Class II Composite Preparation & Restoration | Operative Dentistry
In this video, we look at preparation, matrix assembly, adhesive application, as well as placing, contouring, finishing, and polishing a Class II composite restoration. Full credit and rights of ownership for this video go to Aldridge D. Wilder, DDS. This video cannot be copied or reproduced without permission.
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Music: "Crinoline Dreams" by Kevin MacLeod
Пікірлер: 105
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After a restoration I was curious what my dentist had to do to accomplish the repair. From a patients perspective, I appreciate the artistry involved with this type of procedure. Thank you for the incredibly informative video. In another life I might have enjoyed doing this kind of work/ I applaud you dedication to the art.
I am watching this for the nth time.Still mesmerising!
ur videos are very much underrated, this was beyond perfect, learned alot, thank u so much
wow. we're usually short for time during pratical sessions, but with enough time taken, i hope mine will look like this
@mentaldental
3 жыл бұрын
Yes, you can do it!
I must confess it, i adore your videos so much The way you speak and explain, how the video plays harmoniously with your speech, it all takes my heart ♥ all respect
such a delight to eyes... excellent work sir
Very well done...thank you.
And after this check for occlusion and destroy everything you have created 😂
@angus860
2 ай бұрын
Ahhaaah, too real.
Wow! Thank you.
Thank you so much for this catchy video!! I love it so much ❤
Very informative
these are SO helpful !
@jimdwight558
4 жыл бұрын
If you want to know more about Composite fillings, check out the below video. It has great info. Hope it will help 😃 👍 👍 kzread.info/dash/bejne/c6h1wZaeYdnckZc.html
fantastic
I am from India my doctor really done it same as thanks a lot
Channel #1 on youtube by far
Amazing video :)
GREAT VIDEO!!!!
@mentaldental
3 жыл бұрын
Glad you enjoyed it!
What RPM speed is best used with the composite bur for the contouring step?
Amazing ❤️❤️
@mentaldental
4 жыл бұрын
Thank you!
Thanx❤
It is even more challenging if you do that inside a patient's mouth.
@cruzzo260
3 жыл бұрын
Yup.. plus with a nervous patient 😅
@__SalmeeraJoseph__
2 жыл бұрын
Yes
@jontaikarachi3557
2 жыл бұрын
Do your best
@omar619kamis
8 ай бұрын
In reality you don't do half of this stuff in patient mouth, u just do the filling some light polishing that's it no need for extra
@DrPlus-uu1yx
7 ай бұрын
That's why Dental surgeons are legends with careful hands, 😊
beautiful
At what speed are you removing excess with the football shaped carbide bur and are you working dry the entire time? thank you.
Can we use Ash 6 , explorer, Carver, burnisher and condenser that used in amalgam , use it in composite restoration for anterior and
Thank you
@mentaldental
11 ай бұрын
You're welcome!
Hello. Thank you so much for the videos. Really helpful. Wanted to know that if I go for the student package, am I gonna access the same videos that you have on your KZread channel or some extra ones?
@mentaldental
4 жыл бұрын
All of my videos are free to watch right here on KZread! Some viewers choose to donate and help support my endeavors and receive perks like PDF access to video slides for my NBDE Part 2 videos.
Helpful one
@mentaldental
Жыл бұрын
Glad to hear that! 😊
wonderful - once you found your personal way to create such a beauty - You also can reduce the number of different tools you need. if it looks like a tooth and is functional like a tooth.... it became a tooth.
Thank you for the video! I just learned class 2 prep and restoration at my school and I’m amazed at how little composite excess there is at the margin. Do you have any tips regarding minimizing the excess at the margin or using #12 blade?
@mentaldental
3 жыл бұрын
I have two tips for that. First, make sure you have gingival clearance with your preparation so that you are able to seat the bottom of your matrix below the gingival margin. Second, spend the time making sure your matrix and wedge are placed exceptionally well. This will minimize the need for interproximal finishing later!
@nidhipriya2208
2 жыл бұрын
@@mentaldental so well said
can you do a restoration according to the wreb guidelines please and thank you
What are instrument name whish used in Trimming proximal edge? And the instrument which looks like lancet in finishing proximal restauration?
Wow!
Wich instrument do you use at the start of contouring? I need that
What bur was used for the preparation?
1:32 why we do retention grooves? i mean we didn’t need mechanical retention with composite
How long does it usually take to do one filling?
I'm curious why you did not use a slow speed round burr on the dentin. Was the lesion not deep enough to fully penetrate the enamel and effect the dentin?
@mentaldental
3 жыл бұрын
The slow speed round bur does not cut well on these lab simulation teeth, hence why it was omitted.
I'm a dental student. Can you name the spatulas you used? I can not find the middle one.
IAM PROUD TO BE A DENTAL SURGEON AT SATHYABAMA UNIVERSITY DENTAL COLLEGE AND HOSPITAL FROM OUR SRIHER FAMILY ❤❤❤❤❤❤❤❤❤
Amazing video ! Can you please do a class II amalgam and PFM prep ? It will be very helpful to prepare for a bench test.
@mentaldental
4 жыл бұрын
I can definitely work on videos like this for the future!
Nice.vedeo
Hello Dr. Ryan, I keep getting voids in my proximal box. Do you recommend doing a shell/marginal ridge first to convert class 2 into class 1 or just pack the composite incrementally with the shell? Thank you!
