Class II Composite Restoration | Stevenson Dental Solutions

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In this video, Dr. Stevenson demonstrates the Wall and Lobe technique for developing ideal anatomy and contours.
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Комментарии : 181

@Bhardy56OMG 5 лет назад

Do you know that your amazing technique makes life as a dental assistant exciting? To watch you work with meticulous perfection .... you take the time to make it anatomically correct. Not many providers do such a beautiful job. Thank you, it's awesome.

@StevensonDentalSolutions 5 лет назад

Very kind of you - Thank you.

@primalpillars4936 5 лет назад

Wow, this is amazing, my school never taught me anything like this!

@StevensonDentalSolutions 5 лет назад

Hi Doc, thank you. I’ve learned exponentially more since graduating dental school as well.

@toti35 3 года назад

😳

@md.abdullahal-araf3369 3 года назад

You r a doctor but your RU-vid channel is full of exercise video.why??

@Parfum07 3 года назад

@@md.abdullahal-araf3369 he is a university teacher

@haneenraed7471 2 года назад

+1🥲

@rodrigocartens7563 6 лет назад

Love your videos Dr. Stevenson! Really amazing, thank you very much for sharing your knowledge with us.

@StevensonDentalSolutions 6 лет назад

Thank you Dr. C! More coming... Dr. S

@vinaynaik6905 5 лет назад

Thank you Doc, that's awesome I learnt some new techniques keep uploading such videos

@yunavazquez1469 5 лет назад

Amazing! Thank you so much for your videos.

@worldpeace8814 Месяц назад

This is not what we’re taught at school but looks wonderful and efficient

@worldpeace8814 Месяц назад

I take it back, 1 hour is crazy. Looks great though.

@dt.furkanuz 5 лет назад

Doc i really appreciated. I got a lot of tips from this video you're amazing.

@babacanoflaz1403 3 года назад

Hocalar anlatmayınca ta buralarda buluşuyoruz

@dr.ahmadmohammadDentist 6 лет назад

perfect .. like your work and patience

@StevensonDentalSolutions 5 лет назад

Thank you Doctor!

@malebhaskar 3 года назад

Thank you Dr. Stevenson for the video🙏🙏

@StevensonDentalSolutions 3 года назад

You are very welcome

@i2harry 3 года назад

Thank you so much for sharing this video. The result is amazing!

@StevensonDentalSolutions 3 года назад

Thank you!

@bananasgonebad1230 3 года назад

Learnt so much! Thank you for sharing your knowledge!

@StevensonDentalSolutions 3 года назад

Thank you!

@DrAycha 2 года назад

Doctor your videos are so helpful. Thank you so much.

@StevensonDentalSolutions 2 года назад

My pleasure!

@sewer300 5 лет назад

That is incredible! I will try this technique starting today.

@jaesikson5531 4 года назад

An inspiring video. A "simple" procedure yet so difficult to master.

@StevensonDentalSolutions 4 года назад

So true!

@user-zz1il6do4h 6 лет назад

Excellent instruction and Demo. Thank you Dr. Stevenson!!

@faithyang1670 4 года назад

Your videos are the best. I mainly use them for dental school. :)

@StevensonDentalSolutions 4 года назад

Awesome - thank you.

@abdolalitabatabaie7397 3 года назад

It was artistic....inspiring indeed,thank you sir

@StevensonDentalSolutions 3 года назад

Thank you.

@ai5060 3 года назад

These videos are great! thank you

@StevensonDentalSolutions 3 года назад

Thak you AI!

@mel-3395 3 месяца назад

I’ve learned so much from this video !! It’s perfect. Your technique made it so simple and allowed me to improve my restorations in sim lab 😊 thank youuuuu

@StevensonDentalSolutions 3 месяца назад

Awesome! Best, Dr. Stevenson

@classydentist2595 2 года назад

you are really great doctor , thank you from egypt

@StevensonDentalSolutions 2 года назад

Thank you Doc!

@fishribbon 5 лет назад

Thanks, doc

@hierinmeinenaugen 5 лет назад

Beautiful work. I tried this but it isn’t as easy as you make it out to be. Hopefully with patience and time :) thanks for sharing

@StevensonDentalSolutions 5 лет назад

Thanks! Keep at it and stay tuned for more.

