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Max Andrup Tandlakare 400x400 Yellow Bg

max_andrup_dds

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Max has a big interest in Advanced adhesive dentistry and does online and live lectures on the topic.  Follow him on Instagram @ max_andrup_dds






Restoring an ETT with a Ceramic overlay brings me Restoring an ETT with a Ceramic overlay brings me joy

No dentapreg or Ribbond, only short FRC, the thickness of the ceramic will hopefully protect the underlying structure. There are many ways to peel an orange, right!? ✌🏻

The flash of composite on the distal bothers me, should have removed it before taking the picture. And it shows how important matrix adaption is. 🤷🏼‍♂️

#mimétika #brd #dentalstudent #cadcamdentistry #advancedadhesivedentistry
When patients won’t let you do what you want I try When patients won’t let you do what you want I try to do what I can with a direct composite.🤷🏼‍♂️

So a lot going on here..After caries excavation with cdd and air particle abrasion I isolated the bottom of the cavity with a Hawe contoured matrix and raised the first mm with APX. After this I placed a sectional matrix from TorVM(love those) and finished the wall. 
Wallpapered the buccal and lingual walls with c shaped Ribbond, placed horizontal layers of EXP and finished it with an occlusal layer of majesty universal (same as I used for the wall)
There’s a small flash of composite from where the sectional matrix didn’t fit tightly enough and it was easily removed with a 12 blade. 

Not here too often these days but everytime I am, I’m overwhelmed by the pure excellence I see in all your posts!❤️🤩

Enjoy your Wednesday !🧖‍♂️

#mimétika #brd #advancedadhesivedentistry
Daily crack management Patient complained of sens Daily crack management

Patient complained of sensitivity for cold and sweet and pain on biting. Everything pointed at this lower first molar and I wasn’t surprised to find a large oblique crack on the meaiobuccal cusp.
 I think this tooth will be free from symptoms after we bond the overlay in a couple of weeks 🙌🏻
Last picture is directly after mimetika IDS, it looks better after sandblasting, right ?!😅
From first to last picture it took me 20 minutes, so a pretty straightforward for a cracked tooth case

#brd #compositebonding #dentalstudent #advancedadhesivedentistry
ETT workflow -Remove old resto -Find hidden Ketac ETT workflow
-Remove old resto
-Find hidden Ketac Silver resto 🤣
- Remove decay with the help of Caries detector
-Evaluate remaining tooth structure, in this case both walls was deemed too thin and I wanted an overlay to work in compression on the remaining tooth
-DME when necessary
-IDS with se protect, OBFL adhesive, everx flow. 
-Ribbond in two c shapes on buccal and lingual cavum walls
-EverX posterior in horizontal layers
-A thin layer of Majesty flow on to to get a nice, smooth surface
Doing these small restorations nearly perfect is m Doing these small restorations nearly perfect is more of a challenge than you think, right?!😅 
Swipe for workflow ➡️

I was going back and forth should I redo the distal composite but I decided to leave, which I usually don’t, it just looked great. That dark shadow is the flash hitting the rd and reflecting..🧼

#rubberdamisolation #dentalstudent #mimética #directresto
A new beginning for this tooth 🧼🫧 Just thought I A new beginning for this tooth 🧼🫧
 Just thought I should pop in and say hello, missed you all! 🙋🏼‍♂️👋🏻 It really is inspiring to see so many of you continually posting cases with such high standards!🫵🏻🤩 

#compositebonding #brd #mimétika #advancedadhesivedentistry
This is the way to rebuild an ETT, for me. 👋🏻 By k This is the way to rebuild an ETT, for me. 👋🏻
By keeping as much tooth structure as possible more of the tooth force absorbent structures are kept intact and the risk of a terminal fracture will be less likely. 
In 2023, if you can bond, why prep for retention?😇
See you in one week @swedishdentalexpo 
And remember, a pulpal floor can always be a bit cleaner, a matrix a bit better adapted and a crack further dissected !😅

