Greater Curve Brass band for Anteriors

Posted on September 23 2019

Introduction:

The softer GC Brass band has no bounce back when burnishing. However, it is thin and stiff enough to slide through most  contacts.

 

Before

Step 1

I will restore 9 & 10.

Preps on 9 & 10

Step 2

Used large bevel across the enamel to increase bond surface.

GC Wide Brass band set up

Step 3

GC Wide Brass band set up. Labial portion has been cut away for access. I prefer over building and cutting back to my desired morphology for 2 reasons: 1) Gets the composite bonded to the tooth faster because I not spending time attempting to perfect the shape.  Time is the enemy of isolation.  2) Eliminates the possible need for an “add on” of composite because you under contoured.

#9 ready for shaping

Step 4

Core was built up with Activa A2. Filtek Supreme A3 an A1 were veneered over the Activa.

I like Activa as a core for 2 reasons: 1) Activa (Pulpdent) is bioactive. 2) The bulk of the restoration can be placed with Activa very quickly.

#10 ready for shaping

Step 5

#10 restoration ready for shaping once the GC Standard Brass is removed. #10 restored in the same manner as was #9.

Final

Step 6

Final restoration. #'s 9 & 10.

 

Deep Bite

Pt. advised that #'s 9 & 10 composite restorations may fail as did the previous composites due to his very deep bite. Discussed opening his bite. Patient agreed to this more conservative approach for now. Not sure he wants to invest more dollars into his mouth.

6 comments

  • XVJSMaEjdxgWHFTZ: November 19, 2019

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  • hfxiTqorsNJPUad: November 19, 2019

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  • Dennis Brown: November 02, 2019

    A conventional tofflemire band does not have the flare or the height needed.

  • Dennis Brown: November 02, 2019

    In the first photo the band was past the gingival margin at the distal and labial to the preparation. There was no need to force the band sub gingival past the preparation along the entire labial portion of the tooth.

  • Vance waacom: September 30, 2019

    Confused, first photo shows that band did not go under gingival margin?

  • Reza Amjadi: September 28, 2019

    What is the disadvantage of conventional tofell Myer band?
    Thanks

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