Composite Restoration Setup/Pictures

Dr. Bryant

• Palodent matrix rings
• Palodent matrix bands
• Isodry

Composite Restoration Procedure (1/4)

1. Seat patient & Introduce yourself.
2. Place the bib on patient. Set up hand pieces, place air/water tip, take Burr Block out of package, Place burs in hand pieces, then place Mirror, Explorer, & one cotton plier on the bracket table. Open Composite Kit (Anterior or Posterior depending on procedure) and lay instruments out on tray, set up suctions & air/water tip, Have Radiographs pulled up for the Tooth working on.
3. Place topical if Anes is required. Laser ready, hooked up and pass laser glasses out.
4. Notify the Doctor that the patient is seated, of the patients concerns and any other pertinent information. Treatment plan if needed.
   1. Note: Remember to suction with the tip as close as possible to the tooth to remove as much of the aerosol as possible.
5. Doctor comes in to anesthetize the patient.  Then lets the anesthetic soak in so they are numb for the procedure.  After a few minutes ask the patient if they are feeling numb and let the dr. know more is needed, if necessary
6. Doctor removes the decay.
7. Hand Doctor the Blue Etch to etch the prepared surface(s), Doctor will rinse off the Blue Etch.
8. Place a drop of Bond on a new Pink micro brush and hand to the Doctor. Doctor will place the Bond. Light cure the prepared surface(s) with the curing light.

9. Hand Doctor the Tetric Flowable/AE Geanial in the Composite Material Gun (dispenser)
   1. Then the Tetric composite and the Instrument Dr. Prefers
   2. FUJI: Fuji has its own primer to be used in conjunction with Fuji products only. Fuji conditioner on Pink Brush, Dr will rinse, Shake Fuji in machine, then place in Fuji Material Gun (dispenser) Hand Doctor the Fuji  in  dispenser.
10. Doctor will adjust the bite and polish. Hand the Doctor the articulating paper as needed. Doctor will remove any blue articulating paper dye from the tooth.

11. Chart appointment in patient’s chart. Make any changes or adjustments to the patient’s appointment in the computer and add your name in the assistant field if not already there, then Complete the appointment. in the computer.
12. Be prepared to Schedule pt.’s next appt. & treatment plan any changes to pt.’s current treatment plan.
13. Inform the patient of what their next appointment will be,  ask if the patient has any questions, &  escort the patient to the front desk so they can check out.

Composite Restoration Charting

Reason for treatment: (Decay, fracture, abfraction, closing space, cosmetic)

Isolated using: (Rubber dam, isoDry)

High and slowspeed handpieces used for preparation and to remove all decay

Laser used for preparation and to remove decay

Removed existing restoration:

Decay was deep, liner was placed

38% phosphoric acid etch placed, rinsed 10s with water and dried. Scotchbond placed, dried, and light cured

Light cured on the buccal, occlusal, and lingual for 20 seconds each

Tooth restored with Tetric EvoFlow & Ceram composite placed in increments and light cured. Shade:

Tooth restored with Fuji conditioner and Equia Forte Fil. Shade: A2

Finished, polished, checked contacts and occlusion, adjusted as necessary

Informed patient to return if bite feels high or any other concerns arise