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cosmetic dentistry - beauty & science

I 17 research _ conservative dentistry I cosmeticdentistry 3_2012 tical clinical solutions to the concerns listed above. Thefollowingsectiondetailsstep-by-stepaneffec- tive protocol that incorporates the latest advances in restorative dentistry. _Clinical protocol The rubber dam is punched and lubricated with water-soluble Wink (Pulpdent; Fig. 15) to facilitate its insertion through interproximal contacts with- outtearing.VitaEasyshadeCompact(Vident)isused to determine the shade of the restorative material at the beginning of the procedure, either before the rubber dam is placed, or immediately afterwards (Fig.16).Itisimportanttorecordtheshadewhilethe tooth is still moist; once it is desiccated, the tooth will appear unnaturally chalky and opaque. The tooth is air-dried and the CarieScan PRO caries in- dicator (CarieScan; Fig. 17) is utilised to confirm the location and the extent of the decay (Fig. 18).25–28 AccessthroughtheenameliscreatedwithaGreat White Gold #2 carbide29 (Fig. 19) or a TDA #849 dia- mondhigh-speedbur(Fig.20;bothfromSSWhite).30 Oncethedeepdecayhasbeenexposed,SmartBursII selectively removes the soft carious (infected) den- tine (Fig. 21). The structure of SmartBurs II is de- signed to determine the preparation end-point automatically; any further rotation of the bur in the cavity simply abrades the bur, not the dentine. This leavestheharder,remineralisable(affected)dentine covering the pulp chamber intact (Fig. 22). Fig. 23 Fig. 24 Fig. 25 Fig. 20 Fig. 21 Fig. 22 Fig. 29 Fig. 30 Fig. 31 Fig. 26 Fig. 27 Fig. 28