SLOWLY WE LAID WAY (2ª PART)

1984 - Central support - Modification of the resistance My Technique of White Amalgamation.

Observation First: A central support, ' inserted in the most superficial part of a silicate, and left slightly in surface, modifies positively, the permanence of the S. to the passage of time

At the same time, the push conducted with a rammer of A. on the hard support, expands the well stuffed S. Once the cavity in all directions, being therefore the coaptación of bottom and lateral better and supposing a smaller atrapamiento of air. Also as the maneuvers are made on a hard surface, the phenomena of adhesion to the plastic instruments and like air intake smaller consequence do not exist.

The Mayan civilization, used to stick its precious stone incrustations, a bony cement (calcic cement). Our silicate cements - used this century in front teeth throughout it is a compound of beryllium, aluminum, calcium and free silicic acid (this as soon as the dust). Acido orto, puts and pirofosfórico for the liquid.

Clinically - from my point of view -, the silicate and more concretely, the cement house stone, whenever normal vitality in the dental piece exists, with absence therefore of pathological signs pulpares, and whenever the isolation well is made, has provided me satisfactions. It is at this precise moment, when we must remember that the small clinical history that the patient relates, in many occasions is not true, and we can attribute to silicate fault of the alterations pulpares, to the own S. history must of being most precise possible and to make brief searches of almost detectivesco order, with object of knowing the truth of which they tell us. When a correspondence between the counted thing exists and what we perceived, later disagreeable situations never exist.

The esferitas of composite, of different sizes and aged previously, gave positive results, even observed after 11 years of permanence in mouth. Equally very small small balls of the own S. aged without heating, provided in front teeth good results to me.

2ª Phase Multiplicity of support and introduction of glass 1.985-86

Seen the works after two years, it was possible to be stated that the fillings with this simple technique were well in rare occasions, had sunk something, which made me think that there was to multiply the number of supports and step to try to solve the complicated M.O.D., was then when I devised the processing of the escamitas of Composite, if it placed them in surface, if it increased his resistance, if it volatilized his toxicity and its contraction, would have advanced enough. The preparation of the same ones, even did with Composites already expired (which does not stop being an important economic advantage). It put under a fine paste of the same one, stretched on a tin paper and it put under it about 150 ' or more in my esterilizador during about 30 or 40 minutes, later with the morterito of crystal it crushed them and it gave different sizes them, that they vary from the dust to small and more extensive escamitas.

The results were variable, the negatives were only of despegamientos. This fact was of difficult establishment then did not know if to attribute this type of failures, to my little manual ability, my odd habit to avoid the desvitalización at all costs, thus was left a little short in the preparation of the cavities, avoiding tails of milano etc... and constructing on the vertical. Also it incorporated the glass, also doing dust, means and thickness. The combinations that I did, were done to hundreds, until with crushed shells of moluscos

The variants that can become, with cements of oxifosfatos, silicates of all classes, Chein Bond. Ionómeros of glass etc... and with the materials before described, is many, all of them belong to the imagination of the professional before the manifold variant of cavities, general state of the mouth etc., etc. In superior maxilar it is easy to take particles in the end of the instrument with a little silicate just processed. In the inferior jaw, it can uses legra like transporter. The hardening is fastest, as a result of the absorption of the humidity of the S. by hardened, hard and parched particles added.

1989-92. Deep marginal zone (it bases cementaria to radicular good)

At a first moment I place H. C. and next a small amount of silicate, with a good saturation of fine glass, or Composite with escamillas hard, surrounded or not in fine glass, I fit all it to it with the amalgam rammer (these maneuvers are made without the matrix with object to visualize or what it becomes in depth). Once made this operation the matrix is placed and it retires next. We already have a solid base, where phenomena of contraction of the Composite when going away will not take place hardening.

Later it is come to the normal filling, or if a greater resistance is wanted, introduces a hardened cylinder of Composite, between the soft S., with which we will obtain a security from the surface to the bottom, the first moment and a better expansion without a doubt than with the sphere, later S. and glass dust, or glass particles fill up in derredor of the piston rod with with fine dust. As we are seeing, instruments and metallic technique similar to the one of the E. are used, for that reason it denominates it provisionally. WHITE AMALGAMATIONS. In the attached drawings the minimum amount of products will be observed that I use crystal tubes (of anesthesia) where I make many tests, using, at the same time that visualizes better the made thing. Sometimes I simulate the contiguous pieces using another tube, united by a rubber.

