general dentistry
message board
A Quad of Composites
Take a look at this detailed case on an extremely caries prone patient.
Dentaltown.com > Message Boards > Restorative Dentistry > A Quad of Composites
Introduction:
Not a really beautiful final outcome but a few notable things. This is an extremely caries
prone patient. You can see X-rays from 2012 and then from a few weeks ago. Most recent
X-rays showed he needed 2 OL, 4 MO, and 5 DO. I planned on replacing the DO on 4 as well
due to the bubble and the occlusal staining but was surprised to see decay under it despite no
radiographic evidence. Made me wonder if I should have removed the MO on 2 and the MOD
on 3 as well but I chose not to.
A few things make these cases easier for me:
CoryGlenn
Member Since: 01/27/09
Post: 1 of 46
1. Rubber dam with caulk around the distal tooth to seal it where it was leaking around
the clamp.
2. Pre-wedging to compress the dam and keep me from cutting it with my bur.
3. A little water-based lubricant on the wedges to help them go in easier without grabbing
the dam.
4. Caries dye.
5. Sectional matrices and rings.
6. When doing a proximal surface next to a still unfilled prep, pack it with Teflon tape.
Purpose is twofold. Compresses the sectional matrix against the tooth you're filling
without getting another ring in your way and it also protects the unfilled prep from getting
bonding agent blown into it prior to being properly conditioned.
7. Clean and Boost from Apex Dental materials. It has a scrubby brush on the end and
removes plaque and handpiece oil while simultaneously etching.
8. Once a tooth is filled, folding back the sectional matrix and doing any handpiece smoothing prior to removal of the matrix.
2015
2016
Pre-wedging is a huge help, a little KY on the wedge helps it go in easier and it rinses clean.
dentaltown.com \\ NEW GRAD 2016
27
http://www.dentaltown.com/MessageBoard/thread.aspx?a=11&s=2&f=216&t=277231&g=1http://www.dentaltown.com
Table of Contents for the Digital Edition of Dentaltown New Grad Edition 2016