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Dr Paul's Dental World in Sydney, Australia | Medical and health



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Dr Paul's Dental World

Locality: Sydney, Australia

Phone: +61 2 9922 1476



Address: 83 Mount St 2060 Sydney, NSW, Australia

Website: http://www.drpaulshalhoub.com

Likes: 537

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25.01.2022 Black to White Decay on the root surfaces of teeth is often a sign of , combined with . This patient was starting to get pain from these teeth, so we fixed them.... Often these fillings can be difficult because the gum is in the way, and when we start to clean the decay, it bleeds. There are a few ways to deal with this situation, and this is one of them. After making the patient numb, I used an instrument (electrosurge) to remove the gum, and then placed the rubber dam to isolate the teeth from blood and saliva. The fillings were placed and then polished back. The after shot is two weeks later, showing how nicely the . Swipe across to see all the photos. Details in the captions IG: instagram.com/drpaulsdentalworld YouTube: youtube.com/channel/UCDU7ngDBYzJssEO-1HLekJw #dentist #dentista #smile #teeth #dentalstudent #dental #veneers #whitening #surgery #doctor #sydney #sydneydentist #tooth #dentistry #cosmetics #cosmeticdentist #crowns #orthodontics #aesthetic #smilemakeover #filling #decay



25.01.2022 #beforecorona Take a look through my eyes! When fixing teeth, were often fighting against a tongue, saliva contaminating our filling (and having to start again!), patients having difficulty opening, the cheeks..the list goes on!... Thankfully, we do have things to make this job easier. This is one of them. It is called a Rubber Dam. It is a sheet of rubber/latex that we punch small holes into. We then slide the teeth that were working on, and a few either side, through these holes, and the metal clamps hold it in place. This gives us complete isolation from the rest of the mouth so we can work in the best environment possible, to do the best filling possible. In this case, I did something a little different. Normally we work on one side of the mouth in one appointment, and do the other in another appointment. This patient wanted to get them done together, so I clamped both of his molars at once. It saved me and the patient time, and effort, which is a win-win in our books!

24.01.2022 A few simple tips you and your family can use to stop getting holes in your teeth, or stop current holes from getting bigger. Feel free to share with anyone who might benefit. Keep on smiling!

24.01.2022 This patient moved to Sydney four years ago and had been travelling back to her previous dentist for check-ups every 6 months. This time, she decided to try another dentist in Sydney, to save her from taking a day off work during the week. Her last check-up was one month ago, and she knew that she needed a filling on the right hand side. In a case like this, although I agreed with that filling, I wanted to do my own comprehensive exam.... After taking photos and looking at the X-rays, I found something else! There was some very suspicous looking shadowing on this molar. Although it did not look like anything on the X-ray, I felt it needed to be filled. As you can see from the photos, Im really glad that we did. It ended up being much deeper than expected, and there was decay on the central pit too! There are descriptions in the photos outlining my rationale for each step. As usual, any questions, comments or feedback, let me know! www.drpaulshalhoub.com www.instagram.com/drpaulsdentalworld



23.01.2022 This patient presented for a comprehensive exam in March. Among other things, we had planned to replace the filling on her premolar with a crown, as it had root canal therapy and we wanted to protect it. On the tooth behind, she had a nice looking ceramic only. Fast forward two months and the onlay had come off! Rather than re-cementing it, we decided that we would replace it with a new one, but re-design the preparation to improve retention, and replace the resin filling wit...h a crown in the same appointment. Both teeth were replaced with emax crowns that look great, but have increased the life that she will get out of these teeth. With our CEREC technology, they were done together, in the same appointment on the same day. Descriptions under each photo. IG: instagram.com/drpaulsdentalworld YouTube: https://www.youtube.com/channel/UCDU7ngDBYzJssEO-1HLekJw

23.01.2022 Every day, dentistry likes to throw challenges at us. This one was particularly challenging because once the old filling was removed and the decay cleaned up, the extent of it was below the gum (check the fourth photo - warning, blood!). Normally, I would place a rubber dam (the blue thing that goes over the teeth you will see me use) for isolation, but in this case I was unable to.... I ended up managing to do a filling that I was happy with using a fiddly-placed automatrix. Taking photos like these is an awesome way to show our patients why regular check ups to find these early, is so important. Follow me on IG: https://bit.ly/3coOQiE If you enjoyed this, or have questions/comments/feedback, please like share, or comment. Descriptions with the photos.

