1. Restorative Dentistry

2. RESTORATIVE DENTISTRY

3. Caries

4. RESTORATIVE DENTISTRY Caries Streptococcus mutans

5. RESTORATIVE DENTISTRY Caries Streptococcus mutans

6. RESTORATIVE DENTISTRY Caries Streptococcus mutans

7. RESTORATIVE DENTISTRY Caries Streptococcus mutans You need to know this guy really well

8. RESTORATIVE DENTISTRY Caries G.V. Black

9. RESTORATIVE DENTISTRY Caries Class I Class II Class III Class IV Class V Class VI Pits and fissures Proximal sides of posterior teeth Proximal sides of anterior teeth Proximal and incisal of anterior teeth Gum line facial or lingual Cusps of posterior teeth

10. Restoring lost tooth structure Most common Options: –Gold –Amalgam –Composite

11. Gold restoration

12. Amalgam vs. Composite

13. Advantages of Amalgam Ease of placement-tolerates slight moisture Good durability No shrinkage (expansion) Easy to establish proximal contacts Low post operative sensitivity

14. Disadvantages of Amalgam Poor color match Expansion No bond to tooth structure No early strength

15. Advantages of composite Early strength Beautiful color match Bonds to tooth structure

16. Disadvantages to composite Very moisture sensitive Post-operative sensitivity Leakage in the proximal box Difficult to establish proximal contact More steps

17. Steps we follow in placing a composite restoration –Moisture control-Rubber dam, parotid blockers, assistants –Complete decay removal-Caries detection dies –Disinfect the preparation-Glumma, hurriseal –Prepare the surface-Self etching primers –Contact closure-bi-tine rings and contoured matrix bands –Build the box and floor first and cure –Build out the remaining, cure in layers –Shaping -Raptor bur sets. –Checking the occlusion – Polishing-gold knife

18. Proper isolation

19. Changing an amalgam for composite

20. Preparation

21. Opening the contact

22. Banding for good contacts

23. Band in place

24. Preparing the surface

25. Dispensing disinfectant

26. Dispensing self etching primer

27. Dispensing bond

28. Applying disinfectant

29. Disinfectant to preparation, wait 10 seconds then dry

30. Self etching primer

31. Self etching primer to preparation, wait 20 seconds then dry vigorously

32. New brush and bond

33. Bond to the preparation, lightly dry and cure

34. Curing light

35. Curing the bond

36. Composite, gun, and placement instrument

37. Small amount to the proximal box

38. Condensed, less than 1 mm thick and cure 20 seconds

39. Fill the remainder of the preparation, cure 20 seconds then remove bands with hemostat

40. Shaping and polishing

42. Raptor burs to shape the anatomy

43. Final restoration

57. Indirect restoration

58. Gold crown

59. Porcelain vs. PFM crowns

60. All ceramic crowns

65. Cerec Crown

66. Veneers

67. Matching the shade

68. Accurate impressions

69. Common errors Inaccurate impressions Inadequate reduction Incorrect margin design

70. Full Dentures

71. Proper diagnosis

72. Accurate impressions

73. Anatomical landmarks

74. Denture fabrication

75. Denture impression

80. New technologies Valplast Implant supported dentures New types of denture teeth