Cl 2 Bulk Fill Technique- By Thomas W. Mitchell, DDS, FAGD

Introduction: 

This is now my Cl 2 Bulk fill protocol.

Thomas W. Mitchell, DDS, FAGD
We're doing #3 MO, replacing the existing MO due to decay on the gingival margin.
Thomas W. Mitchell, DDS, FAGD
There's the decay
Thomas W. Mitchell, DDS, FAGD
A basic prep. I extend my proximals for composites farther than I ever did for amalgams. No need for the "reverse curve".
Thomas W. Mitchell, DDS, FAGD
A basic prep. I extend my proximals for composites farther than I ever did for amalgams. No need for the "reverse curve".
Thomas W. Mitchell, DDS, FAGD
Clean and Boost for 20 secs, wash and dry, Superb for 20 secs then 2 more coats of Superb then dry, add Titan flowable and co-cure for 3 secs with Valo light on XTRA POWER (plasma mode - 3200 mw/cm2)
Thomas W. Mitchell, DDS, FAGD
First layer of Exquisite in the proximal. Get it contoured as best you can to match the height of the adjacent marginal ridge then zap for 3 seconds with the Valo light on XTRA POWER.
Thomas W. Mitchell, DDS, FAGD
Pull the ring and bulk fill the occlusal, forcing it in with finger pressure then shape with instruments. Then blast for 3 secs.
Thomas W. Mitchell, DDS, FAGD
Just needed a little disking on the proximals.
Thomas W. Mitchell, DDS, FAGD
High on the marginal ridge.
Thomas W. Mitchell, DDS, FAGD
Oh this is killing me.... I tried these diamonds to adjust the occlusion. They're FABULOUS!!!!!
Thomas W. Mitchell, DDS, FAGD
I used the football and egg shaped ones. They're great!
Thomas W. Mitchell, DDS, FAGD
After adjusting and glazing with Superb. Then 3 secs of Valo light from each direction.
Thomas W. Mitchell, DDS, FAGD
I was able to get the occlusal embrasures contoured pretty well using "compo-discs" which are like metal finishing strips in a small holder.
Thomas W. Mitchell, DDS, FAGD
Final film looks pretty good.

Conclusion: 

So now I'll admit that, because I gave up my Saturday golf game to take Dr. John Kanca’s course, it's easier for me to get what I consider a really good result with composite, and to accomplish that in a reasonable amount of time. If you ever get the chance to take John's course and do the hands on section, don't hesitate.

Oh I was just voted Best Dentist in Bellevue! Don't know if I paid for that or people actually voted, but doesn't matter 'cause I got my name in the paper (now my name is in intimate contact with a bunch of fish...).

Case by: 

Thomas W. Mitchell, DDS, FAGD

Email: 

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