Class II Composite Restoration - #5 DO Natural Tooth

[@rowdymrlotso]

Thank you Dr Stevenson for making these videos. You have no idea how much these videos mean to so many of us especially young dentists like me who lack experience and practice. I am so very thankful that you're teaching and I hope you continue to teach! God bless you.

[@StevensonDentalSolutions]

My pleasure Doc. Thank you!

[@Nadznadzandtheroses]

I am a recent grad too and I feel The same way. Thank you so much, this is beautiful 🌹

[@cedardmd]

As a D1, I find your instruction much better than the never updated 20-year-old PowerPoint lectures that are presented to us in the lab! Your patients are fortunate to have a dentist like you who takes great care of their teeth!

[@StevensonDentalSolutions]

So nice of you to say. I agree dental education can be very very stale if the instructors are burned out...

[@dentalmitra7864]

Very self critical doc! Your self evaluation goes far beyond how others would judge / access / find your work ! In pursuit of perfection !! Trying to enhance your work . Very inspiring.

[@StevensonDentalSolutions]

Thank you!

[@dr.vishalpatil3531]

You are not only a dentist but also an artist

[@StevensonDentalSolutions]

Thank you very much, Doctor.

[@hennyle95]

Such a helpful technique to establish the marginal ridge like this first. Wish my school taught this, thanks!

[@NEHAGEDAM15]

Wonderful even a beginner can learn carving in composite restoration.

[@ms.charlotte4027]

Oh my goodness, you've just changed my life.

[@jonathando]

Dr. Stevenson, absolute beautiful work as usual. I really appreciate you giving us these step by step tutorials. It gives us further insight on your technique in using the ipc and compusculpt instruments to shaping restoration. Would love to see a video restoration of back to back composite class II composites.

[@robinhood1770]

Honestly you’re amazing, thank you so much! I’m still learning but hopefully I’ll get there

[@zlenkodmd]

Until now I was thinking that, on average, American dentists were somewhat less artistic and pedantic than some of the popular Instagram dentists, seemed like the majority just didn't care that much about the anatomy and technique ( I shadowed in NYC where a dentist worked in 3 operatories simultaneously, yielding subpar standard results). You proved me wrong. As a recent dental graduate from Europe I am deeply impressed with the skills you have and the way you elaborate on the topic material. I am really looking forward to upcoming lessons on your channel. You have one of the best or maybe the Best content for dentists on the internet. There are great dentists throughout the world and America definetly has a few to show off . Thank you so much for your knowledge! Best Regards!

[@StevensonDentalSolutions]

Thank you Boris - passion and persistence...

[@hossamnassar62]

My teacher and professor I wish you good always. Your student from Egypt 🇪🇬❤️

[@StevensonDentalSolutions]

Thank you!

[@samiakhalil9535]

on of awesome class ii i have been watched.. hands on👏

[@StevensonDentalSolutions]

Thank you Doctor

[@salvatore.M77]

Thank you for making these videos ❤

[@StevensonDentalSolutions]

Glad you like them!

[@zur5181]

Thank you so much for uploading this amazing video you don't believe me how much I needed this one....Thank u for a million

[@StevensonDentalSolutions]

Happy to help!

[@hotknight1335]

Now you're a talented Doctor........ My Dentist , I believe , slices cold cuts on the weekend .

[@sajadh4542]

Awesome work...i appreciate your effort in order to help other dentists

[@Travelwithmoi]

"I think it turned out okay.." then shows god like restoration

[@StevensonDentalSolutions]

You are very kind.

[@mayankshah141]

nice i enjoyed watching the entire video without pausing it

[@StevensonDentalSolutions]

I wish more viewers did the same!

[@wennessa94]

Amazing detailed step by step occlusal anatomy recreation ! Thank you so much for sharing such an awesome video !

[@StevensonDentalSolutions]

Thank you!

[@siroussarmadi1614]

Beautiful as usual!

[@acash93]

It looks really good even without the opaque composite. Great vid!

[@StevensonDentalSolutions]

Thank you for your comment!

[@elenalikhtenvald5959]

it s look perfekt! Thank you Dr Stevenson for very helpful Video!

[@StevensonDentalSolutions]

My pleasure

[@rafatsrf]

Amazing work thanks doctor 😊👍we keep on learning

[@StevensonDentalSolutions]

Great to hear this! Thank you.

