Class II Composite Restoration: The Quest for Morphological Replication
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- เผยแพร่เมื่อ 5 พ.ค. 2018
- This video is about attempting to replicate the anatomical and morphological aspects of teeth with composite resin. A large Class II is restored showing the wall lobe technique, finishing, and polishing. Please check out our LATEST ADEX REVIEW COURSE.
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Class II Composite Restoration: The Quest for Morphological Replication
#StevensonDentalSolutions #compositerestoration #class2
Thanks for watching! - ภาพยนตร์และแอนิเมชัน
Your idea of forming the proximal wall first and then removing the retainer band is brilliant. You end up with a tight contact and much less finishing to do. Wish I had thought of this while I was still in practice!👍👍👍
Thank you Doc - I adapted this from many others before me. Can't take credit.
I’m watching your guides from Europe, thank you very much Dr. Stevenson.
Great - thank you for your support. Dr. Stevenson
Hi Dr Stevenson,
Thanks for the very helpful and excellent videos,please kindly post a video for class IV composite,I really need tips and tricks to do it faster and better.
Thanks
Best anatomy i’ve ever seen, thankyou
Thank you!
you are so great!!
thank you , you are a great dentist
Very kind of you, thanks!
So nice
J'adore!
Merci!
Thank u for very nice work please post amalgam and class 4 composite 🙏kindly
All your videos are great 👍🏻 really appreciate . 😊I was wondering if you could make videos about Composite and Amalgam cusp build up.
Thanks in advance.
Will do! It's on my production schedule...Best, Dr. S
Will do - stay tuned!
Stevenson Dental Solutions Awsome👍🏻 you are the best.. I like your channel,It’s a great help for dental students and dentists🤞🏻
Does anyone know or can suggest a great way to learn the morphology and cusps?
Nice video. I have been try to replicate anatomy and have not succeeded yet. How do you get rid off all the excess resin without damaging the accessment tooth? In exam we are not allowed to touch more than 0.5mm of healthy enamel
This is so helpful! Would you be able to demonstrate a composite restoration on a mandibular molar? Also I always get voids or indents near the gingival margin, how can I fix that? If I use a wedge that is too large it ruins my contour, but if the interproximal space is large, a smaller wedge won’t seal the gingival floor :(
Thank you - yes, I will. Try a wooden wedge and shape it with your bur to a custom size...
Hi Dr. Stevenson, thanks for your videos, they’re so helpful! Can you please make a video using Permite regular set Amalgam. The setting time is about 9 mins. I would love to see how you manage it. It’s used here in Canada for our exams and we only get a hollenback, cleoid-discoid and CVIPC for carving.
Permite, okay. I will look into that.
Hi Dr Stevenson, Happy Holidays. two questions>. when you use a scalpel to remove flash are you going in the direction from tooth to restoration or the opposite
and after you place your composite following all the occlusal contours and check it with articulating paper, if you have a high spot, are you using a rotary bur to adjust
or something else.
Thank you.
Hi Doc - I tri to move the scalpel perpendicular to the margin when possible - seems to come off well and leave the interface even. I use a 74040 or 7102 carbide, then follow-up with sequential cups and Featherlite's at the end. Usually not much is required.
Thank you for the great questions.
Hi Dr. Stevenson, firstly thank you for your videos! I was wondering how plausible and time efficient is it to replicate this type of ideal anatomy/morphology on real patients? I've seen diamond burs used to refine anatomy on other TH-cam videos which I feel could be a lot more time efficient and easier. Respectfully asking as a first year dental student with little knowledge.
Yes - this is entirely possible. Using diamonds to shape anatomy leaves a polishing challenge which is difficult to complete well. Also, the layering technique mitigates contraction stresses and preserves better long term bonds and less post-op sensitivity. When executed with efficiency, I have found that the time it takes to place the lobes is saved in the amount of polishing required. Thank you!
@@StevensonDentalSolutions Thank you for your explanation Dr. Stevenson! I've preferred the layering technique in sim clinic with minimal bur use and will continue to work to reach that efficiency. Excited for the journey ahead! Thank you again 👍
Awesome - you are on the path!
Thanks
My pleasure
i love your videos
"Form Facilitates Function which in term Preserves Form" It's actually best to match the adjacent natural tooth anatomy because these adjacent teeth are suggesting a successful occlusal anatomical pattern. Flat teeth have less efficient chewing and tend to squeak when they rub against each other.
Beautiful anatomy Dr Stevenson. But only question was when it was mentioned to etch and apply surface sealant step. I have placed composite restorations often when I was practicing and also finishing them by applying a layer of bonding agent as surface sealant as well as give a smooth texture to reduce plaque adherence. But I'm not sure why do we need to etch the completed restoration one more time? Because it won't be serving the purpose of etching (i.e. creating micropores on the surface of enamel and dentin to help forming resin tags) And if etching does improve the results, how long should we etch?
Thanks a lot for spreading the information! :)
OptiGaurd: 10 second etch, apply the surface sealant, air thin, then light cure for 20 seconds. Shown to reduce micro leakage and fill the micro cracks left during finishing, improving wear resistance. These materials are unfilled resins, specifically designed for this purpose and will not discolor like HEMA containing materials. The etch cleans the surface and etches any exposed (un-etched) enamel that might have occurred during finishing. Thank you!
ya dont use bonding agent. it picks up stains like no other
@@StevensonDentalSolutions I am giving Canadian Dental Board Exam. I love the way you work. I only wonder that if we use optiguard 10 surface sealant in last stage which also you applied beyond composite, which might leave excess on tooth after cure. How to overcome this problem? Thanks
@@Tesla_Power007 Clean up the excess as best you can - and try to limit inly to composite.
Should bonding agent be applied after each increament?. kindly reply.thanks in advance
No - this can weaken the overall strength - use Modeling Resin (Bisco)
Hey - I want to ask for a name for the Surface sealant - which one would you recommend ? thx appreciate it.
OptiGuard (Kerr)
@@StevensonDentalSolutions Thank you :)
@@tezcatlipoca6336 You are welcome
What is basic difference between class 1 and class 2?
Is it class 1 is inner surface of tooth and class 2 for edge surface of tooth?
Class II is the interproximal surfaces, between the teeth, slightly below the contact area. The dentist must access the decay from the top surface by creating a box. Class I are cavities that occur in the pits and fissures of all teeth - usually on posterior teeth on the chewing (occlusal) surface. Thank you for your questions!
@@StevensonDentalSolutions understood Thank you for answering 😃.
I just got 12 hours back pulp capping with class 2 restoration in bottom right third molar it was painful while tooth cutting but now it's ok..
Doctor said after you go home, it will pain you a lot for many days but I didn't felt any pain.
So does my pulp capping is successful and that composite filing could last 5-6 years if I brush normally and chew carefully 🤔?
Hi Dr, thx for this video, what do you mean by "etch and apply dental sealant ? "
Special Surface sealants, like OptiGuard [www.kerrdental.com/kerr-totalcare/optiguard-sealants-applicators] have been used to create a not more wear resistance and surface defect management.
Hello Dr. S.! Could you please tell why did you put dentine bonding agent over completed composite restoration?
I was just using this in lieu of water to highlight the anatomy - otherwise, I would use a surface compote sealer, like OptiGuard or BisCover. Good to decrease wear a little and fill micro-cracks.
Why do you need an proximal box?
Decay is present interproximally with class II caries and a box is the typical approach. The shape of the box may vary based on the caries with composite restorations.
Вагаб иди помойся
Thank you