@school6131 4 года назад

Wow, that is beautifully amazing work!

@bimasu 2 года назад

Thanx v much for the wonderful video.

@StevensonDentalSolutions 2 года назад

Thank you! I appreciate your support.

@stevenlopez1717 7 месяцев назад

As a dental student, I have so much admiration for your meticulous attention to detail and scientific approach. I am sure you're well aware of what tremendous impact these videos have, a valuable educational tool for dentist and dental students across the world.

@StevensonDentalSolutions 7 месяцев назад

Thank you. I try my best and deeply appreciate your kind words. Dr. S

@luizeustaquiocobra9612 2 года назад

I love this technique , start the mesial /distal wall, transforming the Class II TO Class I, simpler to complete restoration

@StevensonDentalSolutions 2 года назад

Yes, I agree!

@doctoredable 3 года назад

Good review of sectional matrix systems. I have been using them since 1992. The original Bityne sectional matrix was developed by a dentist in California. He intended his system, to be used to place anatomically correct class 2 amalgam restorations. His instructions advocated the use of Brown dental compound to support and stabilize the stainless matrix. I have used many different systems since. There is not a system that can be used easily and effectively for all situations. One thing I have experienced is that attempting to place an MOD using two springs is not predictable. Discovering an open contact after removal of the springs and matrices is not a time saver.

@StevensonDentalSolutions 3 года назад

Thanks for the insights and info!

@azheraltaae6896 4 года назад

Thank you 🙏. Very much

@StevensonDentalSolutions 4 года назад

Thank you for watching!

@zahraakotb5467 3 года назад

Great work thank you

@StevensonDentalSolutions 3 года назад

Thank you too!

@itsSven Год назад

so good.

@scottsdaledentistprincessc4744 4 года назад

Beautiful restoration! Great techniques. Thank you for sharing this video

@StevensonDentalSolutions 4 года назад

Thank you Doctor.

@yasserzaghloul9793 5 лет назад

Great👏

@alikhalid3668 2 года назад

Amazing Doctor Woww

@StevensonDentalSolutions 2 года назад

Very nice of you, thank you for watching.

@YKDDS91 3 года назад

This is so beautiful..

@StevensonDentalSolutions 3 года назад

Thanks

@vinayakpavate6051 6 лет назад

Thanks Doc...I practice in Dubai.. shall find out if available here.

@MrBeachwaves 2 года назад

You're videos are amazing! I'm a dental student in Australia and these videos are invaluable.!They definitely top any videos we've received from our school! With that said, I was hoping you could answer a quick question. When placing my first bit of composite into my prep (using the composite gun), I find that the little bit of composite I do try and place into my prep often pulls away from the tooth, or comes out of my prep entirely when I pull my composite gun away and out of the mouth. Any suggestions on how I might be able to prevent this from happening? Thank you, Dr. Stevenson!

@StevensonDentalSolutions 2 года назад

Thank you Alex! Try removing a small increment of composite and rolling it in a small shape about the size of a sesame seed and use the plastic instrument to place it.

@sewer300 5 лет назад

Could you do Cl V composite prep and rest on a canine or other tooth?

@PSP0116 5 лет назад

Thank you so much your video Dr. Stevenson ! I have a quick question. If you do not have a modeling resin to deep into microbrush, what other materials could be possibly used to fill the resin interfaces where anatomy is sculptured? Is it okay to use wetting resin?

@dentistdentist7627 5 лет назад

In case you doing MOD cavity which side you do first ? Can we use 2 palodent ring together in same time!

@nayeemjamil 3 года назад

Hello Dr Stevenson, I am a dentist in the UK. I tried to do this technique with a patient the other day and I had a few issues and wondering what your thoughts were. I used the palodent matrix system, but with a rubber dam in place, are they too soft? becuase by the time I got it into the contact it was all bent. Also, another issue I had was bleeding when removing the wedge which was very stressful. Have you got any tips? Thanks

@TheGU1T4RFR3AK 3 года назад

wow wow wow. why dont they teach it like this in every dental school.

@StevensonDentalSolutions 3 года назад

Dental school just teaches you to be minimally competent. The very tip of an enormous iceberg.

@uursullla 2 года назад

Had this done today I was sweating

@vig1984 5 лет назад

sir how can we use a composite restoration in a deep caries management?...

