Composit application

Simple Guide to start

Rubber dam isolation

Rubber dam Young Punch perforating Components

sheets with frames forceps holes of
different the clamps
colors
Rubber dam isolation

Clamps gingival Clamp

most retractor forceps
commonly clamps for
used in posterior
operative teeth
dentistry
Placing the Rubber Dam
Placement of the Whole Set: Clamp, Dam,
and Frame
Placement of the Whole Set: Clamp, Dam,
and Frame
Placement of the Whole Set: Clamp, Dam,
and Frame
Placement of the Whole Set: Clamp, Dam,
and Frame
Placement of the Whole Set: Clamp, Dam,
and Frame
Placement of the Whole Set: Clamp, Dam,
and Frame
2) Placement of the Dam and Frame Set Over
a Pre-positioned Clamp
2) Placement of the Dam and Frame Set Over
a Pre-positioned Clamp
3) Placement of the Dam and Wingless Clamp
Followed by the Frame
3) Placement of the Dam and Wingless Clamp
Followed by the Frame
3) Placement of the Dam and Wingless Clamp
Followed by the Frame
3) Placement of the Dam and Wingless Clamp
Followed by the Frame
4) Placement of the Clamp over the Rubber
Dam
4) Placement of the Clamp over the Rubber
Dam
Sequence to prepare ligatures using a running
knot
Dental dam stabilizing.

Dental dam stabilizing cord roll used to A piece of rubber is cut from the edge of the
stabilize the rubber dam dam
Inversion of the rubber dam.

Schematic drawings showing the importance Inversion of the rubber dam into the crevice
of inverting the rubber dam into the crevice. using a bold instrument and air stream
Matrix and Wedge Systems
Types of Matrixs

• Tofflemire matrix
Types of Matrixs

• Pre-contoured sectional matrices

Types of Matrixs

Pre-contoured polyester
Straight polyester strips strips for posterior teeth
Types of wedges

wooden wedges transparent and curved wedges Elastic Wedges

opaque plastic
wedges
C-factor
C-factor
curing time

• Due to all the difficulties to obtain an adequate polymerization on

the intraoral environment, the curing time should be increased at
least in 50% from the recommended by the composite
manufacturer, since this time is calculated on ideal conditions.
• There is no damage for the restoration when receiving more light
than the necessary, although the opposite is not true.
curing time

• When the distance between

the light tip and the composite
is increased, the light spread
is higher, reducing the amount
of incident irradiance.
• Therefore, distance from the
light guide tip to the material
to be cured should be as close
as possible, generally 1–2 mm.
curing time

• Real curing distance on the

proximal box of posterior
teeth when the composite is
applied on the gingival wall
bonding
DENTAL ADHESIVE SYSTEM
DENTAL ADHESIVE SYSTEM
DENTAL ADHESIVE SYSTEM
DENTAL ADHESIVE SYSTEM
composite application
• There are two type of composite
application
1-multiple layer
• It is may be
• *Simple layring tech.(one shade
restoration).
• *Less simple layring tech.(two shade
restorations or body and enamel
shads).
• 2- one block (bulk fill
• When use this application is prefered
heating the composite
Composite finishing and polishing
 Composite finishing and polishing

• The primary purpose of finishing and

polishing composite restorations is to
create a restoration
• 1-smooth.
• 2-uniform.
• 3-easily cleaned by the patient.
• 4- Increase the longevity of the
restoration .
• 5-decrease the incidence.
 Composite finishing and polishing

During the finishing

1-contours are corrected
2-margins and irregularities are smoothed
During the polishing
a smooth lustrous finish is produced.

• There are many tools used in finishing and

polishing
• 1-burs
• 2-finishing strips
• 3- finishing disks
• 4-points cups
• 5- pastes
• 6- brushes
Class I Preparations
Class I
Class I
Class I
Class I
Class I
Class I
Class I

clear oxygen-blocking gel

Class I

finishing with fine grit diamond polishing with silicon carbide

points brushes
Class I

Surface Sealing
Surface Sealing

• seal the cracks that may occur on

the enamel surface, close to the
restoration margin, due to the
shrinkage stress, as well as the
marginal gaps.
• reduce the wear rate.
• Effect lasts for only 6 months and a
new application is necessary.
surface sealant

Protocol
• acid etching of the composite surface and tooth structure 1–2 mm
beyond the margins is performed for 15 s
• rinsing with air/water spray and drying with airstream.
• surface sealant is applied, followed by an airstream to produce a very
thin coat.
• light-curing for 10 s.

Note :surface sealant is a dedicated material, basically an unfilled

solvent-free monomer blend, and not a regular adhesive or pit and fissure
sealant.
Class I
Restoration of Proximal Lesions
(Class II)
Restoration of Class II
Restoration of Class II
Restoration of Class II
Restoration of Class II
Restoration of Class II
Restoration of Class II
Restoration of Class II
Restoration of Class II
Restoration of proximal lesions through the lingual
access.
Restoration of proximal lesions through the lingual
access.
Restoration of proximal lesions through the lingual
access.
Restoration of proximal lesions through the lingual
access.
Restoration of proximal lesions through the lingual
access.
Restoration of proximal lesions through the lingual
access.
Restoration of proximal lesions through the lingual
access.
Restoration of proximal lesions through the lingual
access.
Restoration of proximal lesions through the lingual
access.
Restoration of Class IV preparation using
polyester clear matrix.
Restoration of Class IV preparation using
polyester clear matrix.
Restoration of Class IV preparation using
polyester clear matrix.
Restoration of Class IV preparation using
polyester clear matrix.

• insertion of the matrix into the gingival

sulcus, between the interdental papilla and
the tooth, surrounding the tooth, pressing it
cervically with the index finger
Restoration of Class IV preparation using
polyester clear matrix.
Restoration of Class IV preparation using
polyester clear matrix.
Restoration of Class IV preparation using
polyester clear matrix.
Restoration of Class IV preparation using
polyester clear matrix.
Restoration of Class IV preparation using palatal
silicone index and previous wax-up of the
restoration
Restoration of Class IV preparation using
palatal silicone index.
Restoration of Class IV preparation using
palatal silicone index.
Restoration of Class IV preparation using
palatal silicone index.
Restoration of Class IV preparation using
palatal silicone index.
Restoration of Class IV preparation using
palatal silicone index.
Restoration of Class IV preparation using
palatal silicone index.
Restoration of Class IV preparation using
palatal silicone index.
Restoration of Class IV preparation using
palatal silicone index.
Restoration of Class IV preparation using
palatal silicone index.
Restoration of Class V
Restoration of Class V
Restoration of Class V
Restoration of Class V
Restoration of Class V
Restoration of Class V
Restoration of Class V
Restoration of Class V
Restoration of Class V
Reference

• Modern Operative Dentistry Principles for Clinical Practice, Carlos Rocha Gomes Torres