Beruflich Dokumente
Kultur Dokumente
Disadvantage
2. Syringe
Advantage
A convenient means for transporting the composite to the preparation Reduces possibility of trapping air Problem in small preparation with limited access Preloaded syringe Disposable needles to apply composite directly at the surface
Disadvantage
Manufacturers provides
3. Guns
Guns with ampules of composite are also available supply In various sizes and shapes Guns are used for viscous composites and syringes for flowable composites
Placement of composite
After the process of etching and bonding is completed, and matrix is stabilized ,the restoration is initiated keeping in mind the volume of the cavity The volume of the cavity will dictate the number and location of the increments and the future stress bearing areas will dictate the operator to use particular type of composite The cavity for composite is always restored in increments to reduce the effects of polymerization shrinkage Increments can be placed in variety of designs
Thickness of the increment - 1-2 mm Each increments is cured for 15-20secs(per manufacturers instructions) before placing the next increment over it A hand instrument is used to adapt the composite to the preparation after placement of each increment The light tip is kept as close to the material as possible Use of bonding agent in between the increment, is not required since partially cured increments unite of their own A few authors advocate use of bonding agent after the last increment to have the better marginal adaptibility
The preparation is filled to slight excess so that positive pressure can be applied by the matrix Before the matrix strip is closed ,any gross excess is removed with hand intrument The matrix is closed and secured ,and the composite is cured Few authors believed that partial curing of increments would lead to better adaptation of each increment. This process is known as soft start polymerization
soft-start polymerization
soft-start polymerization
The initial increments are cured for 10secs before placing the next over the previous one composite exhibited improved physical properties when cured at a low intensity and with slow polymerization vs. higher intensity and faster polymerization
Placement techniques
Incremental techniques
Three increment design Horizontal layering design Oblique layering design U-shaped layering design Vertical layering design Successive cusp buildup technique
Figure Schematic representation of wedge-shaped composite increments (1-6) used to build up the enamel proximal surface. F: Facial aspect. L: Lingual aspect.
Figure 2. Schematic representation of the flowable composite increment (1) and wedge-shaped increments (2-7) used to build up dentin;two increments (8 and 9) are used to build up enamel using the successive cusp buildup technique. F: Facial aspect. L: Lingual aspect
Polymerization shrinkage
formation of a gap between resin-based composite and the cavity wall 1.67 to 5.68 percent of the total volume postoperative sensitivity and recurrent caries bonding failure
C-factor
ratio between bonded and unbonded surfaces an increase in this ratio results in increased polymerization stress
-Three-dimensional cavity preparations (Class I) have the highest (most
unfavorable)
curing methods
soft-start polymerization