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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






max_andrup_dds

Deep caries Hey guys, it’s been a minute, been 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 Saturd 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 wit 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 entire 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
Daily Direct Our receptionist was surprised I only Daily Direct
Our receptionist was surprised I only had charged one restoration when he came to pay, not sure why really since I’m quite the slow dentist the last few years, thanks brd😂🤷🏼‍♂️
I could easily have filled this cavity in under 30 min, but knowing what to look for and taking care of each step takes time.. this appointment was scheduled for 50 min, and I needed every minute of it 🧖‍♂️
🎬 Removed old restoration, some odd wings of enamel was left near the cavity floor
🎬Several applications of CDD to get a clean PSZ, left some affected dentin to avoid getting too close to the pulp.
🎬I though I could keep the lingual wall but as you can see there is a oblique crack here so I reduced it, leaving me with a much tougher cavity to matrix
🎬Could have cleaned the lingual fissure more, but it didn’t stain so..🫠
🎬Rewalled with blue Compositight matrix and the green ring, 3-4 increments of Majesty Universal.
🎬Placed a Ribbond over affected Caries to protect it from contraction stress, especially important since it’s such a large cavity
🎬 dentin replacement with EverX Posterior in horizontal layers.
🎬 Just needs bit more polishing and we’re done!

And sorry for the dam slipping up on the cavity floor!🫣

#brd #directcomposite #advancedadhesivedentistry #whiplashmovie
Damage controll Advanced adhesive dentistry opens Damage controll
Advanced adhesive dentistry opens many doors, treating the ETT’s this way is one of my favorite door 
I’ll talk more about this and the basics of BRD in my hands on this Friday in Stockholm, really looking forward to it!🥳
🐐Deconstructed and thin buccal and mesial walls reduced
🐐Cleaned with CDD, don’t worry about the pulp chamber being stained, it happens 😉
🐐IDS done with SEP, OBFL and majesty flow
🐐Deep margin elevation done by starting with the centripetal wall
🐐Ribbond placed on pulp chamber floor and in an O shape on the walls. (Two C shape Ribbond for the walls sounds like a much better solution though 😉, next time!)
🐐Ribbond basket filled with thin layers of EverX Posterior
🐐Everything covered with a thin layer of APX and majesty flow
🐐ready for scan after refining prep margins
🐐Emax bonded

#advancedadhesivedentistry #brd #compositebonding #dentistry
ETT of the week Previously finished RCT and now sc ETT of the week
Previously finished RCT and now scheduled for an overlay. It’s a pretty compromised tooth with cracks and thin remaining walls.
There are still spots left for the hands on in Stockholm, come join me for a full day of cases like this!

