STOP Getting Open Contacts on Your Class II Restorations - GF008

[@gregwarrior]

These answers so much of the real world issues that I faced clinically when I first started the first few years of clinical practice!

[@__SalmeeraJoseph__]

A demo video as well would be good

[@jignalakhani2672]

Love your videos Jaz! U R AMAZING! So informative👌

[@suhayl3519]

Only discovered your channel this morning and I’m already watching my third video of yours ! keep up the good work sir.
Btw, personally would find it even better if the videos were a bit shorter 👌🏽

[@protrusive]

thanks Sohayl!

[@amarnarayanan5469]

I agree.....content is great..could be a bit shorter

[@acash93]

If it's too short, it's not informative enough

[@isaiah5217]

that's why he made chapters

[@dentist_usa]

how do you stop bleeding after cutting gum with a bur?

[@protrusive]

if you use thermacut the heat/cauterization effect is impressive. otherwise some viscostat clear on a cotton pellet

[@jiveshvilbhumindraram4855]

Hi. Love your content.
Quick questions about class II restorations, is it somewhat acceptable to discharge patients with slight molar-premolar (tooth 25 and 26) open contact on restorations with class II open sandwich technique on both mentioned teeth?? Also, with the open sandwich technique, if there are maybe small surface imperfections (e.g. holes/bumps the size of dental explorer tips), then what can be done instead of removing the entire restoration?
I understand neither are ideal situations but as a student, I realize I've left these situations and discharged patients which is kinda haunting to think about as you learn more...

[@protrusive]

Thanks for such a real world question, Jiveshvil!
Open sandwich or no sandwich (making me hungry...) open contact is not desirable. Is it the end of the world? No. In the wrong patient might it result in perio issues and recurrent caries? Yes it could over time. Monitor very closely and make sure OH is spot on. If patient is struggling then redo one restoration and nail that contact!
With regards to porosities - they will collect stain and food packing - somtimes with a very thin tip of flowable composite and high magnification you can fill in some voids...other times it's a remake and you learn a lesson and sleep better at night :)

[@zerposh]

thanx. ass always only the best!habibi

[@protrusive]

too kind thank you!

[@Foodandtravels797]

Thought going to watch a demo video on this but its a lecture😑

[@protrusive]

thanks for your feedback

[@Human21Chronicles]

tooooo much talk man

[@protrusive]

it's a podcast ✌️stay blessed

[@liliabird3160]

@@protrusiveit’s better to prepare and structure your questions and of course, talk less please😢😢

[@drannemathews1]

Too much of talking

[@naeemandalmasdentalclinics]

Can we use diamond round bur?

[@protrusive]

for which part, exactly?

[@naeemandalmasdentalclinics]

@@protrusive thanks for quick reply as always :)
I'm taking about removing interdental pappilla? We don't have thermacut bur so in that case can we do it with round diamond or carbide bur? And how to stop bleeding after that , what's best practical method ?

[@samifatayer1369]

You don't need to buy any special "BURS" just remove the diamond particle from any diamond u have using an abrasive disc. Thermacut burs basically are a regular bur without diamond particles. @@naeemandalmasdentalclinics

[@protrusive]

@@naeemandalmasdentalclinics that's quite risky for iatrogenic damage. consider a soft tissue ceramic bur if not thermacut. OR get a round diamond bur and drill off the diamonds using another diamond bur to make your own thermacut! When you use something like a thermacut, it has like a cauterising effect so bleeding stops quickly. If needed can also put viscostat clear on a cotton pellet and apply with pressure on the bleeding site