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Outline-11-Resin Composite Restorations II
Outline-11-Resin Composite Restorations II
Outline-11-Resin Composite Restorations II
Advantages of Resin Composite as a Posterior Restorative Material Esthetics. Conservation of Tooth Structure: - The preparation tends to be shallower. - The preparation tends to have narrower outline form. - The preparation has rounded internal line angles. - No extension for prevention. Advantages of Resin Composite as a Posterior Restorative Material
Adhesion to Tooth Structure. Low Thermal Conductivity. Elimination of Galvanic Currents. Radiopacity. Alternative to Amalgam.
Disadvantages of Resin Composite as a Posterior Restorative Material Polymerization Shrinkage. Secondary Caries. Postoperative Sensitivity. Decreased Wear Resistance. Other Mechanical Properties: - Fracture toughness. - High degree of elastic deformation. - Coefficient of thermal expansion of composite is higher than that of tooth structure.
Water Sorption. Variable degree of cure. Inconsistent Dentin Bonding (Marginal Leakage). Technique Sensitivity. Indications of Resin Composite as a Posterior Restorative Material Esthetic should be a prime consideration. The faciolingual width of the cavity preparation should be restricted to no more than one third of the intercuspal distance and in Class II the gingival margin should be on enamel. Centric occlusal stops should be primarily on enamel. The patient should not exhibit excessive wear from clenching or grinding. The tooth should be amenable to isolation. Preventive Resin Restorations (PRR)
Limits preparation to pits and fissures that are carious. If the resultant cavity is limited to narrow and shallow opening of the fissures, a resin sealant (fissure sealant) or flowable composite is placed. If the additional tooth structure is removed, resin composite is placed in the cavity and then the remaining fissures and composite are covered by fissure sealant. Advantages of PRR Conservation of tooth structure. Enhanced esthetics. Improved seal of esthetic material to tooth structure. Minimal wear.
PRR is indicated when there is minimal or moderate carious fissures. PRR is not indicated for restorations that will occupy a large area of the occlusal surface.
Prewedging: Compensate for the thickness of the matrix band. Obtaining an adequate interproximal contact with the adjacent
tooth. Protect rubber dam and gingival tissue and reduce leakage. Protect adjacent teeth from damage during preparation. Class II Composite Preparation Limited to removal of carious tooth structure. Provide access restoration placement and finishing.
If there are more arrears of fissure caries lesions they should be treated separately if possible. Bevel placement is a a controversy issue. Class II Composite Restoration Placement of matrix and wedge. Acid etching: 35% phosphoric acid for 15 seconds and rinsed. Primer and adhesive application: light cure for 20 seconds. Placement of composite (incremental technique). Matrix Application
Clear and metal matrix band with Tofflemire retainer. Metal matrix is easier to place, retain their shape better, and can be burnished against the adjacent tooth. Matrix Application Good interproximal contact. Finishing Aluminum oxide disks. Fine diamond burs. Aluminum oxide impregnated rubber points and cups. Finishing
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