Operative II Lecture 6: Quadrant Dentistry/Kissing Cavities

Operative II Lecture 6 Quadrant Dentistry/Kissing Cavities Dr. Golda Erdfarb D.D.S Quadrant Dentistry • When all the dental work needed to be done in a singe quadrant is done at one time /at a single appointment. Why would a patient need quadrant dentistry? • Gross Decay • Convenience...

Operative II Lecture 6 Quadrant Dentistry/Kissing Cavities Dr. Golda Erdfarb D.D.S Quadrant Dentistry • When all the dental work needed to be done in a singe quadrant is done at one time /at a single appointment. Why would a patient need quadrant dentistry? • Gross Decay • Convenience - • Busy schedule • Pediatrics • Special Needs https://unitedwaypbc.org/special -needs -equipment -fund/ How can this benefit the provider? • Better visibility • Less appointments per patient. • Less cancelations to worry about. • Less confirmation phone calls to make the day before. • Higher patient satisfaction • Accommodating their needs • Pediatrics • Special Needs • Time Management • More productive • Less anesthesia Never bite off more than you can chew. • Do not tell a patient you will do everything in a quadrant in one visit unless you know for a fact you will. • Use the words “I will try my best to do all the work.” • Life is about expectations - set those up early on in your doctor/patient relationship. Kissing Cavities • Interproximal decay on adjacent teeth. Preparation - How to approach these: • Start with the tooth that has more decay. • Once all the decay on the larger tooth is excavated, you will have good visibility of the smaller decay and therefore you will have a very conservative preparation on the tooth with less decay. • Prepare the teeth as usual. • No problem nicking the adjacent tooth. • Because both teeth are going to be prepared. Restoring these preparations - one is much larger than the other • Restore smaller one first. • Remember, no extension for prevention. • Sometimes the occlusal does not need to be modified to accommodate decay. • Place matrix band on the tooth with the smaller preparation, no need to burnish you will be creating a new contact for both the teeth. • Restore as usual. • Polish and create a good occlusal embrasure on this tooth since you have complete visibility, and more working space. • Place matrix on tooth with larger preparation. BURNISH the band against the tooth already restored, and restore as usual. Restoring these preparations - equal in size • Start with the most posterior tooth. • Why? • As you come more anterior you have more visibility. • Place matrix band. • No need to burnish. • Restore as usual, make sure to restore proper anatomy. • Place matrix on the tooth that is more anterior. BURNISH the band. • Restore as usual. Questions????