1994-95. Marginal zone with base to radicular bad.

As it is known the cloggings in these cases represent a failure in the long run, by the displacement of the filling when lacking a solid base, occupied in good part by the gíngiva (generally bleeding), in these cases he is frequent to see as desvitaliza or a metallic crown is placed.

In the first place I place a small cotton soaked in C.M.C., while I mix the Calcic H.C.(Hídróxido) dry and locate the H.C., next the adherent, later I mix composite surrounded with particles of composite aged and fine glass, this conglomerate arrives until the contiguous piece over the gíngiva, above the barrita of C. I put the metallic strip and jam smoothly and retirement the same one. Finally I put adherent and I construct the normal filling, is to say the S. with heavy and fine grains of glass, or I add the vertical piston rod of hard Composite. All this operation that can seem laborious, is made in a while, when we have everything prepared on the loseta.

Like extension to the leaf No, on the marginal zone in the most adverse situations, I must talk about to other aspects, that complete the previous idea, thus by ej. in general the rest of the simplest decays and control to the patient who during days introduces small balls of cotton with clorhexidina and that can renew once in a while during the day. Of this luck I try to create " a disinfection " climate, that will come to us well at the time of the insertion of the E., as well as an improvement in own encía a little irritated like is logical and sometimes but bleeding that abundant humors rezuman, on the other hand it is possible that partly it can rejects towards the interior.

The day of the definitive E., I place C.M.C. soaked in a algodoncito, while I beat H. C., dry with a algodoncito the part of liquid C.M.C., and I imagine that always it will be left a small amount of the same one, with which if the Ph is alkali, we have left in the end in sum as we tried, will at least be left a Ph. Acceptable, and that the clinic has said to me (through the time) that is positive this performance.

I include/understand that some companions interpret like something simple and innocent some of my exhibitions, and I in truth do not know the percentage, of benefits obtained by each one of the related workings, but " the assembly " of the same ones provides successes to me, and therefore, everything what it was me well I am it incorporating to " the System ".

Laminillas I obtain from a even last Composite its accelerator of date, since one is going away to produce the later heating, with which becomes hardened well in general

The cylinders of composite, as they are possible to be appeared become a species of " vermicelli " of different thicknesses, are put under the temperature in another occasion this and they are cut either to ojímetro or with a previous measurement, to locate them in a vertical or horizontal position, according to agrees.

Whatever position became of this clinic and treated my older patients, it would observe with surprise who if they come with some cause to decay is always small, and is that when continuous occurring of the C. and the fluorine, this action is constant more than the proportionality of the number of dogs, is of a total evidence that the decays are delayed, gone much more slow and thus if every 6 months accompany to this daily action the monitoring (to see a minute) and to point it to it in the card, that they same have Is possible I say that the professional that became position of this clinic, said. " That easy it is to work thus ". If above these And neutral are placed, it is not rare we found with fiftyish personages with all his dental pieces, without to have made a desvitalización, being extracted a piece, with encías sonrosadas, in short, this is thus and is demonstrable. Any professional " who sets out it " can obtain identical or better results.

This singular method, can produce some fear between the Odontológica class by its extreme simplicity, *** TRANSLATION ENDS HERE *** sin embargo el problema realmente es para los que vienen detrás, ahora bien estos deberían saber, que pronto, si no es este Sistema, vendrán algunos similares, y si lo que querían era enriquecerse, lo van a tener "muy crudo ". Los que están ahora se les multiplicará el trabajo si quieren, harán una labor social estimable, se les considerará más Pegando al cien por cien de la población y no al 20%, que se llega ahora en Odontología Conservadora.

Se me olvidaba decir que en la figura (1) no está bien definida y así por ej. el H.C. debe de quedarse más corto hacia la parte interna el adherente no es tan grueso, estas dos fases quedan aplastadas por el composite, que se pone a continuación y que desborda toda la parte marginal no dejando penetrar exudados ni bacterias, ni contracciones que impiden las laminillas y polvo de vidrio englobado, y naturalmente desborda un poco encima de la propia encía.