Recall 3 years Geriatric Full Contour Composite- By Thomas W. Mitchell, DDS, FAGD

Introduction: 

In 2015 my then 89 year old lady broke off the crown on #13 at tissue level. We rebuilt it using pins, Surpass Universal Adhesive, Titan flowable composite and a nano composite. Her husband of 60+ years had just passed so we needed to stick to a simple procedure. Now 3 years later she and her full contour composite build up are doing just fine. This procedure may be a bit more difficult for us, but is significantly easier for our geriatrics to tolerate.

Thomas W. Mitchell, DDS, FAGD
In 2015 my then 89 year old lady with #13 fractured off at tissue level. This is just after she lost her husband of 60+ years. She couldn't tolerate a bigger procedure.
Thomas W. Mitchell, DDS, FAGD
We placed 4 Minikin Self-threading Pins to add as much retention as I reasonably could. These are .017 diameter, so theoretically they will develop fewer fractures than the .021 diameter pins.
Thomas W. Mitchell, DDS, FAGD
After Surpass 1,2 and co-cured 3 with Titan Flowable.
Thomas W. Mitchell, DDS, FAGD
Then to get better contours and contacts I removed the retainer and hand-held the matrix as I added in increments of nano composite.
Thomas W. Mitchell, DDS, FAGD
2105 finish
Thomas W. Mitchell, DDS, FAGD
2015 finish
Thomas W. Mitchell, DDS, FAGD
And 3 years later, yesterday, all appears fine. (2018)
Thomas W. Mitchell, DDS, FAGD
From the occlusal yesterday.
Thomas W. Mitchell, DDS, FAGD
Yesterday's x-ray. All is going fine.

Conclusion: 

This is a good procedure for our geriatrics when they're not able to tolerate longer, more complex appointments. Now at age 92 she's doing much better. But as we all know losing a spouse is really difficult, so I'm glad we had this available for her. Hope this helps.

Case by: 

Thomas W. Mitchell, DDS, FAGD