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Video Details
Successful Composite Resin Restorations - Part 2 of 2

Description:
Amalgam has been a durable successful dental restorative material; however this material has recently come under question due to its mercury content and disposal. Composite resin materials range from flowable to highly filled condensable type viscosities. There are many factors that influence the success of posterior composite resin restorations. This presentation will identify the factors that limit success (size, patient type, caries risk, shrinkage, curing light) and the materials that can be successfully used to restore posterior teeth. Beginning with flowable materials and their clinical application the presentation will discuss the open sandwich technique, use of flowable posterior restorations, sectional matrices and fluoride, calcium and phosphate releasing materials.

Date Added:
9/10/2015

Author(s):
John Burgess, DDS, MS
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Online Videos / Restorative / Composite Resin / Successful Composite Resin Restorations - Part 2 of 2




Questions & Comments
Gerald Benjamin - (9/10/2015 9:50 PM)

As a clinician who has placed all of my posterior restorations using rubber dam AND with a bulk cure technique since 1992, I feel confident in taking exception to the approach advocated in this video. 1. The prep should have all cavosurface margins beveled 2. The entire prep should be air abraded with a Danville Prep Star which is a high powered air abrasion unit 3. The prep should be bulk filled and completely carved to an ideal contour and occlusal height 4. A #2 sable brush should be used as the final carving tool to pull the resin over the cavosurface bevel (margin) so that in effect, there is no definite resin tooth margin. This means that there is no margin to stain or break down. 5. TWO high powered Ultradent curing lights should be used SIMULTANEOUSLY from the buccal and lingual to cure the resin for at least 20 seconds. Curing in this manner (bilateral transenamel illumination advocated by Paul Belvedere) controls polymerization shrinkage to the highest degree and uses shrinkage to our advantage instead of a disadvantage. The final 20 second cure is from the occlusal surface. We have 15 year restorations that show little to no marginal breakdown and no leakage down the walls. This technique results in a full and complete depth of cure.

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