10 TIPS on Posterior direct restoration in daily flow
Few rules and 10 TIPS for posterior and anterior direct restorations must be followed, as these restorations are a very big part of our everyday routine, here are some knowledge and tricks for reaching the correct result and keep it in time. Let’s take a look at them.
TIP #1: use the wooden wedges to protect the rubber dam while cleaning the caries otherwise you will probably break it using the burs on the cervical step, and you will need to change it before the bonding procedures
TIP #2: it could happen that, after removing the wedges, a little bleeding occurs as in distal 24 mesial 25. Pay attention to wash properly to disinfect and to control the wetness before putting in place the matrix and the new wedges
TIP #3: clean the dentin with glycine and disinfect it with clorexidine at 2%
TIP#5: use a selective etching procedure and a universal (8th generation) adhesive in a self etching mode, for the bonding procedures.
TIP#6: before removing the matrix apply a little of flow between the dentine and the interproximal wall you’ve done previously, otherwise you risk to remove the wall while pulling the matrix.
TIP#7: use a flow on the adhesive to have a better conversion of the adhesive itself and to counteract the C Factor, before start layering the packable composite
The horizontal one is easier to perform, but keep in mind that what you have to reach is a good result, nothing else, and you can get it with each and every layering technique.
TIP#8: use an easy modeling technique, no need of reproducing something that in nature doesn’t exist. The essential is more than enough.
TIP #9: use a multiblade bur on composite instead of a diamond one for finishing, it’ll be gentler and it won’t damage the enamel while you are finishing your restorations
TIP #10: use a supercharged diamond paste to polish your restorations, only one is sufficient. Use it with a brush or with the spirals
In modern restorative dentistry it is quite easy to work clean and to perform with good results, even if you are not a “pro”. Use the rubber dam from the start, clean all the decayed tissue, leaving any on the bottom of the cavity, properly finish the enamel, clean and disinfect the dentin, use a modern adhesive in a self etch way. No flights of fancy, no time to lose, no 1000 layers of composite, but a few steps and rules to follow, and… have fun working!
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