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

OMOTENASHI - Philippine (playlist) Ambos Mundos Restaurant

Bright Smile Bright Future for MPS

    Nurse Janet in her zone

my computer crashed and panic gripped me. no visual aids for the kids, oh no?! Thanks to  Jenrich, my angel

Kids love this funny man

bright smile  bright future (best friend for life)

these are the proud mothers of 

The students of MANILA PATRIOTIC SCHOOL had a fun filled day.  I want to thank my sponsor COLGATE PHIL. for making this event a success. My heartfelt thanks goes to Mr Diomar Escat for his faith in me eventhough I informed him in such a short notice. 

MANILA PATRIOTIC SCHOOL (chinese name: AUI KOK) will be celebrating its centennial year this year.  Aui Kok, as I fondly call it, is a first Cantonese school in the Philippines. Now Mandarin is being taught there too.

With all the hoopla on that day (feb 24), the one thing that stayed in my mind are the students' smiles.  PRICELESS !!!  Here's wishing COLGATE and AUI KOK more success !

Feb 9 St Apolonia's Day

inside Sta Cruz Church

I attended the mass for St Apolonia with my good friend Dr F. Capellan at Sta Cruz Church. On my way to the Plaza Sta Cruz, there were motorcade with banners from the Philippine Dental Association and its affliate chapters.  It's only appropriate that February is Oral Health Month in honor of our patron saint.

I was dumbfounded by the turnout of dentists at Sta Cruz Church and the mass was held at the main chapel to accomodate the people. After the mass, there were snack given and time to a little chit-chat.

Last year there were only a handful of dentists (approximate less than 100) who attended the mass and it was held at the upper room of the church auxillary building. I said to myself what a pity but grateful for the dentists who celebrated St Apolonia's day. Thanks to Dr Barba and her team, she made this possible. This will be her legacy. I was not able to ask her what they requested from the congress. 

Anyway, It was nice to see familiar faces. I saw my old MCU schoolmate Dr Mel Dazo (I forgot his first name -sorry) , my surgery batchmate Dr Johnny P and Dr. Jonathan V, the ;  Dr Steph (congrats, 2012 Pres Fil-Chi) and Dr Barba (2011Manila Dental Society Pres).   

Talaga naman this was a wonderful day.  I wish that all dentists could attend this mass held every year  (Feb 9) at Sta Cruz Church. Whatever their denomination, everybody is invited. 

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