Dr. Mike Szarek, DMD - Part 1
Dr. Clark,
Here are the pre-op (image 1) and post-op (image 2) photos for the pt. who was moving to Japan--the Bioclear matrix worked awesome and we did the case in one day--it is a great invention and it is so easy to use--thank you so much for sending me the prototypes--I know it was a huge favor but I really appreciate it and so did the pt.--Thank you so much and I look forward to more of your articles and inventions.
Dr. Mike Szarek
Image 1 - Pre-op Image 2 - Post-op
Dr. Mike Szarek, DMD - Part 2
Dr. Clark,Thank you so much for the Bioclear matrix. My patient and I really appreciate you sending us the prototype overnight so we could complete her case before she moved to Japan the following week. I just wanted to describe the step by step procedure we used to close the cervical embrasures:
- No local anesthesia was used
- Isolate tooth with traditional matrix and microetch
- Slide Bioclear matrix into sulcus effortlessly--matrix will hug tooth and no need to wedge--hold matrix on lingual with finger or Hollenback
- Etch and bond
- Flowable composite into sulcus--do not cure
- Renamel composite--sandwich technique--do not cure
- Contour facial composite
- Cure--contour--polish
* The procedure was very simple and quick
* The Bioclear matrix does all the work for you
* Excellent product!!
Thank you for everything,
Dr. Mike Szarek
2 comments:
Dear David,
I just completed a diastema closure case similar to Dr. Szarek's and was very pleased with the results. I'm presenting information on Bioclear to my local study club next week, and wanted to ask several questions beforehand. First, in your video, you reference a "heated paste composite" that you can inject with a microtip. I'm not familiar with this material - could you provide details? Second, is there an advantage to positioning both matrices before placing the composite when restoring a diastema? I placed the matrices one at a time. Third, you mention curing the bonding agent, flowable composite and paste composite simultaneously. Does this impact on bond strength? Lastly, I used a sandwich technique with a hybrid composite overlaid with a microfill. I like the polishability of the microfill, but they seem too translucent to use alone. Is this my particular brand (Durafill), or is this true of all microfills. I've not used nanofilled composite - how does is it compare?
Thank you very much for an excellent product, and I look forward to sharing it with our study club!
Jack Newman, DMD
Root decay and papilla regeneration; the idea to re-grow the papilla is not just for esthetics but also in the case of decay prone patients we will have less decay. The smaller embrasure area is much healthier
Heated paste composite; At this time we do not have or use a heated paste composite. Eventually we will have this but because of the more conservative preperations we need to be able to deliver the composite with a smaller canula tip as it is difficult to fit canula under the matrix.
For Diastema Closure cases; Place both matrices at the same time to maintain midline. Sometimes when doing them back to back the matrices will "invert" if this happens go back to the UUI (universal upper incisor) matrix. These are designed for closing smaller spaces. By placing both matrices at the same time you are also able to "steer" with the handles giving the clinican the opportunity to get the exact midline and incisal shape. These cases can be done one matrix at a time also, sometimes doing them one at a time you can achieve a tighter contact. So there are benefits to both techniques.
Bonding strength; Remember we are doing "enamel driven bonding" vs "dentin driven bonding" Think of veneer luting, the enamel is wet with resin driving all resins together. When doing a restoration involving dentin - first cover up, mitigate the dentin then go back to enamel driven. Do this by covering dentin with 2 coats of bonding resin curing each one, then place a wet layer of bond and go directly to flowable and paste composite.
Micro fills do not have anything to do with translucency. We use 3M filtek flowable composite and 3M supreme paste composite, we have dentin as well as enamel shades.
Post a Comment