Class II with a unique ingredient and Plasma Curing- By Dr. John Kanca III

Introduction: 

This is a Class II restoration with a new and extremely unique addition.

John Kanca III, DMD
Defective amalgam
John Kanca III, DMD
Cavity prep cut and stained
John Kanca III, DMD
Palodent sectional matrix, Flex Wedge and V3 ring
John Kanca III, DMD
Clean and Boost applied for 15-20 seconds, rinsed and DRIED
John Kanca III, DMD
As you can see, Clean and Boost will etch a tooth very nicely
John Kanca III, DMD
Bond Saver D applied
John Kanca III, DMD
A new product from Apex Dental Materials, Inc., Bond Saver D is a solution that will rewet, desensitize and deliver all sorts of good things to the tooth. It contains glutaraldehyde, chlorhexidine, fluoride, a desensitizer and a proprietary ingredient that will prevent bond degradation.
John Kanca III, DMD
Then Surpass 2 is applied and DRIED and Surpass 3 is applied and THINNED
John Kanca III, DMD
This shows how thin the entire adhesive is
John Kanca III, DMD
It is light activated for 3 seconds on plasma power or 3200mW/cm2 with a VALO light
John Kanca III, DMD
A layer of Titan flowable is inserted and polymerized 3 seconds on plasma power or 3200mW/cm2 with a VALO light
John Kanca III, DMD
Two increments of Exquisite Restoration are inserted and polymerized 3 seconds on plasma power with a VALO light to establish the proximal wall.
John Kanca III, DMD
The ring is removed and two wedge increments are inserted and each polymerized 3 seconds on plasma power with a VALO light.
John Kanca III, DMD
Dam is removed (Hedy dam-thank you Dr. Stephen Kuzmak) and the occlusion is adjusted.
John Kanca III, DMD
The restoration is polished.
John Kanca III, DMD
The restoration is sealed with Interface, applied and Surpass 2, applied, DRIED and light activated for 3 seconds with a VALO light on plasma power.

Conclusion: 

The is one method to restore a Class II in a tooth using a new product, Bond Saver D, that will prevent bond degradation, as well as rewet and disinfect and deliver flouride where it's needed.

Case by: 

John Kanca III, DMD

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