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 http://www.dentaltown.com

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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