Dentaltown October 2016 - 32


show your work
case study

Putty in My Hands

Direct Restoration in the Anterior Teeth Using Two Techniques

A note from the editor:
With this issue, we're introducing
a new department called "Show
Your Work" that gives Townies
another opportunity to do just
that. Here, you'll find straightforward case studies that your fellow
dentists take pride in.
Maybe they feel like they've
finally mastered a new technique
they've been working on. Perhaps
they rose to the challenge of a
particularly tough patient case.
Or it could be that they just want
bragging rights for something
that, in their eyes, approaches
perfection.
If you've got a case you think
might be a great fit, shoot me an
email: sam@farranmedia.com.
Be sure to include a sentence
that sums up why this case is so
special to you, to help us review
and select the best contenders
for publication.
One last clarification: This opportunity is available to registered
Townies only! So be sure to
update your member information
at Dentaltown.com before giving
us a shout.
Thank you!
Sam Mittelsteadt

32

OCTOBER 2016 // dentaltown.com

Introduction
More often than not, when a patient walks into our practice
wanting to restore anterior teeth that have a Class IV or Class III
cavity, we take an impression, get a lab wax-up made and make a
palatal putty index, which is then used to restore the cavity.
Or we make a direct composite mock-up on the tooth itself and
proceed with making the palatal putty index.
In this case report, I share a third option: the Bertholdo/Ricci/
Barrotte (BRB) technique, which allows clinicians to make a quick
chairside palatal putty index.
The case report also discusses the controlled-body-thickness
philosophy: Ensuring that the final layer of enamel is at least 0.5
millimeter is crucial to achieving a final positive outcome.
Case report
A 62-year-old patient presented with a desire to restore the distal
of the right central and mesial of the right lateral. She also wanted to
finish her treatment in a single sitting.
I used a combination of two techniques learned from the
Styleitaliano website. First, I used the BRB technique to make a lingual
matrix, controlling the body thickness using a Misura instrument. This
allowed me to create a quick chairside palatal putty matrix, which
ensured a stable palatal stop and allowed me to build an anatomically
precise palatal shelf.
Continued on p. 34

by Dr. Varsha Rao
Dr. Varsha Rao has been in clinical practice
for more than 16 years. She received
extensive training in implant and aesthetic
dentist, and has a certificate of merit from
NYU in implants and oral rehabilitation
and a certificate in aesthetic dentistry.
She is a fellow of the Indian Society of

Oral Implantologists and the International
Congress of Oral Implantologists. In 2015,
Rao published a case study on the microbrush
stamp technique in Dentaltown. She is
trained in composites (initial) with the
Styleitaliano philosophy.