@dentistdentist7627 5 лет назад

Did you burnish the contact ?

@meghanadupte301 3 года назад

very elaborated and solved all my doubts about matrices in cl-2 composite.. can we fill the proximal box in one go ??

@StevensonDentalSolutions 3 года назад

Yes, with a bulk fill that is capable of being cured all the way through, but best to fill with a wall or with increments with standard composite for maximal physical properties.

@meghanadupte301 3 года назад

@@StevensonDentalSolutions Thank you so much for reply.. yes sticking to the wall is an ideal technique as it does reduce the chances of shrinkage and then micro leakage . please elaborate on composite materials you use

@che182015 2 года назад

Hello Dr. Stevenson! Thank you for the great video! What type of resin did you use at the end? Is it a flowable?

@StevensonDentalSolutions 2 года назад

Modeling resin - Bisco

@kamalpreet9433 5 лет назад

thanks a lot Dr. Can u please share class3

@StevensonDentalSolutions 5 лет назад

Prep and restoration - it's in the queue!

@amandeepkirti3164 5 лет назад

Sir plz do some cusp build up videos

@StevensonDentalSolutions 5 лет назад

I did one - the MOD direct composite onlay - will do more though...Thank you!

@KodiakEL 9 месяцев назад

Glass Ionomers such as Equia Forte, Fuji Triae, IX... etc... require the use of a polyacrylic acid and not sulfuric. Fuji Cavity Conditioner is indicated for use as etchant. Cheers and great job on being conservative.

@StevensonDentalSolutions 9 месяцев назад

Fuji Triage. I don't know of anyone using Sulfuric acid in dentistry...PAA has been used for GIs since 1972 and its purpose is to remove the smear layer to allow for better chemical adhesion of the pendant silicate groups of the ALS particles in the powder to the available Phosphate and Calcium ions (on both the enamel and dentin interface) via relatively weak (2-6 MPa) covalent bonding. An RMGI liner may be effectively used without PAA by bonding to the smear layer - similar to self-etching adhesives.

@mpers 4 месяца назад

You can use phosphoric acid too, says so on the packaging

@samarkand7775 5 лет назад

Best

@StevensonDentalSolutions 5 лет назад

Thank you!

@drbuddie 5 лет назад

Amazing Doc! I always watch your videos before my practical exams. Your techniques give me confidence that I will do excellent on my test. Do you still teach at UCLA?

@StevensonDentalSolutions 5 лет назад

Thank you - I left UCLA last June to practice in the real world, run my teaching center and operate my dental lab. I'm deeply enjoying my new professional activities.

@julieo3860 4 года назад

Excellent. My goal is to attend a class at your teaching center.

@hamzaahmed5694 3 года назад

Do you think the Palodent system would be good for amalgam restorations also? Thank you again for the amazing videos

@StevensonDentalSolutions 3 года назад

Thanks - no it separates the teeth too much and it becomes impossible to remove the matrix without breaking the freshly placed amalgam.

@gavinpage7201 Год назад

Hey Doc, I am in dental school working on this technique and I was wondering if you have an tips for if the isthmus of the preparation is more narrow, making it more difficult to create the lobes? Thank you!

@StevensonDentalSolutions Год назад

Good question - the lobes will be very small, and the thin IPC (interproximal carver) is ideal. Even though it is narrow it is important to build the lobes, as you are aware. High magnification also helps. It can be quite fiddly!

@mylanyoung 4 года назад

That is one gorgeous restoration! When you use the extra bond to help make the composite flow better and not stick to your instruments, how do you get it off the tooth? Do you scrape it off before you cure or does it just come off after curing when you polish?

@StevensonDentalSolutions 4 года назад

I usually try to use Modeling Resin (by Bisco) - just didn't haver it that day...But whatever remains on the tooth is easily polished off. Thank you!

@dentistdentist7627 5 лет назад

What do u use to remove excess interproximal?

@choochd 3 года назад

You can use the disc system he showed to trim off excess on the Buccal/Lingual aspects but if you need to lighten and shape the contact try wedging it and lightly use an interproximal finishing strip (be careful not to remove contact though)

@dentistdentist7627 5 лет назад

Could you please explain MOD restoration with palodent? Some tips thank you

@StevensonDentalSolutions 5 лет назад

Yes - sure will!

