Dentaltown November 2017 - 50

message board

First layer of Exquisite against the lingual walls, shaped with Seamfree, flat bladed composite
instrument and an Acorn instrument, then cured for three secs.

Buccal layer shaped as above and cured for three secs.

After occlusal adjustment, re-sealed with Surpass 1,2,3 and re-cured for 3 secs. No
staining, but fi nished. Certainly, it must be said that the video shows great technique and
skill. For today's North American dentistry, however, our environment precludes much of
the detail shown, perhaps for no other reason than time constraints associated with our
economic realities. ■
7/31/2017

Ctreynolds09
Member Since: 02/02/14
Post: 16 of 64

RubinsteinDDS
Member Since: 08/15/07
Post: 17 of 64

BreakingFree
Member Since: 09/03/09
Post: 22 of 64

Tom Mitchell
Member Since: 02/16/04
Post: 23 of 64

I like this, but I am wondering why you didn't chase the cracks out or least the superficial
marginal ridge/proximal boxes that are dark on the distal and buccal? ■
8/1/2017

Sorry for being unclear. This is not my video or my work. It is an example (in my opinion)
of spending too much time chasing an irrelevant aesthetic goal of stains and tertiary anatomy. ■
8/1/2017

Tom, are you re-sealing every restoration with Surpass 1, 2 and 3 after occlusal adjustment?
Doesn't that then change the occlusion again? ■
8/1/2017

Yup, I do if I've cut/ground/adjusted that surface. If I don't touch it I don't reseal. No it
doesn't change the occlusion. What I'm doing is applying just a small amount of each material,
and aggressively air thinning the Surpass 3. I usually only use what's left of the Surpass 3 brush,
just enough to see a glaze. John might do something different. ■

8/1/2017

winnfd
Member Since: 02/12/15
Post: 25 of 64

Tom, I'm not sure why others haven't said this, but you should have picked a different case to
illustrate your point. In my opinion, you should have at least extended your prep to include the distal
marginal ridge as there is an obvious vertical fracture and I suspect caries interproximally. ■
8/1/2017

Tom Mitchell
Member Since: 02/16/04
Post: 26 of 64

Sure! I wasted about 30 minutes yesterday (and got behind) searching my files for the ideal
case. By the time I got to "J" my world class staff was getting pissed so this is what you get! See
that nice dark crack at the DMR? I wonder how long that's been there.
8/1/2017

50

NOVEMBER 2017 // dentaltown.com


http://www.dentaltown.com

Table of Contents for the Digital Edition of Dentaltown November 2017

Dentaltown November 2017 - Intro
Dentaltown November 2017 - Cover1
Dentaltown November 2017 - Cover2
Dentaltown November 2017 - 1
Dentaltown November 2017 - 2
Dentaltown November 2017 - 3
Dentaltown November 2017 - 4
Dentaltown November 2017 - 5
Dentaltown November 2017 - 6
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Dentaltown November 2017 - Cover3
Dentaltown November 2017 - Cover4
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