about her life : St. Apollonia - Saints & Angels - Catholic Online

Pictures for hallmark greeting cards

I took these photos with my Canon Rebel T1i,  lens EF-S 18-55mm. I know I can  never go wrong with the clear blue sky and the beautiful, romantic sunset as my background just like in the Hallmark greeting cards.  I'm still tinkering with my camera, still novice.  I hope these photos somewhat brighten the gloomy global outlook.  Location: somewhere in the northern part of Luzon

PH town that knows disaster gives back ‘big’ to Japan - INQUIRER.net, Philippine News for Filipinos

We always pray the rosary everyday and Japan is always in our prayer. To our friend and neighbor, Japan we never forget. Please read this, I was touched by this story:

PH town that knows disaster gives back ‘big’ to Japan - INQUIRER.net, Philippine News for Filipinos

Our Lady’s message the same from Fatima to Akita - INQUIRER.net, Philippine News for Filipinos

Please read this:

Our Lady’s message the same from Fatima to Akita - INQUIRER.net, Philippine News for Filipinos

Kiddie Health Talk at Manila Patriotic School

Mr & Ms Hygiene: Kinder 1-  VInce Willy Zhuang and Jodie Ayveelyn Yu and Princess Clyre Pornea

                           Kinder2- Jerome Jinn Gonzales, Glenda Gianna Wong and Denise Kate Alibarbar
              
                           Nursery-  Joyce Arriane Ngo, Jhianne Dimaiwat, Jasmin Kane Ilar, Jerald Elijah Olores, An-An Zhuang, Brendann Morales


Mr & Ms Healthy Smile:  Nursery-  John Carl Stephenson Sibal, Clyde Evan Lai, Jasmin Kane Ilar, Annie Belle Chua, , Marianne Gatus,
                                     Kinder 2- Denise Kate Alibarbar
                             

       Kinder 1- Hong Xiao Wen, Gene Gabriel Dagdag, Jodie Ayveelyn Yu

Speakers: Ms Janet Sison (Nurse), Ms Jescellee Sison (Doctor), Ms Caroline Leung (Dentist)

Nursery Teacher: Virginia Advincula and Lai Yee Sia
Kinder 1 teachers- Rina Pecana and Yuan Tao
Kinder 2 teachers- Lirian Cabuyoc and Lijun Yin
Kinder Supervisor-  Xiaojun Chen
Vice Principal- Lim Lily Mak
Principal- Jincan Chen

Thanks to Ms. Marilou Florentine for sending me this list and the pictures.

By the way, Manila Patriotic School (the first Cantonese School in the Philippines, correct if I'm wrong) will be celebrating its 100 years by next year, a truly established institution and I'm proud of her.  Children will have a good start there learning mandarin language.

February: Dental Health Month & Kiddie Talk at Manila Patriotic School

February is Dental Health Month which is very appropriate because February 9 is St Apolonia Day and every year a mass is held at the Sta Cruz Parish Church at 9:00 am.  There were only less than 100 dentists who attended.  If I were not informed by my surgery batch mate and good friend Dr. Flor Capellan, I would have been absent too. This is my first time to attend this mass and i had my St Apolonia statue blessed by the officiating priest. He asked me and the organizer  ( Fil-Chi Dental Chapter ) to propagate St Apolonia, the patron saint of dentist.  I will try to print the novena of St Apolonia here.

In the Kiddie Health Talk , the nursery and kindergarten of Manila Patriotic School are my audience so I have to make my presentation interesting to kids and at the same time informative for the parents and grandparents who were invited by the school.  It was tough to get their attention and tougher to get their interest but since they go to the school clinic often, I made a good rapport with them.  Fortunately, when it was my turn to speak, they were given their meal. They were well behave and they interact with us very well.

The speakers were School Nurse Janet Sison,  School Physician Dr. Sison,  Ms Rocelle of children's memory vitamin.

Awards were given.  There were winners like little ms & mr well groom, little mr & ms best teeth, etc.

I have my own cameraman but unfortunately he is not tech savvy and novice in photography.  Result all his shot are off center, tsk tsk tsk. That's what I get if I ask favor from our waiter Mr Ato Dollete to take my pictures. I will have to ask for the official school photo (to follow).

Special thanks to Colgate-Palmolive, sponsor of my kiddie health talk. I would like to thank Mr Iam Guerrero and Mr Gomar of Colgate-Palmolive for unwavering support.  The colgate toothpastes and toothbrushes were given to all the students as well as to the teachers and parents. It was worth their while.  A quality product to deserving and intelligent students of Manila Patriotic School (Ay Kok).

No contest: UST is oldest university - INQUIRER.net, Philippine News for Filipinos

No contest: UST is oldest university - INQUIRER.net, Philippine News for Filipinos

Adobong Pagong, Century-Old Morcon, taco ‘lumpia’-Binondo, in 2011, is an - INQUIRER.net, Philippine News for Filipinos

Adobong Pagong, Century-Old Morcon, taco ‘lumpia’-Binondo, in 2011, is an - INQUIRER.net, Philippine News for Filipinos