@lanaw7304 Месяц назад

Why i feel there is open contact on the disto lingual side of the 2nd molar?

@puttaanjaneyulu3735 3 года назад

What if we get hight points?

@yanoevy1634 3 года назад

Hello dr I have a question can I use a microbrush with bonding agent to blend the composite restoration before curing or it will affect the physical properties of composite .. thanks in advance

@StevensonDentalSolutions 3 года назад

Yes you can

@MarathonMiler 3 года назад

Does using bond on the uncured composite weaken/lower the integrity of the composite material?

@haaris_sharif Год назад

Composite Modeling Resin is a light-curable, low viscosity microfilled resin (30% by weight), designed for use as a composite sculpting resin. By wetting your instrument with Composite Modeling Resin, you can facilitate the placement and sculpting of all direct composite restorations without the worries of having the composite stick to the instrument. Unlike adhesives, Composite Modeling Resin contains no solvent and is HEMA-free, so it will enhance composite placement without weakening the restoration. Modelling Resin is a light-cured, low viscosity microfilled resin for use as a composite sculpting resin. The properties of composite naturally lend itself to stick to your instrument. Modelling Resin overcomes this aggravating tackiness and was developed to aid in the placement and shaping of your composites. By wetting your instrument, Modelling Resin can be used to place and sculpt all of your direct composite restorations.

@springsh6678 2 месяца назад

I guess for dental students just to practice the final lobes is it possible to place one large bulk to make the base and then on top of that we can place the enamel lobe to create the anatomy?

@StevensonDentalSolutions 2 месяца назад

Yes, this is great. If you do lay done the first areas in lobes, with a dentin shade, the results could be better, shade wise, but this is optional.

@dttec7660 3 года назад

The thing I don’t get is my composite gets sticky and doesn’t have this viscosity when I’m working with it. Idk what I’m doing wrong

@StevensonDentalSolutions 3 года назад

Try using "Modeling Resin" by Bisco. You dip the instrument in it and it allows for a stick-free application and does not weaken the composite - very very cool! Here is the LINK: www.bisco.com/modeling-resin/

@paulgenino5944 3 года назад

Hi Dr. Stevenson. Do you have a favorite section matrix system? I need to purchase new separating rings, and would like to find ones that are less likely to "pop" off or be interfered with by the dam clamp. Thanks for any incite you may have.

@StevensonDentalSolutions 3 года назад

Garrison Fusion. $$$$ but great.

@yantiu8133 3 года назад

@@StevensonDentalSolutions I have this, doc! Its also my favorite!

@arety9180 3 года назад

Wow,great work!! I would like to ask you 2 questions. Is it possible to do this technique for primary molars ?because the cavities are too small.Also,what do you think about c-factor , in the first proximal layer?are we feel safe or we can do that in 2 steps?

@StevensonDentalSolutions 3 года назад

I suppose you could do it in Primary first molars, but wear strong loupes! As for the C-factor, here is the mathematical breakdown for a 2 mm deep x 3 mm wide x4 mm tall box: 1. Bulk Fill = 1.55; 2. Flowable Increment = 1.44; 3. Incremental banked layer (corner) 1.21; and 4. Wall technique = 0.41 Who knew! The centripetal wall technique is significantly better - gotta love math.

@arety9180 3 года назад

@@StevensonDentalSolutions thank you very much !!

@StevensonDentalSolutions 3 года назад

@@arety9180 My pleasure

@nicoleundermr 3 года назад

You wouldn't put another wedge from the buccal to close that little opening in the buccal box area?

@StevensonDentalSolutions 3 года назад

Three options: leave it and clean it up when you are removing proximal flash, place a modified wedge from the facial to close it (small so the ring easily seats) or use a thin instrument like a cord packer to push the bad against the box. Thank you for your catch!

@alikhalid3668 Год назад

Doctor Can you show us Amalgam and Composite filling in Conservative MOD class 2 ? Thats alot challenging as we have limited area. I shall be really grateful. Thanks

@StevensonDentalSolutions Год назад

I will put this in the queue! Good idea...

@alikhalid3668 Год назад

@@StevensonDentalSolutions Thank you so much dear Doctor

@kingo717 3 года назад

When I use the disk it usually takes away structure from the plastic tooth... idk what im doing wrong I try to do it the way you are showing

@StevensonDentalSolutions 3 года назад

Try using a little water and angle the disk so it touches the composite for the most part. Also, try starting with a less coarse disk. Keep at it!

