Forums Laser Treatment Tips and Techniques Hard Tissue Procedures How to do a Class I, the easy way, I think!

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  • #11568 Reply

    2thlaser
    Spectator

    Oh, and I forgot, when I get into dentin, I usually keep the air/water the same, but power down to 2.5-3.0 W. That keeps the sesitivity down a great deal. Sometimes I might reduce the air/water, but not usually.
    Mark

    #11576 Reply

    Glenn van As
    Spectator

    Just wanted to show a very easy case of how to do marks technique for occlusals on a patient.

    Settings were 25 Hz and 240 mj , water on 600 micron tip ( could have used 400 but all mine were broken)

    First pass buccal enamel rods on groove.

    Second pass linqual enamel rods on groove,

    Third pass central groove.

    Used no etch bond ( J. Moritas one up bond F) to appease some here who hate to see phosphoric acid.

    Used a new anterior spherical material Palfique A2 even though it was a premolar as it was in low function.

    No polishing or adjustment done, all anatomy placed in with small felt instrument and optiquard placed. No polishing at all done.

    Gotta go, simple case but still a case…..NO??

    Glenn

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    #11569 Reply

    2thlaser
    Spectator

    Very very nice Glenn….simple, BUT that is what microdentistry is all about, and the laser is perfect for these applications. Again, the angulations of the tip to the enamel rods are so important to the speed of using the laser, you show that real well here. Thanks for showing what you do so often, we are so blessed to have you on this board Glenn.
    Sincerely,
    Mark

    #11573 Reply

    ASI
    Spectator

    Hi Glenn,

    Great documentation again.

    But greater to see you back on the forum.

    Andrew

    #11564 Reply

    whitertth
    Spectator

    Nice demo and nice restoration…. Do u routinely use that composite material…….Once again great stuff…I have been a little lazy posting lately but I will get back to it soon Regards to all..

    #11577 Reply

    Glenn van As
    Spectator

    Hi guys: Here are the answers to your questions I hope

    Mark , thanks , the scope is easy for documentation as I can just click away at will. Choose the best pics and save them in a patients folder. I now have a great remote on the camera and I am pretty happy with the results.

    Andrew, thanks my friend for the comments. Its a simple case but all the same the pictures are able to add a level of understanding I think to any case that is shown. At times, there are things I wish I would do differently but there is always something positive to learn from any case.

    Ron, thanks for the kind words. I am doing some work for Morita and chose to try that material out for this small posterior restoration. Palfique is intended for anterior situations but in this small occlusal and with her occlusion, there wasnt any contact.

    I thought I would try it to see how it looked. It is spherical in particle shape and this supposedly allows it to be more translucent to the colors of the adjacent tooth structure. It is an ok material, I wonder how it compares to other nanocomposites and say Filtek supreme which are somewhat similar.

    JUst posted the case to show you Marks technique. There was obviously no anesthetic used here as it was around 3 mm deep. Usually with phosphoric acid I can tell whether it was into the dentin or not (doesnt etch) but with the non etch bond, I cant tell.

    In closing , I want to add that there is nothing wrong with constructive criticism on any case, its healthy to discuss alternative viewpoints. Its been the strength of the this forum, but it has always been my philosophy that if you want to throw rocks dont do so from glass houses.

    Please feel free to post your cases here so we can learn from their strengths as well.

    I think pictures are worth a thousand words, and I am fond of saying that magnified pictures are then worth 10,000 words……..

    I do hope that many of you feel the same way.

    Cheers

    Glenn

    #11559 Reply

    dkimmel
    Spectator

    Glenn all I see is a whitish cast to the prep?? What happened to the brown spots that I always get?? smile.gif
    Again great post.

    I am not getting a scope DAvid.

    #11578 Reply

    Glenn van As
    Spectator

    Hi David…….do you honestly get brown spots when you prep or are you teasing me??

    If you are getting brown spots then the suction might be too close or you arent getting enough water on it.

    If you are teasing me , thats ok too!!

    Grin

    Glenn

    #11562 Reply

    dkimmel
    Spectator

    Just busting your chops!!! smile.gif
    DAvid

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