http://www.Dentaltown.com http://www.dentaltown.com

Table of Contents for the Digital Edition of Dentaltown October 2016

On Dentaltown.com
Howard Speaks: Repeatedly Reap the Rewards of Selling Your Practice
Professional Courtesy: Waiting For Something Better
Continuing Education Update
Industry News
New Products
Poll
Show Your Work: Putty in My Hands
Message Board: I Could Give a Flip About TMD, and Here is Why!
Message Board: Fixed Lingual Retainer Wire
Message Board: Paying at Time of Service
Message Board: Buffering Anesthetic Carpules
You Be The Judge: A Dose of Reality
Building a Mandible
Patient Financing Programs
Sealing The Gaps
Beyond Clinical Care
Message Board: Your Best Advice in 5 Words or Less
Corporate Profile: An Inside Look at an Implant Giant
Product Profile: Wand Dental
Ad Index
Product Profile: Scheduling Institute
Product Profile: 3M
CE: Magnification in Endodontics
Dentally Incorrect
Dentaltown October 2016 - Intro
Dentaltown October 2016 - Cover1
Dentaltown October 2016 - Cover2
Dentaltown October 2016 - 1
Dentaltown October 2016 - 2
Dentaltown October 2016 - 3
Dentaltown October 2016 - 4
Dentaltown October 2016 - 5
Dentaltown October 2016 - 6
Dentaltown October 2016 - 7
Dentaltown October 2016 - 8
Dentaltown October 2016 - 9
Dentaltown October 2016 - 10
Dentaltown October 2016 - 11
Dentaltown October 2016 - On Dentaltown.com
Dentaltown October 2016 - 13
Dentaltown October 2016 - Howard Speaks: Repeatedly Reap the Rewards of Selling Your Practice
Dentaltown October 2016 - 15
Dentaltown October 2016 - 16
Dentaltown October 2016 - 17
Dentaltown October 2016 - Professional Courtesy: Waiting For Something Better
Dentaltown October 2016 - 19
Dentaltown October 2016 - Continuing Education Update
Dentaltown October 2016 - 21
Dentaltown October 2016 - 22
Dentaltown October 2016 - 23
Dentaltown October 2016 - Industry News
Dentaltown October 2016 - 25
Dentaltown October 2016 - New Products
Dentaltown October 2016 - 27
Dentaltown October 2016 - Poll
Dentaltown October 2016 - 29
Dentaltown October 2016 - 30
Dentaltown October 2016 - 31
Dentaltown October 2016 - Show Your Work: Putty in My Hands
Dentaltown October 2016 - 33
Dentaltown October 2016 - 34
Dentaltown October 2016 - 35
Dentaltown October 2016 - Message Board: I Could Give a Flip About TMD, and Here is Why!
Dentaltown October 2016 - 37
Dentaltown October 2016 - 38
Dentaltown October 2016 - 39
Dentaltown October 2016 - 40
Dentaltown October 2016 - 41
Dentaltown October 2016 - 42
Dentaltown October 2016 - 43
Dentaltown October 2016 - 44
Dentaltown October 2016 - 45
Dentaltown October 2016 - Message Board: Fixed Lingual Retainer Wire
Dentaltown October 2016 - 47
Dentaltown October 2016 - 48
Dentaltown October 2016 - 49
Dentaltown October 2016 - 50
Dentaltown October 2016 - 51
Dentaltown October 2016 - 52
Dentaltown October 2016 - 53
Dentaltown October 2016 - Message Board: Paying at Time of Service
Dentaltown October 2016 - 55
Dentaltown October 2016 - 56
Dentaltown October 2016 - 57
Dentaltown October 2016 - Message Board: Buffering Anesthetic Carpules
Dentaltown October 2016 - 59
Dentaltown October 2016 - 60
Dentaltown October 2016 - 61
Dentaltown October 2016 - 62
Dentaltown October 2016 - 63
Dentaltown October 2016 - 64
Dentaltown October 2016 - 65
Dentaltown October 2016 - You Be The Judge: A Dose of Reality
Dentaltown October 2016 - 67
Dentaltown October 2016 - 68
Dentaltown October 2016 - 69
Dentaltown October 2016 - Building a Mandible
Dentaltown October 2016 - 71
Dentaltown October 2016 - 72
Dentaltown October 2016 - 73
Dentaltown October 2016 - 74
Dentaltown October 2016 - 75
Dentaltown October 2016 - Patient Financing Programs
Dentaltown October 2016 - 77
Dentaltown October 2016 - 78
Dentaltown October 2016 - 79
Dentaltown October 2016 - Sealing The Gaps
Dentaltown October 2016 - 81
Dentaltown October 2016 - 82
Dentaltown October 2016 - 83
Dentaltown October 2016 - 84
Dentaltown October 2016 - 85
Dentaltown October 2016 - Beyond Clinical Care
Dentaltown October 2016 - 87
Dentaltown October 2016 - 88
Dentaltown October 2016 - 89
Dentaltown October 2016 - Message Board: Your Best Advice in 5 Words or Less
Dentaltown October 2016 - 91
Dentaltown October 2016 - Corporate Profile: An Inside Look at an Implant Giant
Dentaltown October 2016 - 93
Dentaltown October 2016 - 94
Dentaltown October 2016 - 95
Dentaltown October 2016 - Product Profile: Wand Dental
Dentaltown October 2016 - Ad Index
Dentaltown October 2016 - Product Profile: Scheduling Institute
Dentaltown October 2016 - 99
Dentaltown October 2016 - Product Profile: 3M
Dentaltown October 2016 - 101
Dentaltown October 2016 - CE: Magnification in Endodontics
Dentaltown October 2016 - 103
Dentaltown October 2016 - 104
Dentaltown October 2016 - 105
Dentaltown October 2016 - 106
Dentaltown October 2016 - 107
Dentaltown October 2016 - 108
Dentaltown October 2016 - 109
Dentaltown October 2016 - 110
Dentaltown October 2016 - 111
Dentaltown October 2016 - Dentally Incorrect
Dentaltown October 2016 - Cover3
Dentaltown October 2016 - Cover4
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