Dentaltown November 2017 - 51

winnfd
What's your point exactly? And why did you
Member Since: 02/12/15
go through the process of doing the restoration in
Post: 27 of 64
the manner that you did and leave the DMR intact?
Great restoration. Great technique. Used the RD. But left a fracture and
possible caries. ■
8/1/2017

Tom Mitchell
Dark cracks have been there a long time so likely
Member Since: 02/16/04
not an issue. Why add a bunch more margins when not
Post: 28 of 64
needed? There was no decay left. Everything is sealed.
How about this one. This was a bulk fill with Surpass, Titan and Exquisite.
Not quite such nice anatomy but a fast, well done restoration with super high
quality materials. That's really what I'm getting at.
We can do very nice, anatomically correct restorations, using high quality
materials and do them quickly without all the folderol of minute incremental
layering and (gasp) staining seen in the videos. Mitch has brought up a very
relevant point for North American dentistry given the economic climate dictated to so many of us by employers purchasing cheap "insurance" plans. Our
patients deserve the best restorative dentistry possible, but we must be efficient.
These restorations are the exact same quality as seen in the video, and done
in the real world under the pressures of time and money. ■

8/1/2017

winnfd
Tom, a couple of points:
Member Since: 02/12/15
1. By your logic, why did you replace the original
Post: 29 of 64
restoration in the first place? If it was cracked,
carious, etc., I would imagine it had been there for a long time. Why not
just leave it alone? You don't have to reply to that because it's a ridiculous
point, like your point about adding a "bunch more margins."
2. The presence of the fracture and staining indicates that the D is not
sealed. If there is not decay already present, and I would bet there is, you
will see one of two things in less than two years with this patient: DMR
fractures or caries radiographically at the distal.
Either of which you will have to deal with and explain to your patient. ■
8/1/2017

John Kanca
Are you advocating complete removal of all cracks
Member Since: 06/21/03
in marginal ridges? That crack is darkly stained. Why
Post: 35 and 36 of 64
do you imagine that it hasn't become carious already?
And you didn't mention the crack in the lingual yet. When does cutting a tooth
make it stronger? ■
8/1/2017

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Table of Contents for the Digital Edition of Dentaltown November 2017

Dentaltown November 2017 - Intro
Dentaltown November 2017 - Cover1
Dentaltown November 2017 - Cover2
Dentaltown November 2017 - 1
Dentaltown November 2017 - 2
Dentaltown November 2017 - 3
Dentaltown November 2017 - 4
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Dentaltown November 2017 - Cover3
Dentaltown November 2017 - Cover4
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