Class II Composite Restoration - #5 DO Natural Tooth

Рет қаралды 194,861

Күн бұрын

Class II composite restoration is one of the most common restorative procedures in dentistry. In this video, Dr. Richard Stevenson demonstrates about Class II Composite Restoration #5 DO Natural Tooth.
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Class II Composite Restoration - #5 DO Natural Tooth
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Thanks for watching!

Пікірлер: 153

@rowdymrlotso 5 жыл бұрын

Thank you Dr Stevenson for making these videos. You have no idea how much these videos mean to so many of us especially young dentists like me who lack experience and practice. I am so very thankful that you're teaching and I hope you continue to teach! God bless you.

@StevensonDentalSolutions 5 жыл бұрын

My pleasure Doc. Thank you!

@hierinmeinenaugen 5 жыл бұрын

I am a recent grad too and I feel The same way. Thank you so much, this is beautiful 🌹

@cedardmd 3 жыл бұрын

As a D1, I find your instruction much better than the never updated 20-year-old PowerPoint lectures that are presented to us in the lab! Your patients are fortunate to have a dentist like you who takes great care of their teeth!

@StevensonDentalSolutions 3 жыл бұрын

So nice of you to say. I agree dental education can be very very stale if the instructors are burned out...

@jonathando 5 жыл бұрын

Dr. Stevenson, absolute beautiful work as usual. I really appreciate you giving us these step by step tutorials. It gives us further insight on your technique in using the ipc and compusculpt instruments to shaping restoration. Would love to see a video restoration of back to back composite class II composites.

@robinhood1770 5 жыл бұрын

Honestly you’re amazing, thank you so much! I’m still learning but hopefully I’ll get there

@hennyle95 5 жыл бұрын

Such a helpful technique to establish the marginal ridge like this first. Wish my school taught this, thanks!

@sureshshenvi8186 5 жыл бұрын

Thank you soo much for such a beautiful video!

@ronakjain530 5 жыл бұрын

Beautiful work dr Stevenson..

@sajadh4542 5 жыл бұрын

Awesome work...i appreciate your effort in order to help other dentists

@carriegauntt9454 5 жыл бұрын

Thanks for the great video. I show them in out EFDA course. Loved the POD cast too with Howard.

@mohamedmagdy1126 5 жыл бұрын

Super amazing Thank you dr stevenson for your efforts ❤️

@StevensonDentalSolutions 5 жыл бұрын

Thank you Doc!

@dentalmitra7864 5 жыл бұрын

Very self critical doc! Your self evaluation goes far beyond how others would judge / access / find your work ! In pursuit of perfection !! Trying to enhance your work . Very inspiring.

@StevensonDentalSolutions 5 жыл бұрын

Thank you!

@zur5181 4 жыл бұрын

Thank you so much for uploading this amazing video you don't believe me how much I needed this one....Thank u for a million

@StevensonDentalSolutions 4 жыл бұрын

Happy to help!

@airtondsoares5238 5 жыл бұрын

What a fantastic video!! This provides such a realistic look to the restoration, very much like intrinsic occlusal stains on natural teeth. I like this method much more than the external staining that sticks out like a sore thumb and does not last long. Thank you Dr. Stevenson!

@StevensonDentalSolutions 5 жыл бұрын

Thank you Airton! I'm always looking to improve and appreciate your comments.

@siroussarmadi1614 2 жыл бұрын

Beautiful as usual!

@NEHAGEDAM15 11 ай бұрын

Wonderful even a beginner can learn carving in composite restoration.

@wennessa94 2 жыл бұрын

Amazing detailed step by step occlusal anatomy recreation ! Thank you so much for sharing such an awesome video !

@StevensonDentalSolutions 2 жыл бұрын

Thank you!

@mohammedalbasher9731 5 жыл бұрын

Keep going your work is more than amazing 😍 We teaching our students on your videos ❤

@rafatsrf 5 жыл бұрын

Amazing work thanks doctor 😊👍we keep on learning

@StevensonDentalSolutions 5 жыл бұрын

Great to hear this! Thank you.