@Bankky_otteri 3 месяца назад

What is the liquid that you use with micro blush?

@StevensonDentalSolutions 3 месяца назад

Modeling resin (Bisco)

@jesuisdentiste3268 5 лет назад

Thank you so much for the amazing video. Is there any way to remove the excess proximal composite (overhang) other than using the discs and the knife? As I often end up injuring the neighboring tooth.

@StevensonDentalSolutions 5 лет назад

Yes, the #12 scalpel and a very sharp posterior gold knife. All the best!

@jesuisdentiste3268 5 лет назад

@@StevensonDentalSolutions I appreciate a lot your fast and prompt reply. Thank you!

@isaac6662 Месяц назад

just failed this resto exam by indirect vision. For some reason it was first few times I got open contact n would like to know if using Vring w wedge helps. I used tofflemere and couldnt wedge properly

@StevensonDentalSolutions Месяц назад

Sorry to learn of this! The Tofflemire approach just won't create a nice contact with composite.

@ramandeepkaur5740 Год назад

What is the main advantage of sectional matrix?? Occlusogingivally or mesiodistally

@StevensonDentalSolutions Год назад

mainly occlusogingivally. Develops a better and more natural physiologic contact and contour.

@lamees7773 29 дней назад

Wouldn’t the extra bond that was added toward the end be counted as flash? Let’s say we don’t use bond as you used in the video, what ways can we utilize to fix the issues the presented in the composite ?

@lamees7773 29 дней назад

Thank you! It was a great video

@StevensonDentalSolutions 29 дней назад

This is modeling resin, but it's not really required and I usually don't need it. I use a very nicecomposite that will not stick (Tokuyama Esteelite Omega) and a Titanium Nitride plasma coated instrument.

@eddy7346 3 года назад

The results look amazing... I wonder how cripplingly expensive this is

@StevensonDentalSolutions 3 года назад

Not too bad - 300-500 for these is typical

@loretoandreareyesochoa7647 2 года назад

Feliz día de la odontología

@StevensonDentalSolutions 2 года назад

Gracias!

@homego7447 2 года назад

It's a very nice technique and beautiful result. No disrespect, but could you not use the instrument in the direction from throat? it's not something that can do clinically.

@StevensonDentalSolutions 2 года назад

Sure check out my video library for this.

@i2harry 3 года назад

That seems to be a lot of adhesive you are using, wouldn’t it affect the longevity of the restoration?

@StevensonDentalSolutions 3 года назад

Modeling resin not adhesive

@arwaalharbi8124 3 года назад

Doctor the tooth preparation for composite is very aggressive, don’t you agree? I though it was for amalgam.

@StevensonDentalSolutions 3 года назад

Yes, this is a pre-prepped tooth from Kilgore used by some US Dental Schools to teach filling large cavities. I used it in the demo to show the technique for filling a large cavity with composite. For example, when removing a large failing amalgam and restoring with direct composite. Thank you!

@aal.9076 6 лет назад

Dr.stevenson, when you used the micro brush, what was on it? I saw a yellow coloured liquid.

@StevensonDentalSolutions 6 лет назад

It was bonding resin, but I typically use Modeling Resin (Bisco) for this.

@airtonsoares2664 4 года назад

@@StevensonDentalSolutions hello Dr. Stevenson, compared to the modeling resin, does the bonding resin compromise the composite at all (should we be more judicious with bonding resin compared to modeling resin)? What is the main purpose of using the bonding resin? For a glossier finish after curing or does it change the composition of the composite? Also, I was curious, considering the dentin shade composite is almost entirely exposed in the central fossa, would you recommend using a darker dentin shade than the enamel shade? Thank you for these videos, your technique is incredible.

@StevensonDentalSolutions 4 года назад

Bonding resin which contains HEMA may discolor over time and does weaken the compute slightly, but this won't be the reason for failure. The main reason to use a resin is to keep the composite from sticking to the instrument and to smooth our the composite. Both of these issues have been helped with the titanium nitride coated interments and manufacturing improvements over the years. I like a Body or Dentin Shade in the deepest areas followed by enamel and then a milky white enamel on top. Tokuyama Estetlite Omega is really nice.

