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
https://youtu.be/YXJ6oW6qUKU
Watch PDP177 on YouTube
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.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:04:26 Protrusive Dental Pearl - Composite Handling06:07 Protrusive Guidance Platform09:24 The Journey of Dr. Ahmed Tadfi17:44 Ahmed’s Struggle with Posterior Composites27:46 Help Save Nafisa's Life30:03 Evolution of Espresso Technique31:30 Importance of Proper Cavity Design33:01 Step 1 - Pre-Operative and Caries Removal40:03 Step 2 - Pre-Wedging, Matrixing, and Final Clean 46:04 Step 3 - Etch and Bond58:51 Step 4 - Final Adhesive Layer01:01:21 Step 5 - Managing Marginal Ridge01:08:18 Step 6 - Restoration Process01:15:00 Clarifying Use of Microbrush to close the fissures01:16:02 Step 7 - Restoration Process Continued01:19:03 Step 8 - Glycerine Application and Polishing01:21:07 Step 9 - Occlusion Check01:24:56 Learn more from Ahmed Tadfi01:28:02 Ahmed’s Advice about Implementing the Technique
Check out Dr Tadfi's Composite Artistry courses
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!
If you loved this episode be sure to check out Composite Veneers vs Edge Bonding – Biomimetic Dentistry with George The Dentist – PDP075
Click below for full episode transcript:
Jaz's Introduction: How are you placing your posterior composites? Are you doing like me? Are you doing cusp by cusp? Or have you discovered another technique? Well, I'm going to start by giving you a warning, Protruserati. This episode may completely change the way you place your posterior composites. I'm talking here bread and butter daily restorative dentistry.
Jaz's IntroductionIt might just completely foundationally change it to the core. And of course it's got to be for the better. So the technique that we talk about today, the fast modeling technique or the fast modeling bulk technique, this could be an absolute game changer for you in your practice. I know I have internalized it and thanks to our chat with Ahmed Tadfi today, even now I myself am changing the way I place my posterior composites.
Because although I enjoy the cusp to cusp and getting the nice anatomy, it's something I was taught on course many, many years ago, and I've just been doing it, and I'm in a good flow. I just feel that the efficiency can be a bit lacking. Doing two millimeter increments, use something called the snow plow technique, which Ahmed also uses, so I'll let him explain that in the middle of the episode.
And whilst I'm happy with how my composites look, and thankfully post op sensitivity is not an issue in my hands. So for me to change,
