How to use Injectable Composites to Treat Toothwear – PDP081

Surely injection moulding composite resin is too ambitious to restore Toothwear? Well, let Dr Kostas convince you otherwise! Restorative Dentist Dr Kostas Karagiannopoulos will reveal all the the nitty gritty secrets from patient evaluation to the entire bonding protocol. https://youtu.be/hL5aAdzk-hk Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below!  Protrusive Dental Pearl: How to improve the resistance form of ceramic onlays: Use a big fat round bur, sink it into your composite core (be sure you're drilling into core material and not sacrificing healthy tooth structure) and allow your ceramic to extend into that to help your onlays stay on when you're trying them in. Whether this extension improves retention form is debatable Step by Step PDF Infographic. Click here In this episode we discussed: Role of injectable composites as a transition (and as a long term solution) (12:59)Follow-ups and maintenance of injection molded composites (16:52)Contraindication for injection molding (20:28)Indication for injection molding  (20:54)Minimizing voids when restoring with injection moulded composites (21:48)Filling the stent with composite (a thing of beauty!) (28:17)Other techniques vs Injection molding (31:29)Injection molding composite case sequence (35:04)Isolation during injection molding? (46:36) If you enjoyed this episode, check out eMax Onlays and Vertipreps Want to learn more? Do check out this one-day course by Dr Kostas with GC UK Click here for Full Episode Transcription: Opening Snippet: Wait hang on a minute you’re going to use flowable composite and you’re going to squirt it inside a clear stent and then you’re going to expect that to hold up when it’s restoring anterior tooth wear? Have I got that right? Jaz’s Introduction: This is exactly what I thought when I first came across this technique but you have to understand something. That is not regular old flowable composite and there are some micro details to gaining predictability which is exactly why I’ve got Dr. Kostas Karagiannopoulos Kostas, I’m so sorry if I perverse your surname there. He is a phenomenal dentist based in the UK. He’s a fantastic restorative dentist and he teaches on this technique so who better to talk about this technique than Kostas. He’s going to go through the entire workflow from case assessment to see who is suitable for injection molding composites to how to execute it and some key gems to take away. So, if you were to do it Monday morning, you’re going to gain a lot from this episode.Protrusive Dental Pearl:The Protrusive Dental Pearl before we go straight into this really cool episode is the following right? So many of you are placing let’s say Lithium Disilicate onlays, right? The problem is when you get them back from the lab on the model, they fall off really easily or when you put them on the tooth to try it in like there’s no resistance form. There’s a real lack of resistance form on these on layers therefore they just fall over the place. So, if you have a composite core in place.I’m a big fan of getting the biggest, fattest diamond bur you have which is around or spherical in shape and just sinking in until you get this kind and if those of you watching right now will describe. If you’re listening, it’s like you see like a semi-circle or a half sphere drilled into the composite and what this does is that the ceramic will now have this extension of this half sphere into it so that now it’s less likely to fall off the model and weigh less likely to fall off when you’re trying it in.Now it’s debatable whether this actually improves the resistance form of the restoration technically anything that opposes your finger removing a crown improves the resistance form so technically it does, but you do it for just convenience really and as long as you’re drilling into core material and you’re not sacrificing healthy tooth structure then i thi...