@mentaldental
11 ай бұрын
Great question. I always built up the marginal ridge one increment at a time first to convert a Class II into Class I. Some people also use the “sandwich” technique where they fill the base of the box with flowable, and then build up the rest with packable.
What part of explorer is the “tine” 6:20
Nice to
ممتاز
Tq sirr ckas2 amalgam molar ozzzzzz
Can we have class 2 Amalgam and other crown preps also
@mentaldental
4 жыл бұрын
Definitely!
@Ramyasasi
4 жыл бұрын
Mental Dental thank you
Isn't the C factor compromised with this technique?
👍
Can I repost your video to my APP, I will indicate the author
My school keeps making us do Fiji liner LC which is only to be applied to dentine surfaces... i have so much problem to keep enamel walls clean esp at the contact point. This one uses adhesive/unfilled resin which i was also asked to use or flowable resin, but it is to fill up the margins. Am I able to not use liner? Because i know RMGIC is needed to protect the dentine because CR may cause some inflammatory directly. Also RMGIC has fluoride release which help remin affected dentine. I’m just desperate to find a way to do better for my next clinic session... if anyone has some tips please lmk thank you..
@user-zz7tk4yr4d
3 жыл бұрын
Well a lot of dental schools do teach to put a liner of GIC. This is not so wrong after all , but you need to think about your case. If you have a deep caries it is a good idea to put some liner ( Ca(OH)2 ,) and than continue with the rest of the restoration. If you find it hard to keep the enamel clean you can first put your GIC/liner and than renew your margins with burr, after that you begin your adhesive protocol and finish the restoration.
@mitochondrion97
3 жыл бұрын
Петър Василев thank you! I’ve been doing that recently(: also I realise applying liner with a dycal applicator helps a lot.
what is the goal of adding proximal retention grooves?
@mentaldental
3 жыл бұрын
Proximal retention grooves provide secondary retention to help resist proximal displacement of the restorative material. To be honest, most clinicians today will not place them in a Class II composite preparation as long as they can achieve a good marginal seal and a strong adhesive bond.
@toothcarpentery
3 жыл бұрын
Retention grooves in a class II composite are not necessary. Composite restorations are very technique sensitive, relying on proper bonding protocol only for retention. If a composite filling is being held in place due to retention grooves and there is poor bonding,, especially at the margins, that filling is going to easily get recurrent decay. Nice video, though!
What composite are you using here?
@mentaldental
3 жыл бұрын
3M Filtek Supreme Ultra Universal Restorative.
Do dentists still use Amalgam? i really don't know, cause in Russia noone does.
@angelicafoster670
4 жыл бұрын
Yes.
@christ2551
4 жыл бұрын
Oh
@ypherrist2792
4 жыл бұрын
Patients often can't afford the good stuff in developing countries. Dentists are pressed to use traditional Amalgam.
@everyday8422
4 жыл бұрын
@@ypherrist2792 didn't know. Thank you
@ypherrist2792
4 жыл бұрын
@@everyday8422 Spasiba :)
What is the purpose of retention grooves, dove tail, etc. When using composite dentistry? Mechanical retention isn't needed for composite and surely isn't valued over conservative tooth preparation since we are dealing with adhesive dentistry i.e. natural tooth structure is to be retained as much as possible and we should only be getting rid of the carious lesions to preserve sound tooth structure
@mentaldental
3 жыл бұрын
Interesting question! I would disagree with the premise that "mechanical retention isn't needed for composite." There is a wealth of data showing that while the adhesive bond to enamel is incredibly strong, the adhesive bond to dentin is not nearly as predictable. Therefore, there is some value in having mechanical retention via convergent preparation walls and secondary retention features where possible. A conservative preparation should always be the priority, but making a groove that is a fraction of a millimeter deep is not going to violate this principle. Retention grooves may not significantly improve shear bond strength, but it has been shown to improve resistance to displacement among other mechanical properties.
@nkrypto4377
3 жыл бұрын
@@mentaldental Absolutely agree.
@saragaied4100
2 жыл бұрын
What is the instrument used in proximal finishing and look like lancet shape? And also the two instrument name whish used in trimming proximal edge?
Don't we have to apply adhesive again and again after each layer of composite??? Anyone reply
@mariamal-balushi9811
2 жыл бұрын
No need
@fahimahmad8167
2 жыл бұрын
@@mariamal-balushi9811 okay...thank you Mariam😊
what the type of this ring ???
@ypherrist2792
4 жыл бұрын
Sectional Matrix System. Never used it yet. More expensive than regular Tofflemire.
@theardentacademic5601
3 жыл бұрын
@@ypherrist2792 We use them in our clinic, very nice for MODs and recreating contact in large spaces where you have to burnish out pretty far. In most normal circumstances a tofflemire or omni-matrix is just as good, though.
@ypherrist2792
3 жыл бұрын
@@theardentacademic5601 Thank You for your input. Hoping to move to an urban area where patients can pay for better treatment.
10th May 10005 (recorded)
Who’s here because they’re getting a filling?😁
@kennedyntommy
3 жыл бұрын
cracked a tooth today need a composite filling want to see what im in for
Patient would say Bad doctor..he spent too much time to do one filling Only the dentists will appreciate this work
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Sure, it’s easy on a fake tooth without actual DECAY. LOL
I dont believe of class fillings...crown the tooth is the best.GazaPalestine
@ypherrist2792
4 жыл бұрын
Would that not be an invasive procedure (Crown cutting) where a less invasive (Restoration)could be applied? God bless Gaza.