@samiakhalil9535 4 жыл бұрын

on of awesome class ii i have been watched.. hands on👏

@StevensonDentalSolutions 4 жыл бұрын

Thank you Doctor

@ms.charlotte4027 Жыл бұрын

Oh my goodness, you've just changed my life.

@khalidmahmood8589 2 жыл бұрын

beautifully done, Many thanks for sharing your tips on how its done :)

@StevensonDentalSolutions 2 жыл бұрын

My pleasure!

@salvatore.MJP7 Жыл бұрын

Thank you for making these videos ❤

@StevensonDentalSolutions Жыл бұрын

Glad you like them!

@tezcatlipoca6336 3 жыл бұрын

It looks good !

@elenalikhtenvald5959 3 жыл бұрын

it s look perfekt! Thank you Dr Stevenson for very helpful Video!

@StevensonDentalSolutions 3 жыл бұрын

My pleasure

@SatanIceCream 4 жыл бұрын

great job doc! keep it up!

@StevensonDentalSolutions 4 жыл бұрын

Thank you

@acash93 5 жыл бұрын

It looks really good even without the opaque composite. Great vid!

@StevensonDentalSolutions 5 жыл бұрын

Thank you for your comment!

@zlenkodmd 5 жыл бұрын

Until now I was thinking that, on average, American dentists were somewhat less artistic and pedantic than some of the popular Instagram dentists, seemed like the majority just didn't care that much about the anatomy and technique ( I shadowed in NYC where a dentist worked in 3 operatories simultaneously, yielding subpar standard results). You proved me wrong. As a recent dental graduate from Europe I am deeply impressed with the skills you have and the way you elaborate on the topic material. I am really looking forward to upcoming lessons on your channel. You have one of the best or maybe the Best content for dentists on the internet. There are great dentists throughout the world and America definetly has a few to show off . Thank you so much for your knowledge! Best Regards!

@StevensonDentalSolutions 5 жыл бұрын

Thank you Boris - passion and persistence...

@shaikhnayaab3 5 жыл бұрын

The video was beautiful and helpful. Keep up the good work Sir.

@sheenusheenu1234 4 жыл бұрын

Nayaab ji ap bta skte h ye kisi janwar ki haddi se banaya jata h.

@roopali162000 5 жыл бұрын

Great sir!! You are perfectionist

@StevensonDentalSolutions 5 жыл бұрын

Thank you - never reach it but I keep trying...

@niyatisharma4762 2 жыл бұрын

You truly inspire Sir!!

@StevensonDentalSolutions 2 жыл бұрын

Thank you! All the best, Dr. S

@hamzaahmed5694 3 жыл бұрын

Really amazing!

@StevensonDentalSolutions 3 жыл бұрын

Thank you Doc!

@aissabelk Жыл бұрын

Thanks for you doctor , from algeria

@StevensonDentalSolutions Жыл бұрын

My pleasure! Dr. Stevenson

@user-uy9un2hx5c 5 жыл бұрын

thank you so much for sharing

@StevensonDentalSolutions 5 жыл бұрын

Thank you, Doctor!

@MrNguyentanhung 3 ай бұрын

Thanks for excellent video

@StevensonDentalSolutions 3 ай бұрын

My pleasure Doc! Best, RGS

@dr.vishalpatil3531 5 жыл бұрын

You are not only a dentist but also an artist

@StevensonDentalSolutions 5 жыл бұрын

Thank you very much, Doctor.

@newworld9338 3 жыл бұрын

Good job

@hossamnassar62 2 жыл бұрын

My teacher and professor I wish you good always. Your student from Egypt 🇪🇬❤️

@StevensonDentalSolutions 2 жыл бұрын

Thank you!

@YourBetterOffBlack 5 жыл бұрын

Again with the awesome work, I hope I can drill and fill as good as you one day! This is becoming one of my favorite youtube channels haha

@StevensonDentalSolutions 5 жыл бұрын

Yes! Thank you!

@dalia4014 5 жыл бұрын

Dr stevenson thank you so much for all the videos they are really helpful please if you can upload a video of cusp build up with the composite on a premolar really appreciate that thank you so much again

@StevensonDentalSolutions 5 жыл бұрын

Great idea - I think I'll do that on #4! Thank you.

