Portfolio Wei Hung He

• He, Wei-Hung, DDS, MS • Academy of Endodontology, R.O.C., Specialist • Academy of Operative Dentistry, R.O.C., Specialist • Kaohsiung Chang Gung Memorial Hospital • willho1981@gmail.comPortfolio

Case 1 Anterior Ceramic Crowns

• trauma over anterior region • 12, 11, 21, 22 fracture • 11 & 21 crack lines were noticed.

• tooth preparation

Case 2 Posterior Ceramic Crown

• old PFM crown with subgingival caries

• remove caries, repair, and prepare for crown

Case 3 Deep Subgingival Cavity Filling

• patient with Parkinson’s disease and multiple systemic diseases • asked for conservative treatment • deep subgingival caries with fillings of poor quality

• restored with RMGI and composite resin • 2 months follow-up

• before treatment

• after treatment, composite resin with RMGI base

• before treatment • soft tissue loss in the interproximal area

• remove old filling material • just finished

Case 4 Ceramic Onlay

• 36 ceramic onlay with cervical CRF • 1 year follow-up • 35 crown was fabricated by other dentist

• Insufficient tooth structure for crown preparation • 36 vital pulp

• remove caries, ready for indirect pulp capping

• indirect pulp capping and CRF • arrange 6 months follow-up

• onlay try-in • onlay cementation

•1 year follow-up• blue area shows the remained tooth structure

Case 5 Bleaching and Ceramic Crown

• chief complaint: to improve 21 aesthetic • 21 tooth discoloration

• 2 months follow up

• fiber reinforced palatal resin plate for temporary veneer to attach on • buccal space left for bleaching powder

• post and core build-up• after crown and cast post removal

• bleaching for 10 weeks

• without try-in paste

• water serves as try-in paste

• with opaque white try-in paste

• black and white

• cross polarization

• dark light from incisal

• dark light from facial

• Try-in protocol: color matching

• Being a dentist leading a busy and hectic life, I still strive for perfection in everything I do. Meanwhile, I never forget my dream of further study. I wish to fellow my mentor to explore the essence of dentistry in the near future.

Case 6 Maryland Bridge

• ameloblastoma in the anterior region of lower jaw • patient received treatment in OMS department

• RCT over 33-43 • 32 is structurally compromised, without sufficient structure for crown and bridge preparation.

• before treatment

• 1 month follow up

• 15 months follow up • 31 labial surface is less stained from smoking, thus appears brighter than the other teeth.

• Reinforcement of oral hygiene instructions is necessary.

Case 7 Direct Composite Filling

• 14 y/o boy • trauma over anterior region • 12 concussion, crown fracture, pulp exposure • 11 subluxation, crown fracture • 21 intrusion, crown fracture • 22 concussion, crown fracture

• direct composite resin filling, before final polishing

• polished and 1 month follow up

• 14 months follow up • re-eruption of intruded 21 • gingival form around 21 has recovered

• initial

• 1 months

• 8 months

• 14 months

• incisal edge adjusted

surface degradation noted after 14 months Re-polished surface

• Wide range of composite resin reconstruction should only be used as a transitional treatment option.

Case 8 Combine ENDO and CBCT

• 36 floor perforation with pus discharge, cannot locate DB orifice • after disinfection and dressing

• perforation repair : MTA covered with a protective layer of CR •CBCT

• superimpose the CBCT and microscope images

•DB canal found • negotiate through DB canal

Case 9 Removal of Separated Instrument

• remove the separated instrument in the apical area by using IRS system.

Some more about my dental life…

• DIY light source for crack examination

•block the crack line with this onlay

• While the dual flash is not available…just 5 mins to make your ring flash updated.

• Dentistry is my passion. It is always lots of fun for me to explore, to learn, to brainstorm, to share, and to make friends.

• Color matching practice: trying to use in dentistry…

• Crystal of NaOCl

• apical microsurgery: 46 mesial root

• my loupes: 2.5X, 3.5X, 6X