19.01.2022 The workplace is somewhere that we spend half of our waking hours. Finding a team to join that makes work not feel like work, has to be one of the most important things we do with our lives. Fortunately, Ive found this at North Sydney Dental Practice. They are a group of highly skilled, passionate and dedicated dental professionals and auxiliaries. They make coming to work a privilege, not a burden. Throwback to the day I introduced myself to the team, telling them about m...y journey to where I am today, why I love dentistry and what my goals are for the future. Im looking forward to growing with these guys! Do you have a fav thing about your work place? See more



17.01.2022 A lot of our job consists of making teeth better. Often removing the active disease and bad tooth structure, and replacing it with something clean and better. This is often in the form of new decay, or decay underneath an old filling. In this case, these two teeth next to each other fit into both categories.... We removed the decay and the old existing dentistry, and replaced them with composite resin fillings. The fillings were shaped to replicate their original shape, helping to restore function to this tooth. Full descriptions in the captions. IG: instagram.com/drpaulsdentalworld YouTube: youtube.com/channel/UCDU7ngDBYzJssEO-1HLekJw

17.01.2022 After a week of learning hard, I spent a week of playing hard with these legends. We watched #LeBron and the #Lakers play, ATVd and cruised around #Cabo and escaped the USA Covid-19 free. I had my first week back at work last week and it was great to implement some of what I had learnt into my cases! Photos to come soon.

15.01.2022 Thank you for visiting my page and welcome to my Dental World! In a fast paced world where our health can often be neglected and visiting a dentist is often feared, my goal is to try and change that! Caring for my patients while helping them achieve their dental goals and improving their lives is my mission. Im going to dedicate this page to sharing my passion, as well as showcase some of my life outside of dentistry. I plan for it to be informative, interesting and fun ... If you have any questions for me or topics you want me to talk about, (dental or not) leave a comment or DM me. Thanks! See more

15.01.2022 We cant always do the ideal treatment for everyone. Currently, Covid has put extra pressure on work and finances, and as a result this patient opted for an interim treatment for this tooth before he can be more financially comfortable to choose something stronger (ceramic or gold). In cases like this, ensuring that the filling I do will last long enough until he is ready, is the most important thing for me.... The worrying part about this tooth was that it had already broken once, and had a large crack inside of it. Click through the photos to see more detailed shots, as well as descriptions in each caption. Feel free to comment or ask questions. IG: instagram.com/drpaulsdentalworld YouTube: youtube.com/channel/UCDU7ngDBYzJssEO-1HLekJw

15.01.2022 Dental implants are an amazing option that we have to replace missing teeth This year, Im furthering my implant knowledge by travelling to Los Angeles to learn from some of the best dental surgeons in the world at gIDE Dental Academy. This module was covered by Dr. Sascha A. Jovanovic and ArtLab Dentistry. An awesome group of dentists are doing the course which makes the learning process even better Cant wait for the next one in April!... Do you have any implant questions? See more



13.01.2022 This lady did not the look of her amalgam filling, and it also felt rough to her tongue. We discussed replacing with composite resin or ceramic, and she preferred the strength and longevity of ceramic. The only issue was that this tooth was extremely important, as it is the last natural tooth that side, and her denture uses it to stay in place. The success of replacing a tooth that is required for a denture, is based on how well we can replicate it.... There are a few more common options: 1) Placing a filling and shaping it as accurately as possible. This is difficult. 2) Placing a crown and using a laboratory, who makes the crown to fit the tooth and the denture. This takes about one week, and the patient is generally without their denture for this week. 3) Placing a crown using CEREC technology. This lets us scan the tooth before starting, and then we can make an exact replica when the final crown is made in the same appointment! This was a case where we used CEREC to make a perfectly fitting crown in the one day. Slide through the photos to see the progress and descriptions beneath each photo. Feel free to comment or ask questions. IG: instagram.com/drpaulsdentalworld YouTube: youtube.com/channel/UCDU7ngDBYzJssEO-1HLekJw