#brd #cadcamdentistry 
#dentalstudent
Cracks, what to do about them?!😵‍💫 As you can see Cracks, what to do about them?!😵‍💫
As you can see in the images there is quite a deep vertical crack on the distal reaching into the pulp chamber. I had a discussion with the pt about the guarded prognosis due to crack formation and we decided to go ahead and try to keep this tooth for as long as possible, enter the overlay on a fiber reinforced biobase.🦾
The crack was deep, I stopped when I didn’t feel comfortable removing deeper and it is still open, but I hope this will do the trick for many years to come. ✊🏻 
Even if the prognosis is compromised with cracks like these I more often than not want to give them a chance, if the pt is onboard and can accept the risk with the guarded prognosis. What do you do in cases like these? 
Have a great week guys! 
#compositebonding #cadcamdentistry #advancedadhesivedentistry #mimétika #bondmoredrillless
Hi guys! I’m putting the finishing touches on a pr Hi guys!
I’m putting the finishing touches on a presentation I’m doing @swedishdentalexpo in Stockholm this November and this case will probably find its way into the presentation 👋🏻
For me, this tooth is the perfect advertisement for an overlay, a defect driven preparation and IDS. 😁💯
Any chance I meet some of you in Stockholm? 

—
#brd #mimétika #dentalstudent #cadcamdentistry #advancedadhesivedentistry
Last one before a very welcome summer break!🍹🍸 A y Last one before a very welcome summer break!🍹🍸
A younger pt with an enamel crack in the distal ridge which extended through that gig filling too. Wasn’t sure what to find underneath 🫣😵‍💫
Luckily that crack stayed mostly in the enamel ridge and could be almost removed in dentin. The crack looks a bit open on the ridge, but I feel I made the right decision keeping it. 🤔
To stabilize the tooth and minimize the flexing of the cusps I placed a 3 mm Ribbond in a C-shape on the distal, buccal and lingual walls. 
Looking at the post op images of the 36 I could have removed more stained fissures for a cleaner look..😮‍💨

Enjoy the summer #brdfam and #dentfam ! 🙌🏻🍸☀️

#brd #directfilling #compositebonding #dentalstudent #ribbond
Just the base, please 👋🏻 🏗️I like to start my prep Just the base, please 👋🏻
🏗️I like to start my preps by removing the old restoration👑This way I can evaluate the remaining tooth structure and decide to go direct or indirect
With that thin buccal wall and the oblique crack present in the palatal cusp I find the overlay to be the best choice for this case.

2 more weeks and than a well deserved five week break from work!🦾😁

And just set the title for my presentation @swedishdentalexpo in November, let’s go!!🤩

#brd #dentinbonding #dentalstudent #tandläkare #cadcamdentistry #advancedadhesivedentistry #mimétika
Be brave A youngish (my age😂) pt presented with a Be brave 
A youngish (my age😂) pt presented with a lost crown and post.
A retentive prep and a new post could be an option, but my focus was on preserving as much tooth structure as possible and when it fails, the failure will be of the ceramic, not the root. 
Both options has their pros and cons, I hope this gives this tooth some more mileage.🚗
🥕Ribbond placed in a U shape in the canal and then incrimentally filled with ever X flow. 
🥕 A dome was created by covering the fibers with APX.
🥕 An emax overlay/crown was then bonded with warm APX

Emergence profile is always tricky with this approach, but it turned out pretty ok I think 🙃

#brd #advancedadhesivedentistry #compositebonding #dentalstudent #tandläkare
I temporized this premolar in the beginning of the I temporized this premolar in the beginning of the year and now some month later tooth is still vital without any symptoms and we decided to continue with an overlay. 🦾 I guess doing the full ids workflow immediately would have been ideal to get a proper seal, but this seems to work pretty good and it saves a lot of time at the emergency appt…🤙🏼

Swipe to see my workflow.➡️

Hands up if you also would like to treat the first premolar!👋🏻👀

#brd #compositebonding #dentalstudent #dme #dentistry #tandläkare #mimétika
Daily directs If you place your cuts for amalgam i Daily directs
If you place your cuts for amalgam in the right place even the palatal cusp of an upper molar can fail.😅 A bit surprised to find the buccal portion of the tooth, including that enamel ridge, without cracks. 🙌🏻
After removal of old filling and cracks the tooth was rebuilt with a stress reduced direct composite. 
I hope everyone’s having a great week! 👋🏻

