Dentaltown August 2018 - 86
Fig. 5: After smoothing the preparation, every surface
involved is sandblasted for a few seconds, giving it a
matte look. Selective-etch with phosphoric acid.
Fig. 6: After applying an antibacterial solution,
a generous amount of primer is scrubbed for
thorough penetration onto the surfaces.
Fig. 7: Once the primer has evaporated with
the assistance of slight warm air, the bonding
agent is applied and thinned out.
Fig. 8: An application of a thin layer of composite tacky
flowable is placed. Then an end of an endodontic plugger
was used to pick up the polyethylene fibers (Ribbond)
soaked in unfilled resin to enable their transfer to the
preparation. The fibers are placed and pushed closest
to the dentin floor and extended slightly up the axial
and proximal walls.
A thin 0.5mm layer of tacky thickened flowable composite (Ribbond Securing Composite) was placed onto the
pulpal floor, which is of high opacity. The high-strength
polyethylene fibers, by Ribbond (Fig. 8), were blotted with
an unfilled bonding adhesive and the excess was removed
with lint-free gauze. The polyethylene fibers were adapted
and pressed as close to the pulpal floor as possible (Fig. 9),
then light-cured.
In one study, it was found when fibers were inserted into
the depth of the proximal box, little or no microleakage took
place33 and increased the microtensile bond strength to the
dentin in cavities with a high C factor.34 Another thin layer
of composite was applied (Fig. 10) and the final buildup was
done with a warmed filled restorative composite to increase
durability.35 Tints (Kolor Plus by Kerr) were placed to create
the anatomy and glycerin was placed on every surface (Fig.
11) and light-cured for 40 seconds on each side.
The rubber dam was removed, and the occlusion was
inspected in all eccentric movements to avoid any premature
contact (Fig. 12). The restoration was contoured and began
spreading with intraoral polishing paste (DiaShine by VH
Technologies) using a latch brush and keeping light in
constant contact with the restoration (Fig. 13), to provide
a higher surface luster (Fig. 14). As a preventive measure for
occasional bruxism, the patient was provided a night guard.36
Results
No retention or resistance was formed in the cavity
preparation. The retention of the restoration relied on the
adhesive technique, the titanium pin37 and the polyethylene
fibers. It is of paramount importance to leave the restoration
86
AUGUST 2018 // dentaltown.com
http://www.dentaltown.com
Table of Contents for the Digital Edition of Dentaltown August 2018
No label
Dentaltown August 2018 - No label
Dentaltown August 2018 - Cover1
Dentaltown August 2018 - Cover2
Dentaltown August 2018 - 1
Dentaltown August 2018 - 2
Dentaltown August 2018 - 3
Dentaltown August 2018 - 4
Dentaltown August 2018 - 5
Dentaltown August 2018 - 6
Dentaltown August 2018 - 7
Dentaltown August 2018 - 8
Dentaltown August 2018 - 9
Dentaltown August 2018 - 10
Dentaltown August 2018 - 11
Dentaltown August 2018 - 12
Dentaltown August 2018 - 13
Dentaltown August 2018 - 14
Dentaltown August 2018 - 15
Dentaltown August 2018 - 16
Dentaltown August 2018 - 17
Dentaltown August 2018 - 18
Dentaltown August 2018 - 19
Dentaltown August 2018 - 20
Dentaltown August 2018 - 21
Dentaltown August 2018 - 22
Dentaltown August 2018 - 23
Dentaltown August 2018 - 24
Dentaltown August 2018 - 25
Dentaltown August 2018 - 26
Dentaltown August 2018 - 27
Dentaltown August 2018 - 28
Dentaltown August 2018 - 29
Dentaltown August 2018 - 30
Dentaltown August 2018 - 31
Dentaltown August 2018 - 32
Dentaltown August 2018 - 33
Dentaltown August 2018 - 34
Dentaltown August 2018 - 35
Dentaltown August 2018 - 36
Dentaltown August 2018 - 37
Dentaltown August 2018 - 38
Dentaltown August 2018 - 39
Dentaltown August 2018 - 40
Dentaltown August 2018 - 41
Dentaltown August 2018 - 42
Dentaltown August 2018 - 43
Dentaltown August 2018 - 44
Dentaltown August 2018 - 45
Dentaltown August 2018 - 46
Dentaltown August 2018 - 47
Dentaltown August 2018 - 48
Dentaltown August 2018 - 49
Dentaltown August 2018 - 50
Dentaltown August 2018 - 51
Dentaltown August 2018 - 52
Dentaltown August 2018 - 53
Dentaltown August 2018 - 54
Dentaltown August 2018 - 55
Dentaltown August 2018 - 56
