TIPS FROM OUR READERS
Alternative technique for handling indirect restorations during evaluation and cementation Nitin Jogad, BDS,a Pravinkumar G. Patil, BDS, MDS, FISOI,b Vandana Gade, BDS, MDS,c and Sanjay Patil, BDS, MDSd Inlays, onlays, and porcelain veneers are small, fragile, and prone to accidental swallowing by the patient during the evaluation or cementation procedure.1 Evaluation of restoration fit and restoration placement also are challenging tasks.2 Once these restorations are fitted into the cavity preparation, they may be difficult to remove, especially class I inlays. Some clinicians have advocated special carrying devices (Optrastick; Ivoclar Vivadent), sticky wax, or dental adhesive.3,4 An alternative technique for handling the restorations with the help of a microbrush tip and composite resin is proposed. This technique facilitates easy removal of these restorations from the prepared cavities during evaluation and cementation.
PROCEDURE 1. Obtain a microbrush (Superfine-purple; SDI Ltd). 2. Apply a packable restorative composite resin material (Tetric N-Ceram; Ivoclar Vivadent) to the tip of the microbrush (Fig. 1A). 3. Mold the composite resin around the tip of the microbrush to shape it like a bulb (Fig. 1A). 4. Attach this modified microbrush tip to the surface of the indirect restoration (Fig. 1B). It should be oriented correctly in relation to the tooth preparation. 5. Polymerize the assembly for 20 seconds (Fig. 2A). 6. Deliver the restoration (Fig. 2B). 7. Detach the handle with a lateral movement. 8. Finish and polish the restoration in the conventional manner.
Figure 1. A, Microbrush tip with packable composite resin. B, Microbrush tip with composite resin adapted on outer surface of metal inlay restoration.
a
Postgraduate student, Department of Conservative Dentistry and Endodontics, Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur, India. Senior Lecturer, School of Dentistry, International Medical University, Kuala Lumpur, Malaysia. c Professor, Department of Conservative Dentistry and Endodontics, Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur, India. d Professor, Department of Conservative Dentistry and Endodontics, Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur, India. b
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THE JOURNAL OF PROSTHETIC DENTISTRY
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Figure 2. A, Light polymerization of composite resin adapted to restoration. B, Seating of restoration with modified microbrush tip.
REFERENCES 1. Sunico-Segarra M, Segarra A, eds. Practical clinical guide to resin cements.1st ed. New York: Springer; 2015:57. 2. Summitt JB, Robbins JW, Schwartz RS, eds. Fundamental of operative dentistry: a contemporary approach. 2nd ed. Chicago: Quintessence; 2001:476-99. 3. Kursoglu P, Motro PF. An alternative method for cementing laminate restorations with a micropulse toothbrush. J Prosthet Dent 2014;112:1595-6. 4. Linden R. A simple technique for manipulating small prosthetic restorations. J Am Dent Assoc 1996;127:1378.
Jogad et al
Corresponding author: Dr Pravinkumar G. Patil International Medical University Jalan Jalil Perkasa 19 Bukit Jalil Kuala Lumpur, 57000 MALAYSIA Email: [email protected]
Copyright © 2015 by the Editorial Council for The Journal of Prosthetic Dentistry.
THE JOURNAL OF PROSTHETIC DENTISTRY
Alternative technique for handling indirect restorations during evaluation and cementation Nitin Jogad, BDS,a Pravinkumar G. Patil, BDS, MDS, FISOI,b Vandana Gade, BDS, MDS,c and Sanjay Patil, BDS, MDSd Inlays, onlays, and porcelain veneers are small, fragile, and prone to accidental swallowing by the patient during the evaluation or cementation procedure.1 Evaluation of restoration fit and restoration placement also are challenging tasks.2 Once these restorations are fitted into the cavity preparation, they may be difficult to remove, especially class I inlays. Some clinicians have advocated special carrying devices (Optrastick; Ivoclar Vivadent), sticky wax, or dental adhesive.3,4 An alternative technique for handling the restorations with the help of a microbrush tip and composite resin is proposed. This technique facilitates easy removal of these restorations from the prepared cavities during evaluation and cementation.
PROCEDURE 1. Obtain a microbrush (Superfine-purple; SDI Ltd). 2. Apply a packable restorative composite resin material (Tetric N-Ceram; Ivoclar Vivadent) to the tip of the microbrush (Fig. 1A). 3. Mold the composite resin around the tip of the microbrush to shape it like a bulb (Fig. 1A). 4. Attach this modified microbrush tip to the surface of the indirect restoration (Fig. 1B). It should be oriented correctly in relation to the tooth preparation. 5. Polymerize the assembly for 20 seconds (Fig. 2A). 6. Deliver the restoration (Fig. 2B). 7. Detach the handle with a lateral movement. 8. Finish and polish the restoration in the conventional manner.
Figure 1. A, Microbrush tip with packable composite resin. B, Microbrush tip with composite resin adapted on outer surface of metal inlay restoration.
a
Postgraduate student, Department of Conservative Dentistry and Endodontics, Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur, India. Senior Lecturer, School of Dentistry, International Medical University, Kuala Lumpur, Malaysia. c Professor, Department of Conservative Dentistry and Endodontics, Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur, India. d Professor, Department of Conservative Dentistry and Endodontics, Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur, India. b
458
THE JOURNAL OF PROSTHETIC DENTISTRY
September 2015
459
Figure 2. A, Light polymerization of composite resin adapted to restoration. B, Seating of restoration with modified microbrush tip.
REFERENCES 1. Sunico-Segarra M, Segarra A, eds. Practical clinical guide to resin cements.1st ed. New York: Springer; 2015:57. 2. Summitt JB, Robbins JW, Schwartz RS, eds. Fundamental of operative dentistry: a contemporary approach. 2nd ed. Chicago: Quintessence; 2001:476-99. 3. Kursoglu P, Motro PF. An alternative method for cementing laminate restorations with a micropulse toothbrush. J Prosthet Dent 2014;112:1595-6. 4. Linden R. A simple technique for manipulating small prosthetic restorations. J Am Dent Assoc 1996;127:1378.
Jogad et al
Corresponding author: Dr Pravinkumar G. Patil International Medical University Jalan Jalil Perkasa 19 Bukit Jalil Kuala Lumpur, 57000 MALAYSIA Email: [email protected]
Copyright © 2015 by the Editorial Council for The Journal of Prosthetic Dentistry.
THE JOURNAL OF PROSTHETIC DENTISTRY
