3 Placing Composite Restorations
Chapter 3:
3.1 Fill the Box Using a Tofflemire Band
3.2 Shaping the Occlusion Using a Tofflemire Band #14 MO
3.3 Shaping the Occlusion Using a Tofflemire Band #30 DO
3.4 Polishing and Contouring Composite Restorations
3.1 Fill the Box Using a Tofflemire Band
This video demonstrates filling the box with composite for a shallow class two typodont prep using a tofflemire band as retention. No flowable or layering are used but a short description and rationale for different techniques are described. Here a first molar is used but the same technique is applicable for any shallow tooth prep.
3.2 Shaping the Occlusion Using a Tofflemire Band #14 MO
This video demonstrates filling the remainder of a class two typodont prep. Anatomy is placed on a maxillary first molar primarily using a tofflemire band, tinbrdilly, shoshan, mini-greg and discoid cleoid. It includes techniques for clearing flash, shaping embrasures, and marginal ridge height. Also there are additional explanations of common anatomy terms and tools used plus a demonstration of relieving a tight contact.
3.3 Shaping the Occlusion Using a Tofflemire Band #30 DO
This video demonstrates filling the remainder of a class two typodont prep. Anatomy is placed on a mandibular first molar primarily using a tofflemire band, tinbrdilly, shoshan, mini-greg and discoid cleoid. It includes techniques for clearing flash, shaping embrasures, and marginal ridge height. Also there are additional explanations of common anatomy terms and tools used.
3.4 Polishing and Contouring Composite Restorations
Brief description of common tools used for finishing and polishing composite restorations followed by a demonstration using the Enhance system to polish and recontour a typodont tooth.
3.5 Transcripts
Video Transcript: 3.1 Fill the box using a tofflemire band
There are many techniques for placing composite restorations. The one a clinician uses is determined by tooth location, size and depth of the prep as well as personal preference. Large preps may require a steeped technique or base liner like flowable or glass ionomer. This is done to reduce shrinkage, cusp deflection, microleakage, and post-operative sensitivity.
This video will demonstrate a 2 step application for small preps, using a toflimer
First examine the prep.
When placing composite on real teeth etch, prime, bond, and cure the tooth according to product instructions first
Place the composite applicator tip in the deepest part of the prep and dispense approximately 2mm of material.
Wipe up the side of the prep so not to pull the material out
Here’s another view
Compress composite with a light touch making sure to fill all corners of the box
Failure to adapt the material to all surfaces of the tooth will create voids which can cause post-operative sensitivity and recurrent decay
Do not use your amalgam plugger. It has serrations that will catch and pull the composite.
Instead, use a tmbrdilly or composite plugger and wip