Noteworthy use of the Greater Curve technique by Dr. Ahmad Fayad.
Introduction:
28 year old female with senstive Upper left first molar #26.
No spontaneous pain, no lingering pain, no pain on vertical percussion.
Diagnosis: Reversible pulpitis with normal periapex
Pre-Op
Good isolation is the key
Step 1
After removal of previous leaking composite and caries excavation, I exposed the pulp.
Soaked cavity with full strength bleach for one minute.
Step 2
Pulp cap placed
Step 3
After bleeding control, I apply the pulp cap material. I use Theracal, others use Duralon. In my hands, Theracal has a high success rate.
Greater Curve Standard band in place
Step 4
Post prime and bond
Step 5
After prime and bond (clearfil se protect), I seal the entire margin with a very thin layer of flowable composite (Majesty flow).
Placing composite
Step 6
Place composite in increments. I don't get carried away by placing anatomical features yet. I find when I try to create anatomy with uncured composite, I tend to stretch it creating voids and weak links between layers (others may have different opinions). A nice solid structure is what I aim for now, all packed nicely. Composite: Exquisite from Apex
Completed
Step 7
Completed
Step 8
Snap contacts
Post op BW
Step 9
Post op PA
Step 10
