Step 1
Determine the shade of the tooth.
Step 2
Dr. uses anesthetic to numb tooth after the assistant places topical.
Step 3
Dr. uses high speed to prep tooth.
Step 4
Dr. uses slow speed to remove decay.
Step 5
Dr. rinses with water to clear off debris.
Step 6
Dr. places tofflemire with matrix band around tooth.
Step 7
Dr. places the wedge between teeth.
Step 8
Dr. uses the explore to check the seal of band at the base of the interproximal area.
Step 9
Dr. uses ball burnisher band against adjacent tooth to create tight contact.
Step 10
Dr. rinses tooth again with water to remove blood or debris.
Step 11
Dr. applies acid etch to prepared enamel and dentin areas.
Step 12
Allow to etch for approximately 15 seconds.
Step 13
Dr. rinses off acid etch with water.
Step 14
Dr. applies 5 coats of A/B primer to slightly moist dentin.
Step 15
Dr. air dries for 5 seconds.
Step 16
Dr. applies resin on dentin and enamel and thinned with slight air blowing.
Step 17
Assistant light cures for 5 seconds.
Step 18
Dr. places moist composite filling material in several increments and light cures after each one.
Step 19
The toffelmire, matrix band, and wedge are removed.
Step 20
Dr. adjusts filling material with finishing burs and sharp blade.
Step 21
The bite is checked with occlusion paper held by the assistant.
Step 22
Dr. smooths and polishes the filling.
Step 23
Dr. checks contact areas with floss.
Step 24
Final rinse with water.