[@aissabelk]

Thanks for you doctor , from algeria

[@StevensonDentalSolutions]

My pleasure! Dr. Stevenson

[@khalidmahmood8589]

beautifully done, Many thanks for sharing your tips on how its done :)

[@StevensonDentalSolutions]

My pleasure!

[@dalia4014]

Dr stevenson thank you so much for all the videos they are really helpful please if you can upload a video of cusp build up with the composite on a premolar really appreciate that thank you so much again

[@StevensonDentalSolutions]

Great idea - I think I'll do that on #4! Thank you.

[@dalia4014]

@@StevensonDentalSolutions appreciate that Dr iam preparing part 2 practical exam after few years back to dentistry when I found your videos of a great help specially the pfm anterior and canine and all the others one thing we are having in the exam and iam still also trying to be good at is the temporary crown fabrication if in future Dr stevenson you can show us a video of that we really appreciate your help

[@StevensonDentalSolutions]

I will for sure. Thank you!

[@ronakjain530]

Beautiful work dr Stevenson..

[@Dianmaru]

Thank you! Here’s to 2021.

[@StevensonDentalSolutions]

Hoping it's a great year!

[@abum7md705]

Great video as usual Dr. Stevenson! I only wish you would shed some light on how to ensure great & predictable gingival margin adaptation while performing Class II composite restorations. Thank you very much.

[@StevensonDentalSolutions]

Good sub-topic. I will show this moving forward - it's so important. I appreciate your idea.

[@abum7md705]

@@StevensonDentalSolutions This would really helpful! Im replying to right from my dental clinic. It is just frustrating to see on post-op xray that my class II restoration didn’t adapt well gingivally, even if it looks anatomically good and has a nice contact point.. I had to reschedule the patient for a re-do. As a young dentist, I wanted to be accustomed to excellence, that’s actually the beauty of this profession .

[@sureshshenvi8186]

Thank you soo much for such a beautiful video!

[@mohamedmagdy1126]

Super amazing Thank you dr stevenson for your efforts ❤️

[@StevensonDentalSolutions]

Thank you Doc!

[@niyatisharma4762]

You truly inspire Sir!!

[@StevensonDentalSolutions]

Thank you! All the best, Dr. S

[@SatanIceCream]

great job doc! keep it up!

[@StevensonDentalSolutions]

Thank you

[@mohammedalbasher9731]

Keep going your work is more than amazing 😍 We teaching our students on your videos ❤

[@MrNguyentanhung]

Thanks for excellent video

[@StevensonDentalSolutions]

My pleasure Doc! Best, RGS

[@carriegauntt9454]

Thanks for the great video. I show them in out EFDA course. Loved the POD cast too with Howard.

[@layansuleiman8653]

Hi Dr. Stevenson wonderful video as usual!! could you please make a video on back to back class II’s? Thank you so much in advance!

[@StevensonDentalSolutions]

Good idea! Thank you.

[@hamzaahmed5694]

Really amazing!

[@StevensonDentalSolutions]

Thank you Doc!

[@shaikhnayaab3]

The video was beautiful and helpful. Keep up the good work Sir.

[@sheenusheenu1234]

Nayaab ji ap bta skte h ye kisi janwar ki haddi se banaya jata h.

[@roopali162000]

Great sir!! You are perfectionist

[@StevensonDentalSolutions]

Thank you - never reach it but I keep trying...

[@fayhaadnan338]

Tour skills are amazingggg

[@StevensonDentalSolutions]

I try my best - always trying to improve, thanks.

[@tezcatlipoca6336]

It looks good !

[@nevensaulic2103]

Thank you so much, Doctor Stevenson, for another great and educational video! If only we had a professor like you during studies. Can you tell me your tips to minimalise C-factor in composite restaurations? Thanks

[@StevensonDentalSolutions]

I have calculated the C factor for various approaches and have found for class II's the wall and lobe is the least, actually about 0.4! The key is incremental placement in anatomical shapes...

[@nevensaulic2103]

@@StevensonDentalSolutions So marginal ridge contour can be modelled in one go, no need for incremental placement for that specific area? Thanks for your reply

[@emadnejm3577]

Very nice job thanks

[@StevensonDentalSolutions]

Great - thanks for watching!

[@بتول-ه4ن]

I really need your instruments 😭♥️..you are amazing 😍😍

[@StevensonDentalSolutions]

You are too kind. Thank you!

