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

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More Single Tooth Isolation

Anterior Composites

A Townie offers colleagues a collection of impressive single tooth isolation anterior composite cases.

Fig. 1: Nineteen-year-old with leaky resin done by her pediatric dentist after ortho. Surpass, supreme and seam-free.

Fig. 2: From the lingual.

Fig. 3: Closer.

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.

satchdds Member Since: 04/19/02 Post: 1 & 2 of 68

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Dentaltown Message Board > Cosmetic Dentistry > Cosmetic Dentistry > More Single Tooth Isolation Anterior Composites _▼

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continued on page 38

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Fig. 17: Surpass, seam-free, Filtex WB, WE and some YT… how much do you all charge for this service? ■

Satch, I love the technique and use it all the time. Thanks for teaching. ■ Tom

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JAN 12 2012 JAN 25 2012 twmdds Member Since: 02/16/04 Post: 3 of 68 continued on page 40

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Figs. 18-19: # 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.

Met this kid last week. Pepsi addiction. Since our conversation he has only had four cans (with meals).

Figs. 27-28: 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.■

satchdds Member Since: 04/19/02

Posts: 4 & 5 of 68

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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 sur-face twice like you did on numbers 9 and 10? Thanks for posting. ■

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.

Raj D Member Since: 06/03/03 Post: 6 of 68 FEB 7 2012 skuzma2dds Member Since: 08/06/07 Post: 7 of 68 FEB 7 2012 deserteagle Member Since: 09/20/06 Post: 12 of 68 FEB 7 2012 satchdds Member Since: 04/19/02 Post: 13 of 68

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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 fol-lowed by surpass 2 and 3. The filling was done with Injectafil from a Centrix needle tip. Almost zero finishing was needed.

ponderosa Member Since: 08/30/07 Post: 14 of 68 satchdds Member Since: 04/19/02 Posts: 15, 17, 20 & 21 of 68

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FEB 7 2012

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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 gin-gival area. Then remove the mylar as in the picture after the mylar one.

Fig. 45: Mylar in place.

Fig. 46: Mylar removed.

Figs. 47-48: 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. 50-54: This guy is a contractor. He lost his balance while installing a toilet and kissed it. Not kidding. That’s his story.

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Fig. 55: Prior to bonding with surpass. ■

What’s your technique for getting such nice contacts? ■

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. ■

So you stretch the dam thin, place your composite, shape it and cure it, all while hold-ing 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…

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!

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FEB 20 2012 mling Member Since: 11/20/08 Post: 22 of 68 FEB 20 2012 satchdds Member Since: 04/19/02 Post: 23 of 68 FEB 21 2012 FEB 21 2012 mling Member Since: 11/20/08 Post: 24 of 68 satchdds Member Since: 04/19/02 Posts: 25, 28 & 31 of 68 continued on page 50

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[Posted: 2/29/2012]

Figs. 65-66: I did this kid’s right side a couple of weeks ago… decay on 9, 10, 11, 12, 14 and a rotted wizzy.

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. ■