Dentaltown May 2016 - (Page 100)
practice solutions
Practice Solutions explores how specific products and services can be of use clinically or in practice management.
Primary Care
Dr. Carla Cohn explains which
qualities make a good restorative
material in pediatric dentistry
by Carla Cohn, DMD
Dr. Carla Cohn is a general dentist
who devotes her practice solely to
children's dentistry and maintains
a private practice at Kids Dental in
Winnipeg, Manitoba, Canada. Cohn's
clinical articles have been published
in several North American dental
journals, and she is an international
speaker on pediatric dentistry for
the general practitioner.
Pediatric dentists are both scientists and
artists when creating functional and aesthetic
restorations. What's more, they must master and
perform procedures in limited time frames-and
in often inhospitable environments-as well as
managing the behavior of not just the patients
but also the children's parents.
In pediatric restorative dentistry, which
has so many physical and behavioral variables,
your technique and material choice must be
dependable. To increase the success rate of your
procedures, develop an armamentarium of the
most reliable dental materials. Composite resins,
introduced almost half a century ago, make up
a large part of the restorative materials market
in North American dentistry.1
Fig. 1
100
MAY 2016 // dentaltown.com
Case study: Composite restoration
with modified snowplow technique
A case study of a composite restoration on
upper right second primary molar follows with
a modified snowplow technique.2 3 4
After the patient was anesthetized, the tooth
was isolated with rubber dam, in a traditional
slot-type fashion. A composite restoration presents
several challenges, including the hydrophobic
nature of the material. Care must be taken to
properly isolate the teeth to maintain a dry field;
for this reason, cooperation of our young patients
is paramount, and isolation is imperative.5
A high-speed, friction-grip, straight flat-end
cross-cut bur (Brasseler carbide #556) is used to
establish outline form and the majority of the
preparation. For a successful restoration, outline
form must be conservative, and diligence in
preserving sufficient tooth structure is essential.
Decay is removed with a slow-speed, latch-angle
round bur (Brasseler carbide #6 and #8).
Mechanical retention is created with a
slow-speed, latch-angle inverted cone (Brasseler
carbide #35); this is important because primary
teeth have thinner enamel, and many children
experience continued bruxing and occlusal wear.
A Triodent clear metal sectional matrix,
wave-wedge and V3 ring are placed. The initial
image (Fig. 1) shows preparation and matrix
with excellent adaptation to the gingival margin,
mesial and distal of the proximal box.
The preparation is etched for 10 seconds
with a selective etch technique, washed and
dried, then Tokuyama Dental adhesive Bond
Force is applied and light-cured. A small
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Table of Contents for the Digital Edition of Dentaltown May 2016
On Dentaltown.com
HOWARD SPEAKS: Talking Monkeys, Reviews Gone Wild, and Valuable Margins
PROFESSIONAL COURTESY: A 5-Star Future?
Continuing Education Update
Industry News
Special-Needs Patients
3Shape TRIOS 3
The ABCs of Dental Ethics
Townie Meeting Recap
Is It Time to Be Conservative, or Progressive?
Balancing the Scale(r)s
A Dope Does a Startup
The Dental Laser’s Role in Managing Periodontal Disease
Do Good: A WHALE OF AN EFFORT
Do Good: HOW SMILES ON WINGS TOOK FLIGHT
Do Good: SERVING THOSE WHO HAVE SERVED
Do Good: BE A HERO, HONOR A HERO
Do Good: THIS WE’LL DEFEND
Do Good: PAYING IT FORWARD
Do Good: A BEACH IN WESTERN KENYA
Do Good: A GIANT EFFORT: HENRY SCHEIN CARES
Should I Stay or Should I Go Now?
Poll
New Products
Ad Index
You Should Know
Practice Solutions: Tokuyama Dental
Product Profi le: Planmeca
CONTINUING EDUCATION: Mill In or Send Out?
Dentally Incorrect
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