@dalia4014 5 жыл бұрын

@@StevensonDentalSolutions appreciate that Dr iam preparing part 2 practical exam after few years back to dentistry when I found your videos of a great help specially the pfm anterior and canine and all the others one thing we are having in the exam and iam still also trying to be good at is the temporary crown fabrication if in future Dr stevenson you can show us a video of that we really appreciate your help

@StevensonDentalSolutions 5 жыл бұрын

I will for sure. Thank you!

@hotknight1335 Жыл бұрын

Now you're a talented Doctor........ My Dentist , I believe , slices cold cuts on the weekend .

@Dianmaru 3 жыл бұрын

Thank you! Here’s to 2021.

@StevensonDentalSolutions 3 жыл бұрын

Hoping it's a great year!

@emadnejm3577 4 жыл бұрын

Very nice job thanks

@StevensonDentalSolutions 4 жыл бұрын

Great - thanks for watching!

@layansuleiman8653 3 жыл бұрын

Hi Dr. Stevenson wonderful video as usual!! could you please make a video on back to back class II’s? Thank you so much in advance!

@StevensonDentalSolutions 3 жыл бұрын

Good idea! Thank you.

@mayankshah141 4 жыл бұрын

nice i enjoyed watching the entire video without pausing it

@StevensonDentalSolutions 4 жыл бұрын

I wish more viewers did the same!

@fayhaadnan338 4 жыл бұрын

Tour skills are amazingggg

@StevensonDentalSolutions 4 жыл бұрын

I try my best - always trying to improve, thanks.

@abum7md705 3 жыл бұрын

Great video as usual Dr. Stevenson! I only wish you would shed some light on how to ensure great & predictable gingival margin adaptation while performing Class II composite restorations. Thank you very much.

@StevensonDentalSolutions 3 жыл бұрын

Good sub-topic. I will show this moving forward - it's so important. I appreciate your idea.

@abum7md705 3 жыл бұрын

@@StevensonDentalSolutions This would really helpful! Im replying to right from my dental clinic. It is just frustrating to see on post-op xray that my class II restoration didn’t adapt well gingivally, even if it looks anatomically good and has a nice contact point.. I had to reschedule the patient for a re-do. As a young dentist, I wanted to be accustomed to excellence, that’s actually the beauty of this profession .

@aamin6933 5 жыл бұрын

Thank you Dr Stevenson. I have really been helped by your videos. When the interdental box is narrow it is difficult to push the composite against the band as the interproximal carver is too big. Have you any tips?

@StevensonDentalSolutions 5 жыл бұрын

I'd use the injection moulding technique for this situation. Fill the box part way with flowable, then squeeze in paste composite, thereby displacing the flowable - works well for small class II's.

@wang591 5 жыл бұрын

Thank you so much Dr Stevenson, I have really learnt a lot from your videos! I was wondering what your approach would be for adjacent class two composite restorations, do you do them together or do them one-by-one? Once again, thank you for posting such wonderful videos.

@StevensonDentalSolutions 5 жыл бұрын

Hi Doctor - yes, I do adjacent class II's one at a time - seems to work well, and ends up taking about the same time, with the added benefit of being able to verify the interproximal seal on the first restoration.

@wang591 5 жыл бұрын

@@StevensonDentalSolutions Thank you Dr Stevenson!

@obo012345 5 жыл бұрын

Amazing job 😍👍 Can u please tell me why needed all of these layers? I admire ur work. Keep it up.

@StevensonDentalSolutions 5 жыл бұрын

I was using a paste conventional composite - not a bulk fill so layers help with better polymerization and conversion rates, and also, we can give somewhat better esthetics with deeper dentin shades and more frosty enamel shades covering them.

@nevensaulic2103 Жыл бұрын

Thank you so much, Doctor Stevenson, for another great and educational video! If only we had a professor like you during studies. Can you tell me your tips to minimalise C-factor in composite restaurations? Thanks

@StevensonDentalSolutions Жыл бұрын

I have calculated the C factor for various approaches and have found for class II's the wall and lobe is the least, actually about 0.4! The key is incremental placement in anatomical shapes...