Dentaltown August 2018 - 57
Dentaltown August 2018 - 58
Dentaltown August 2018 - 59
Dentaltown August 2018 - 60
Dentaltown August 2018 - 61
Dentaltown August 2018 - 62
Dentaltown August 2018 - 63
Dentaltown August 2018 - 64
Dentaltown August 2018 - 65
Dentaltown August 2018 - 66
Dentaltown August 2018 - 67
Dentaltown August 2018 - 68
Dentaltown August 2018 - 69
Dentaltown August 2018 - 70
Dentaltown August 2018 - 71
Dentaltown August 2018 - 72
Dentaltown August 2018 - 73
Dentaltown August 2018 - 74
Dentaltown August 2018 - 75
Dentaltown August 2018 - 76
Dentaltown August 2018 - 77
Dentaltown August 2018 - 78
Dentaltown August 2018 - 79
Dentaltown August 2018 - 80
Dentaltown August 2018 - 81
Dentaltown August 2018 - 82
Dentaltown August 2018 - 83
Dentaltown August 2018 - 84
Dentaltown August 2018 - 85
Dentaltown August 2018 - 86
Dentaltown August 2018 - 87
Dentaltown August 2018 - 88
Dentaltown August 2018 - 89
Dentaltown August 2018 - 90
Dentaltown August 2018 - 91
Dentaltown August 2018 - 92
Dentaltown August 2018 - 93
Dentaltown August 2018 - 94
Dentaltown August 2018 - 95
Dentaltown August 2018 - 96
Dentaltown August 2018 - 97
Dentaltown August 2018 - 98
Dentaltown August 2018 - 99
Dentaltown August 2018 - 100
Dentaltown August 2018 - 101
Dentaltown August 2018 - 102
Dentaltown August 2018 - 103
Dentaltown August 2018 - 104
Dentaltown August 2018 - Cover3
Dentaltown August 2018 - Cover4
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2021
https://www.nxtbook.com/farran/dentaltown/2021January
https://www.nxtbook.com/farran/dentaltown/2020December
https://www.nxtbook.com/farran/dentaltown/2020November
https://www.nxtbook.com/farran/dentaltown/2020NewGrad
https://www.nxtbook.com/farran/dentaltown/2020October
https://www.nxtbook.com/farran/dentaltown/2020September
https://www.nxtbook.com/farran/dentaltown/2020August
https://www.nxtbook.com/farran/dentaltown/2020July
https://www.nxtbook.com/farran/dentaltown/2020June
https://www.nxtbook.com/farran/dentaltown/2020May
https://www.nxtbook.com/farran/dentaltown/2020April
https://www.nxtbook.com/farran/dentaltown/2020March
https://www.nxtbook.com/farran/dentaltown/2020February
https://www.nxtbook.com/farran/dentaltown/2020January
https://www.nxtbook.com/farran/dentaltown/2019December
https://www.nxtbook.com/farran/dentaltown/2019November
https://www.nxtbook.com/farran/dentaltownuk/2019OctoberNovember
https://www.nxtbook.com/farran/dentaltown/2019October
https://www.nxtbook.com/farran/dentaltown/2019NewGrad
https://www.nxtbook.com/farran/dentaltown/2019September
https://www.nxtbook.com/farran/dentaltown/2019August
https://www.nxtbook.com/farran/dentaltown/2019July
https://www.nxtbook.com/farran/dentaltownuk/2019JuneJuly
https://www.nxtbook.com/farran/dentaltown/2019June
https://www.nxtbook.com/farran/dentaltown/2019May
https://www.nxtbook.com/farran/dentaltownuk/2019AprilMay
https://www.nxtbook.com/farran/dentaltown/2019April
https://www.nxtbook.com/farran/dentaltown/2019March
https://www.nxtbook.com/farran/dentaltown/2019February
https://www.nxtbook.com/farran/dentaltownuk/2019FebruaryMarch
https://www.nxtbook.com/farran/dentaltown/2019January
https://www.nxtbook.com/farran/dentaltownuk/2018Winter
https://www.nxtbook.com/farran/dentaltown/2018December
https://www.nxtbook.com/farran/dentaltown/2018November
https://www.nxtbook.com/farran/dentaltownuk/2018November
https://www.nxtbook.com/farran/dentaltown/2018October
https://www.nxtbook.com/farran/dentaltownuk/2018October
https://www.nxtbook.com/farran/dentaltown/2018NewGrad
https://www.nxtbook.com/farran/dentaltown/2018September
https://www.nxtbook.com/farran/dentaltownuk/2018September
https://www.nxtbook.com/farran/dentaltown/2018August
https://www.nxtbook.com/farran/dentaltownuk/2018July
https://www.nxtbook.com/farran/dentaltown/2018July
https://www.nxtbook.com/farran/dentaltownuk/2018June
https://www.nxtbook.com/farran/dentaltown/2018June
https://www.nxtbook.com/farran/dentaltownuk/2018May
https://www.nxtbook.com/farran/dentaltown/2018May
https://www.nxtbook.com/farran/dentaltownuk/2018April
https://www.nxtbook.com/farran/dentaltown/2018April
https://www.nxtbook.com/farran/dentaltown/2018March
https://www.nxtbook.com/farran/dentaltownuk/2018March
