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David- In response to your comments, I think indirect restorations are very acceptable if you're having to replace a lot of missing tooth structure. However, one way the direct composite case above could have been improved would be to have used a better, more updated matrix system. I never use a wood wedge for anything and the photo above demonstrates the old palodent system and clearly the contact is not ideal. A triodent matrix system would have provided a more optimal result in the above case along with a wave wedge, IMHO.
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Thanks for this article Can we use 3M universal self etch adhesive with any type of composite ( eg: tetric Evo ceram or Tetric N-ceram ) or it must be used with the 3M composite only thanks
Thanks good article Can we use 3M universal self etch adhesive with any type of composite ( eg: tetric Evo ceram or Tetric N-ceram ) or it must be used with the 3M composite onlyhanks . Good article
Good topic . Thanks Can we use 3M universal self etch adhesive with any type of composite ( eg: tetric Evo ceram or Tetric N-ceram ) or it must be used with the 3M composite only
Bojana B.
My associates continue to have issues in this area however in my 6 years I have only had one case of sensitivity. I do not use Gluma, liners or any time-consuming added steps. Here is my protocol: 1) Use plenty of water when preparing the tooth 2) Total etch 10 seconds 3) Do not over dry dentin 4) ObtiBond Solo- 20 second micro brush rub 5) Make sure no water in air-water syringe. Dissolve solvent and thin the bond gently for 5 seconds, cure 10 seconds. 6) Make sure each layer of composite is cured 20s. If you do not over heat the tooth, over dry the dentin and make sure that the solvent is evaporated and each layer of composite is cured to manufacturer instructions you will not have any issues.
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