How to Use Injectable Composites To Treat Toothwear MASTERCLASS - PDP081 (Injection Moulding)

[@drstu311]

Literally no one talks about the interproximal “technique”, it’s sounds great wish me well tomorrow

[@protrusive]

hope it went well

[@ayj11]

KK is an amazing teacher and I am doing the same technique he taught me and its a life changer

[@protrusive]

Awesome! It’s amazing how the right technique can make such a difference.

[@Mitral_valve]

So about to my first injectable case today. Excited

[@protrusive]

hope it goes well!

[@halffacedfeeds1203]

Does gc injectable A1 has enough opacity to restore a class IV restoration or i need dentine composite layer beneath it . ?

[@protrusive]

sorry for delay! In my experience you need to cut back and layer as it's a little on the translucent side

[@fabricioortiz8220]

Hi I need this work done and I live and Canada can you recommend some one in Canada.

[@protrusive]

check out dmdsunny on insta

[@suresh211]

Do you have any thoughts on alternatives to isolating the alternative teeth prior to bonding? I do a lot of injection moulding and find it to be a great cost effective technique for interim full mouth rehab/OVD increases, but I feel like its more laborious than it needs to be. I preload the stent in the nooks with injectable and then inject the rest, this allows me to control the injectable material and minimize cleanup, but isolating every second tooth effectively with teflon takes a lot of time. You have to cut a strand for each surface and tuck it into the gingival sulcus which is time consuming if doing 4-4. Surely there is an alternative method to stop the composite from sticking to the adjacent teeth when injecting? Any thoughts on an easier application method that could peel off that doesn't deform the clear matrix?

[@protrusive]

@suresh211 I use the every other tooth model so the first round is relatively minimal clean up the 2nd round does require the PTFE in my hands I don't have the answer here but hoping someone from the community does - thanks for asking an excellent real world question

[@CCage007]

I love your stuff. The comment about injectable to bulkfill is an unfair comparison because bulkfill usually requires a cap if used in areas of occlusion. I still agree that it is a great conservative treatment option though! 😊

[@protrusive]

that's a very good point, thank you doc!

[@amit.thedentist6843]

Jaz - have your ever tried using a smilefast stent but use the gaenial flow composite? Best of both worlds?

[@protrusive]

Have used smilefast with heated paste but not with GUI - I know that Mide and Tom tested a lot of composites before deciding on their protocol - I would be too chicken to try! Have you tried?

[@amit.thedentist6843]

@@protrusive I will soon Will keep you updated

[@amit.thedentist6843]

@@protrusive Tried it today. Worked really well. Gaenial flow does have an air bubble problem But overall a fast efficient way of doing things

[@vishwajeetkale1660]

really really good

[@peggygonzalez683]

Interesting 🤔💥🏆💥♥️🌹

[@ManishYadav-ol4bx]

Capping karane k baad injection moulding treatment possible hai kya rct nahi kia hai 1 month hua hai irritate feel ho rha hai...

[@protrusive]

capping as in crown? mushkil hotha hai composite ko crown ke upar lagane mein- leikin baki daand (enamel) possible hai. Sorry if my hindi sucks!

[@ManishYadav-ol4bx]

@@protrusive sir crown remove after injection molding treatment possible hai kya...

[@protrusive]

@@ManishYadav-ol4bx removing composite? Yes and can use UV light to help.

[@shilpikachhwaha9462]

Is it suitable for excessive wear cases where we need to increase OVD?

[@protrusive]

yes - all in the planning (occlusion) and ensuring adequate thickness and setting the restorations up for compression and not tension

[@PCDC924]

Im having bubbles on my exaclear when i take impression on my asiga printed model, seems like the resin is not compatible with the clear putty, so i have no choice but to duplicate the printed model, to stone model, then only i take the exaclear inpression, defeat the purpose of speedy digital waxups.. any ways to overcome this?

[@protrusive]

Hi Edelweiss - sorry for the delay while I asked Dr Kostas about this. This is what he suggested: Bunbles in exaclear form usually because its is not pressurised in a pressure pot. When pressurised its clear as glass. Printed models can interact with PVS but i ve only seen that with putty/wash stents (mockup ones) rather than exaclear. If bubbles dont come onnstone model but they do on Asigas then its the cleaning of the model… i get all my stents made on Asigas (solid models, not hollow) If bubbles come on both stone and printed then its the pressurising issue Hope that helps - as you can see Kostas is a genius geek!

[@Cavanho]

Is it suitable to use G aenial injectable for occlusal molar cavities, kind of like a bulk fill? What’s the shrinkage like?

[@protrusive]

Hi Cavan ho, G-aenial universal injectable can be used for Class Is (as well as Class IIs!) - I personally would not use it in a bulk fill way - still better to place increment by increment in a 'stress reduced' manner. Shrinkage is comparable to other flowables (3.4%, whereas SDR is 3.9%) but more than paste composite. I know some great dentists who have been using flowables for class Is for several years personally.

[@gulamwalji1334]

Love the information but there are no clinical cases. I think you should have more clinical and technique than just talks. Gets very boring

[@protrusive]

Thanks - although this is a podcast streamed to Spotify/Apple, hence the interview style.

[@성진-p7b]

다들 그만두세요 대한민국 국민은봉인가보다 😢😢😢😢😢😢

[@shiehp]

Sorry, sounds good, but this is a temporary solution.

[@protrusive]

I think it depends on definition. If something has to last forever, then everything we do is temporary. If it can last 7 years (as the case in the thumbnail is going at the moment) - should we say temporary? I think a more appropriate term is transitional Wishing you the best Jaz