Two-Cord Impression Technique by Michael DiTolla, DDS, FAGD

[@GlidewellDental]

What is your favorite gingival retraction technique? Comment below! Want to earn FREE CE credits? Visit glidewell.dental/FreeCE To earn 1 FREE CE Credit on this course: glidewell.dental/TissueImpress... In this course, Dr. Michael DiTolla presents the rationale for gaining the maximum amount of lateral retraction of the gingival tissues without damaging the patients’ biology, in order to provide the technician with an unobstructed view of the prep margin. Many examples of acceptable and unacceptable impressions will be shown as well. ⏱ TIMESTAMPS⏱ 0:00 - Intro 0:15 - 2 Cord Impression Technique Overview 0:49 - Benefit #1: Vertical retraction of tissue 1:57 - Benefit #2: It acts as a "Band-Aid®" 2:34 - What do dental labs want? Horizontal gingival retraction 3:58 - How to get a crown with 3 microns of open margin 5:06 - Want to earn FREE CE credits? Visit glidewell.dental/FreeCE

[@محمدالقريشي-ف9ع]

Great advise i used to use only 1 cord but after that video i understand the important of double cord ty Dr.michael

[@iddicted]

Doc since I started watching your vids I switched to always use double cord and it has helped. Thank you!

[@GlidewellDental]

Thank you for your kind words.

[@adamerickson3778]

A lot of my doctors need to watch this!!!

[@rajitharanvijayasekaram5862]

Loved your detailed explanation and especially your jokes.

[@paulraagas8079]

Doc, the car keys and credit card couldn't be found as it is not really part of the anatomy of the periodontium. Kidding aside, I love the enthusiasm and the passion for teaching! Thank you very much for the quality instructional video!

[@walidnassif9499]

How do i decide the size of the cord? I always go for 000 followed by 00 or 0 but my initial cord is always 000,

[@Pankajdentaltraders]

Nice teaching

[@ghostwriter1440]

Great video! Has anybody noticed this Dr. Looks like Hank from breaking bad? “They’re bicuspids Marie “

[@sabrinali3072]

amazing video -thank you

[@iradhill81]

Am i the only one who thinks he looks like Hanks brother in law from Breaking Bad

[@GlidewellDental]

Thank you for watching this video.

[@keravisherkeravis1763]

He sounds like him too

[@denischan999]

You become a dentist when you fail as a cop

[@humerasafdar1903]

2nd cord thickness?

[@nallelyibarra3411]

would you wait 5 - 10 minutes before placing the 2nd cord ?

[@cam14dang]

Hi! Do you leave the cords inside the sulcus and take the impression? Thank u!

[@dr.toanvo1770]

Yes, remove top cord only with 2 cord technique. The apical cord stays in to prevent bleeding

[@Daniel-dz2cd]

Always use double

[@charleskocun6754]

I prefer 3m retraction paste. It’s quicker and more efficient

[@GlidewellDental]

Thank you for watching this video doctor.

[@markbourcier1980]

Retraction paste is great to stop bleeding but it does not produce significant lateral retraction.

[@crenapun57]

tq

[@GlidewellDental]

Thank you for your feedback.

[@crenapun57]

@@GlidewellDental 😊🇳🇵😁

[@VictorGarciadentista]

Great

[@GlidewellDental]

Thank you for your feedback.

[@obeytweety]

Car keys and credit card, I love it !

[@cj1446]

Another dentist who is simply still operating as if he is doing a PFM crown. Before ceramic crowns the metal margin needed to be hidden, which is why the use of cord was implemented. I have been in dentistry for 27 years. I am a general practice DA. I have seen terrible crown preps and simply beautiful ones. Any dentist that thinks that subgingival or supragingival preps are acceptable are not understanding that a crown of the tooth is above the gum tissue not below! Why would you ever pack cord today? Packing cord strips the tissue, leads to recession and boneloss. If your margin is equagingival (which is where it should be), then why would you need cord? Aside from tissue damage cord creates, it causes bleeding which results in a poor impression or scan, prolonged patient chair time and a sore jaw. I want to address the "vertical cord packing" you keep referring to. Teeth are conically shaped. Therefore, if the purpose is to expose your margin subgingivally (which again is wrong) then you must always pack the cord toward the tooth at an angle never "vertical". If you do not have enough tooth structure left due to decay or fracture then you must perform crown lengthening. Build up should be a filler not replace tooth structure to create a foundation for the crown. A crown prep margin should be equagingival not subgingival or supragingival. If bleeding occurs use an astringent paste or hydrogen peroxide cotton pellets and let it sit. This approach from an engineering and tissue standpoint will service the patient well for long-term success.

[@ba2138]

Hi, I'm a dentistry student from Sweden. I have some questions which would be very kind of you if you took time to answer shortly. 1. Do you think a single (not two) retraction cord makes more damage to the tissue than a retraction paste? 2. Is it possible to make good impressions without a cord? 3. Is crown lengthening worth all the time and money? Which crown lengthening procedure (orthodontic, surgical, periodontal) is the best in your opinion? 4. I've never heard about hydrogen peroxide being used. Isn't it corroding the gum tissue?

[@JC-dz5ur]

A DA doesn't prep a tooth in his life lectures at Dr.DiTolla. You brought your own doctor's bias and pushed it on others. Your arrogance and ignorance are astounding.

[@lucerodelcarmencaballerosi8163]

🙏🏻🥸