Complex Amalgam Restorations - 2011 Dental Updates

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COMPLEX AMALGAMS Robert Langsten, Col, USAF, DC Commander, Offutt AFB, NE Former AF Delegate to the ADA
Page 4 and 5: COMPLEX AMALGAMS
Page 6 and 7: Why Complex Amalgams? • Because t
Page 8 and 9: Economic Impact of Amalgam • Germ
Page 10 and 11: Complex Amalgams: Overview • Wedg
Page 12 and 13: Indications • High caries pts •
Page 14 and 15: Indications: Restoration Fracture
Page 16 and 17: Do It Right
Page 18 and 19: Indications: Compromised Perio/Endo
Page 20 and 21: Cost
Page 22 and 23: Contraindications…. Not Many •
Page 24 and 25: Heavy Occlusion
Page 26 and 27: Sensitivity
Page 28 and 29: Pre-Operative Evaluation
Page 30 and 31: Cracked Tooth Syndrome
Page 32 and 33: Indicator Dyes: Caries/Fractures
Page 34 and 35: Pre-Operative Records
Page 36 and 37: Pre-Op Records
Page 38 and 39: Preparation Principles: • Ensure
Page 40 and 41: Resistance: • Design features whi
Page 42 and 43: Remove Old Restoration
Page 44 and 45: Reduce Cusps
Page 46 and 47: Steps and Floors
Page 48 and 49: Retention /Resistance Features •
Page 50 and 51: Pin Placement…..Confidence
Page 52 and 53:
Pin And Drill Sizes Color Gold Silv
Page 54 and 55:
2mm 2mm 2 m m 2 m m 2mm
Page 56 and 57:
Drills
Page 58 and 59:
Concentricity And Run-Out
Page 60 and 61:
Amalgapins • Parallel to external
Page 62 and 63:
Boxes and Walls
Page 64 and 65:
Peripheral Shelf
Page 66 and 67:
Ideal Post • Equal to crown • 2
Page 68 and 69:
Posts
Page 70 and 71:
Adhesives: 2 Types • Resin-lined:
Page 72 and 73:
Adhesive: Disadvantages • Bonds t
Page 74 and 75:
Adhesive
Page 76 and 77:
The Matrix • Critical to final re
Page 78 and 79:
Matrix Systems
Page 80 and 81:
Amalgam Matrix Choices • Tofflemi
Page 82 and 83:
T-Bands • Used primarily one deci
Page 84 and 85:
Automatrix System • Best for comp
Page 86 and 87:
Denovo System • Multiple sizes
Page 88:
Wedges: Traditional Premier Wizard
Page 91 and 92:
Root Flutes and Concavities
Page 93 and 94:
ADA Specification # 1 • ADA spec#
Page 95 and 96:
Tytin • Spherical alloy 20-40 um
Page 97 and 98:
Condensation • Use adequate press
Page 99 and 100:
Condensation
Page 101 and 102:
Carving: KNOW ANATOMY!
Page 103 and 104:
Mandibular Molar • Rounded rectan
Page 105 and 106:
After Damn Removal • Occlusion, O
Page 107 and 108:
Finishing
Page 109 and 110:
Questions ???
Page 111 and 112:
Clinical case
Page 113 and 114:
Clinical case
Page 115 and 116:
Clinical Case
Page 117:
Clinical Case
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Complex Amalgam Restorations - 2011 Dental Updates

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