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Simplicity & bleeding

 
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Renzo



Joined: 12 Jun 2007
Posts: 36
Location: Redmond, OR

PostPosted: Thu Jul 19, 2007 1:52 pm    Post subject: Simplicity & bleeding Reply with quote

So I had a nice old fella in today with missing aspect of #11. He hadn't been to a dentist in years, and had obvious calculus and bleeding subgingivally and I had to remove the DL resin, and excavate at the ML aspect. Then proceeded to remove sub-g calculus, and had all sorts of bleeding. Evil or Very Mad After obtaining hemostasis with Expasyl - rinse; alcohol; rinse; dry; Sim1, Sim2, cure. THEN, when I place a mylar strip and pull through the line angles with my composite, bleeding starts again. I rinsed, dried, no bleeding, wiped layer of Sim 2 and lightly air thin and add more composite until finished.

SO, when you get bleeding on the Sim2 post-polymerization, what are the recommended steps to keep bond strengths high? Thanks in advance.
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john kanca



Joined: 14 May 2005
Posts: 6346

PostPosted: Thu Jul 19, 2007 2:57 pm    Post subject: Reply with quote

Stop the bleeding (have a look at Viscostat Clear)
Rinse thoroughly and dry
Apply Sim 2, no need to light-activate
Add composite.

You were on target. Cool
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satchdds



Joined: 10 Jun 2005
Posts: 210
Location: niagara falls, n.y.

PostPosted: Thu Jul 19, 2007 5:01 pm    Post subject: Reply with quote

also try ...punch small hole in rubber dam,slide dam over tooth , hold down on b and l and place a 212 clamp. works every time.
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brad



Joined: 13 May 2005
Posts: 346
Location: Cincinnati, Ohio

PostPosted: Thu Jul 19, 2007 5:13 pm    Post subject: Reply with quote

Soft tissue laser will do the trick. I wish I had it 10 years ago. It's a life saver. Good to know about the sim2 re-apply, too.
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Bradley A Dorsch, DDS
Forest Hills Family Denitstry
1055 Nimitzview Dr
Cincinnati, OH 45244
513-231-5353
www.cincytoothdoc.com
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Renzo



Joined: 12 Jun 2007
Posts: 36
Location: Redmond, OR

PostPosted: Thu Jul 19, 2007 6:55 pm    Post subject: Reply with quote

Muchas Gracias, mis amigos. Good to know he won't have a filling coming out in his Grape Nuts in the morning. Shocked
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