POSTERIOR FILLINGS, INLAYS AND OVERLAYS

Dr Tom Bereznicki BDS (Edin)

PROFESSIONAL INFLUENCES

• Jan Lindhe & Sture Nyman

• Shillingburg, Hobo, Whitsett

• Jan Pameijer

• Peter Dawson

• Ronald Goldstein

• John Kanca 111

• David Garber & Team Atlanta

• Gordon Christiansen

• Carl Misch

• Harold Preiskel

• John McLean & Mick Kedge

• Eddie Levinson

• Michael Wise

Prof Stephen Dunne

MINIMALLY INVASIVE DENTISTRYLEARNING FROM FAILURE

42 year old amalgam restorations

19 YEAR OLD AMALGAM CROWN

WHITE FILLINGS IN ANTERIOR

TEETH

Composites simply do not bond long-term to Dentine

27 year old glass ionomer 5 year bonded composite

DENTISTRY TODAY – VOL 35 No 7 P 126

THE ‘RESERVOIR RESTORATIVE’ REVOLUTION

WHITE FILLINGS IN POSTERIOR TEETH

Total etch/wet bonding v self etch bonding

? USE A GI OR RMGI BASE?

JIFFY BRUSHES

RECURENT DECAY

RECURRENT TOOTH DECAY BENEATH A ‘WHITE’ FILLING PLACED 8 YEARS BEFORE

SANDWICH TECHNIQUE

?

NEW MATERIALS

RAMP CURING

INLAYS V OVERLAYS

INDIRECT COMPOSITE INLAYS

WHAT WENT WRONG??

COMPOSITE INLAYS

6 year old indirect inlay

WHY CUSPAL COVERAGE?

FAILING PORCELAIN INLAYS

INDIRECT GOLD INLAYS AND OVERLAYS

45 YEAR OLD SEMI-FIXED INLAY BRIDGE BRIDGE

33 year old gold overlays

PRESSED CERAMIC

INDIRECT PRESSED CERAMIC OVERLAY COVERING THE PALATAL BUT NOT THE BUCCAL CUSPS

2006 - e.max pressed

PRESSED CERAMIC

INITIALLY POOR COLOURS RARE FRACTURE – 7 YEARS LONGEVITY - 13 YEAR e.max

CONSERVATIVE PREPARATION

13 year old IPS e.maxMARGINAL RIDGE PRESERVATION

EMAX OVERLAYS TO AVOID POSTS IN ROOT TREATED PREMOLARS

ABSCESSES WHICH ARE NOT RELATED TO THE TOOTH APEX IN ROOT TREATED TEETH ARE GENERALLY INDICATIVE OF A ROOT FRACTURE

ROOT FRACTURE

OVERLAY PREPARATION SHAPES

JOIN

CEMENTATION

?

ZINC PHOSPHATE

POLYCARBOXYLATE

GLASS IONOMER

GOLD - RESIN MODIFIED GLASS IONOMER

e.Max - COMPOSITE RESIN LUTING CEMENTS

• Conventional• Self adhesive• Self etch• Panavia

Conventional

Self adhesive

Self etch

FINISHING LINES

CHAMFER

SHOULDER

SHOULDER BEVEL

FEATHER