Clinical Hints and Tips

Question 1

Fuji GIC Indications

Answer 1

Fuji II LC - sandwich (open and closed), cervical, traditional restos, aesthetic area (good translucency)

Fuji VII - fissure protection, root surfaces, endo access (pink), caries stabilisation

Fuji IX - all rounder (extra is more aesthetic than fast)

Question 2

What is the Dental Vibe injection comfort system?

Answer 2

vibrations overload the nerve that sends pain signals to brain so it isnt felt

Question 3

5 Ps of dental diagnosis

Answer 3

Pain history 
Percussion 
Perio probing 
Pulp sensibility tests 
Peri-apical radiograph

Question 4

What can pink coloured composite be used for?

Answer 4

reproducing “gingiva” for aesthetic perio cases/gingival recession

Question 5

What is Class VI defect?

Answer 5

cusp tips of posterior teeth and incisal edges w/o extending interproximally on anterior teeth

Question 6

Flowable dam material e.g. Dam Cool/flowable composite uses

Answer 6

• blocking undercuts prior to impressions (wax is the 1st choice)
• stabilising periodontally loose teeth prior to taking impressions
• stabilising matrix bands or strips (especially when there is no adjacent tooth)
• custom supplementary interproximal wedge
• temporary endo access plug
• bite reg material

Question 7

How to make custom supplementary interproximal wedge

Answer 7

1. check internal fit/adaptation of matrix to gingival floor after placing a wedge
2. before placing V-ring, use flat plastic interproximally and above the wedge to push the matrix to physically close gap
3. place small amt of flowable comp on wedge, enough to brace against the adjacent tooth while keeping the matrix snug against tooth, LC
4. test w flat plastic if the gap still appears at gingival line angle
5. Place V-ring, burnish and restore

Question 8

Cracked tooth syndrome can be difficult to diagnose and treat. What are some direct visualisation detection techniques?

Answer 8

• indirect illumination/transillumination
• microscopic examination
• staining - methylene blue, iodine, caries indicator dyes
• chewing test (cotton roll or piece of rubberdam)
• hard bite test (fracfinder, tooth sleuth)
• exploratory excavation

Question 9

Fracfinder meaning

Answer 9

• explain to patient, going to place on different parts of same tooth and I’d like you to gently close down, put pressure then release
• sharp pain on release –> cracked tooth