#5 DO Composite replacing a 30+ year old amalgam- By Thomas W. Mitchell, DDS, FAGD

Introduction: 

This is #5 DO Composite replacing a 30+ year old amalgam

Thomas W. Mitchell, DDS, FAGD
30+ year old amalgam should have been replaced years ago when the surface started to pit.
Thomas W. Mitchell, DDS, FAGD
Thomas W. Mitchell, DDS, FAGD
Completed prep. I beveled the gingival margin to get below the enamel that was damaged by the amalgam corrosion. I couldn't get a straight gingival floor.
Thomas W. Mitchell, DDS, FAGD
Triodent matrix with a Garrison Gold-colored Ring. In this case I like that ring because it bends the Wave Wedge against the gingival margin to seal it.
Thomas W. Mitchell, DDS, FAGD
After Clean and Boost, Surpass 1,2,3 and Titan Flowable shade A2 co-cured for 10-15 secs.
Thomas W. Mitchell, DDS, FAGD
First layer of Exquisite against the matrix to form the distal wall. Then the ring can be removed for better access.
Thomas W. Mitchell, DDS, FAGD
Exquisite condensed against the buccal wall and pulse cured for 3-5 secs. Shaped with the side of an amalgam condenser to force it against the walls, then a composite blade instrument followed by an Acorn-shaped condenser.
Thomas W. Mitchell, DDS, FAGD
Exquisite condensed against the buccal wall and shaped and pulse cured for 3-5 secs.
Thomas W. Mitchell, DDS, FAGD
Matrix removed
Thomas W. Mitchell, DDS, FAGD
and the restoration shaped with a red soft flex disc.
Thomas W. Mitchell, DDS, FAGD
First occlusal contact before occlusal adjustment.
Thomas W. Mitchell, DDS, FAGD
Occlusion adjusted, polished with pumice and then glazed with Surpass 1,2,3. Final cure of 10 secs from each direction.
Thomas W. Mitchell, DDS, FAGD

Case by: 

Thomas W. Mitchell, DDS, FAGD