This chapter discusses the importance of pre-wedging in dental procedures, emphasizing how it helps compress the propeller and create initial separation to reduce the chance of damage. It also explores the use of wedge guards and the need for wooden wedges for proper cavity preparation. Ultimately, it highlights the importance of finding a wedge that achieves the goals of sealing and maintaining the contact profile.
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Episode notes
Mesial first? Largest cavity first? Or cure them all together?! Class II composite resin restorations (done properly) are not easy. There is a whole circus and drama involving clamps, rings, matrices and wedges! Whether you’re starting out with class IIs, or you’re a seasoned practitioner, you will gain some gems and pearls from this episode. Open your minds, ears and eyes (what’s up YouTube Protruserati!) to Dr Chris O’Connor and he will help you gain valuable tips and tricks to improve your daily restorative workflow.
The Protrusive Dental Pearl: The ‘Wedge Test’ (as inspired by Dr Chris O’Connor): Before restoring the tooth, make sure to test the size of the wedge you are using in order to make sure that the wedge is doing what it’s supposed to do, ie it’s compressing the papilla, the active part of the wedge should below the margin of the cavity, and to make sure that you are getting enough separation.
In this episode we discussed:
Challenges Dentists faced with back to back Class IIs 13:11
Value of Pre-wedging 18:39
Dr Chris’ back to back class II restoration protocol 22:55
The Bridging Gap 28:59
Buccal and Lingual Coverage 38:51
Tips on troubleshooting back to back class IIs restoration 43:38
Check out Dr Chris O’Connor’s supply company Incidental Ltd
Check out this articles as mentioned by Dr Chris O’Connor (if they do not show up on your Podcast player description then head to the main website www.protrusive.co.uk)
