More Single Tooth Isolation Anterior Composites A Townie offers colleagues a collection of impressive single tooth isolation anterior composite cases.

Transcription

1 More Single Tooth Isolation Anterior Composites A Townie offers colleagues a collection of impressive single tooth isolation anterior composite cases.» Dentaltown Message Board > Cosmetic Dentistry > Cosmetic Dentistry > More Single Tooth Isolation Anterior Composites Post: 1 & 2 of 68 Fig. 1: Nineteen-year-old with leaky resin done by her pediatric dentist after ortho. Surpass, supreme and seam-free. F ig. 1 F ig. 2 F ig. 3 Fig. 2: From the lingual. Fig. 3: Closer. F ig. 4 F ig. 5 F ig. 6 Interested in other discussions regarding similar techniques? Check out the following message boards: My Single Tooth Isolation Technique Search: Tooth Isolation Composite Mock Up of Anterior Wear Case Search: Anterior Composite Fig. 4: Showing her the decay. Fig. 5: Perfect isolation. Fig. 6: Buildup prior to any trimming. This was bonded with Surpass, layers of different supreme. C-1 B as the base, A-1 E next with the incisal GT for the translucency. Then GT translucent over the A1E as enamel layer. Fig. 8: I did take off more from the incisal after this photo. I think it came out pretty good for a hack like me. [Posted: 1/25/2012] Figs. 9-16: She is getting married next month in Key West. I told her to replace this a few years ago at her initial exam. I whitened her last month and now we are ready to bond. Fig. 7 Fig. 8 Fig. 9 Fig. 10 Fig. 11 continued on page 38 36

2 continued from page 36 Fig. 12 Fig. 13 Fig. 14 Fig. 15 Fig. 16 Fig. 17 Fig. 17: Surpass, seam-free, Filtex WB, WE and some YT how much do you all charge for this service? JAN twmdds Member Since: 02/16/04 Post: 3 of 68 Satch, I love the technique and use it all the time. Thanks for teaching. Tom JAN continued on page 40 UPCOMING COURSES October 24 Houston, TX October 31 Orange County, CA November 2 Los Angeles, CA November 7 Phoenix, AZ November 14 Chicago, IL THE HOTTEST TOPICS IN DENTISTRY! INCREASE YOUR PRODUCTION IMMEDIATELY The Absolute Best Value in Dental CE Offered Anywhere! Presented by: Louis Malcmacher DDS MAGD Course objective: Learn HANDS-ON about the most trusted and cutting edge advances in general dentistry including operative dentistry, prosthodontics, CAD-CAM, lasers, Botox and dermal fillers, esthetic dentistry, oral medicine, lowering overhead control, total case acceptance and much more! Tuition only $97 per doctor, $47 per team member, or $197 per office (doctor plus up to 4 team members) 7 AGD PACE Participation CE credits. "Dr. Louis Malcmacher is a combination of the genius of Dr. Gordon Christensen and the entertainment of the Madow Brothers. We loved the Hottest Hands-On Topics course!" Dr. Robert Fields, Van Nuys, CA 38 SIGN UP Before October 1, Limited Attendance Call Today! or visit: CommonSenseDentistry.com FREE FACTS, circle 4 on card

3 continued from page 38 Posts: 4 & 5 of 68 Fig. 18 Fig. 19 Fig. 20 Fig. 21 Fig. 22 Fig. 23 Figs : # 9 and 10 from today. I coded these. MFL, F. I charged for the facial twice. Fig. 20: #9 isolated. Fig. 22: #10 isolated. [Posted: 2/7/2012] Fig. 26: Today s rubber fun. Fig. 24 Fig. 25 Met this kid last week. Pepsi addiction. Since our conversation he has only had four cans (with meals). Figs : Prior to trimming. Fig. 29: 2, 3, 5 and 7. 8 is next. Fig. 30: Prepping #8. Still loaded with dk. Fig. 34: And his #1 with b dk... this one is for Murph... full quadrant except 4 and 6. Fig. 26 Fig. 27 Fig. 28 Fig. 29 Fig. 30 Fig. 31 Fig. 32 Fig. 33 Fig. 34 continued on page 42 40

4 continued from page 40 Raj D Member Since: 06/03/03 Post: 6 of 68 Satch, beautiful work as usual. I recently started using rd for composites after years of using it only for endo. It makes life easy! Are you allowed to bill out the same surface twice like you did on numbers 9 and 10? Thanks for posting. skuzma2dds Member Since: 08/06/07 Post: 7 of 68 deserteagle Member Since: 09/20/06 Post: 12 of 68 Post: 13 of 68 Great work and really great showcase. Certainly a great technique for longevity. Good work, Satch. Usually when I use the 212 retainer it won t stay firm. How do you stabilize the retainer? Do you put some flowable on the lingual? Fig. 35: Emergency patient lucky I have six chairs. Her son wanted mommy to try his cookie that s her story. Fig. 35 Fig. 36 Fig. 37 continued on page FREE FACTS, circle 5 on card