@nevensaulic2103 Жыл бұрын

@@StevensonDentalSolutions So marginal ridge contour can be modelled in one go, no need for incremental placement for that specific area? Thanks for your reply

@user-zq6hp4mt3d 5 жыл бұрын

I really need your instruments 😭♥️..you are amazing 😍😍

@StevensonDentalSolutions 5 жыл бұрын

You are too kind. Thank you!

@Mahmoud-cp9hu 4 жыл бұрын

@@StevensonDentalSolutions i noticed that you are using alot of modelling liquid

@studywithnisa1527 4 жыл бұрын

Your explanation and step was so great👍 thankyou

@StevensonDentalSolutions 4 жыл бұрын

Great - thank you!

@jyotikaur5158 3 жыл бұрын

Thank you Dr Stevenson! It is a very beautiful. How do you keep composite from sticking to instruments?

@StevensonDentalSolutions 3 жыл бұрын

Modeling resin by Bisco, Thank you!

@XDLeadingLady 4 жыл бұрын

Hi Dr Stevenson, this video is amazing. Can I ask how do you prevent the composite resin from sticking to your instruments? I have noticed that it looks shiny so im wondering if you have used anything to prevent it from sticking?

@StevensonDentalSolutions 4 жыл бұрын

Yes, I use Modeling Resin (Bisco) - works great and doesn't decrease the compete strength.

@dkkwon1980 5 жыл бұрын

open contact on the mesial, but those are always hard to achieve next to the cuspids

@StevensonDentalSolutions 5 жыл бұрын

Yes, especially when it’s not part of the restoration! :)

@SHAUNDJFISHBEATSMARTIN 4 жыл бұрын

cool video interesting :)

@StevensonDentalSolutions 4 жыл бұрын

Thanks

@tvalue4618 4 жыл бұрын

Thank you, and what kind of dentist would I need to see for this

@StevensonDentalSolutions 4 жыл бұрын

Typically a general dentist with membership in the Academy of Esthetic Dentistry or the Academy of Operative Dentistry..Check out their websites

@Bishr2038 5 жыл бұрын

Thank you once again, Dr. Stevenson I needed to ask you about the fact that composite looks shiny before you pack it into the cavity a few times throughout the restoration procedure; do you apply bonding agent to it for easier application or do you just apply it as it is?

@miraboualbani6258 4 жыл бұрын

I have noticed that 🤔

@goodthyme 3 жыл бұрын

Its the modelling resin

@marzitips Жыл бұрын

Great instructions thank you. May I ask if you add some bonding on your instruments?

@StevensonDentalSolutions Жыл бұрын

Modeling resin

@dentistgame9826 2 жыл бұрын

Thank doc if you don't mind I have question when brush occlusal did you brush with modeling primer or bonding in final step when you create anatmical landmark of tooth

@StevensonDentalSolutions 2 жыл бұрын

I try to avoid either in clinical practice and use a surface sealer, like OptiGaurd.

@omaromar11234 5 жыл бұрын

Dr Stevenson , I’d like to know ur opinion regarding the “Bioclear method” (David Clark’s concepts) like the infinity edge and injection molding ... thanks in advance.

@StevensonDentalSolutions 5 жыл бұрын

Very good techniques and with practice they work well. The use of a microscope plays a major role in his techniques. When I was Chair of Restorative at UCLA, I added the injection molding technique to our curriculum. Perhaps the only criticism I have is that little clinical research - prospective studies - have been done to provide scientific validity...nonetheless, the techniques he teaches are beautiful and certainly compelling. Thank you!

@omaromar11234 5 жыл бұрын

Stevenson Dental Solutions how about polymerization shrinkage? I mean they basically cure the resin in one large increment .. wouldn’t that cause problems ?

