Retraction Cords and Preps - Subgingival Dentistry with Lincoln Harris - PDP124
Dr. Lincoln Harris is back with another gem-packed episode all about the dark and bloody world of Subgingival Dentistry
Lincoln LIVE in London 1st October 2022: destress.dental/
Download the infographic on my Facebook Community: / protrusive
RipeGlobal Fellowship: ripeglobal.net/20596/62113
0:00 Introduction
3:33 Protrusive pearl regarding inverting/tucking the rubber dam
6:40 Deep Subgingival Caries cases
11:42 Deep Subgingival Caries Protocol
22:42 Which Retraction Cords to Use
25:10 Retraction cord protocol on Silicone Impression
30:50 Retraction cord protocol on Digital Scanners
31:48 Teflon as Retractor
35:53 Isolation of Class V restorations
42:02 Place of rubberdam on class V restorations
Join us to see Lincoln Harris LIVE in London for a full-day keynote lecture from Class 1 Composite to Complicated crown preps. destress.dental
🎙 Full-Length Blog Post of the Podcast Interview only on www.protrusive.co.uk/124
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Пікірлер: 25
Thank You Jaz...this is awesome!!
Like this new format with tips displayed on the side in written form Jaz!
@protrusive
Жыл бұрын
much appreciated- it takes a lot of effort from the team 🙏
What a treat !
it was realy an intresting epi. thanks bro
That was fantastic!!
@protrusive
2 жыл бұрын
you're fantastic! thank you for watching
awesome ! loved every bit!
@protrusive
7 ай бұрын
Linc is straight talking!
this is what real volunteer means😍😍😍
Awesome lecture Jaz. Do we need to remove the cords before impression ?
@protrusive
Жыл бұрын
thanks! for impressions usually yes - you want a nice fat sulcus recorded by the imp that will cast predictably. For digital - depends if the scanner can capture the margin or not.
Rough cut the prep slightly supra-gingival. Don't touch the gums. Pack 2 cords. Now do the decay/old filling removal and build-up while the cords are sitting. Finish the prep. Turn the water off at the end to "smooth" the prep, especially margin. You will rarely get bleeding if you pack your cords early.
@protrusive
Жыл бұрын
brilliant thanks for your contribution!
can you post the link to the teflon video/lecture you were talking about?
@protrusive
Жыл бұрын
instagram.com/reel/ChniWNBKCS2/?igshid=YmMyMTA2M2Y=
Papillophiles 😂😂 I think Lincoln should copyright this word and every time someone uses it should pay a small amount to Lincoln! I love the guy! Thanks Jaz for bringing him🙏
@protrusive
Жыл бұрын
haha that part was funny - thanks Dem!
Should I prep my tooth to the 000 retraction cord? Make it slightly subgingival
@protrusive
Жыл бұрын
Hi Amit! It depends. If I am working anteriorly, and it's a dark tooth and I WANT the crown to be a little subgingival, then yes, after the gross prep equigingival I will add cord. By adding the cord, the prep is now SUPRAGINGIVAL. I then prep this to make this equigingival to the cord - which in turn means the crown will sit subgingival. Will also allow you to grab more ferrule. Only time I would do this posteriorly would be when trying to grab more ferrule. Does that help?
@amitpatel5
Жыл бұрын
I’m playing around with this technique to ensure predictable gingival margins with my veneers and crowns? Do you get issues with biological width violation? Inflammation/ recession etc
@protrusive
Жыл бұрын
@@amitpatel5 yes for anterior veneers I do use this technique to help hide the veneer join sometimes - as long as I'm still on enamel ideally. I think with the amount of retraction you get with 000 you would be displacing the sulcus and not really the junctional epithelium or connective tissue, so I don't worry about breaching the BW this way. I am happy to be corrected by a Periodontist who thinks otherwise! Smooth margins/no excess cement is super important
ahhahahah, say pain!!!
@protrusive
Жыл бұрын
PAIN!! 😂
A lot to say, but he says nothing....thumbs down