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These are the user uploaded subtitles that are being translated: 1 00:00:00,000 --> 00:00:03,823 Now, without the restoration, we will start removing the cavities. 2 00:00:03,833 --> 00:00:10,066 And to carry out this cavity removal we will do it based on a concept called the Peripheral Sealed Zone. 3 00:00:10,400 --> 00:00:13,590 Why are we going to use this technique to remove cavities? 4 00:00:13,600 --> 00:00:16,956 Because that way we can reduce the risk of pulp exposure. 5 00:00:16,966 --> 00:00:20,690 We don't need to remove all that decayed tissue that is there. 6 00:00:20,700 --> 00:00:25,823 In this technique, when you use the caries detector, you will have the tooth pigmentation. 7 00:00:25,833 --> 00:00:30,590 You will wash, you will dry, I will show everything in the video in practice to you can see exactly what it is like. 8 00:00:30,600 --> 00:00:32,667 Let me explain to you then you watch the video. 9 00:00:32,900 --> 00:00:43,966 You pigmented, and everything that pigmented, whatever is in the most outside of your preparation, not in the deepest part, in the external part, you will completely remove everything that is pigmented. 10 00:00:44,167 --> 00:00:49,990 You will create a Peripheral Sealed Zone, that's why it has that name, which will be about 1 to 3 millimeters. 11 00:00:50,000 --> 00:00:52,800 And inside, you you will evaluate what pigmented. 12 00:00:53,033 --> 00:00:57,923 Depending on the type of detector you will use, it may be based on the red or pink. 13 00:00:57,933 --> 00:00:59,933 And this color can be more intense or weaker. 14 00:01:00,133 --> 00:01:05,690 The more intense it is, this is a cavity that is actually infected and altered. You need to remove it. 15 00:01:05,700 --> 00:01:12,390 And the clearer, she went to infected, but it is not altered. You can reminalize this cavity. 16 00:01:12,400 --> 00:01:16,900 So whenever there's a light pink in this inner region of the seal zone, you leave it. 17 00:01:17,167 --> 00:01:21,200 And when you have a pink or a red intense, you will evaluate. 18 00:01:21,267 --> 00:01:27,767 If it is superficial, there is no risk of pulp exposure, you remove. Now, if its deep, there's no problem to leave. 19 00:01:28,066 --> 00:01:28,490 Why? 20 00:01:28,500 --> 00:01:33,600 Because as you have the peripheral seal, there's no continuity of nutrition of the bacteria there. 21 00:01:33,833 --> 00:01:37,290 So, you won't have the proliferation of this cavity. It won't go any further. 22 00:01:37,300 --> 00:01:40,257 You will be able to control this cavity inside the peripheral sealed. 23 00:01:40,267 --> 00:01:49,000 Everything I'm telling you here on this subject, of caries removal, we talk much more in-depth for anyone who wants, within a course we have on ADHESION. 24 00:01:49,033 --> 00:01:54,556 We talk all about bonding, including things that affect the bonding such as caries removal. 25 00:01:54,566 --> 00:02:03,090 In this course we are on, the objective is to be more objective in the preparation and how the We are going to do our ONLAY. 26 00:02:03,100 --> 00:02:08,123 So, we are going over the cavity removal, but whoever wants to go deeper has this another ADHESION course. 27 00:02:08,133 --> 00:02:14,100 So let's see now in the video exactly like I removed that caries and how will you do also in your patient. 28 00:02:28,167 --> 00:02:31,123 We're going to start now, the removal of decayed tissue. 29 00:02:31,133 --> 00:02:34,500 We will use the technique of the Peripheral Sealed Zone. 30 00:02:34,867 --> 00:02:41,966 To do this, we will need a caries detector and a steel spherical bur for low rotation from Maillefer. 31 00:02:42,000 --> 00:02:44,290 So that we can carry out a controlled removal 32 00:02:44,300 --> 00:02:49,000 of this decayed tissue. We will paint with caries detector throughout the tooth. 33 00:02:49,367 --> 00:03:00,190 It needs to be very dry for you be able to provide correct evidence this carious tissue, and will remove the decayed tissue with the spherical bur at low speed, a very low speed. 34 00:03:00,200 --> 00:03:10,100 You will start by removing all the external decay that you have, especially in this external zone of carious tissue, for you to create precisely peripheral sealed zone. 35 00:03:10,200 --> 00:03:16,223 In this region that has more or less 1 to 3 millimeters, you have to remove completely all this decayed tissue. 36 00:03:16,233 --> 00:03:22,200 And in the inner region of this peripheral seald zone, you will evaluate the type of pigmentation. 37 00:03:22,466 --> 00:03:35,167 So you can see if it is a external type of cavity, you completely remove it or if it's an internal cavity, doesn't need for you to remove, mainly in deep regions, which if you remove it has a risk of exposure. 38 00:03:35,200 --> 00:03:41,323 We even talk in more detail about that , exactly how to do this caries removal in our ADHESION course. 39 00:03:41,333 --> 00:03:47,456 But here what you have to know is that you will do all the cavity removal and for this you have to paint the tooth several times. 40 00:03:47,466 --> 00:03:50,823 It is not enough to paint once with the caries detector and think everything is resolved. 41 00:03:50,833 --> 00:03:56,167 No, paint two, three, four times if necessary for you to see if you really created this peripheral sealed zone. 5339

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