@StevensonDentalSolutions 5 жыл бұрын

Yes, this would likely lead to problems if the mass was large, hence I've suggested that the snow-plow (injection molding) technique is only indicated for very small cavities - like slots. Bulk filling is here to stay, even if though it has been shown to be inferior to incremental filling in clinical trials. SonicFil by Kavo-Kerr has outperformed other bulk fill materials - but I'm not sure if Clark uses this product. Again, his techniques appear beautiful upon completion but lack the scientific assurance of longevity that many of us require before using new techniques.

@omaromar11234 5 жыл бұрын

Stevenson Dental Solutions Dr Stevenson .. u da real MVP. :)

@sureshshenvi8186 5 жыл бұрын

Could you please mention the name of these instruments in the description?. It would really help us a lot, dear sir!

@StevensonDentalSolutions 5 жыл бұрын

Hi Doc - they are in other vids bu here you go: Composculpt (available from our website)

@tezcatlipoca6336 3 жыл бұрын

your tooth looks much better than the OWN ones :D !

@siddharthshah8228 5 жыл бұрын

Hi can u put some vedios on rubber dam application...regards

@StevensonDentalSolutions 5 жыл бұрын

Great idea - will do! Thank you.

@quangkhaitran4169 5 жыл бұрын

great video. why don't you use light-cured composite resin!?

@StevensonDentalSolutions 5 жыл бұрын

I did.

@quangkhaitran4169 5 жыл бұрын

@@StevensonDentalSolutions I got it. Many thanks

@asitmc 5 жыл бұрын

just wondering doc, before you put composite in, there was a gap between the matrix and the tooth. Did you try to remove that gap first or just go ahead and restore and deal with flash later?

@StevensonDentalSolutions 5 жыл бұрын

No gap whatsoever- take another look. Thank you!

@StevensonDentalSolutions 5 жыл бұрын

1:16

@asitmc 5 жыл бұрын

@@StevensonDentalSolutions at 1:50 mark I thought it showed a gap on the buccal side near the box. I guess it could be the lighting. Thanks for responding!

@StevensonDentalSolutions 5 жыл бұрын

Yes, reflections off the band - thank you!

@xockira Жыл бұрын

I'm looking for that treatment here in Sunnyvale, CA. But all dentist trying to make more money with implants or crowns! I know that kind of restoration in my country, but now I living here and all dentist trying to make implants or destroy the tooth and put a crown. I looking for a honest and affordable dentist can fight to maintain your tooth in your mouth without degrading your tooth. I would like to know if you can recommend one, would be amazing.

@StevensonDentalSolutions Жыл бұрын

I don't know of any super conservative dentists in Sunnyvale, CA...You might have some luck going up to UOP Dental School in SF.

@user-os5wu1bk3e 2 күн бұрын

Doctor, please answer my question. I am a fourth-year dental student. When I get the filling after about a week or less, the filling falls out completely, even though the materials used in the filling are good (I use the Tokiyama filling).The bond is also good, and the cavity I make has the same conditions required for an amalgam filling cavity, but I do not know what the main reason is.

@StevensonDentalSolutions Күн бұрын

Could be contaminated air - oil in the system. This would be the only thing I can think of other than moisture contamination, but I doubt this is the issue.

@bothainaelsafty5791 2 жыл бұрын

Is there vedio about back to back composite restoration

@StevensonDentalSolutions 2 жыл бұрын

Not yet

@DanielAtiehFs 5 жыл бұрын

Wonderful work. I want to ask you about something but need to send you pictures. Where can I do that ? Email maybe ?

@StevensonDentalSolutions 5 жыл бұрын

Info@stevensondentalsolutions.com

@DanielAtiehFs 5 жыл бұрын

@@StevensonDentalSolutions I sent on this e-mail. Thank you

@StevensonDentalSolutions 5 жыл бұрын

My pleasure

@lahcenou Жыл бұрын

What about occlusion dr ? When you all that beautiful work and then you have to reduce again becauz occlusion is not perfection or higher

@StevensonDentalSolutions Жыл бұрын

We usually use the pre-operative contact points and adjacent tooth landmarks to avoid hyper occlusion issues. The objective is achievable with a little extra effort. Frequently zero or little adjustment is required when the lobes are built based on anatomical form...