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This is a patient's lower molar on the right side for many years she's had a silver filling which is the white area there with a pin placed in it to keep the silver filling in place this is what it looks like and on the whole start and as we take a look at area near the tooth I've gum area there are all sorts of the cave and presently resumed whitish material and I take a little Explorer, and you'll see that he actually up underneath silver felony and that son was where the decayed or started possibly there was the K left behind as well as originally done it's also a small little can be there most of the silver filling material is out you can see it's silver right there that's moving and that's because there is the pin that is holding it in place this is truly a huge filling for the person was originally done they should probably have a crown or some other more enduring restoration, but she just could not afford it and this was the best thing time the person see there's the silver that came out there's the pin that bent a little all sorts of debris underneath that is we clean it out you'll see that that's full of soft tooth structure and the material just peels out with a spoon we'll go ahead and use spoon excavator just to get an idea as to how much natural McCain that's there in terms of depth and team they're supposed to be hard and soft as you can see the brown material being peeled away is quite significant the white material there was a vase that was placed and underneath the base there was a little of decadence undeveloped on ahead and determined that there's quite a little of decay, so we will end up using a dental drill to clean that out and that will help us also to, and it's period here's the round bur that was used see how and came up like easily we have been very careful to try not to cotton and there's an actually decayed area not everything that stain is decay idea is to beckon area which is soft mat effective area and when you get close this close to the nerve find that oftentimes the tooth will get into the nerve right there in between the teeth there's a cap you put sides and one of the questions would be why don't we just go ahead and hold this to patient doesn't have very many teeth on the other side this is her chewing side she couldn't afford an implant, and she's willing to take the risk of them possibly meeting where canal on this to some day in the future which milled out more half of the tooth enhances larger the filling, and she will also realize that the tooth may chip or break and crown at that time but for the present moment her finances just louder decay and if necessary she wouldn't and do the root canal, but she would prefer having a large now we've really pushed me how well tooth colored filling will work in this area and so this is truly a temporary procedure because the filling of the size that's tooth dollar just really won't hold up, and we'll need to go ahead and really recommend it some point soon to...
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