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Max Andrup Tandlakare 400x400 Yellow Bg

max_andrup_dds

På svenska
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

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
Biorim saved This second premolar has had its fair Biorim saved
This second premolar has had its fair share of fillings through the years. 🤷‍♂️
👀Biorim more or less intact which always is a nice surprise. And not too many cracks..😅
After IDS I placed Ribbond over remaining cracks to help with stress distribution. 
👀Bonded emax overlay with warm AP-X. Never mind that buccal margin, I’m loosing sleep over it, don’t let it get to you too🙃😬
🏃🏼‍♂️The start of this year has been crazy busy both home and at work, hopefully things will cool down any day now and I can find the time to post more regularly again!😅
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#tandläkare #dentiststudent #biomimeticdentistry #cadcamdentistry
E. T …T, phone home 🙃 Young patient presented E. T …T, phone home 🙃
Young patient presented with a broken filling on an ETT🥴
Deconstructed filling, capped the remaining undermined cusps and established CRE/CrRE
I intentionally left Coltosol over the GP, my reasoning for this was that the patient is young and maybe doing this will make it easier to access if it would need a retreatment..not sure about this decision though, maybe better to remove it all, whether the patient is young or old. 🤷‍♂️😂
🤜🏻Fiber reinforced biobase created with Ribbond, EverX Posterior and a final layer of AP-X and majesty flow
⛄️Emax overlay bonded with warm AP-X

#brd #biomimeticdentistry #cadcamdentistry #compositebonding #dentalstudent #tannlege #tandläkare
Small but deadly.. Small amagam placed many years Small but deadly..
Small amagam placed many years ago. Obvious frack formation, especially in the mesial part.🥴
Starting this year easy with a straight forward direct case! 
There is a discoloration in the dentin of the palatal cusp, checked this from every angle, it’s not a crack formation..🤷‍♂️
Filling removed
⬇️
IDS
⬇️
Proximal wall built
⬇️
Dentin replaced with EXF
⬇️
Top layer with Majesty Universal

I hope everyone’s having a great start to 2022!
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#biomimeticdentistry #brd #dentistry #dentalphotography #rubberdamology
H A P P Y H O L I D A Y S At one point I had hop H A P P Y  H O L I D A Y S

At one point I had hopes this could go in a direct direction, but the remaining cusps were too undermined and I went for an overlay according to initial plan.🤷‍♂️
There are some oblique cracks left on the CrRE photo which I removed further, but honestly I was more worried about the small pulp exposure. Same as last time, removed liner and there it was.🩸
Changed approach for this exposure and after APA I condensed CaOH paste on the exposed nerve and then carefully placed SE Protect prime and bond around and over. Apparently putting bonding agent directly over an exposed nerve in Sweden is a big no no..😬🥴
📬Emax overlay from @umea_ceramic_center bonded with warm APX

Probably my last post for 2021! Thank’s everyone who made it such a great one on IG!❤️
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#dentistry #dentalstudent #cadcamdentistry #dentalstudent #biomimeticdentistry
F I B E R R E I N F O R C E D B I O B A S E Ok, F I B E R  R E I N F O R C E D 
B I O B A S E
Ok, so this tooth got its last, last chance..🤷‍♂️ Patient was willing to try and sometimes you have to see for yourself where the limits are I guess..🍀
🤜🏻Caries removal with the help of CDD, there was a lot more decay than I initially thought..🥴
🤜🏻 Used a Hawe Contoured matrix for the DME in this case and it gave me that tight seal I wanted
🤜🏻Proximal wall of DME built with small bits of AP-X
🤜🏻 A longer piece of Ribbond placed from buccal to lingual in a U shape to overcome HOB and hopefully add some strength to the remaining tooth structure. 
🤜🏻 Covered Ribbond with EverX Posterior and after that a thin layer of AP-X and Majesty Flow
🤜🏻Emax overlay bonded with warm APX. It looks like I squeezed out a bit too much composite on the mesial margin…🤷‍♂️🙈

This fall has been crazy busy and left me very little time posting, hopefully things will cool down after the holidays(yeah right🤣)

I’m also dedicating this (fibre overload) post to Filip for all his help and support this year, it has changed my dentistry in the most positive way, thank you!🤜🏻💥🤛🏻Really looking forward to next year with Mimetika !@finnish_frc_addict 
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#dentistry #compositebonding #cadcamdentistry #biomimeticdentistry
A case to keep me H U M B L E I had a good feeling A case to keep me H U M B L E
I had a good feeling throughout this whole case, just to examine my post op pictures a bit more and found the crack I thought I had dissected on the mesial extended further in..🙃🥵
I didn’t place Ribbond, but with that crack present I really should have. 😶Fingers crossed that my layers of EverX Flow will help to keep the crack stable. Time will tell ⏳
Can’t win ‘em’ all I guess, but at least I mix up all my overlay cases with a direct! 🤷‍♂️😅
Have a great start of the week!
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#dentistry #tannlege #biomimeticdentistry  #dentist #tandläkare
N O F I B E R N O P R O B L E M It’s (fiber) N O  F I B E R  N O  P R O B L E M
It’s (fiber) Friday y’all!😁
Just wanted to share a case where I left some caries behind, and didn’t place any Ribbond over it. 🙃 Since I didn’t have to put additional composite over my IDS layer I kept the contraction stress minimal and didn’t have to protect the weaker bond to caries affected dentin. Delivery of the Emax crown two weeks later gave the hybrid layer plenty of time to develop.🤓
Other than these thoughts there’s nothing special about the case, just the usual suspects, some air bubbels and some non-inverted RD..😬😅
☕️Nictone medium
☕️APA with 50 micron AlO
☕️Clearfil SE protect 
☕️Majestiy Universal ES low
Enjoy your weekend guys!
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#dentistry #biomimeticdentistry #compositebonding #dentalstudent #tannlege #tandläkare #tandläkarstudent
D I R E C T Schedules for an overlay, but regroupe D I R E C T
Schedules for an overlay, but regrouped and made a direct. 🙃You never know what to find under these amalgam, in this case a lot less cracks than I initially thought..🤨
➡️Swipe for crack dissection, especially the mesiobuccal oblique crack
👉🏻Matrix placed and IDS done with SEP and Majesty flow 
👉🏻Proximal shell built with Clearfil Majesty Universal
👉🏻 Ribbond placed to protect the developing HL from contraction stress
👉🏻EverX Posterior replaces dentin
👉🏻Layered one cusp at the time with Majesty Universal
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#dentistry #biomimeticdentistry #compositebonding #dentalstudent #dentist #tannlege #tandläkare
Two of a kind Earlier this year I did the second p Two of a kind
Earlier this year I did the second premolar and now the first premolar was scheduled for some overhaul🧼
🤜🏻Except the usual labor involved (read PTFE) getting a good seal on the mesial concavity it’s a pretty straight forward case
🤜🏻CRE established with the help of Caries Detector
🤜🏻APA on dentin 
🤜🏻Matrixing
🤜🏻IDS with SE Protect and Majesty flow ES
🤜🏻To help overcome HOB Ribbond was placed on the deep dentin and pulpal wall after I built a centripetal wall with APX (missed that shot)🤦🏼‍♂️
🤜🏻Temporized with Telio
🤜🏻Delivered Emax overlay with warm APX and SE Protect bond
🔪Need to put a bit more effort in getting my margin razor sharp..🤷‍♂️ Nothing a year with Mimetika won’t solve I hope!😂🙌🏻
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#biomimeticdentistry #tandläkare #dentistry #compositebonding #dentalstudent #adhesivedentistry
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