On the first day of my D3 fall semester I entered axium to check the different cases that were assigned to me by the school. After reviewing all of the charts, I decided to start with a case that had been recently treatment planned and treated but now required a prophylaxis. This seemed like a manageable case for me to work on as my first in the restorative department. I reviewed the radiographs and realized that they were over 6 months old and not entirely diagnostic. I knew that any faculty member that I worked with would require up to date, diagnostic radiographs. Upon reviewing the radiographs, I found that not only were there no restorations placed in mouth, but that she had 9 carious lesions present. My first lesson was to never take anyone else’s work or treatment plan at face value. It is important to do your own due diligence. After completing my …show more content…
The methacrylate based, light cured, unfilled resin is perfect for filling small voids in the restoration. It gives the restoration a great seal which prevents any future leakage or failure. Before placing Permaseal, the restoration must be etched using the same phosphoric acid used earlier. After placing a thin layer, it is polymerized using the curing light and finally polished. The other two occlusal preps were similarly restored. Because all 3 preps had enough normal dentin thickness over the pulp tissue, the need for a liner or a base was not necessary in any of the restorations.
The final and maybe most important part of the entire process includes checking the occlusion of each restoration using articulating paper. A high restoration could lead to fracture/failure or the restoration and/or pain on mastication. Once confirmed to be normal, the patient is given proper home instructions which include not eating anything for the next 2 hours. The patient can then finally be