Nine Nineteen

A class of their own

More than words

Broken dowel post (RCT)

An anxious 42 years old patient called me up to tell me that her crown fell off .   Upon oral examination,  her titanium (dowel) post in her tooth no. 11 broke in halves. I checked her periapical x-ray and saw nothing unusual around the root.

I used a 801 round bur to open the pathway to the canal and to have a better access to the broken titanium dowel. Then i used my ultrasonic instrument moving it inside in circumferential motion around the dowel pin to dislodge it from its cement. It took around 10 mins to remove it from the canal. I cleaned the canal with chlorhexidine 0.20% and dry the canal.  I accidentally perforated the canal at the lingual side due to over instrumentation or a weakened wall . I used MTA denstply (white) on the perforated wall . I prefer MTA denstply here over MTA angelus eventhoigh it's in a syringe type. The strength and hardness of MTA denstply is superior to that of MTA angelus. I used angelus fiber post # 1 and cemented it with Rebilda voco up to the post build up. I used Duolink bisco to cement the Zircnia crown.

Zirconia crown (cement used Duolink bisco)

Broken dowel pin inside the canal

Loosen pin

Rebuild the post with Rebilda voco

Angelus fiber post #1 was cemented using 

Igñacio de Loyola

"For the greater glory of God" This is San Ignacio de Loyola's main principle which became the Jesuit's motto: "Ad maiorem Dei gloriam".  His Spiritual Exercises which he wrote in a cave near the town of Manresa as he practiced asceticism ( is an exercise of self-denial from worldly pleasure to attain spiritual discipline) was printed in 1548. San Ignacio de Loyola died in July 31, 1556 (460 years ago), beatified on July 27, 1609. It is only fitting to honor him with this moving and beautifully made  film by Paolo Dy and done justice by Andreas Muñoz for his portrayal of Capitan Iñigo (Ignacio de Loyola). 

To Note: He was vigorous in opposing the Protestant Reformation during his time. He is venerated as the patron saint of Catholic soldiers here in our country ' the Military Ordinariate of the Philippines'. 

Andreas Muñoz, me, my sister Eve at Solaire Theatre

the director Paolo Dy and actor Andreas Muñoz

acknowledgement:: wikipedia.org