🌪Chased the mesial crack deeper than it looks, left it as a craze line. Same approach with the buccal crack but didn’t have to as deep with this one.
🌪Placed the DME matrix and lifted the mesial and distolingual margin.
🌪I usually start with the centripetal wall off the dme, letting the HL get more time to mature. 
🌪Ribbond placed on the  pulp chamber floor mesial to distal and covered it with EverX posterior.
🌪Biobase completed with a thin layer of majesty flow 
🌪Emax overlay bonded with warm Ap-X
Enjoy your week!!☀️
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#brd #compositebonding #advancedadhesivedentistry #cadcamdentistry
Let’s get back to it!🔨🔨🔨 This 14 y/o pt Let’s get back to it!🔨🔨🔨
This 14 y/o pt had a galloping progression of decay going from 1 to an enormous cavity in a year🥶
Opened up the cavity, applied CDD +15 times and ended up with a clean PSZ. 
Excavating big lesions on young patients is nerve wrecking, right?!😅
🍕Matrix placed and ids done the Mimètika way with the additional layer of OBFL, which results in a graded interface which should result in less stress at the bond interface.
🍕Proximal shell built with majesty universal
🍕dentin replacement with EverX flow
🍕Occlusal layers one cusp at the time
As you can see there’s some details to improvise upon but the base is solid. 🔨
If you want to get the how and what about doing directs this way check out the link in profile and sign up for my hands on in Stockholm this September !👋🏻
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#brd #advancedadhesivedentistry #compositebonding #directcomposite
Vacation is on the horizon! 🏖🏖 I have pretty Vacation is on the horizon! 🏖🏖
I have pretty much already checked out so I’ll keep this caption short😅
🎬Second premolar with a large mod and recurrent decay
🎬First molar previously RCT and recurrent decay under large fillings
🏀The premolar was pretty straight forward, it might have been possible to keep the lingual cusp, decided to overlay it though. 🫣
🛠A bit more work on the molar,
👉🏻DME on the distal
👉🏻Ribbond wallpapered in the pulp chamber and then filled with EverX posterior in thin horizontal layers for a full fiber reinforced biobase
🧱Emax overlays bonded with warm AP-X
(That small enamel crack on the mesial of the molar was removed after a I saw it on the camera)
Enjoy your summer guys!!☀️☀️☀️☀️
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#brd #advancedadhesivedentistry #compositebonding #dentalstudent #cadcamdentistry
Not a before and after 🤣 Replacing a fractured Not a before and after 🤣
Replacing a fractured crown with a new bonded Emax 
🦷IDS done with SE protect and Optibond FL. 
🦷Bonded with warm APX.
🎞Photography is fun and you get to see everything you can improve next time too 🤣🫣
In other news I’m very happy  to tell you my practice is growing and this September one more dentist will be joining the team! 🤜🏻💥🤛🏻Exciting times!
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#crownreplacement #immediatedentinsealing #cadcamdentistry #rubberdamology #rubberdam
E T T Saving all this tooth substance especially o E T T
Saving all this tooth substance especially on an ETT is the way, prove me wrong!😉😅
🔪 Defect driven prep removing only what’s necessary
⛳️ The pulp chamber always looks so shallow on the occlusal shots, right?!😬 It was high enough to wallpaper a 3 mm Ribbond Ultra placed in a thin layer of APX.
🥣EverX Posterior placed in Ribbond basket
🦷 Biobase finished with a thin layer of APX and an even thinner layer majesty flow to get everything smooth.
The craze line on the lingual looks strange, it really was just a line, looked nothing like a crack…😳🤷‍♂️
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#biomimeticrestorativedentistry #dentistry #dentalstudent #cadcamdentistry #tandläkare #zahnarzt
I n s p i r e d A few years ago this would not ha I n s p i r e d 
A few years ago this would not have happened under rubber dam 🙃 
What a difference seeing colleagues work can have. At times it’s overwhelming, but in the long run, seeing all these brilliant cases on insta is very encouraging 🦾
So thank you, you know who are! 👋🏻
And if you’re interested in getting some of the best mentors out there and really take your dentistry to the next level, watch out and to sign up for @bio.mimetika next year!!🔥

And the treatment 👀
This crowned tooth developed pain and I suspected some kind of crack so crown was removed, the tooth structure was sound and I continued with the RCT.
Started doing the IDS on the outer part of the tooth, isolation was hard, so finishing this first was ideal. 
Ribbond was placed inside the pulp chamber to mostly handle the contraction stresses.
Ribbond basket filled with small bits of EverX Posterior and on top of everything a thin layer of APX.
Sorry for no post op picture,  I’m all about the base today !😎

#brd #tandläkare #tannlege #biomimeticdentistry #cadcamdentistry #compositebonding
Protocol for ETT Young pt presented with deep mesi Protocol for ETT
Young pt presented with deep mesial decay and pain. RCT was done and today he’s back for a stress reduces direct composit 🏋️
👀With this much tooth structure intact a direct is the natural choice for me
🧼 Cavity cleaned with the help of Caries Detector and then sandblasted Al2O3. I aim to remove all stained dentin when working on an ETT, removed that pink haze, but could have cleaned out more of the guta percha..🤷‍♂️
🧼IDS with SE Protect and majesty flow
🧼Ribbond placed on the pulpal floor in a thin layer of EverX Posterior 
🏋️Ribbond was also wallpapered in an O shape in a thin layer of APX covering the walls
🏋️EverX Posterior placed in horizontal layers inside the Ribbond basket
🏋️Occlusal layer finished with Majesty Univeral
👀Next up is the first molar
😁Now time for Mimetika in Bern!!!😍😍💯💯