13.01.2022 When we fill teeth, we try and shape them in a way to how they once were. This helps: Stop food collecting with the next door tooth Be comfortable when biting... Help masticate (chew) food Makes me feel good when I see it! This patient had an existing filling that had dislodged, so we removed it, cleaned out the decay and replaced it with a new fresh filling. Swipe across to see all the steps from start to finish (descriptions beneath photos). The blue spots in the last photo indicate where the patients teeth are biting together - no after the rubber dam was removed. This is part of a bigger case. 36 is going to be CERECd in one of the future appointments. IG: instagram.com/drpaulsdentalworld YouTube: youtube.com/channel/UCDU7ngDBYzJssEO-1HLekJw #dentist #dentista #smile #teeth #dentalstudent #dental #veneers #whitening #surgery #doctor #sydney #sydneydentist #tooth #dentistry #cosmetics #cosmeticdentist #crowns #orthodontics #aesthetic #smilemakeover #filling

12.01.2022 Sometimes what is underneath old fillings is worse than what we expected. This lady had a filling on her molar (the one that ended up with the big hole) that looked suspicious on the Xray. She also had dark shadowing on the back half of the tooth in front. We decided we would remove the old filling and clean out the decay in the other tooth.... It ended up much deeper than I thought it would be, so I was happy we made the decision to do it when we did. And yes, somehow my mirrors got more scratched as the appointment went on! Will be posting more cases now I have more time Any questions, comments or feedback, let me know!

12.01.2022 This tooth is part of a bigger case. The patient presented with pain on his lower right molar, which we relieved at that visit by starting root canal therapy. The patient then came back for a comprehensive examination, where we prioritised what needs to be done next to fix the issues he has. When the case is finished I will post it in its entirety, but basically he has had some non-ideal work done in the UK, then lost trust in dentists and didnt go back to see one for 10yrs.... This was our second treatment visit, and this was a tooth that I selected to treat first due to the depth of the decay on the X-ray. I also did not want it to need root canal therapy like he just had. The tooth tested positive to vitality, and shows no signs of infection on X-rays. The plan for this tooth is to place a core build-up, then re-test it in three months for vitality and with an X-ray, and if it is showing normal responses, we will place a ceramic onlay. Slide through the photos to see the progression. IG: instagram.com/drpaulsdentalworld YouTube: youtube.com/channel/UCDU7ngDBYzJssEO-1HLekJw

11.01.2022 Growing up in Australia means that it is easy to take for granted the fact that we have access to health care. Getting the opportunity to do some dental volunteering really reminds me of this. Last year I was able to volunteer my time and skills at Clinica Esperanza on the island of #Roatan, #Honduras. I was able to help treat dental patients in the clinic (which also has a medical doctor, paediatricisn, visiting ENT, ultrasound unit, pharmacy and laboratory for blood testi...ng) as well as performing oral screenings for residents coming to the local dump for the weekly free lunch. My wife volunteered at the local community centre and school. Check out the photos - the island is as beautiful as the people! Such an awesome and humbling experience. Is there anywhere that you have or want to volunteer? See more

11.01.2022 With Covid-19 restrictions ramping up, dentists have now been restricted to a handful of treatments on a handful of patients. I understand there is still some confusion out there about what can and cant be done, so I thought Id make a video to clear the air. Feel free to share the post to spread the word and stop the confusion!... . . . . . . Shout-out to our marketing manager Jess North Sydney Dental Practice for the original idea. See more

11.01.2022 Patient presented with fractured tooth structure adjacent this composite resin filling. After discussions with the patient, we decided a same day indirect restoration would be the best option for him. Im only new to the game of same day indirects, (and onlays in general) but I love the idea of maintaing as much tooth structure as possible and using the existing preparation to guide the final prep. Follow me on IG: https://bit.ly/3coOQiE... If you enjoyed this, or have questions/comments/feedback, please like share, or comment.

