Optimizing Composite Fillings and Matrix Systems in Posterior Restorations
The chapter delves into techniques for optimizing composite fillings, emphasizing the importance of depth of cavity, layering, and proper tooth preparation before placing a rubber dam in posterior composites. It discusses the challenges of claustrophobic class two restorations and the benefits of using different matrix systems like polydensia or garrison. The chapter also covers the nuances of enamel etching, selective bonding, and the risks of over-drying dentin during dental procedures.
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Episode notes
Is this the death of composite layering and the tedious cusp-by-cusp build up? This episode might just change how you place posterior composites for good!
I know so many of us have reservations about bulk fill composites – when I was exposed to the Fast Modelling technique in 2016 I had too many doubts. All those doubts were cleared in this 90 minute episode – grab your onions Protruserati!
Joined by Dr. Ahmed Tadfi, we explored this innovative approach that promises increased efficiency without compromising on quality. We delve into the details of the fast modeling or the ‘Espresso’ technique, its benefits, and how it can transform your practice. Whether you’re seeking greater efficiency or curious about new techniques, this is your guide to elevating your posterior composite restorations
Protrusive Dental Pearl: Composite does not like to be dragged – consider using composite brushes or a cutting action, as opposed to a dragging action, especially if using the Fast Modelling Bulk Technique.
Highlights of this episode: 04:26 Protrusive Dental Pearl – Composite Handling 06:07 Protrusive Guidance Platform 09:24 The Journey of Dr. Ahmed Tadfi 17:44 Ahmed’s Struggle with Posterior Composites 27:46 Help Save Nafisa’s Life 30:03 Evolution of Espresso Technique 31:30 Importance of Proper Cavity Design 33:01 Step 1 – Pre-Operative and Caries Removal 40:03 Step 2 – Pre-Wedging, Matrixing, and Final Clean 46:04 Step 3 – Etch and Bond 58:51 Step 4 – Final Adhesive Layer 01:01:21 Step 5 – Managing Marginal Ridge 01:08:18 Step 6 – Restoration Process 01:15:00 Clarifying Use of Microbrush to close the fissures 01:16:02 Step 7 – Restoration Process Continued 01:19:03 Step 8 – Glycerine Application and Polishing 01:21:07 Step 9 – Occlusion Check 01:24:56 Learn more from Ahmed Tadfi 01:28:02 Ahmed’s Advice about Implementing the Technique
Join the Nicest and Geekiest Community of Dentists in the World: Protrusive Guidance – we will be able to comment and discuss on this episode and share more with each other that way. The clinical papers and Composite recommendations have been shared there.
Please do donate to Smiles for Nafisa – we are almost there to saving her life – this will be HUGE for our community to help one of our own!