#brd #dentalstudent #compositebonding #biomimetika #directcomposite
It’s been a hot minute since the last post from me It’s been a hot minute since the last post from me..
I feel a bit like a broken record showing cases that are very similar to previous posts which keeps me from posting them..🫠😅
So here’s a simple direct case I just finished.
👉🏻Cavity preparation, open geometry and cleaned with APA.
👉🏻Gold standard adhesive with SE Protect and resin coat
👉🏻Proximal walls, started with the molar to get the ring out of the way from the premolar.
👉🏻dentin replacement with EverX flow
👉🏻Enamel replaced one cusp at the time with majesty universal es-2
Enjoy your week! 

#brd #compositebonding #directcomposite #mimétika
Deep caries Hey guys, it’s been a minute, been so Deep caries 
Hey guys, it’s been a minute, been so busy and needed to take an ig break 😅
👉🏻Ptfe to protect and invert the dam
👉🏻Selective caries removal with the help of CDD
👉🏻beveled enamel and opened up the geometry of the cavity
👉🏻 Matrix adaptation and IDS with CFSEP, OBFL and EverX flow, the @bio.mimetika approach to get a gradient of MoE, but perhaps even more important, to get more DWT
👉🏻 APX in the first layer of the proximal shell
👉🏻 Enamel shell built with majesty universal.
👉🏻Dentin replacement with EverX flow.
👉🏻 Still that simple anatomy as usual, some things never change…🫠
👉🏻Initially thought I would place some Ribbond over that patch of Caries but the 12 minutes of dwt and careful placement of EXF did the trick instead.

Now off for a week in the sun with the family, can’t wait!🙌🏻🏝️

#advancedadhesivedentistry #bre #biomimeticdentistry
Last one for 2022 We had the last Mimètika Saturda Last one for 2022
We had the last Mimètika Saturday this weekend and what a great year it has been with @bio.mimetika 🙌🏻
If you get the chance, take it! You’ll get mentored by some of the best guys out there and get to listen to some of the top names in dentistry. It really will take your dentistry to the next level!🔥

✅Selective Caries removal with CDD, IDS, a small DME and a ceramic overlay will hopefully give this premolar many more years of service. 

Enjoy the last weeks of 2022, see you all next year!👋🏻

#advancedadhesivedentistry #brd #compositebonding #dentalstudent #dentist #tandläkare #tannlege
Double trouble Bonding two overlays next to each o Double trouble
Bonding two overlays next to each other always brings joy and makes me super relaxed! 😂😳
Rubber dam isolation and a great lab helps a lot in making these appointments smooth and predictable though🙌🏻🎄
Those mesial cracks on the first molar was scary, let’s hope this will give the tooth another fighting chance! 🦾

#brd #advancedadhesivedentistry #dentalprosthetics
First molar sending an 🆘 Patient presented with p First molar sending an 🆘 
Patient presented with pain on biting and sensitive to cold. The images makes the problem pretty clear.🥴
👉🏻Cracks, mostly obliques was dissected. 
👉🏻IDS with SE Protect, Optibond FL Adhesive and majesty flow. 
👉🏻Scanned with Trios and overlay with a perfect fit from @umea_ceramic_center bonded with APX 
Enjoy your weekend guys!

#brd #advancedadhesivedentistry #compositebonding #dentalstudent #tandläkare
The funky prep, aka the rock salt.🪨 Not entirely The funky prep, aka the rock salt.🪨 
Not entirely satisfied with how unsmooth the margins are especially the buccal 😵‍💫🫠
But the basics are solid, CRE is good, the rise of that mesial concave margin is good and the fit was solid!🥷 
Ribbond was placed over the mesial CRE but not the distal, can you guess why? ☺️
Enjoy your week guys! 

#advancedadhesivedentistry #brd #cadcamdentistry #dentalstudent #tandläkare #dentaloverlay
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