https://www.nxtbook.com/farran/dentaltown/2018February
https://www.nxtbook.com/farran/dentaltownuk/2018February
https://www.nxtbook.com/farran/dentaltown/2018January
https://www.nxtbook.com/farran/dentaltown/2017December
https://www.nxtbook.com/farran/dentaltownuk/2017Winter
https://www.nxtbook.com/farran/dentaltown/2017November
https://www.nxtbook.com/farran/dentaltown/2017October
https://www.nxtbook.com/farran/dentaltownuk/2017october
https://www.nxtbook.com/farran/dentaltown/NewGrad2017
https://www.nxtbook.com/farran/dentaltown/2017September
https://www.nxtbook.com/farran/dentaltownuk/2017September
https://www.nxtbook.com/farran/dentaltownuk/2017August
https://www.nxtbook.com/farran/dentaltown/2017August
https://www.nxtbook.com/farran/dentaltown/2017July
https://www.nxtbook.com/farran/dentaltownuk/2017July
https://www.nxtbook.com/farran/dentaltown/2017June
https://www.nxtbook.com/farran/dentaltownuk/2017may
https://www.nxtbook.com/farran/dentaltown/2017May
https://www.nxtbook.com/farran/dentaltownuk/2017April
https://www.nxtbook.com/farran/dentaltown/2017April
https://www.nxtbook.com/farran/dentaltown/2017March
https://www.nxtbook.com/farran/dentaltownuk/dentaltownuk/2017march
https://www.nxtbook.com/farran/dentaltown/February2017
https://www.nxtbook.com/farran/dentaltown/2017January
https://www.nxtbook.com/farran/dentaltown/2016December
https://www.nxtbook.com/farran/dentaltown/2016November
https://www.nxtbook.com/farran/dentaltown/2016October
https://www.nxtbook.com/farran/dentaltown/2016nge
https://www.nxtbook.com/farran/dentaltown/2016september
https://www.nxtbook.com/farran/dentaltown/2016august
https://www.nxtbook.com/farran/dentaltown/2016july
https://www.nxtbook.com/farran/dentaltown/2016june
https://www.nxtbook.com/farran/dentaltown/2016may
https://www.nxtbook.com/farran/dentaltown/2016april
https://www.nxtbook.com/farran/dentaltown/2016march
https://www.nxtbook.com/farran/dentaltown/2016february
https://www.nxtbook.com/farran/dentaltown/2016january
https://www.nxtbook.com/farran/dentaltown/2015december
https://www.nxtbook.com/farran/dentaltown/2015november
https://www.nxtbook.com/farran/dentaltown/2015october
https://www.nxtbook.com/farran/dentaltown/2015nge
https://www.nxtbook.com/farran/dentaltown/2015september
https://www.nxtbook.com/farran/dentaltown/2015august
https://www.nxtbook.com/farran/dentaltown/2015july
https://www.nxtbook.com/farran/dentaltown/2015june
https://www.nxtbook.com/farran/dentaltown/2015may
https://www.nxtbook.com/farran/dentaltown/2015april
https://www.nxtbook.com/farran/dentaltown/2015march
https://www.nxtbook.com/farran/dentaltown/2015february
https://www.nxtbook.com/farran/dentaltown/2015january
https://www.nxtbook.com/farran/dentaltown/2014december
https://www.nxtbook.com/farran/dentaltown/2014decemberb
https://www.nxtbook.com/farran/dentaltown/2014november
https://www.nxtbook.com/farran/dentaltown/2014october
https://www.nxtbook.com/farran/dentaltown/2014newgrad
https://www.nxtbook.com/farran/dentaltown/2014september
https://www.nxtbook.com/farran/dentaltown/2014august
https://www.nxtbook.com/farran/dentaltown/2014july
https://www.nxtbook.com/farran/dentaltown/2014june
https://www.nxtbook.com/farran/dentaltown/2014may
https://www.nxtbook.com/farran/dentaltown/2014april
https://www.nxtbook.com/farran/dentaltown/2014march
https://www.nxtbook.com/farran/dentaltown/2014february
https://www.nxtbook.com/farran/dentaltown/2014january
https://www.nxtbook.com/farran/dentaltown/2013december
https://www.nxtbook.com/farran/dentaltown/2013november
https://www.nxtbook.com/farran/dentaltown/2013october
https://www.nxtbook.com/farran/dentaltown/2013newgrad
https://www.nxtbook.com/farran/dentaltown/2013september
https://www.nxtbook.com/farran/dentaltown/2013august
https://www.nxtbook.com/farran/dentaltown/2013july
https://www.nxtbook.com/farran/dentaltown/2013june
https://www.nxtbook.com/farran/dentaltown/2013may
https://www.nxtbook.com/farran/dentaltown/2013april
https://www.nxtbook.com/farran/dentaltown/2013march
https://www.nxtbook.com/farran/dentaltown/2013february
https://www.nxtbook.com/farran/dentaltown/2013january
https://www.nxtbook.com/farran/dentaltown/2012december
https://www.nxtbook.com/farran/dentaltown/2012November
https://www.nxtbookmedia.com