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New to Surpass....need help!

 
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cindy6126



Joined: 21 Jan 2013
Posts: 4

PostPosted: Fri Feb 22, 2013 7:03 pm    Post subject: New to Surpass....need help! Reply with quote

Hi everyone,
I've been having some problems with Surpass lately so I thought I come here to get some feedback.

I started using Surpass + IDS (about 2 month ago) for all vital teeth crown preparation after reading all the amazing stories of dentist using this technique and not needing to anesthetize 90%+ of the patients during the crown seat appointment. Much to my disappointment, the technique didn't work well in my hands. I was still getting a lot of sensitive patients and really didn't notice much of a difference between this technique and my old technique (which was applying Microprime G for 1 min after prepping and before cementing the temporary). So at delivery its hard to clean bits of temp cements, rinse and dry (like Dr. Kanca suggested) if I don't numb the patient.

This is the protocol that I use. After prepping the tooth,
(1) Pack cord
(2) Make temporary
(3) Surpass 1, agitate for 10 sec on the tooth (DON"T rinse)
(4) Surpass 2, apply generously and air dry
(5) Surpass 3, apply generously around the tooth, air dry really thin, cure for 10 sec
(6) Apply isopropyl alcohol to remove O2 inhibited layer
(7) Take impression
(Cool Cement temp with TempBond NE

Am I not doing the IDS technique correctly? Should I leave a thicker layer of Surpass 3 on the tooth instead of air dry it really thin?? I know Surpass is a really good product and I really want it to work.
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john kanca



Joined: 14 May 2005
Posts: 6345

PostPosted: Tue Feb 26, 2013 11:07 am    Post subject: Reply with quote

Are you drying Surpass 1?
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john kanca



Joined: 14 May 2005
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PostPosted: Tue Feb 26, 2013 11:11 am    Post subject: Reply with quote

Welcome, BTW! Very Happy
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cindy6126



Joined: 21 Jan 2013
Posts: 4

PostPosted: Tue Feb 26, 2013 12:38 pm    Post subject: Reply with quote

Hi Dr. Kanca,
I'm not drying or rinsing Surpass 1, I just apply on the tooth for 10 sec.
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john kanca



Joined: 14 May 2005
Posts: 6345

PostPosted: Tue Feb 26, 2013 9:51 pm    Post subject: Reply with quote

Are you washing the prep with alcohol after making the temp?
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cindy6126



Joined: 21 Jan 2013
Posts: 4

PostPosted: Wed Feb 27, 2013 1:18 pm    Post subject: Reply with quote

I do wash the prep with alcohol, but not until after surpass 1/2/3.
i make the temporary first, surpass 1/2/3, wash with alcohol, then take the impression.

do you suggest that i change the order of my protocol a bit?
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Ekrause



Joined: 11 May 2005
Posts: 782
Location: I'm here now.

PostPosted: Thu Feb 28, 2013 9:46 am    Post subject: Reply with quote

The temporary will leave goo on the prep that needs to be washed off before sealing it. Alcohol will do the trick nicely.
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john kanca



Joined: 14 May 2005
Posts: 6345

PostPosted: Sun Mar 03, 2013 3:38 pm    Post subject: Reply with quote

cindy6126 wrote:
I do wash the prep with alcohol, but not until after surpass 1/2/3.
i make the temporary first, surpass 1/2/3, wash with alcohol, then take the impression.

do you suggest that i change the order of my protocol a bit?


Consider washing the tooth with alcohol after making the temp. Temp fabrication does leave a residue.
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scottie



Joined: 21 May 2005
Posts: 360
Location: Albuquerque NM

PostPosted: Tue Mar 05, 2013 12:26 am    Post subject: Reply with quote

I sometimes have a problem with sensitivity at crown seat, but not very often.
My protocol is, take impression, make temp, seal with Sim, seat temp.
Reading the discussion, I'm wondering if I should clean with alcohol after making the temp and before sealing? Secondly, I have always used Sim to seal crown preps rather than Sur, since I felt that Sim left a thinner film on the tooth and there would be less chance of the seal interfering with seating the crown. Is it better to use Sur to seal?
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john kanca



Joined: 14 May 2005
Posts: 6345

PostPosted: Tue Mar 05, 2013 11:56 am    Post subject: Reply with quote

scottie wrote:
I sometimes have a problem with sensitivity at crown seat, but not very often.
My protocol is, take impression, make temp, seal with Sim, seat temp.
Reading the discussion, I'm wondering if I should clean with alcohol after making the temp and before sealing? Secondly, I have always used Sim to seal crown preps rather than Sur, since I felt that Sim left a thinner film on the tooth and there would be less chance of the seal interfering with seating the crown. Is it better to use Sur to seal?


Nothing solves everything.

You might want to try Surpass for sealing preps and see if it makes a difference to you. I have been using it for a long time under preps. Just thin it out a lot and it'll be fine.

And yes, I recommend washing the prep with alcohol after making the temp and after the impression. Both procedures leave remnant monomer.
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scottie



Joined: 21 May 2005
Posts: 360
Location: Albuquerque NM

PostPosted: Wed Mar 06, 2013 11:42 pm    Post subject: Reply with quote

Thanks John
I will tweak our crown prep sealing protocol appropriately.
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cindy6126



Joined: 21 Jan 2013
Posts: 4

PostPosted: Thu Mar 07, 2013 4:58 pm    Post subject: Reply with quote

Thank you Dr. Kanca. I will wash the prep with alcohol after making the temporary from now on.
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