5 continued from page 42 Fig. 38 Fig. 39 Fig. 40 ponderosa Member Since: 08/30/07 Post: 14 of 68 Posts: 15, 17, 20 & 21 of 68 Fig. 38: I had to lock the clamp with composite buttons. Nice work, Satch. Are you using a mylar matrix and wedge for the interprox at all? Gary Not usually a wedge but occasionally the gingival interproximal area needs a mylar. I take it out as soon as I cure the composite to build up the contact and contours. [Posted: 2/8/2012] Here is an older guy with some decay on the facial of #10, with a 30-year-old crown. Since I have a rubber dam on I can now etch the porcelain with Ultradent Porcelain Etch. I hate sandblasting in the mouth... yuck. The porcelain is then treated with Apex Interface followed by surpass 2 and 3. The filling was done with Injectafil from a Centrix needle tip. Almost zero finishing was needed. continued on page FREE FACTS, circle 17 on card

6 continued from page 44 Fig. 41 Fig. 42 Fig. 43 Fig. 41: Porcelain etch on the crown. [Posted: 2/15/2012] Fig. 44: This is #7 on a case that we are doing implants on an accident to his centrals that I just posted. Someone asked if I ever needed a mylar. Deep decay like this for the gingival area. Then remove the mylar as in the picture after the mylar one. Fig. 45: Mylar in place. Fig. 44 Fig. 45 Fig. 46 Fig. 47 Fig. 48 Fig. 49 Fig. 46: Mylar removed. Figs : Lingual view before trimming. Fig. 49: The tissue between 7 and 8 is bad because we just pulled #8 and grafted him last week. Cantilever pontic off of a fractured # 9. See my other thread about the trampoline. [Posted: 2/20/2012] Figs : This guy is a contractor. He lost his balance while installing a toilet and kissed it. Not kidding. That s his story. Fig. 50 Fig. 51 Fig. 52 Fig. 53 Fig. 54 Fig. 55 continued on page 48 46

7 continued from page 46 Fig. 56 Fig. 57 Fig. 58 Fig. 55: Prior to bonding with surpass. FEB mling Member Since: 11/20/08 What s your technique for getting such nice contacts? Post: 22 of 68 FEB Post: 23 of 68 I just build the composite against the thin and stretched r.d. The contact is as long as I make it. Very different than a contact made with a mylar. It s more like the contact you get with plumbers tape. FEB mling Member Since: 11/20/08 Post: 24 of 68 Posts: 25, 28 & 31 of 68 So you stretch the dam thin, place your composite, shape it and cure it, all while holding the dam tight? Sorry, no. I don t need to hold the dam after it is stretched over the tooth. It is very thin. You just need to practice free-hand sculpting. [Posted: 2/28/2012] Crazy I keep getting these wrap around lesions FEB Fig. 59 Fig. 60 Fig. 61 Fig. 62 Fig. 63 Fig. 64 Fig. 59: Another Pepsi please. Fig. 60: This shot is for Dino Fig. 61: This is #7 as you can see #6 and 8 are prepped. Fig. 62: #7 finished not trimmed. Fig. 63: Building the contact for #8. As usual surpass, seam-free and Filtek Ultra. Fig. 64: #6 isolated. Out the door a happy girl! continued on page 50 48

8 continued from page 48 [Posted: 2/29/2012] Figs : I did this kid s right side a couple of weeks ago decay on 9, 10, 11, 12, 14 and a rotted wizzy. Fig. 65 Fig. 66 Fig. 67 Fig. 68 Fig. 69 Fig. 70 Fig. 71 Fig. 72 Fig. 73 newdoc7 Member Since: 09/03/06 Post: 32 of 68 Post: 33 of 68 Fig. 67: # 9 with a 9 clamp. Fig. 68: 9 unfinished. Fig. 69: #7 with a 212. Fig. 71: #11 loaded with sub g decay. Fig. 72: #11 with a 9 clamp. Fig. 73: And #16 with its goober. Nice! Are you placing the rubber dam after you prep? Thanks. Yes, otherwise I would tear the dam. I prep with a split dam in the posterior. FEB FEB FEB » Find it online at: search Single Tooth Isolation 50