[@Mahmoud-cp9hu]

@@StevensonDentalSolutions i noticed that you are using alot of modelling liquid

[@newworld9338]

Good job

[@marzitips]

Great instructions thank you. May I ask if you add some bonding on your instruments?

[@StevensonDentalSolutions]

Modeling resin

[@박정선-t1t]

thank you so much for sharing

[@StevensonDentalSolutions]

Thank you, Doctor!

[@obo012345]

Amazing job 😍👍 Can u please tell me why needed all of these layers? I admire ur work. Keep it up.

[@StevensonDentalSolutions]

I was using a paste conventional composite - not a bulk fill so layers help with better polymerization and conversion rates, and also, we can give somewhat better esthetics with deeper dentin shades and more frosty enamel shades covering them.

[@tezcatlipoca6336]

your tooth looks much better than the OWN ones :D !

[@dkkwon1980]

open contact on the mesial, but those are always hard to achieve next to the cuspids

[@StevensonDentalSolutions]

Yes, especially when it’s not part of the restoration! :)

[@jamesfe5]

Maybe show the composite brands and numbered value of shades as you go as well . That would be helpful, but you did say opaque and translucent.

[@StevensonDentalSolutions]

Yes, thank you and it's a good idea for the future.

[@studywithnisa1527]

Your explanation and step was so great👍 thankyou

[@StevensonDentalSolutions]

Great - thank you!

[@aamin6933]

Thank you Dr Stevenson. I have really been helped by your videos. When the interdental box is narrow it is difficult to push the composite against the band as the interproximal carver is too big. Have you any tips?

[@StevensonDentalSolutions]

I'd use the injection moulding technique for this situation. Fill the box part way with flowable, then squeeze in paste composite, thereby displacing the flowable - works well for small class II's.

[@tvalue4618]

Thank you, and what kind of dentist would I need to see for this

[@StevensonDentalSolutions]

Typically a general dentist with membership in the Academy of Esthetic Dentistry or the Academy of Operative Dentistry..Check out their websites

[@مجهول-ك2ن5ح]

Doctor, please answer my question. I am a fourth-year dental student. When I get the filling after about a week or less, the filling falls out completely, even though the materials used in the filling are good (I use the Tokiyama filling).The bond is also good, and the cavity I make has the same conditions required for an amalgam filling cavity, but I do not know what the main reason is.

[@StevensonDentalSolutions]

Could be contaminated air - oil in the system. This would be the only thing I can think of other than moisture contamination, but I doubt this is the issue.

[@wang591]

Thank you so much Dr Stevenson, I have really learnt a lot from your videos! I was wondering what your approach would be for adjacent class two composite restorations, do you do them together or do them one-by-one? Once again, thank you for posting such wonderful videos.

[@StevensonDentalSolutions]

Hi Doctor - yes, I do adjacent class II's one at a time - seems to work well, and ends up taking about the same time, with the added benefit of being able to verify the interproximal seal on the first restoration.

[@wang591]

@@StevensonDentalSolutions Thank you Dr Stevenson!

[@jyotikaur5158]

Thank you Dr Stevenson! It is a very beautiful. How do you keep composite from sticking to instruments?

[@StevensonDentalSolutions]

Modeling resin by Bisco, Thank you!

[@xockira]

I'm looking for that treatment here in Sunnyvale, CA. But all dentist trying to make more money with implants or crowns! I know that kind of restoration in my country, but now I living here and all dentist trying to make implants or destroy the tooth and put a crown. I looking for a honest and affordable dentist can fight to maintain your tooth in your mouth without degrading your tooth. I would like to know if you can recommend one, would be amazing.

[@StevensonDentalSolutions]

I don't know of any super conservative dentists in Sunnyvale, CA...You might have some luck going up to UOP Dental School in SF.

[@bothainaelsafty5791]

Is there vedio about back to back composite restoration

[@StevensonDentalSolutions]

Not yet

[@siddharthshah8228]

Hi can u put some vedios on rubber dam application...regards

[@StevensonDentalSolutions]

Great idea - will do! Thank you.

[@SHAUNDJFISHBEATSMARTIN]

cool video interesting :)

[@StevensonDentalSolutions]

Thanks

[@sureshshenvi8186]

Could you please mention the name of these instruments in the description?. It would really help us a lot, dear sir!

