Dentaltown New Grad Edition 2016 - 29

general dentistry message board Nice job. On patients with high caries risk-which is most of my Medicaid patients-I've been using Equia, which is really just a glass ionomer with a resin topcoat. I've been surprised at how nice they look at recall, even on the wall to wall plaque and meth/dew mouth pts. It just doesn't get recurrent decay. There is a learning curve to placement, especially Class II's. If anybody cares, I'll go into more detail clarktown Member Since: 04/26/10 Post: 7 of 46 8/29/2016 kilkee1 Give Ionolux from Voco a go sometime. 8/30/2016 Cory, that's solid bread and butter stuff. This is what makes us our money. I'd recommend any young dentist to get really good at this treatment before doing fancy dentistry because this is what we do on a daily basis. When you are good and predictable at placing direct restorations, dentistry becomes a pretty good gig. Then you can do the challenging stuff on the side for more professional stimulation. As far as restorative materials, I have been using composite for these forever (in my neck of the woods, amalgam is not a very popular option) just like this and have had excellent results. But recently (last month and a half) I have been using Activa and would likely use it for a case such as this one where the patient is quite caries prone. I know you have used Activa and am wondering if you considered its use in this case? Member Since: 02/28/10 Post: 9 of 46 mandm_sudz Member Since: 04/04/05 Post: 17 of 46 8/30/2016 I hated trying to shape glass ionomers until I figured out how to pack them. Place the matrix or Tofflemire or whatever you're going to use, then condition the tooth, rinse dry leaving it slightly wet, then place the Equia overfilled. Take a Q-tip that has been wetted and compact it into the cavity and smooth the cavosurface margins. For non-interproximals, wait a couple of minutes then dry and seal with the top coat. For interproximals, wait a full four minutes for it to set, then tease the band away with an explorer. Finish the contact like you would with composite. This stuff is great for quads because one capsule will fill 2-3 average sized cavities. You can fill them all at once and save quite a bit of chair time. Also wondering about this Activa stuff. The other Pulpdent materials I have used have been pretty good. Does anybody have some longer recalls using it? Also how's the workflow? Is it pretty much like placing a composite? Yeah, I'm using the Forte now, but I started using the original about two years ago. I do like the new Forte better. It's slightly more opaque, but it seems less brittle, almost has a rubbery consistency as it starts to set. Not sure what the difference is chemically between the two. The only cases where I've had breakdown is where I used it as a giant buildup left exposed which it isn't really indicated for. clarktown Member Since: 04/26/10 Posts: 18, 20 & 25 of 46 8/30/2016 Equia is not a good long term restorative material. In patients with more acidic saliva (smokers, dry mouth) it dissolves and washes away and it is not sufficiently fracture resistant to use in most Class II's. hmdmd Member Since: 04/22/05 Post: 37 of 46 8/31/2016 Join the discussion online at: dentaltown.com Quad Composites dentaltown.com \\ NEW GRAD 2016 29 http://www.dentaltown.com/MessageBoard/thread.aspx?a=11&s=2&f=216&t=277231&g=1&st=a%20quad%20of%20composites http://www.dentaltown.com

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