10.01.2022 To help a metal denture stay in place, specific teeth have to be utilised. This design works really well, unless this tooth ever gets a hole in it. If it does, in the process of removing the decay and placing a new filling, the shape of the tooth inevitably changes. This leads to the arduous process of adjusting the filling to ensure that the denture fits how it should. Inevitably, the fit is never as good as when it was new. This patient presented with a large hole on one of... his premolar teeth, which just so happened to be the anchor tooth on that side, for his denture. He was very concerned that if he lost this tooth, he will also be required to get a new denture. Fortunately, his tooth responded positive to vitality testing, and the patient decided on placing a composite resin filling. In the end, he was happy that he was able to keep his tooth and his denture, and I was happy that I did not have to make as many adjustments as I was expecting. Descriptions are under each image. If you enjoyed this post, feel free to like this page to see more. I also post on Instagram (instagram.com/drpaulsdentalworld) and on Youtube (https://www.youtube.com/channel/UCDU7ngDBYzJssEO-1HLekJw).

10.01.2022 I saw this young lady for a check-up and clean, as she had recently moved to the area. After discussing her teeth, and asking "is there anything you would change about your smile?", she mentioned that she does not like the dark brown between her two front teeth. She had asked her previous dentist to fix it, but they refused (I almost did too). I started to worry.... I examined the area she was talking about. At first I thought it may simply be staining, and I could remove it. After vigorous scraping with a scaler, I realised it was demineralisation (breakdown) of her enamel. I sat the patient up and asked her how much she really wants me to fix it. I explained that although I think my hand skills are pretty good, and I love achieving my patients goals, we have to consider the following: 1) The demineralisation is extremely superficial and I would have to remove some of her tooth structure and place fillings in those areas 2) These fillings may stain in the future 3) These fillings will need replacing at some stage in the future 4) It may be difficult for me to do a good job 5) I want to try and be conservative, which means that it may be very difficult for me to do a good job Despite this, she decided that she wanted me to give it my best shot! I placed the rubber dam on and removed the demineralised enamel with a very fine flame bur. Using a Bioclear matrix, I then injected G-aenial Universal Flo, cured it, and crossed my fingers. After I removed the matrix, I was blown away by the result that we had achieved! As a final touch, I smoothed off the chipped incisal edges for that extra cherry on top. Patient and I were extremely happy. Descriptions beneath the photos IG: instagram.com/drpaulsdentalworld YouTube: https://www.youtube.com/channel/UCDU7ngDBYzJssEO-1HLekJw

10.01.2022 BEWARE OF LOTUS CHIPS Before today, I didnt know what a lotus chip was. Im still not 100% sure what they are, but I am sure that they can be dangerous to fillings on front teeth. This young lady came in with a chip on her front left tooth, caused by biting on a lotus chip on her front left tooth.... Photo 1: how she presented Photo 2: after I removed the existing filing Photo 3: finished My recommendation to her for the future was to now only use this tooth for smiling Follow me on IG: https://bit.ly/3coOQiE If you enjoyed this, or have questions/comments/feedback, please like share, or comment.

08.01.2022 This young patient had been coming to this practice for a few years but then after moving overseas and not visiting the dentist, he came back in for a check up. This was a tooth that we were monitoring at each 6 month visit, and today we decided it was ready to treat. Because patients like him come in regularly, it means we find these problems before they become bigger problems.... Swipe through the pics to see close-ups of the start to finish Follow me on IG: https://bit.ly/3coOQiE If you enjoyed this, or have questions/comments/feedback, please like share, or comment. Descriptions with the photos.