[@StevensonDentalSolutions]

Hi Doc - they are in other vids bu here you go: Composculpt (available from our website)

[@XDLeadingLady]

Hi Dr Stevenson, this video is amazing. Can I ask how do you prevent the composite resin from sticking to your instruments? I have noticed that it looks shiny so im wondering if you have used anything to prevent it from sticking?

[@StevensonDentalSolutions]

Yes, I use Modeling Resin (Bisco) - works great and doesn't decrease the compete strength.

[@omaromar11234]

Dr Stevenson , I’d like to know ur opinion regarding the “Bioclear method” (David Clark’s concepts) like the infinity edge and injection molding ... thanks in advance.

[@StevensonDentalSolutions]

Very good techniques and with practice they work well. The use of a microscope plays a major role in his techniques. When I was Chair of Restorative at UCLA, I added the injection molding technique to our curriculum. Perhaps the only criticism I have is that little clinical research - prospective studies - have been done to provide scientific validity...nonetheless, the techniques he teaches are beautiful and certainly compelling. Thank you!

[@omaromar11234]

Stevenson Dental Solutions how about polymerization shrinkage? I mean they basically cure the resin in one large increment .. wouldn’t that cause problems ?

[@StevensonDentalSolutions]

Yes, this would likely lead to problems if the mass was large, hence I've suggested that the snow-plow (injection molding) technique is only indicated for very small cavities - like slots. Bulk filling is here to stay, even if though it has been shown to be inferior to incremental filling in clinical trials. SonicFil by Kavo-Kerr has outperformed other bulk fill materials - but I'm not sure if Clark uses this product. Again, his techniques appear beautiful upon completion but lack the scientific assurance of longevity that many of us require before using new techniques.

[@omaromar11234]

Stevenson Dental Solutions Dr Stevenson .. u da real MVP. :)

[@quangkhaitran4169]

great video. why don't you use light-cured composite resin!?

[@StevensonDentalSolutions]

I did.

[@quangkhaitran4169]

@@StevensonDentalSolutions I got it. Many thanks

[@dentistgame9826]

Thank doc if you don't mind I have question when brush occlusal did you brush with modeling primer or bonding in final step when you create anatmical landmark of tooth

[@StevensonDentalSolutions]

I try to avoid either in clinical practice and use a surface sealer, like OptiGaurd.

[@Bishr2038]

Thank you once again, Dr. Stevenson I needed to ask you about the fact that composite looks shiny before you pack it into the cavity a few times throughout the restoration procedure; do you apply bonding agent to it for easier application or do you just apply it as it is?

[@miraboualbani6258]

I have noticed that 🤔

[@goodthyme]

Its the modelling resin

[@lahcenou]

What about occlusion dr ? When you all that beautiful work and then you have to reduce again becauz occlusion is not perfection or higher

[@StevensonDentalSolutions]

We usually use the pre-operative contact points and adjacent tooth landmarks to avoid hyper occlusion issues. The objective is achievable with a little extra effort. Frequently zero or little adjustment is required when the lobes are built based on anatomical form...

[@nairysekayan1725]

Amazing 😉 So are the adoption paper ready??? 😂😂😂😂

[@StevensonDentalSolutions]

You are among my favorite subs! Thank you for the happy tears.

[@asitmc]

just wondering doc, before you put composite in, there was a gap between the matrix and the tooth. Did you try to remove that gap first or just go ahead and restore and deal with flash later?

[@StevensonDentalSolutions]

No gap whatsoever- take another look. Thank you!

[@StevensonDentalSolutions]

1:16

[@asitmc]

​@@StevensonDentalSolutions at 1:50 mark I thought it showed a gap on the buccal side near the box. I guess it could be the lighting. Thanks for responding!

[@StevensonDentalSolutions]

Yes, reflections off the band - thank you!

[@DanielAtiehFs]

Wonderful work. I want to ask you about something but need to send you pictures. Where can I do that ? Email maybe ?

[@StevensonDentalSolutions]

[e-mail]

[@DanielAtiehFs]

@@StevensonDentalSolutions I sent on this e-mail. Thank you

[@StevensonDentalSolutions]

My pleasure

[@jealykaferrer8706]

How much the cost of restoration?

[@StevensonDentalSolutions]

It ranges in offices in the US from about $250-500

[@alanabanana23]

My dentist didn’t use any metal plate to protect my teeth.

[@shot336]

how long do you think such a restoration will serve a patient for?

[@jordonsowders3473]

The short answer is depends...