@getsmart2594 5 лет назад

I would imagine in between the polishing steps , adjustments in the occlusion have to be done with articulating paper. I wonder If you had ever a perfect sculpture of a patients tooth anatomy, to which you never needed to go the step of articulating paper. Now that would be like a hole in one or a double eagle on the golf course. Just curious if you have a favorite but affordable combination of matched materials that would get great results for compression, zero micro seepage, and anatomy of occlussal. Bonding agent, glass ionimer, composites, etc. I have seen these steps in person by my hand all change on a live patient with DA suction, dental dam, cheek retractors and rubber bite blocks. I know in this profession if the patient has a BIG MOUTH, all the better.....lol ! Great video !

@StevensonDentalSolutions 5 лет назад

You are so right! Dentistry is so much more challenging in the oral environment! Never done anything close to perfect - but I keep trying...I use the following steps: 1. RMGI liner in deep areas, 2. ACID etch with Phosphoric acid w/BAC, Rinse, "Moist Dry" 3. CHX 2% for 30 sec, then blot dry, 4. 4th gen bonding system (OptiBond FL), then centripetal wall and anatomical build-up. All the best! Dr. S

@getsmart2594 5 лет назад

Thank you very much for the information. Great video !

@StevensonDentalSolutions 5 лет назад

Anytime Doc!

@vinalkumar7041 Год назад

there is no need for a gingival floor for a composite restoration just an open contact would suffice ideally, unless I'm not aware of something.

@StevensonDentalSolutions Год назад

not according to US Licensure requirements.

@Aestheticdentalcheenel 2 года назад

Nice 😂😂

@yamannwair6434 5 лет назад

Thanks doctor but what about the color

@StevensonDentalSolutions 5 лет назад

For this video, color was not considered. I will make another soon which features the shade requirements, opacities, and stains required to maximize natural color.

@yamannwair6434 5 лет назад

thanks a lot , waiting the video

@Raynieday6969 2 года назад

Can this technique be done with a tofflemire matrix band?

@StevensonDentalSolutions 2 года назад

It can but the result will be a point contact rather than a nice well-contoured physiologic one.

@Raynieday6969 2 года назад

@@StevensonDentalSolutions thanks for your response. I never see any tofflemire videos on class2 composites and I'm just wondering if this works for those who still find comfort in them. What burs do you recommend for finishing, for those who may not create as good anatomy as you?

@StevensonDentalSolutions 2 года назад

@@Raynieday6969 The best burs are the 7404-014, the 7102-014, and the 274- most of these are also available tin diamond as well. After using these, the Dialite System from Brasseler or the Cosmedent System work really well.

@Raynieday6969 2 года назад

Thanks a bunch doc

@DrPark-qw6ky Год назад

This is amazing work. However, I sometimes find myself spending much time creating accurate anatomy only to grind it away to adjust occlusion 😂

@StevensonDentalSolutions Год назад

Me too! I've improved by using the adjacent marginal ridge as a guide and checking it before I start with articulating paper and then trying to replicate the contour...

@DrPark-qw6ky Год назад

@@StevensonDentalSolutions That's a very valuable tip doctor. Thank you so much for all your work!

@vinayakpavate6051 6 лет назад

Dr what composite did you use

@StevensonDentalSolutions 6 лет назад

G-ænial Sculpt® Light-Cured, Universal Nano Hybrid Compactable Composite

@glowingxlights9652 2 года назад

Is this a MO?

@StevensonDentalSolutions 2 года назад

Yes an MO, Mesioocclusal.

@glowingxlights9652 2 года назад

@@StevensonDentalSolutions amazing! Could you please make a composite restoration class 1 video? Preferably tooth number 26! First molar

@StevensonDentalSolutions 2 года назад

@@glowingxlights9652 I will! Thank you for the suggestion - upper left first molar occlusal. Got it.

@aliamirian2041 4 года назад

Thank you for the great video. But you are a little bit slow and you are god damn talkative

@user-xx7ed7ti1z 10 месяцев назад

Very rude and uncalled for Dr.S is also a teacher, trying to explain his work to you and me, no need for your words. Personally, I have been using this technique for years, yet I watched it till the end, trying to learn anything I can, and in awe of his talent to explain and make things easy If you don't appreciate, please don't watch.