#dentistry #brdbro #brd #biomimeticdentistry #advancedadhesivedentistry #tandläkare #tandlæge #tannlege
Tooth preservation I need to do more of these cusp Tooth preservation
I need to do more of these cusp saving onlays 🤷‍♂️
🐣Pt presented with recurrent decay under an old large composite filling. 
👀The palatal cusp was sound and was saved
🌱Emax overlay bonded with warm Ap-X
🫣On a side note, the university of instagram displays a vast plethora of materials and techniques to use. There are many ways to Rome, but it’s so important that you make sure to read up yourself on the reason for doing a specific treatment or using a new material, don’t just do it because others are doing it. 🤓 And better yet, do as @dr_hugh_byrne says, get a mentor, it’s a game changer! 💥 @finnish_frc_addict @bio.mimetika 

#brd #dentistry #tannlege #tandläkare #tandarts
Pushing the limits 🤯 “Will the bonded overlay Pushing the limits 🤯
“Will the bonded overlay work in the anterior region?” I know some who will shake their heads at this tx. 🙃 Doing a ferrule crown would probably stress the nerve sending it to its grave, and cementing a zirconia crown on it would most probably lead to a fracture on the remaining tooth structure. I’ve done that, now let’s try something new with focus on pulp vitality and tissue preservation 🦾
🧼 After isolating and cleaning the tooth IDS was done with SEP and majesty Flow
🧼Ribbond is placed in a thin layer of APX to work as a stress breaker
🧼Biobase is built in a dome shape and the Emax crown is bonded with APX

#brdbro #biomimeticdentistry #dentiststudent #dentist #tandarts #tandläkare #tannlege
No cracks under this bonded inlay. Had this been a No cracks under this bonded inlay.
Had this been an equally big amalgam I guess next station would be crack city 😅
👀An old ceramic inlay with recurrent caries on the distal and mesial.
🪚The remaining enamel walls was on the thinner side and were reduced
🔪 A new defect driven prep was made and later IDS was done with SE Protect and Majesty Flow ES. 
〰Emax overlay bonded with AP-X. Really happy with the margin on this one..🙃😇

Enjoy your weekend #brdfam 

#brd #biomimeticrestorativedentistry #dentist #tandläkare #tannlege #compositebonding #dentistrystudent
A simple Class I Two main things to consider in th A simple Class I
Two main things to consider in this case, caries and the periferal rim fracture on the distal ridge. To be honest that fracture line wasn’t that obvious at the check up apt…high res images reveals everything 🙃 
🧼 Cleaned decay with the help of CDD
🙊Made the decision to keep the distal crack in enamel, it’s very thin, and I really wanted to save as much tooth structure as possible. Having said that you can argue that it looks a bit too wide on the occlusal part..🤔
🤕In an effort to strengthen the distal wall I placed a longer piece of Ribbond that covers the bottom of the cavity and extends up the distal wall.
💪🏻Replaced dentin with the fracture though composite EverX Flow
👊🏻The anatomy isn’t much to write home about..🤷‍♂️

Enjoy the weekend!👋🏻
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#brd #mimetika #biomimeticdentistry #directcomposite #fiberfriday
Hard times. With all the tragedy and lunacy happen Hard times.
With all the tragedy and lunacy happening in Ukraina this weeks case keeps it easy. 😔 
👌🏻Its all about that Biorim, the area just under that most convex part of enamel. A lot of force distribution is happening here and by keeping it the tooth will be a happy camper.

Just as @dr.billgergis says, bond more, drill less! 

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#brd #biomimeticdentistry #dentistry #dentalstudent #compositebonding
Surprise, no cracks?! This tooth was obviously d Surprise, no cracks?! 

This tooth was obviously desperate for help, but I was surprised not finding any cracks, miracles do happen! 😅
🛠Raised the distal margin with APX a bit after IDS
🛠Leveled the pulpal floor with small increments of EXP, mainly in the orifices so that I had a flat surface to place my Ribbond on
🛠 Covered Ribbond with EXP and APX and a thin layer of Majesty Flow ES.
✉️ Delivered a non color-matched Emax overlay with warm APX.
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#biomimeticdentistry #tandläkare #compositebonding #dentalstudent #restorativedentistry
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