July Clinician's Choice Onsert - 12

SOLUTIONS FOR
CLINICAL EXCELLENCE
Once the metal sectional matrix band was removed, the finishing and
polishing protocol started with evaluating the primary anatomy. As this
was a relatively small Class IV, the occlusal contacts were quickly checked
and adjusted as was the accuracy of the incisal edge placement. Taking the
time to smooth and blend the final layer of Evanesce A1U using ResinBlend
LV left an ideal restorative surface that was essentially ready for polishing.
The only finishing required was the mesial aspect of the restoration that was
in direct contact with the metal matrix band. This was adjusted and gently
rounded using a coarse Sof-Lex polishing disc (3M) as was the proximal
line angle until it lined up with the more cervical aspect of the natural line
angle. The adjacent tooth structure displayed some subtle surface texture.
This was easily replicated on the restoration using a coarse, round-ended,
tapered diamond applied without water and at low RPMs. This was also
effective in lobe development in addition to the textured facial surface.
Once the secondary and tertiary anatomy is carefully established, it makes
sense to use an effective and efficient polishing system that isn't aggressive.
Therefore, polishing of this Class IV consisted of the spiral Jiffy Finishing
and Polishing System. The first polisher was applied with a light touch in
a wiping motion at 8-10,000 RPMs for 30 seconds. This polisher prepares
the composite surface for the final polisher and although not desirable in
this case, is capable or removing small scratches and bur marks. The final
polisher was used in a similar manner with a slightly lighter touch for another
30 seconds. Alternatively, I also use the A.S.A.P. 2-step diamond polishing
system (Clinician's Choice) which is also ideal for quickly attaining a high
gloss finish while maintaining the desired anatomy and surface texture.
The patient was extremely pleased with the final result. (FIG. 7 and 8)
Moreover, the attention paid to blending the composite into the tooth
for an invisible restoration also created maximum retention in order
for
her
to
avoid
another
unfortunate
negative
dental
experience.
Each step of your Class IV composite protocol should add confidence and
predictability to the desired result. Adopting the starburst bevel to your
anterior composite technique increases the potential for improved retention
through strengthening of the adhesive bond. The starburst bevel is also
exceptional in its ability to optically enhance the esthetic potential of the
composite, and performs both of these without adding a step, material
or additional instrumentation. It is within our clinical and professional
purview, and in our patients' best interest, to continue to improve and adopt
techniques that lead to better clinical results. At least in this case, that can
lead to improved retention of both restoration and patient.
FIG. 7
Immediate post-op. Class IV restoration is
indistinguishable from the surrounding tooth due to
the combination of the starburst bevel design and
optimal esthetic properties of Evanesce composite.
FIG. 8
Post-operative full-face portrait view.
ResinBlend LV is a low viscosity, unfilled
wetting agent that enables enhanced
manipulation of all composites without
altering their physical or optical properties.
Max Etch has a 35% concentration of phosphoric acid,
which represents the gold standard in achieving a
consistent, micro-mechanically retentive enamel and
dentin surface for virtually all bonding procedures.
SAVE $10
ResinBlend LV 3mL Bottle................................................ $53.99 Ea
(791-0667)
Scan to
learn more
Mention promo code LPB when ordering!
BUY 3, GET 1 at no charge
(shipped with order)
Max Etch 5mL Syringe................................................ $15.79 Ea
(791-0285)
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NET $11.84 Ea

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July Clinician's Choice Onsert

Table of Contents for the Digital Edition of July Clinician's Choice Onsert