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.
https://youtu.be/ahqs_l6TJPw
Check out this full episode on YouTube
Need to Read it? Check out the Full Episode Transcript below!
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 13:11Value of Pre-wedging 18:39Dr Chris’ back to back class II restoration protocol 22:55The Bridging Gap 28:59Buccal and Lingual Coverage 38:51Tips 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)
Article on papilla managementDownload
Sectional matrix : distorted truth articleDownload
If you enjoyed this episode, you might like Which is the Best Matrix System for Class II Restorations
Click below for full episode transcript:
Opening Snippet: It can be quite hard to satisfy the wedge tests on various cavities. And sometimes it will make things sort of movable shift and things. So if I can get a really good seal, I will happily not wedge at this point, so I don't need the separation. And I'll actually secure the two matrices with some liquidam which I use a lot. A lot of my Class IIs I'll secure everything with the liquidam. So you put that in and cure it and as long you know, you can tell me if you've got the seal cervically and it's going to be secure, then you're all good to go. So then you can fill the molar...
Jaz' Introduction:Hello, Protruserati. I'm Jaz Gulati and welcome back to Protrusive Dental Podcast. Today we're talking about back to back Class II restorations, what I mean by back to back is adjacent. So we start off of Dental school trying to master the humble Class II and getting good at it and getting those nice contacts that are had to make that nice click sound when you floss through. But then when you start doing multiple and IE you're doing quadrants, then you start to realize very quickly that actually, Class IIs are not very easy at all. Class IIs are actually extremely technique sensitive. I know we've spoken before with Maciek. He's come on the podcast couple times. And so we're gonna go one step further, and talk about some of the challenges that we face when we're having adjacent Class IIs. And the inspiration for this episode was Dr. Ryan Cyriac. I hope I'm saying your name right, buddy. based in Tampa, Florida dentistry reached out on Instagram. I appreciate you, brother. Thanks so much for listening and watching. And you inspired this episode. So thanks so much. And I've got my buddy Chris O'Connor on today, who is going to do an absolutely fantastic job, I'm obviously I know you're gonna love it, the amount of gems he's gonna give you. So whether you're starting out in Class IIs, or if you're a seasoned practitioner, and you still haven't quite mastered how to, which is the best way to do Class IIs when they're back to back and you're doing quadrants, then you will gain so much value from this episode....
