Clinical ABOUT THE AUTHOR
Dr Melanie Elger qualified in dentistry in Hamburg. She specialises in paediatric dentistry, and is a member of the German Society of Paediatric Dentistry and the German Society of Dental, Oral and Maxillofacial Surgery.
Images courtesy of Dr Amin Farah. Fig 6 Light-curing
Fig 7 Finishing
Continued » We first placed a rubber dam using the
slot technique. We use this procedure as a general rule in every restorative treatment and often in the case of fissure sealing, in order to prevent interruption of the work and contamination with saliva. Children tolerate the rubber dam very well if it is meaningfully integrated into behavioural guidance. After placing the rubber dam, we cleaned
the teeth using a fluoride-free paste (Fig 2). Then they were inspected once more, both visually and using a probe. For fissure sealing, the manufacturer
recommends additional enamel etching since the enamel is intact in this case, in contrast to the enamel of a cavity that has undergone minimally invasive preparation. This agrees with the scientific view of the DGZMK regarding fissure sealing. The DGZMK recommends additional etching in the case of self-etching materials. For small, minimally invasive Class I fillings, on the other hand, additional etching can be omitted. Etching using conventional 37 per cent phosphoric acid was performed on the permanent teeth for 60 seconds, according to the DGZMK recommendation (Fig 3). The teeth were then carefully rinsed and dried. Then Constic was applied using a Luer-Lock-Tip (Fig 4) and massaged in with a brush for 25 seconds (Fig 5). Initially, massaging in the new flowable
using a brush feels somewhat strange. However, since the viscosity is properly adjusted, one need not worry about any formation of air-bubbles while massaging the material in. One advantage of this
66 Scottish Dental magazine
Fig 8 Checking the occlusion
method is that no additional instruments are needed for its application. After the material was applied, it was
cured with a conventional polymerization light (Fig 6). Then we checked the occlusion, removed
any excess and polished the teeth using a composite polishing brush (Figs 7 and 8).
Conclusion The opacity of the shade opaque-white is not yet sufficient, but it is currently being revised by the manufacturer.
Our experience is that, particularly in
the case of minimally invasive restora- tions in deciduous teeth, the time-saving advantage is of particular importance. The material can be applied without additional etching and without an additional adhesive system. Conventional etching on deciduous
teeth takes about twice as long as on permanent teeth, depending on the appli- cation to some extent. These time-savings even double in the case of paediatric treat- ment. Here, Constic is a real jackpot!
Constic – ideal for MID restorations
When restoring teeth as part of a minimally invasive procedure wouldn’t it be great to save time too?
DMG’s new Constic self-etching and adhesive flowable composite eliminates both the etching and bonding steps and saves valuable time too. Post-operative sensitivity is also markedly reduced. Constic is faster, easier, more gentle and reliable!
This new three-in-one flowable composite combines etching gel, bonding agent and flowable composite in one single product. Consequently it eliminates both the etching and bonding steps and the associated time expenditure. Possible sources of error are also minimised – advantages not offered by conventional flowable composites requiring the use of a separate adhesive.
As well as for treating MID restorations including small Class I restorations and base linings in adults and children, Constic can be used for fissure sealing, repairing existing
restorations and blocking out undercuts, all of which can be quickly carried out with Constic, which is simple to apply and then light-cured. Available in six shades (A1, A2, A3, A3.5, B1 and Opaque-White), Constic is radiopaque with a tooth-like fluorescence.
For further information, contact your local dental dealer or DMG Dental Products (UK) Ltd on 01656 789401, fax 01656 360100, email
paulw@dmg-dental.co.uk or visit
www.dmg-dental.com
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