How to Place Posterior Composites without Destroying Your Anatomy - PDP200
Case description
POV: You spend a fortune on a composite anatomy course and are excited to implement on Monday morning. However, every time you apply those concepts, you end up drilling it away because it’s proud in the occlusion! It essentially now looks like a tooth coloured version of the amalgam you just removed! Your nurse’s eyes are like pools of fire - that’s half her lunch break gone. This happens a few more times until you realise that you’re missing a trick… Enter this podcast to save your career! ;)
Dr Jaz Gulati and Dr Mahmoud Ibrahim (IG:@drmoidental) will teach you how to radically minimize adjustments on your daily restorations.
Key Takeaways:
Always check the patient's occlusion before starting any restoration.
Utilize shim stock to ensure accurate occlusal contacts post-restoration.
Pre-op visual checks are crucial for successful composite placement.
Don't compromise on the anatomy of the restoration for aesthetics.
Use thinner articulating paper for more precise occlusal markings.
Communicate effectively with your dental nurse about new protocols.
Involve your senses to assess the quality of your restorations.
Document occlusal marks pre and post-restoration for reference.
Adjustments should be minimal if pre-op checks are thorough.
Educate patients about their occlusion to manage expectations.
Highlights of this Episode:
0:00 Introduction
05:24 Introduction - Dr Mahmoud Ibrahim
08:42 Posterior Composite
14:15 Shim Stock Foil
16:35 Effects of Numbing on Occlusion
18:23 Lower First Molar Example
22:06 Shim Stock revisited
26:22 Lateral Excursions
30:32 Fissure Staining?
31:56 Old Restoration as a Guide
35:33 Restoration Techniques and Adjustments
38:03 Tips and Tricks
43:28 Event Discussion
45:09 The Importance of Marginal Ridges
46:25 Anatomy or aNOTomy?
48:17 Post-Op Checklist: Final Adjustments and Polishing Tips
54:19 Wrapping Up: Using Your Senses in Dentistry
56:43 Outro
This episode is eligible for 1 CE credit via the Protrusive Guidance App. https://protrusive. co.uk/ultimate
This episode meets GDC Outcomes A and C.
AGD Code: 250 Operative (Restorative) Dentistry (Direct restorations)
Dentists will be able to:
1. Evaluate and manage occlusion during posterior composite restorations, ensuring that patient bite and interdigitation are maintained post-procedure.
2. Effectively use shim stock foil and articulating paper to achieve precise contact points and occlusal balance, minimizing the need for post-restoration adjustments.
3. Apply practical techniques, such as using occlusal stamps and soft flex discs, to streamline posterior composite restorations while improving the durability and aesthetics of the final result.
If you liked this episode, check out: IC046 - 4 Ways and 6 Great Reasons to Document Your Dentistry: https://protrusive. co.uk/IC046
2 Day Live Occlusion Course: https://courses.iasortho. com/courses/gb/occlusion
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