Week 12 PP

Question 1

Pre-Op Instructions for Restorative Procedure

Answer 1

1. The procedures location in the mouth
2. What type of restorative material will be used
3. Anesthetic will be placed
4. Approx how long the procedure will be
5. What to expect throughout the procedure

Question 2

Basic instruments required for Composite

Answer 2

Mirror
Explorer
Spoon
PFI
Ball burnisher - for matrix band
Finishing Knife (Posterior or Anterior)

If Mechanical retention required:
Handcutting instruments - angle former, margin trimmers
Inverted cone bur

Question 2

Burs used for Composite

Answer 2

Both Finishing burs (gold - football & flame shaped is interproximal)
Enhance Point (white triangular/cup - polishing at end in slowspeed handpiece)
Straight Fissure Bur
Round Bur

Question 3

Acid Etch for Composite

Answer 3

Etch entire inner surface of cavity preparation for 15 seconds, HVE suction off the bulk of the acid etch, rinse throughly for 15 seconds, dry lightly

Question 4

Primer for Composite

Answer 4

Apply primer to the entire preparation surface or 15 seconds and dry gently for 5 seconds (no Activator needed) No curing light

Question 5

Adhesive for Composite instructions

Answer 5

Apply adhesive to entire prep, light cure for 10 seconds (no catalyst required)

Question 6

Flowable Composite instructions

Answer 6

-To ensure that any potentional void, bubble, undercut is filled
-A thin layer is placed over the entire floor of the cavity preparation
-Explorer is used to smooth out any air bubbles
-Light cure for 20 seconds

Question 7

Composite instructions

Answer 7

-Composite capsule goes into gun
-Placed in increments using the condser end of the PFI instrument (for posterior fillings)
-Light cured for 20 seconds

-Ensure you have gauze in your hand to wipe excess composite off of PFI **

Question 8

What to do once matrix is removed for Composite?

Answer 8

Final cure must be done to ensure that everything is cured - especially interproximally

Question 9

Composite Finishing Instruments

Answer 9

-Anterior gold carving knife
-Posterior gold carving knife
-Football or flame finishing bur
-Finishing Strip
-Finishing or polishing point or cup
-Finishing or polishing disks with mandrels (course disk to fine disk)
-Composite polishing paste or luster paste (not here at SAIT)

Question 10

Post Operative Instructions for Composite

Answer 10

Anesthetic -how long it will last, tissues involved (dont poke, bite), foods and beverage to avoid

Tissues - do warm salt water rinse if gums feel sore

Filling - eat & drink as normal after the freezing wears off (filling is completely set), if the bite feels off after freezing wears off, call the office

Tooth may be sensitive to hot or cold for a few days . If the sensitivity gets worse - call the office

Shade maybe off for the next 2-3 hours as the tooth is dehydrated

Composite fillings are slightly porous and can become stained over time by coffee, tea, or tobacco. Usually these stains can be removed during the dental cleaning.

Show the patient the restoration with a hand mirror and ask if they have any questions or concerns.