Class II Composite Restoration using a dental microscope – Boca Raton, Florida 3/3

This video series reviews the class II composite restoration procedure using a rubber dam. I demonstrated the replacement of an old amalgam filling with composite resin using the incremental layering technique. GC

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16 Responses to “Class II Composite Restoration using a dental microscope – Boca Raton, Florida 3/3”

  1. Yes, don’t forget to remove the cordat the end. The sickle scaler or small explorer usually takes care of its removal. Thanks for watching!!~GC

  2. Hi, Great video and technique. Just a little note which I didn’t see on the video, is to make sure the retraction cord is removed after the procedure. I guess it will be picked up by the sickle as you are cleaning off the excess bond anyway. Good job, will give it a go at work later.

  3. Zeiss, Global, and Seiler microscopes all have video options. I don’t think they have dentists promoting their products on the restoratiive side in dental schools. I use a Leica microscope on everything from cosmetic to implant work. I am teaching pre-dental undergraduate students how to use it and they love it!!! They just came out with the light weighted HD dental microscope. Keep in touch. ~GC

  4. I’ve seen a couple of specialized Detists with Zeizz microscopes, the imaging of the Zeizz is amazing. This is why I used it on my photography/video work. Hope to see more posting of your work on here.

  5. Thank you for watching. Microscope dentists make up such a low percentage of restorative dentists.  I am now introducing the microscope to undergraduate pre-dental students in a hands-on course called “Intro to Dentistry.” Todays tech-savy students seem to embrase the scope very well and understand it’s advantages over the widely used dental loupe. Check out my Facebook photos of FAU Pre-Dental students. ~GC

  6. Very nice video Dr., thanks for sharing your expert work. I’ve often wondered what using a microscope is like.

  7. Thanks for the quick answer. I’m going to try burnish the contact zone of the matrix band and see how that works out.

    Is there any breakage risk of the proximal wall when you begin that way? The few restorations I’ve done I’ve always started from the floor working my way up to the top using zig-zag layering. But your way seems neater though no teacher has told me to start with the wall.

  8. It is correct. You must use dental floss to check a contact area on a class II restoration. I suggest reading the previous comment-answer I placed two weeks ago. ~GC

  9. Thank you for commenting! The key to obtaining a good contact area is to place the wood wedge into the interproximal embrasure area of the box prior to preparation. This will orthodontically move the tooth slightly and also protect the gingival tissue near the CEJ where you’ll be dropping the box. After the prep is finished, try to use a matrix band system similar to Triodent and Garrison Dental. Firmly place the wedge to stabilize the band, seal the gingival floor, and separate the tooth.GC

  10. Thanks for the video.

    Will it be possible to get a flossing thread in between the distal approximal surface (where the matrix band was)? Im a dental student in Scandinavia and my teacher told me that when I do restoration, i should be able to get a thread in between. I have no idea if thats correct. What are your thoughts?

    Thanks in advance

  11. Thank you for your quick response and suggestions. I will keep practicing and watching your videos :)

  12. Hi there. First of all, right after anesthetic, place a wedge in the proximal box area prior to tooth preparation. This will start minor tooth movement and help protect the ginigval tissue from bur trauma. Secondly, use a matrix system from Garrison Dental or Ultradent. They have great contoured bands, tooth separators, and wedges. Finally, don’t forget to burnish the contact zone of your matrix band to the adjacent tooth contact. Use a ball burnisher or flat instrument. Keep practicing ~GC

  13. Thanks for commenting. First of all, I would place a wedge prior to tooth preparation. This step will separate the adjacent tooth and block the gingiva from bur trauma. Secondly, I would use a good band system like “composi-tight” from Garrison Dental or Triodent’s from Ultradent. The separating ring and full contour matrix band will give you the contours that are neccessary. Don’t forget to burnish the matrix band against the adjacent tooth and check for good gingival seal.Keep practicing~GC

  14. Hi I’m a expended Dental assistant and i have trouble getting a good contact in our office we use Matrix bands .. any suggestions. Thank you !!

  15. You are very welcome! It’s my pleasure and commitment to helping! GC

  16. good video for starting dental students :) thanks