Mikhail Composite Flashcards
If all margins are in dentin, you want to use
Glass ionomer
Advantages of composite
Esthetics
Easy prep
Conservation of tooth structure
Composite contraindications
Inadequate moisture control
Heavy occlusal load
Large prep/posterior
Resin matrix molecules
Bis-GMA
TEGMA
Universal composites
Nanohybrids
Nanofill
Bulk fill concerns
Depth of cure
Shrinkage
Proximal contact
Steps (6)
Examine margins Select shade Isolation (dam and bands Etch 37% phosphoric acid for 15s. rinse dry Adhesive Composite
Total etch vs vs self etch
Total: Remove smear layer
Self etch: smear layers become part of hybrid layer
Resistance form
Flat floor
Walls parallel to forces
Remove undermined enamel
Rounded internal line angle
Direct composite advantage
Esthetics
Low conductance
Tooth conservation
Bound to tooth structure
Direct composite disadvantages
Time
Technique sensitive
Shrinkage
Wear resistance
Erosion shape
Saucer
Abrasion shape
V
For non cavitated carious lesions look for
Translucent enamel
Color change in dentin
Method of detecting caries using light
transillumination