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5 Restorative

O'Leary Plaque Index: percentage of Surfaces w/ plaque present, divided by Total number of surfaces present

Caries risk assessment form

DMFS (Decayed, Missing, Filled, Surfaces): there are 5 surfaces on posterior teeth, and 4 surfaces on anterior teeth (doesn't count incisal). D includes carious or restored, M is extracted, F is caries filled or defectively filled for caries but not decayed. The total count is 128 (not inc 8's) or 148 surfaces (inc 8's)

ICDAS (International Caries Detection and Assessment System):

• (Ball burnisher)
• (Flat plastic)
• Curing light, w/ Curing shield


Tofflemire:


Automatrix:


V-ring:

Fuji 9 restoration:

• Dentin conditioner
• Press, click twice, Amalgamation
• Fuji 9 restoration via Fuji gun
• Articulating paper

Fuji 7 or 2 restoration:

• Fuji 7 or 2 restoration via Fuji gun
• Curing light, w/ Curing shield
• Articulating paper

Type 1:
• Etch
• Fissure sealant

Type 2:
• Dentin conditioner
• Fuji 9

Composite strip crown


LA for

Upper teeth

Short needle
Anesthesia of any individual tooth or soft tissue in a localised area of the maxillary dentition

Short needle
Anesthesia of all upper molar teeth, w/ exception of the MB root of 6 in some cases

Short needle
Anesthesia of upper PM teeth or MB root of 6, although not always present

Long needle
Anesthesia of incisors and canine and soft tissue on buccal aspect. For Pt's who don't have MSA nerve, it may also innervate premolar teeth and MB root of 6

Long needle
Anesthesia of palatal aspect of upper PM and molars, targeting area just anterior to greater palatine canal

Short needle
Anesthesia of nasopalatine nerves bilaterally, via deposition in area of incisive foramen, for anesthesia of lingual aspect of multiple anterior teeth

Short needle
Anesthesia of palatal of 1-2 teeth

Both upper and lower teeth

Short needle
Useful adjunct to supraperiosteal injection or nerve block, to achieve profound anesthesia of area individual tooth or teeth, or soft tissue in immediate vicinity to be Tx

Short needle
Useful adjunct to other maxillary techniques, although not often used in clinical practice, offers added advantage of hemostasis in area of injection

Lower teeth

Long needle
Most commonly used mandibular anesthesia, when multiple teeth in 1 quadrant require Tx, however has high failure rate, targeting mandibular nerve as it travels along medial aspect of ramus before entry into mandibular foramen

Long needle
Useful adjunct to IAN when manipulation of B soft tissue in lower molar region indicated, targeting buccal nerve as it passes over anterior aspect of ramus

Long needle
Useful alternative to IAN block often used when IAN fails to provide adequate anesthesia

Short needle
Mental nerve block for anesthesia for manipulation of B soft tissue anterior to mental foramen necessary. Incisive nerve block not as frequently used in clinical practice, when Tx limited to lower anterior teeth and full quadrant anesthesia not required

Pulp protection

• Light-cured RMGIC
• 1 level scoop of powder w/ 1 drop of liquid until mix is homogeneous
• Apply as thin coat / Liner
• LIght cure for 30 seconds

• Calcium hydroxide Self-cured
• Mix equal quantities of base and catalyst until mix is homogeneous
• Wait 2-4 mins to set

Dental adhesives

• 2-step self-etch, light-cured
• Apply primer, scrub surface w/ brushing motion for 20s
• Air thin for 5s w/ medium air pressure
• Apply adhesive w/ light brushing motion for 15s
• Air thin for 5s
• Light cure for 10s

Restorative

Premise (Kerr Corporation)


Estelite Sigma Quick (Tokuyama Dental America Inc)


Dental adhesives

• Light cure for 20 seconds
• Activate (shape capsule, push the plunger until flush w/ main body, place into GC capsule applier and click once)
• Mix in amalgamator for 10 seconds

Dentin conditioner (GC)

• 10% polyacrylic acid solution
• Conditioner for GI or RMGIC
• Apply w/ cotton pellet for 20 s
• Rinse w/ water
• Dry w/o complete desiccation

Fuji 2 Light Cure (GC)

• Light-cured RMGIC
• Working time 3m 15s

Fuji 9 (GC)

• GIC
• Working time 2 mins

Fuji 9 Extra (GC)

• GIC
• Sets FASTER than Fuji 9 normal, so working time <2 mins

Fuji 7 (GC)

• GIC
• Pink, so only provisional restorations
• Working time 1m 40s

Fuji Coat (GC)

• Varnish for protection of GIC, Light-cured
• Apply w/ cotton pellet or brush
• Light-cure for 10s

• Flowable resin composite Light-cured
• Pit and fissure sealants
Autoprac: Medical Practice Management Software


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