Dentaltown April 2018 - 43

1.
2.
3.
4.
5.
6.

Apply primer, which is also the etchant. Scrub into tooth for 20 sec.
Dry primer with air.
Then apply bond and scrub that in.
Air dry/thin bond as well. Light cure.
Surefill SDR bulk flowable. Light cure.
Top off with packable comp. Cure. Finish. ■

Chlorhexidine could help inhibit MMPs but that's more long-term effects, not sensitivity
within the week. It's probably due to not evaporating the solvent of the primer. Based on the
steps, you are using one-step primer/adhesive. Double-check the manufacturer's instructions
about volatilizing the solvent before light cure. Also, don't skimp on the full cure of the bonding
agent before placing the composite. Five to ten seconds may not be enough, especially if your
curing light isn't close or strong enough. ■

hardinga1
Member Since: 07/22/15
Post: 8 of 176

1/22/2018

If it's really, really deep, I will place Fuji Triage or TheraCal instead of Vitrebond. Even
in those cases postop sensitivity is extremely rare. Additionally, I tell every patient to expect
sensitivity and sore gums due to how deep their cavity was. Then, in the rare case that it does
happen, they expect it and won't think you did something wrong. ■

midwestdds2011
Member Since: 08/30/11
Post: 10 of 176

1/22/2018

FREE FACTS, circle 19 on card

dentaltown.com \\ APRIL 2018

43



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Table of Contents for the Digital Edition of Dentaltown April 2018

Dentaltown April 2018 - Intro
Dentaltown April 2018 - Cover1
Dentaltown April 2018 - Cover2
Dentaltown April 2018 - 1
Dentaltown April 2018 - 2
Dentaltown April 2018 - 3
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Dentaltown April 2018 - Cover3
Dentaltown April 2018 - Cover4
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