07.01.2022 Sometimes our patients bring their partners in. I love it when they ask questions, it means that they care! However this guy, he didnt let up! Ive found out a way to put an end to that! Scott Morrison (ScoMo) with the original idea, cheers mate! . .... . . . . #corona #smile #happy #fun #dentist #dentista #teeth #fun #funny #video #comedy #comedyvideos #coronavirus See more

06.01.2022 Have you ever wondered what it would be like to see a dentist, who isnt normally a dentist? In this episode, we find out what it would be like to have Dr Joe Exotic as your dentist! PS: this video wont make much sense for those that have not seen Tiger King on Netflix.

05.01.2022 Brush for me, brush for me, teach me oh, oh, oh.... I've never seen, anybody brush as good as you before! Check the video to learn a few tips on looking after your teeth, and have a laugh at the same time.... IG: instagram.com/drpaulsdentalworld

04.01.2022 With dentists no longer being able to see non-emergency patients, it presents an interesteing question - what would it be like if we were able to work from home!? I attempt to answer it here.

03.01.2022 Brush for me, brush for me, teach me oh, oh, oh.... Ive never seen, anybody brush as good as you before! Check the video to learn a few tips on looking after your teeth, and have a laugh at the same time.... IG: instagram.com/drpaulsdentalworld

02.01.2022 This week Ive been in #florida visiting the practice of @billstruppddsfaacd and @drmikebrumm. They are both amazing dentists who practice dentistry at such an incredibly high quality that it actually excites me to strive to be as good as they are. Dr Bill Strupp has been practising for 50 years and still has an amazing passion for dentistry and helping his patients. Dr Mike Brumm has been with him for the last 11 years and has managed to clone himself to Bills philosophie...s and treatment. I spent 4 days shadowing at their practice, learning the how and why they do what they do. I got to rack the brains of their two onsite laboratory technicians, and ask a huge amounts of questions from the hygienists and auxiliary staff. I then listened to them both lecture for the last two days, pouring as much as they could out for almost 8hrs straight each day! It was an awesome week, and my brain is definitely going to enjoy some time off this next week, as I fly over to the West Coast of the US. @ William C. Strupp Jr. DDS & Michael W. Brumm DMD See more

01.01.2022 This patient is a friend of a friend, and (with my permission) was given my phone number. She told me that she had a tooth that she was told needs extraction due to resorption and wanted to know if she could come in because it is now in pain. History: Pain started in 2018. Was told that it is resorption. Dentist tried to go in and assess how bad it is and then temporarily filled it which alleviated her pain. Dentist told patient to go to specialist to have tooth removed and h...ave an implant. Patient went to the dental school and was never called back and had been out of pain until now. Exam: BW shows that the lesion on the distal (unsure if decay or resorption?) is very deep, a few mm past previous filling. CBCT (3D X-ray) shows equi-crestal in one area. CBCT also shows PARL on DB root and calcified canals. Link to see CBCT slices: https://bit.ly/3eFRSjS. Let me know if that doesnt work. Facebook wont let me upload videos into this album for some reason. Discussion with patient: - Can attempt to save tooth. Calcified canals may mean referral to specialist which will cost more $. Three appts required for endo and then crown is 1 or 2 appts. 10+yrs success if done well. Adv that I can remove lesion and assess if I can place a filling. Price quoted. - Implant can be done. Slightly more $ than RCT+crown. More straightforward however keeping teeth is the ideal to do because the implant will likely fail eventually and need to be replaced by another implant. If RCT fails eventually, can place an implant then --> Pt opted to try and save it if possible I started on the distal and removed the existing filling, and then the lesion. Descriptions in the pictures about this. Im still confused as to what it was! Placed a filling and commenced extirpation. Patient will be going to an endodontist to complete the RCT. Not sure to place an indirect restoration with deep marginal elevation or to go just beyond the margin. Im leaning towards going past the margin, but will decide at the time.

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