Professional Documents
Culture Documents
Class I II Comp
Class I II Comp
Restorative Materials
Amalgam
Composite
Lesion-Specific Restoration
vs
Lesion-Specific
Contraindications
Unable
technique sensitive
Lesion-Specific Restoration
Cavity Preparation
PRINCIPLE
RATIONALE
Conservation of tooth
structure
Viscous composite
material will not adapt
well into rough or
irregular surface
Lesion-Specific Restoration
Cavity Preparation
PRINCIPLE
RATIONALE
Lesion-Specific Restoration
Cavity Preparation
RATIONALE
PRINCIPLE
lesions (diagnosis
of lesions)
Use of an appropriate
bur (about the size of the
lesion) to gain access to
the lesion through the
groove/pit
Remove lesion and loose
enamel
Dentin
Once
demineralization
reach the DEJ, it
begins spreading
laterally
- limited
usefulness except for
deep lesions
Explorer - limited
usefulness (wedging
effect)
Visual - primary
diagnostic tool
Enamel
DEJ
Dentin
Enamel
DEJ
Dentin
Enamel
DEJ
Dentin
Pre-Op
Preparation
lesion
Approach lesion from the marginal ridge
Penetrate, find and remove caries lesion with
#245 bur on a high speed handpiece - handpiece
parallel to the long axis of the tooth
Remove loose enamel
Examine buccal and lingual proximal walls to
ensure complete removal of caries
Proximal
caries
lesion is usually
located lingual and
gingival to the
proximal contact
Matrix
.0015 or .0010
toffelmire band
(ho-band)
Matrix
Toffelmire
matrix system
matrix systems
- Dr.
Hildebrandts manual
pp. 3.C.24
Burnish
Finishing/Polishing
Techniques
Finishing burs
Needle shape finishing bur (7902) for bulk removal of
excess composite at the embrasures (buccal, lingual
and occlusal)
Egg shape finishing bur (7404) for creating occlusal
anatomy and adjusting occlusal contact
#12 Bard-Parker blade for removing gingival overhang
and excesses at the buccal and lingual embrasures
Soflex disks for final finishing and polishing at the
embrasures (buccal, occlusal, lingual)
Enhance/PoGo composite finishing system (occlusal
surface)
Enhance/PoGo Composite
Finishing System
Soflex Disks
Paper backed; thicker series
#7902 finishing bur for gross removal of excesses on bu, li and occl
embrasures
2-3 Knife
Contour 1-2
Removal of lesion
Finished Preparation
Toffelmire Matrix
Total Etching
Final Restoration
Wear
Should not be a great concern with the latest
generation of composites. Most hybrid composite
should has a wear rate of less than 10 micron per
year
Secondary caries
Due to incomplete polymerization or lack of adhesion
at the gingival margin
Use of the proper adhesive technique and the
incremental placement method should minimize the
problem
Post-operative sensitivity
Most common reasons:
Polymerization shrinkage
Incomplete polymerization
Bond failure
Polymerization shrinkage
Material characteristic, out of our control
Incomplete polymerization
1/2 mm first layer
Bond failure
Follow the proper adhesive technique
Laboratory exercise