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Restorative Dentistry

Restorative Dentistry. RESTORATIVE DENTISTRY. RESTORATIVE DENTISTRY. Caries. RESTORATIVE DENTISTRY. Caries Streptococcus mutans. RESTORATIVE DENTISTRY. Caries Streptococcus mutans. RESTORATIVE DENTISTRY. Caries Streptococcus mutans. RESTORATIVE DENTISTRY. Caries Streptococcus mutans

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Restorative Dentistry

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  1. Restorative Dentistry

  2. RESTORATIVE DENTISTRY

  3. RESTORATIVE DENTISTRY • Caries

  4. RESTORATIVE DENTISTRY • Caries • Streptococcus mutans

  5. RESTORATIVE DENTISTRY • Caries • Streptococcus mutans

  6. RESTORATIVE DENTISTRY • Caries • Streptococcus mutans

  7. RESTORATIVE DENTISTRY • Caries • Streptococcus mutans • You need to know this guy really well

  8. RESTORATIVE DENTISTRY • Caries • G.V. Black

  9. RESTORATIVE DENTISTRY • Caries Class I Class II Class III Class IV Class V Class VI Pits and fissures Proximal sides of posterior teeth Proximal sides of anterior teeth Proximal and incisal of anterior teeth Gum line facial or lingual Cusps of posterior teeth

  10. Restoring lost tooth structure • Most common Options: • Gold • Amalgam • Composite

  11. Gold restoration

  12. Amalgam vs. Composite

  13. Advantages of Amalgam • Ease of placement-tolerates slight moisture • Good durability • No shrinkage (expansion) • Easy to establish proximal contacts • Low post operative sensitivity

  14. Disadvantages of Amalgam • Poor color match • Expansion • No bond to tooth structure • No early strength

  15. Advantages of composite • Early strength • Beautiful color match • Bonds to tooth structure

  16. Disadvantages to composite • Very moisture sensitive • Post-operative sensitivity • Leakage in the proximal box • Difficult to establish proximal contact • More steps

  17. Steps we follow in placing a composite restoration • Moisture control-Rubber dam, parotid blockers, assistants • Complete decay removal-Caries detection dies • Disinfect the preparation-Glumma, hurriseal • Prepare the surface-Self etching primers • Contact closure-bi-tine rings and contoured matrix bands • Build the box and floor first and cure • Build out the remaining, cure in layers • Shaping -Raptor bur sets. • Checking the occlusion • Polishing-gold knife

  18. Proper isolation

  19. Changing an amalgam for composite

  20. Preparation

  21. Opening the contact

  22. Banding for good contacts

  23. Band in place

  24. Preparing the surface

  25. Dispensing disinfectant

  26. Dispensing self etching primer

  27. Dispensing bond

  28. Applying disinfectant

  29. Disinfectant to preparation, wait 10 seconds then dry

  30. Self etching primer

  31. Self etching primer to preparation, wait 20 seconds then dry vigorously

  32. New brush and bond

  33. Bond to the preparation, lightly dry and cure

  34. Curing light

  35. Curing the bond

  36. Composite, gun, and placement instrument

  37. Small amount to the proximal box

  38. Condensed, less than 1 mm thick and cure 20 seconds

  39. Fill the remainder of the preparation, cure 20 seconds then remove bands with hemostat

  40. Shaping and polishing

  41. Raptor burs to shape the anatomy

  42. Final restoration

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