Complex Amalgam Restorations - 2011 Dental Updates

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Economic Impact of Amalgam • Germany, Sweden, Denmark limited use • U.S. – federal/state bills introduced • Total ban = $8.2 Billion dental expenditure increase/year • Avg restoration price would increase $52 • Quality restorative material!
Complex Amalgams: Overview • Indications • Contraindications • Pre-operative evaluation • Preparation principles • Resistance/Retention features • Matrix systems
Page 2: COMPLEX AMALGAMS Robert Langsten, C
Page 5 and 6: Complex Amalgams “Dr. Langsten ca
Page 7: Complex Amalgams
Page 11 and 12: Definition: • An amalgam restorat
Page 13 and 14: Indications: High Caries
Page 15 and 16: Indications: Foundation Restoration
Page 17 and 18: Indications: Fractured Teeth
Page 19 and 20: Indications: Medically Compromised
Page 21 and 22: Indications: Deployments/Humanitari
Page 23 and 24: Previous Failure
Page 25 and 26: Short Clinical Crowns
Page 27 and 28: Pre-Operative Evaluation • Vitali
Page 29 and 30: Transillumination
Page 31 and 32: Assess Occlusion
Page 33 and 34: Pre-Operative Records • Absolutel
Page 35 and 36: Pre-Op Records: Reference Points
Page 37 and 38: Pre-Op Records: Reference Points
Page 39 and 40: Retention: • Design features whic
Page 41 and 42: Preparation Principles: Restoration
Page 43 and 44: Weakened Fractured Cusps
Page 45 and 46: Matrix Access
Page 47 and 48: Tie In Remaining Tooth Structure
Page 49 and 50: Pins
Page 51 and 52: Pin Composition • Titanium (99.6%
Page 53 and 54: Pins: When To Use
Page 55 and 56: Pin Placement
Page 57 and 58: Pin Drivers
Page 59 and 60:
Amalgapins • First used by H. Sha
Page 61 and 62:
Amalgapins
Page 63 and 64:
Slots-Outhwaite
Page 65 and 66:
Peripheral Shelf
Page 67 and 68:
Prefabricated Posts • Very retent
Page 69 and 70:
ParaPostX System • ParaPostXP - P
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Adhesive: Advantages • Reduces ea
Page 73 and 74:
Adhesive
Page 75 and 76:
Adhesive
Page 77 and 78:
Ideal Matrix Properties
Page 79 and 80:
Toffelmire System • Most used/sec
Page 81 and 82:
Matrix: Advances
Page 83 and 84:
Supermat System • System can be h
Page 85 and 86:
Automatrix System
Page 87 and 88:
Matrix Stabilization • Wedges and
Page 90 and 91:
Wedges: New
Page 92 and 93:
Amalgam
Page 94 and 95:
Dispersalloy • Admix- 2/3 lathe c
Page 96 and 97:
Trituration • Calibrate as needed
Page 98 and 99:
Condensation: Condensaire
Page 100 and 101:
Pre-Carve Axial Contours
Page 102 and 103:
Maxillary Molar • Rounded square
Page 104 and 105:
Before Damn Removal • Verify cont
Page 106 and 107:
Finishing • For highly polished f
Page 108 and 109:
Summary • Use them because they w
Page 110 and 111:
Clinical Case
Page 112 and 113:
Clinical case
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Clinical Case
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Clinical Case
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Complex Amalgam Restorations - 2011 Dental Updates

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