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Need to be carefully when using the clamp then rubber dam technique when stretching the rd

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For pt who has a small mouth, clamp then rd technique might be more preferable.

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Ensure the rd is inverted, can use flat plastic to inverted more

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There was a bubble on the central pit of 16, use explorer to check carefully, if there is voids/bubbles, apply a tiny more of conseal to make the surface smooth.
Had excessive conseal material applied on the buccal grove of 17 but improved on the 18. If there is excessive material applied, can polish down a bit.

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A bit excess leave on the distal margin, can use floss to remove. Use floss for the interproximal surfaces after FS procedure can prevent excessive on the distal or medial marginal ridges.

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Gic finger press technique is designed for procedure that requires quickness, suitable for paediatric pt, and less requirement for moisture control.

Only apply small amount of GIC.

Can use sickle explorer to remove the excess but need to be quick, otherwise. The surface will be rough.

Use floss to remove the excess in the interproximal area.

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-use floss to remove the excess. Always use floss for the mesial and distal after FS procedure.

For a palatal fissure sealant, we need to check pt’s occlusion, to check if patient’s mandibular teeth will occlude to the maxillary palatal pits, if will occlude, it is very difficult to retain the FS.

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- surface was not smooth, further polish required

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Selective Caries removal

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- polished down a bit part of cusps areas
- surface is not very smooth
- a bit defects on the mesial pits

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22MP direct pulp cap and restoration - Moisture control 

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22MP direct pulp cap and restoration - Moisture control 

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22MP direct pulp cap and restoration - before polish

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22MP direct pulp cap and restoration - before polish

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22MP direct pulp cap and restoration - before polishing palatal view

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22MP direct pulp cap and restoration - before polishing palatal view

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11MIBP Palatal wall build by using palatal index 

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11MIBP Palatal wall build by using palatal index 

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11MIBP Placing matrix band to build proximal wall 

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11MIBP Placing matrix band to build proximal wall 

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multi teeth isolation from 15-25

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21 MIBP use clear strip to build palatial wall

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21 MIBP use clear strip to build palatial wall

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21 MIBP use sectional matrix band to build mesial wall 

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21 MIBP use sectional matrix band to build mesial wall 

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Boats and boating--Equipment and supplies

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Depth 1mm
no carious lesion only removed breakdown enamel

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Caries removed and can see pulp exposure area

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Used spoon escavator to amputate the pulp stumps and remained radicular pulp.
(The small circle at the center, where the furcation area, is not due to perforation but the screw of the artificial tooth)

Then use saline damp cotton pellet to achieve hemostasis

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As there is no MTA available in sim clinic, so we used cavit to pretend it is MTA.

When use condenser to press down, we can use a piece of gauze to cover the area then use condenser to slightly press.
Can also use a slight damp cotton pellet to condense.

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75 occlusal reduction + round line angle

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75 occlusal reduction + round line angle

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Reduction for SSC should follow tooth anatomy 

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Reduction for SSC should follow tooth anatomy 

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75 reduction - checked from buccal view 

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75 reduction - checked from buccal view 

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75 reduction - checked from lingual view 

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75 reduction - checked from lingual view 

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Rolling from lingual to buccal

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areas to improve:

- when doing incisal reduction for 1-1.5mm, can choose a bur that has a diameter of 1-1.5mm, then cut at some curvatures with depth of 1-1.5mm, then joint them together

- I had some excess at the buccal gingival margin, can use a tapped HS bur to polish down slightly; when polishing, follow the bur rotation direction

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From inside out

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Start trimming triangles from both sides

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Incisal, mesial, distal, labial, palatal reduction

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Try for the length of the crown; access whether further trimming required.

Usually can be a bit more in the length of gingival-Incisal dimension, this is to avoid underfilled after polishing.

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Strip crown removed

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Use soflex disc from most course to least course

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11 cvek pulpotomy: amputated the pulp until see healthy bleeding pulpal tissue 

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11 cvek pulpotomy: amputated the pulp until see healthy bleeding pulpal tissue 

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After amputating, I used cotton palate with sterile water (or la solution) to achieve hemostasis.

After achieving hemostasis, we can create bevel to have better aesthetic

place non staining calcium hydroxide (biodentine) to help pulpal tissue heal; then apply vitrobond to dentin to seal the pulp, prevent post operative sensitivity (light cure for 20s)

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Prepare a wire with 0.5mm, created two safety loops