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Simplicity and PFM crowns
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bj



Joined: 15 May 2005
Posts: 320

PostPosted: Tue Sep 06, 2005 10:24 pm    Post subject: Reply with quote

"The best choice is glass ionomer- like Ketac-Bond."

In an endo access? You like GI better than composite? Or better than cavit?

Any endodontist who can use GI ought to be able to use a dual cure composite?

I'd like to fill an endo acess w the most ideal material, what is it?
Thank you
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john kanca



Joined: 14 May 2005
Posts: 6346

PostPosted: Wed Sep 07, 2005 6:53 am    Post subject: Reply with quote

Gerry wrote:
How about a polycarboxylate that doesn't take forever to set! Is light-cured a possibility?


Carboxylate is also a great choice. Light-cured, maybe, but that's a way off.
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john kanca



Joined: 14 May 2005
Posts: 6346

PostPosted: Wed Sep 07, 2005 6:56 am    Post subject: Reply with quote

"The best choice is glass ionomer- like Ketac-Bond."

In an endo access? You like GI better than composite? Or better than cavit?

For endo access temp? Yes.

Any endodontist who can use GI ought to be able to use a dual cure composite?

HA!!!!!!!!!!!!!!!!

I'd like to fill an endo acess w the most ideal material, what is it?

Temporary or permanent?


I am in Brussels now! Cool

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Ekrause



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

PostPosted: Wed Sep 07, 2005 9:36 am    Post subject: Reply with quote

john kanca wrote:
It has been said that rather than diluting the Durelon, adding a drop of water instead makes it set faster. It does seem to do so. I think it was Howard who said it. Smile


No, it was me!!
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john kanca



Joined: 14 May 2005
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PostPosted: Wed Sep 07, 2005 9:42 am    Post subject: Reply with quote

I stand corrected! Smile

And you were quite right. How'd the rest of your trip go?
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Ekrause



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

PostPosted: Wed Sep 07, 2005 7:31 pm    Post subject: Reply with quote

Trip was awesome!! Townie Fiesta 2005 Cozumel!! 1 week of paradise!! Very Happy

Next year Westin, July 6-8, Grand Bahama. July 4th is a Tuesday that week too!! Cool
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Gerry



Joined: 13 May 2005
Posts: 448
Location: Tarrytown NY

PostPosted: Thu Sep 08, 2005 7:36 am    Post subject: Reply with quote

My request for a rapid polycarboxlate was for pulp capping. Come on John create a light cured!

As for endo access during treatment I use the capillary tips from Ultradent and flowable composite. This creates a leak-free non-contaminating filling with an adequate opening for continuing the endo. Neat idea from for Dr. Fisher!
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bj



Joined: 15 May 2005
Posts: 320

PostPosted: Fri Sep 09, 2005 10:50 pm    Post subject: Reply with quote

"The best choice is glass ionomer- like Ketac-Bond."
In an endo access? You like GI better than composite? Or better than cavit?
For endo access temp? Yes.

What is your beef with cavit as a temp?

I'd like to fill an endo acess w the most ideal material, what is it?
Temporary or permanent?
Both. And permanent meaning no crown remake if through an existing crown.
And I suppose you like Interface & composite, to close an endo access in a crown.

In the days Before Sim (hereafter BS) & Interface, did you always try to advise crown remake after an RCT access? Some guys do & I think it is overtreatment. Now w Sim & Interface, I am more confident of a good seal.

Anyone's opinion on closing an endo access with amalgam in an existing crown as the final restoration is also welcomed.

Thank you.
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jrgeaman



Joined: 28 May 2005
Posts: 21

PostPosted: Sat Sep 10, 2005 11:37 am    Post subject: Closing Endo Access with Amalgam Reply with quote

On a metal occlusal crown with endo access I will use amalgam to close same. I micro-etch the access metal at the cavosurface, use Amalgam Bond, C&C amalgam, and finish and polish at a subsequent appointment.
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jrgeaman



Joined: 28 May 2005
Posts: 21

PostPosted: Sat Sep 10, 2005 11:42 am    Post subject: Closing Endo Access with Amalgam Reply with quote

PS-I obviously micro-etch the internal metal of the crown as well.
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john kanca



Joined: 14 May 2005
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PostPosted: Sat Sep 10, 2005 1:36 pm    Post subject: Reply with quote

The best choice is glass ionomer- like Ketac-Bond."
In an endo access? You like GI better than composite? Or better than cavit?
For endo access temp? Yes.

What is your beef with cavit as a temp?

Hey. someone asked what the best was. GI will stand up in the mouth a lot better than cavit.

I'd like to fill an endo acess w the most ideal material, what is it?
Temporary or permanent?
Both. And permanent meaning no crown remake if through an existing crown.
And I suppose you like Interface & composite, to close an endo access in a crown.

Well, yes.


In the days Before Sim (hereafter BS) & Interface, did you always try to advise crown remake after an RCT access?

Who are we talking to here? I repair access preps when it is possible.

Some guys do & I think it is overtreatment. Now w Sim & Interface, I am more confident of a good seal.

I'll second that.

Anyone's opinion on closing an endo access with amalgam in an existing crown as the final restoration is also welcomed.

My opinion is that I choose not to do that.

Thank you.
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Drscottyj



Joined: 15 May 2005
Posts: 8

PostPosted: Sat Sep 17, 2005 12:21 pm    Post subject: oops Reply with quote

Made a big mistake....I have been sealing with Simplicity now for a while, and for some reason my assistant decided to cement the last temp case with Flowable composite after I sealed it...I had to cut AND grind the thing off....Question...If I do decide to use a small amount of flowable for the temp..Is there a way to keep bonding from happening but still seal?

Thanks
Scott

"Like the Pheonix, back from the ashes"
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john kanca



Joined: 14 May 2005
Posts: 6346

PostPosted: Sun Sep 18, 2005 8:14 am    Post subject: Re: oops Reply with quote

Drscottyj wrote:
Made a big mistake....I have been sealing with Simplicity now for a while, and for some reason my assistant decided to cement the last temp case with Flowable composite after I sealed it...I had to cut AND grind the thing off....Question...If I do decide to use a small amount of flowable for the temp..Is there a way to keep bonding from happening but still seal?

Thanks
Scott

"Like the Pheonix, back from the ashes"


Reliably and repeatedly, no.
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cool kid



Joined: 12 May 2005
Posts: 818
Location: chicago

PostPosted: Sun Sep 18, 2005 9:27 am    Post subject: Reply with quote

JK.

what if you are doing veneers and seal at the prep appt. then use temp bond or something like that to hold the veneers. if they come off a few times, and you use a resin type temp cement or flowable to rebond them, will they still bond to the tooth? I was thinking that due to the fact that something like temp bond was used, the bond to those sealed preps would be somewhat compromised and the temps will be able to be removed at the seat appointment. This question was posed to me and I did not have a good answer.
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john kanca



Joined: 14 May 2005
Posts: 6346

PostPosted: Sun Sep 18, 2005 9:29 am    Post subject: Reply with quote

cool kid wrote:
JK.

what if you are doing veneers and seal at the prep appt. then use temp bond or something like that to hold the veneers. if they come off a few times, and you use a resin type temp cement or flowable to rebond them, will they still bond to the tooth? I was thinking that due to the fact that something like temp bond was used, the bond to those sealed preps would be somewhat compromised and the temps will be able to be removed at the seat appointment. This question was posed to me and I did not have a good answer.


If this were a single crown I'd say just rinse it, dry it and rebond it. Since we are talking veneers, I'd sandblast off the old stuff and start over just to be sure. ZOE is not to be taken lightly for veneers.
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